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Remote and Rural Health Project

Remote and Rural Health Project. Dr. Annie Ingram, Project Director MHIB 11 th December 2007. Extended Primary Care team. Secondary care. Tertiary Services. Emerging Model. RGH. RGH. DGH. CH. RGH. RGH. RGH. RGH. CH. Standards and Formal Support Networks.

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Remote and Rural Health Project

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  1. Remote and Rural Health Project Dr. Annie Ingram, Project Director MHIB 11th December 2007

  2. Extended Primary Care team Secondary care Tertiary Services Emerging Model RGH RGH DGH CH RGH RGH RGH RGH CH Standards and Formal Support Networks

  3. EMERGING MODEL – Primary Care Framework WORCEFORCE SUPPORT NETWORKS Multi-skilled Generalists Rotations with larger centres Education  Distance learning Rural fellows, Nurse practitioner, Paramedicss community resilience Named responsible specialists Twinning of single/small practices Integration with RGHs, Comm. Hospitals Integrated Strategic Planning Robust Patient Care Pathways Emergency Care CDM Good IT Infrastructure, Premises and Diagnostics Anticipatory Care Primary Diagnosis Health Promotion Planned Care Integrated EPCT / RGH team networked to Specialists in larger centres & grouping of small practices Robustly trained generalists - multiskilling / role blurring & rotation with larger centres INFRASTRUCTURE COMMUNITY RESILIENCE Integrated Transport Systems IT – Broadband, local & networked Diagnostics (labs & imaging) E-health Solutions Telemedicine/Telemetry NHS 24 Anticipatory Care Emergency Response Retrieval Teams Transfer

  4. Community based model; Early detection of disease and prevention of escalation; Obligate network with specialist centre; Contingency arrangements for crisis management; Generalist practitioner delivered crisis management service. R&R Mental Health Crisis Model

  5. STANDARD Access and Availability CHALLENGE 4 hours response time Access to specialist advice 24/7 Availability of specialist staff locally Places of Safety Delayed transfer and retrieval Crisis StandardsR&R Challenges

  6. Crisis StandardsR&R Challenges CHALLENGE • Infrequent clinical exposure • Lack of accessible and appropriate training • OOH access to clients specialist plans STANDARD Planning and Delivering Support

  7. Crisis StandardsR&R Challenges CHALLENGE • Lack of accessible and appropriate training • Utilisation of all available resource STANDARD • Training and Workforce Development • Working with communities

  8. Discussion…………………

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