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COMMUNITY CHAPLAINCY LISTENING
                   Dave Rigby Western Isles
                             21st June 2012
Beautiful Isolation
Local Service Provision?
• 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
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
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
Community Chaplaincy Listening in the Western Isles

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Parallel Session 2.5.3 Focusing on the Workforce

  • 1. COMMUNITY CHAPLAINCY LISTENING Dave Rigby Western Isles 21st June 2012
  • 4.
  • 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
  • 8. Community Chaplaincy Listening in the Western Isles

Notas do Editor

  1. 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
  2. Psychological Services Ggow, Local Psych and CPN: GP range of options limited
  3. Had to think when asked: part of usual service: 50mins structured listening: non judgemental: no faith link: self refer and discharge when ready
  4. 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
  5. First qualituy ambition in italics: Three of the six areas to focus on
  6. Scotlsnd beautiful whether urban or remote, efficienciesrisk driving out time to listen and compassion but cost effective and transmits its effect beyond the individual