1. The “Something More”

2. Demands: A cost beyond spoon feeding More than good intentions More than the ambitions or any other notions of man That gateways of opportunity that succeed against the odds are utilised.

3. GULU-MAN LINK

4. History Born out of a vision to give medical students at UHSM a life changing elective experience Founders of the link Marian Surgenor and Steve Hawes 2006 Proposal MS and SH Two years of ground work Board “rubber stamp” January 2009

5. Purpose of the link To assist Gulu Referral Hospital and Gulu University to create an excellent health care system, delivering high quality care to the people of Gulu and surrounding districts through the delivery of education and crucially the development of local clinical educational programmes.

6. GULU UNIVERSITY OPENED IN 2002 FACULTY OF MEDICINE 2004 FIRST MEDICAL STUDENTS GRADUATED 2010 OVER 300 MEDICAL STUDENTS ACROSS THE 5 YEAR PROGRAMME PLANS FOR BSc IN NURSING 2011 PHARMACY DEGREE 2011

7. GULU REGIONAL REFERRAL HOSPITAL  Established 1938  Government run  250 beds  8 Wards  Specialist departments and clinics  Pharmacy  Mortuary

8. Gulu Programmes Academic: Education/Training Medical Students: Microbiology, Pathology Psychiatry AIM course, Obstetrics, NLS modified Primary Trauma Course, ICL, OSCE Lectures, tutorials, ward based teaching and workshops

9. Gulu Programmes Hospital; Staff All grades. AIM course, NLS course, PRIME course Infection Prevention Control Safe prescribing, administration and recording of medication Neglected processes

10. Gulu Programmes Community: Primary Trauma Course for Northern Uganda Maternal and child health care HIV/AIDS clinics in particular children and adolescents. Mental Health projects Research projects ongoing

11. Staff Participation 16 staff long term programmes (9 from across Greater Manchester 7 from UHSM) 60+ staff participated in short term programmes 11 medical students have been on elective placement Fully booked for electives till 2013 with some students already booked for 2014,2015 Long term placements fully booked 2012/13

12. A word about costs sustainability CharityGrantsIP Charity Local National endowment Business sponsorship Grants THET British Council Nuffield GSK Wellcome Others Intellectual Property ‘sales’ training courses other GH activity etc

13. Networking UK Tropical Health Education Trust Ugandan Maternal Health Hub/Liverpool and eight other UK NHS Trusts Sheffield Mental Health Trust East London Mental Health Trust HIEC MAHSC/University of Manchester People’s Uni/MMU Critical Care Skills Institute

14. Networking International MOH in Uganda, Ethiopia, Sierra Leone India Local Business people Local Health Authorities. Local charitable organisations and NGO’s WHO Joint Clinical Research Council Uganda NUMET, Universities

15. Future Multi country links: Uganda, Ethiopia, Sierra Leone and India Project to address MDG related to maternal and child health Focus on addressing the 3 delays which influence maternal/fetal outcomes Work closely with public health staff to design and deliver programmes.

16. Future cont’d Continue to expand the pre team building programmes and the post debrief meetings Network closely with MOH in each of the countries and develop models which are sustainable by local staff. Continue to monitor the personal and corporate benefits to NHS from link activity. Continue to expand the research activity

17. The benefits; present solutions to the barriers Benefits Corporate –Multiprofessional team building –Millennium goal fulfilment –‘upskilling’ staff groups –Community engagement –Market differentiation –Brand strengthening –Oh and er............. philanthropy!!!

18. Benefits cont’d Personal: Opportunity to share knowledge and learn Leadership opportunity Develops a “can do attitude” Develops clinical, operational and management skills Make new friends Experience health care in a different setting Takes you out of your comfort zone.

20. Any Questions? If you would like further information/discussion/advice contact Marian.surgenor@manchester.ac.uk Head of Global Health UHSM Academy 0161 291 5791 07971660042 Thank You