Highlights

MONTHLY March 2014

MEET THE BOARD: GRAHAM CRERAR A fund of experience AVIEMORE AND

BROADFORD Dr Boyd Peters at Ian Charles PREFERRED FOR Hospital in Grantown-on-Spey NEW HOSPITALS St Vincents Hospital, Kingussie BROADFORD and Aviemore community hospital and resource have emerged as the pre- centre in Aviemore, starting a ferred locations for new hos- wider redesign of health and so- pitals in Highland. cial care services and closing Ian On 11th March, the steering Charles Hospital in Grantown-on- group looking into the redesign of Spey and St Vincent Hospital in health and adult social care ser- Kingussie. vices in Skye, Lochalsh and Work will now take place to South West Ross chose Broad- identify possible sites in ford as its preferred location for a Aviemore for the new hospital and resource centre, and this will new hospital in the area. Mackinnon Memorial Hospital, form part of the formal consulta- A week earlier, a special meet- Broadford ing of the NHS Highland board tion. decided to go to formal three- In Skye, Lochalsh and South month consultation in Badenoch West Ross, an extensive engage- & Strathspey, where there has ment exercise resulted in a pre- already been extensive commu- ferred option being chosen for the nity engagement on service re- future shape of service provision. design. The result of this is the This was to modernise local ser- emergence of a preferred option vices, including those provided by for change – developing a new Continued on page 2 Portree Hospital - - Preferred locations for new hospitals Continued from front page of the NHS Highland board to at pains to point out at its special pave the way for a formal, three- meeting this month that much the area’s two hospitals, Portree month consultation on the full had still to be done before any and Mackinnon Memorial in service model and possible site construction work starts. Broadford. locations. When that is complete “We are in the middle of a very The steering group had rec- a final recommendation will be long process in which the input of ommended the creation of a main made to the board and then to people in both communities is community resource centre and Scottish Government ministers. crucial,” said Maimie Thompson, hospital (a ‘hub’) in one of the The proposed new hub would head of PR and engagement. “I towns and a smaller ‘spoke’ facil- be the main site and would ac- understand that the public will ity in the other. This was pre- commodate a wide range of ser- focus on our hospitals in both ar- sented to a special meeting of the vices, such as the Scottish Am- eas, but I must stress that they NHS Highland board on 4th bulance Service, social care and are not a done deal.” March, and work to identify a pre- community health, and would NHS Highland chair Garry ferred location was agreed. also have in-patient facilities, the Coutts described both service A ‘location option appraisal main diagnostic facilities such as redesigns as “a tremendous op- workshop’ was subsequently held X-ray and endoscopy, a proce- portunity”. by the service redesign steering dure room for minor operations, “Being able to get to this stage group selected Broadford for the endoscopy, out-patient chemo- for both these communities is new-build hub facility and Portree therapy and infusion service, and fantastic,” he said. as the location for the spoke. the main visiting out-patient ser- Among those present at the However, no decisions were vices such as orthopaedic, surgi- special meeting was Dave taken on the actual sites. Further cal, chest and ENT. Thompson, MSP for Skye, work will now take place to as- The spoke would accommo- Lochaber and Badenoch, who sess the feasibility of a number of date out-patient services, primary told the board: “I am very com- sites and to ensure that all poten- care emergency centre, a minor fortable with the way things are tial sites have been identified. But injury unit and a base for NHS being approached and you get as NHS Highland owns land adja- Highland’s community team for my full support. cent to the new health centre in the north of the area. However, it “The issues in Badenoch & Broadford this will be investigated would not have in-patient beds. Strathspey and Skye, Lochalsh & in the first instance. With public attention under- South West Ross were never go- The preferred locations having standably focused on the pros- ing to be easy to deal with but it been chosen, a recommendation pect of closing hospitals and has been a positive process in will be made to the April meeting building new ones, the board was how people have been involved.” Woodland enterprise volunteers gain qualifications after training BLARBUIE Woodland Enterprise volunteers have gained qualifications which will assist them in maintaining the Lochgilphead woodland. Trainees Sam Thomas, Alan Campbell, Peter Creech and Colin Campbell were put through training before receiving their LANTRA cer- tification for chain-saw crosscutting, felling techniques and saw mainte- nance. T his training will quickly be put to good use as previous years’ storm damage to the woodland has led to a backlog of clearing work. Blarbuie Woodland Enterprise looks to enhance the mental and physical health of people in the Mid Argyll area and also wants to im- prove access to open up the woodland for all to enjoy. - 2 - FINANCE: Need to secure extra £2.5m ‘clearly disappointing’ Brokerage deal enables board to balance books NHS HIGHLAND has had to bor- Mr Kenton reported to the The most significant over- row from the Scottish Govern- February meeting of the board on spend, £9.5 million, related to ment to help it balance the books. the need for a £2 million improve- Raigmore Hospital, where the Director of finance Nick ment in NHS Highland’s opera- financial position deteriorated by Kenton will tell the board on 1st tional units to deliver financial £0.3 million since the February April that NHS Highland has se- break-even. This was in addition board meeting. cured brokerage of £2.5 million to a potential benefit of £2 million Most of this related to in- from the Scottish Government from reprofiling the lives of NHS creases in theatre costs, ortho- Health and Social Care Director- Highland’s assets, securing addi- paedic lists and cancer drugs. ates to ensure that it meets its tional funding of £1 million from “While interim management financial targets in 2013/14. The The Highland Council and secur- arrangements have now been put money will have to be repaid in ing other benefits totalling £0.6 in place at Raigmore, it is too late future years, based on an agreed million. in the financial year to expect any schedule starting in 2015/16. However, the director will tell further improvement,” Mr Kenton In his report to the board, Mr the April meeting that, while the will report. Kenton will explain: “The need to £1 million had been secured from In addition, the director will obtain brokerage is clearly disap- the local authority, the asset lives report a £3.9 million overspend in pointing and emphasises the reprofiling had yielded £0.4 mil- HNS Highland’s South and Mid need for robust savings plans lion less than originally predicted. Operational Unit, an improvement and controls which deliver recur- Furthermore, the improving of £0.3 million on the figure re- rent savings and reduce the financial trend in the operation ported in February; and a £1.7 board’s reliance on non-recurrent units did not continue through the million overspend in the North resource, which has grown in re- first two months of the final quar- and West Operational Unit, cent years.” ter of the financial year. where, Mr Kenton will report, there are continuing financial pressures caused mainly by the QUOTE use of medical locums in the rural general hospitals and GP out-of- The need to obtain brokerage is clearly hours costs. However, there has disappointing and emphasises the need been a £1.3 million underspend in Argyll & Bute, where there are for robust savings plans and controls also pressures relating to locum costs.

