Thoughts from the breakout sessions

A short history ….

History master class

What can we take from the past? Consensus – on the problems, but what

about the solutions? How do we get the best qualified

practitioners to work in R&R areas? The importance of nurses, midwives,

paramedics Community advocacy role of practitioners?

Social, Capital and community enterprise

Q1. Why can’t every community have a social enterprise company?

Q2. Where it exists, how can the NHS plug into that capital?

Health professional education

1. Communication – we need to do it better! Investment in internet linkage needed – not just for education, but for practice too. E-learning would then be possible.

2. Phone signals too: invest nationally to get a good roaming service across all networks – for safe delivery of care

Emergency services in remote communities

Emergency service integration? Team work! Not reliant on one person Partnership working and integration e.g.

buildings/estates Assess skills and risks in every community –

then train for multi-skilling (appetite for this) Communications – VHS accessibility Role of CPPs: cooperation, empowerment

Emergency services in remote communities

Emergency responders over first responders?

Role of Community Councils? Flexible models of care ‘We need to be brave’ in risk assessment WE NEED TO TRUST PEOPLE

Scottish Government

R&R skills and expertise need to inform national thinking

National vision for health and social care makes sense in R&R places

How do we organise our collective assets (people, public services, places)?

How build capacity in communities?

First Responder Schemes

People in communities – skills and resources: how to keep them skilled

The role of technology in training and executing their training

Evidence is key – to create measurable improvements – large scale studies and evidence collection

Technology, Recruitment and Retention – what works?

If you want a rural practice you need everything else! Transport – cooperative working, research & pilots,

cross-organisational funding Sustainable employment, schools – for retention Develop rural GP identity Recognise and value training practises Subsidise small group learning in GP