1. RRHEAL Educational Support & Distributed Delivery

2. Personal & Professional Support
ISBN (NLM classification: WA 390)
© World Health Organization 2010Educational
Recommendations
Educational
Regulatory
Financial Incentives
Personal & Professional Support
Outreach /service delivery
Outreach / ▲Professional support
▼Professional isolation
Increase networks
**Bundling of retention strategies**
_________________________
APPLICATION OF INTERNATIONAL EVIDENCE BASE TO r&r AND ISLAND SCOTLAND
Global health workforce crisis
Skill mix imbalance
Uneven distribution
(health professionals)

3. Transferability Transferability Transferability
TRANSFERABILITY OF MODELS FROM REMOTE TO LARGER POPULATION CENTRES BUT NOT OTHER WAY
RURAL ANP IS GENERLAIST PRACTITIONER
COGNISANT OF SCOTTISH GOV. EXPECtatION OF 500 MORE ANPs to be educated and available in Scotland.
increasing interest in rural/ generalist ANP skill set for non rural populations
Transferability

7. 1 2 4 3

8. Isobel M Madden, Joint Head of School, UHI School of Oral Health Science, Inverness, Dumfries & Stornoway
The BSc Oral Health Science is a three year degree programme which allows graduates to practice as Dental Hygienists / Therapists, registered with the General Dental Council.
The first intake of the course was in 2008, and by August 2010, the full cohort of 36 students (12 per year) will be in place.
The course is currently run on three sites, in Inverness and Dumfries, and a Stornoway.
All teaching is carried out synchronously, with VC as an integral part of delivery.
This teaching paradigm also applies to the Clinical Skills programme
In this case, the transfer of images includes use of a SMOTS (Scotia Medical Observation Technology Systems) camera, a visualiser and an intra-oral camera.

9. safeTALK delivered at a distance
An approach to training using Video Conferencing
Increasing access to Mental Healthcare Education for Remote and Rural Staff
SafeTALK – suicide awareness training programme with VC application
Proof of concept pilot -

10. safeTALK & VC
RRHEAL together with education partners and Health Scotland have developed a ‘Distance Delivered safeTALK’ programme of training.
This demonstrates access for remote and rural healthcare staff to increased awareness of suicide and basic skills to manage individuals who are having troubling thoughts about suicide

11. Management of the Acute Diabetic Foot Education Network
Mixed discipline staff
Quarterly meetings, first Thursday of the month 1.25hrs
via VC linked sites
Raise awareness, utility and application of existing guidance
To enhance speed of referral to Diabetes specialist team
To reduce numbers of delayed referrals and increase options for intervention
Normalisation of vc/ AT DISTANCE approaches in service/ CPD

12. RGH Survey Process & findings
The top 5 high priority subjects within the RGH Survey;- 1/ Building confidence in clinical decision making/ clinical problem solving 2/ Detection and management of the deteriorating adult patient – Early Warning Signs 3/ Sepsis 4/ Interprofessional communication, liaison and information exchange (RRHEALs understanding = technology enabled communication including joint reporting mechanisms) 5/ Dementia
The top 3 moderate priority subjects; 1/ Asthma 2/ Pain management 3/ Case studies

13. RRHEAL VC Education Networks Ongoing activity;
RRHEAL VC Education Network: Paediatric focus
Including ongoing collaboration with ScotSTAR
Rural GP VC Education Network (test for change)
Plus associated interest…….
RGH VC Education Network
Important to apply current intelligence regarding priority needs
FOCUS ON LEVEL OF DLEVIERY – CLARITY OF LEANRING OBJECTIVES
WHO ARE TARGET AUDIENCE AND AT WHAT STAGE OF CAREER
INCREASE VC ETIQUETTE
IN REASE NUMBERS OF PRESNETERS WITH VC SKILLS AND APPRECIATION FO REMOTE CONTEXTS
CONTENT HAS TO BE CONTEXTUALLY RIGHT

15. Thank you