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Aligning Community Nursing to meet the health needs of the people of Highland. Area: 12,507 square miles Population: 299,000 Budget: £522m Staff: 11,500. NHS Highland. 1 District General Hospital 3 Rural General Hospitals 2 Mental Health Hospitals 20 Community Hospitals

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Presentation Transcript
nhs highland
Area: 12,507 square miles

Population: 299,000

Budget: £522m

Staff: 11,500

NHS Highland
  • 1 District General Hospital
  • 3 Rural General Hospitals
  • 2 Mental Health Hospitals
  • 20 Community Hospitals
  • A wide range of community services throughout
we have nothing to fear but fear itself
“We have nothing to fear but fear itself-

nameless, unreasoning, unjustified terror which paralyzes needed efforts to convert retreat into advance

challenges
Challenges
  • Geographical area
  • Limited internal transport and communications infrastructure
  • Tourist season
  • Providing safe & sustainable health services
  • Reducing inequalities in healthcare
  • Demographic changes
slide5

1

Thurso

Tain

Badenoch and Strathspey

Helensburgh and Lomond

Mid Argyll

Kintyre

key policy drivers
Key Policy Drivers
  • Reducing health inequalities
  • Getting it Right for Every Child
  • Managing long term conditions
reducing health inequalities
Reducing Health Inequalities
  • Community Health Profiles
  • Fit for purpose workforce- structure and skills profiles
  • Prioritising and Planning – national and local targets
  • Monitoring and evaluating
getting it right for every child
Getting it Right for Every Child

“Getting it right for every child is the foundation for work with all children and young people and will also affect practitioners in adult services who work with the parents or carers. It builds from universal health and education services and drives the developments that will improve outcomes for children and young people…”

Scottish Government.

A Guide to Getting it right for every child September 2008: Version 1.1

getting it right for every child current position
Getting it Right for Every ChildCurrent Position

A multi agency assessment providing:

  • An evidenced based framework to facilitate consistency in approach to the assessment of children’s needs
  • Reduce the number of assessments that a child is subject to
  • Breakdown professional boundaries
  • Improve information sharing
everyone s responsibility to ask the same 5 questions
Everyone’s Responsibility to askThe same 5 Questions
  • What is getting in the way of this child’s wellbeing?
  • Do I have all the information I need to help this child or young person?
  • What can I do now to help this child?
  • What can my agency do to help this child?
  • What additional help, if any, may be needed from others?
getting it right for every child1
Getting it Right for Every Child

As a result:

  • Access to services will improve/better outcomes
  • A timely and child focused response is achieved
  • Resources are better utilised
  • Better management information is achieved, ensuring resources are targeted effectively
models of care
Biomedical

Cure

Specialist role

Disease / Illness

Compliance

Intensive

Palliative Chemo

Biosocial

Care

Holistic

Patient Autonomy

Concordance

Time / Choices

Community Based

Models of Care
key components
Key Components
  • Identify population at high risk - Nairn Casefinder Tool
  • Implement anticipatory care planning
  • Improve monitoring of long term conditions
  • Develop self care and self management
slide17

Prioritisation of Need

Team Structure

Advanced Practitioner

Intensive

CHNs

Staff Nurses

Additional

Admin/ Support Workers

Universal