5. • 33 referrals in the pilot phase (March 10- March 11)
• Patients overwhelmingly reported having a positive experience with
the CCL service
• 41 clients in the second phase to date
• Only 5 DNA’s
Full report on thenational Scottish action research project
• Age range 20-89
First cycle: March 2010 – March 2011
• Multiple issues
• Work related stress
• Relationship difficulties
pared by Dr Harriet Mowat of Mowat Research Ltd and Dr Suzanne
• Bereavement
Bunniss of Firecloud
• Loss of confidence, meaning and purpose
With
• Chronic disease and pain acceptance
Gillian Munro, Keith Saunders, TK•Shadakshari, Gordon Warwick
Cancer and coping
•Personal experience
For
6. Mutually beneficial partnerships between patients, their families and those
delivering healthcare services which respect individual needs and values
and which demonstrate compassion, continuity, clear communication and
shared decision making
• Caring and Compassionate staff and services
• Effective Collaboration and explanation between clinicians, patients
and others
• Continuity of care
7. Shifting the Balance of Care
Shifting the Balance of Care (SBC) describes changes at different levels across he alth and care systems
– all of which are intend ed to bring about better health outcomes for people, provide services which
reduce health inequalities; promote independence and are quicker, more personal an d closer to home.
This means we need to develop clinical and care pathways that may involve shifting location, shifting
responsibility; and identifying individuals earlier who might benefit from support that might sustain their
independence and avoid adverse events or illn ess. This means we are shifting:
copyright to Tony Marsh Photography
towards prevention who delivers care location of services
by increasing the rate of health by providing more care and by improving access to care
improvement particularly in treatment in the commun ity and treatment through changes
deprived communities by requiring professionals and staff to in the location of services;
anticipating and addressing the develop their skills, expertise and providing a wider range of
need for care at an earlier stage; roles. This requires real diagnostics and specialist
changing the emphasis from partnership working between services in communities and
services focused on acute organisations and professionals, maximising the use of new
Shifting towards systematicof
conditions the Balance Careagreement on outcomes and
and technologies. Here we expect
and personalised support for care pathways delivered by to see some changes in clinical
people with long term conditions; community based multi agency and hospital based activity as
developing continuous, teams. It means shifting our view we develop the community
Remote and Isolated: Social isolation, people to talk too. Traditional ministry not for everyone, in fact disincentive to many-hardline. GP takes on a ministry
Psychological Services Ggow, Local Psych and CPN: GP range of options limited
Had to think when asked: part of usual service: 50mins structured listening: non judgemental: no faith link: self refer and discharge when ready
Pt: known 15+yrs, anxiety mood coping. Medication++, time++ but always fractured time, off island ref, CLL, limited sessions, her pace, reduced meds reduced refs, reduced doc time, increased input into community
First qualituy ambition in italics: Three of the six areas to focus on
Scotlsnd beautiful whether urban or remote, efficienciesrisk driving out time to listen and compassion but cost effective and transmits its effect beyond the individual