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Stephanie Best PoWIS Rural Health PhD Student Dr Fiona Williams Research Manager, IRH

Highlights on Rural Health Innovation in Wales. Stephanie Best PoWIS Rural Health PhD Student Dr Fiona Williams Research Manager, IRH. What is Innovation in Rural Health and Social Care?. From the Latin innovatus meaning to renew or change in -" into" and novus -" new "

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Stephanie Best PoWIS Rural Health PhD Student Dr Fiona Williams Research Manager, IRH

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  1. Highlights on Rural Health Innovation in Wales Stephanie Best PoWIS Rural Health PhD Student Dr Fiona Williams Research Manager, IRH

  2. What is Innovation in Rural Health and Social Care? Access, Integration, Community Cohesion and Engagement From the Latin innovatusmeaning to renew or change in -"into" and novus -"new" Majority of innovation is derived by inspiration from others – reinvention A “good idea” is not enough Spread of innovative rural health and social care is dependent on sharing knowledge

  3. The Process of Innovation Access, Integration, Community Cohesion and Engagement

  4. Rural Health Innovation Projects Access, Integration, Community Cohesion and Engagement Aims • Stimulate and support innovative and sustainable solutions • Develop and test new models of integrated, sustainable working • Strengthen local ownership, engagement and rural networks • Support joint workforce training and developments • Identify and share examples of good practice to inform service delivery

  5. Rural Health Innovation Projects Diversityof Projects Designed for Competence Outreach Mobile Units Telerehabilitation Community Support Networks Sp&L Therapy in a bag Third Sector Coordination E Xray Link Rural Carers Recognition Palliative Care Service Redesign IT Paramedics Nurse Led MIU Care Farming Rural Carers Survey Innovative Rural Pharmacies Capable Coping Communities Access, Integration, Community Cohesion and Engagement

  6. Challenges Access, Integration, Community Cohesion and Engagement Tight timescales Procurement New referral routes Assessment of small client populations

  7. What has been learnt? Access, Integration, Community Cohesion and Engagement The need to embed evaluation frameworks Measuring the unquantifiable Integrated working Benefits of a good network The need to share outcomes

  8. Development Sites Access, Integration, Community Cohesion and Engagement • Increase understanding of the practicalities of implementing improved service delivery in a rural context • Strategic approach to a different way of working: • Intertwined – wider strategic framework • Focus on geographically-based initiatives • Not ‘bolt-on’ initiatives • Evaluating the ‘learning’

  9. Overview: HywelDda Integrated planning & delivery teams Joint delivery systems – transport Access Integration Integrated Workforce Plan Service maps redrawn – local intelligence Crymych Greater use joint care packages Community networks established Gap analysis – identify lack alternative care Community cohesion Access, Integration, Community Cohesion and Engagement

  10. Overview: Powys Agreed role profiles Identified ‘champions’ Emphasis on Mental Health Systems of engagement at local level Powys-wide Telehealth & telecare services Citizen & stakeholder engagement Rural Health Practitioner Governing Framework Mapping exercise Training programme Plan for ‘roll out’ as appropriate Tier 1 services initiated Access, Integration, Community Cohesion and Engagement

  11. What has been learnt? Access Access, Integration, Community Cohesion and Engagement Perceptions of good and poor access – challenging our understanding of access issues Rural isolation – reaching people (community intelligence) The role of telehealth and telecare opportunities

  12. What has been learnt? Integration Access, Integration, Community Cohesion and Engagement Locality working – understanding the interface between community and primary health care services Workforce – potential impacts on planning

  13. What has been learnt? Community Cohesion & Engagement Access, Integration, Community Cohesion and Engagement Understanding the third sector and civil society – developing relationships Access to information Confidentiality issues and concerns Flexibility – working with the community dynamic

  14. Challenges and opportunities Access, Integration, Community Cohesion and Engagement Project activities and outputs are still ongoing Impacts are difficult to disentangle from related activities Useful learning achieved through the project process to date – potential to shape services Basis of framework for evaluation and critique in the medium-longer term

  15. The “so what” slide Access, Integration, Community Cohesion and Engagement Early days The Rural Health Plan has provided a ‘lens’ for observation Initiating a culture shift in service provision Generating the evidence-base - a need for ongoing monitoring, review and evaluation Wales is on the international stage for rural health and social care provision

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