- 3 - HOW ACTIVE? ... THE STAFF SURVEY IS COMPLETE THANKS to everyone who took cess to the amazing environ- the time to answer the questions Health promotion ment around us. Congratula- in the recent staff survey on specialist Dan tions, too, to Yvonne MacRae in physical activity and active Bettyhill, who is the lucky recipi- travel. Jenkins reports on ent of an additional donated Responses came in from the results of a prize of £20 outdoor activity every corner of the board, and ‘voucher’. And thanks go to the with over 1,200 sets of answers recent staff survey benefactor who recognised the it starts to give us a good idea of value of encouraging the views what our staff are thinking and MacGillivary from Dingwall of staff on these questions. doing. Health Centre, Mairi Henderson So, what did you tell us? At the time of writing the sur- from Kingussie Medical Practice, Here are a few headlines from vey has recently closed, and the and Laura Mcilhatton from Cen- the survey … prize draw just taken place. Full tre for Health Sciences, who are Thirty-two percent of you are analysis of the responses is un- the lucky winners of £50 outdoor active for 30 minutes or more on der way, and we will use what activity ‘vouchers’. at least five days a week. While you say to further support oppor- Huge thanks to the Green that seems low at first glance, tunities for staff to be active in a Exercise Partnership for donat- out of the 60%, or so, of you way that they enjoy and is realis- ing the funding for these, and for who are active for one to four tic to fit with busy lives. their continued dedication to en- days a week, nearly two thirds Congratulations to Nell hancing opportunities and ac- do rack up a total on two and a half hours of activity in a week A GREAT opportunity that is coming up is Paths for All’s Na- somehow or another. tional Step Count Challenge, running for eight weeks from th Something that really stood 28 April. out is that 74% of you would like It’s a chance to get a team together and set your own goals to be more active. Over 40% are based on how many steps you cover each day. It counts all definitely up for trying something the steps you do, whether it in or out of work time. new, and another 36% said you And it’s not all about doing the most steps: the biggest na- might. So look out for opportuni- tional prizes in this challenge are for people who improve the ties coming your way, and give steps they cover, for the most creative ways to get out walk- each other a wee boost of confi- ing, and for the people who best inspire those around them. dence to take them up. The process is easy: sign up as a team and log your daily Often, getting started can be steps. If you don’t have a pedometer (or equivalent app on the hardest part; and if we’re not your phone), then we are supporting those who sign up with active then the times and dis- a team by providing 1,000 pedometers to help NHS Highland tances that people often talk employees participate fully in this challenge. You can also about can feel daunting. Several order them for an additional £5 through the site. people have recommended The website goes live from 31st March, and we’ll send out more publicity soon. Continued on next page

- 4 - PHYSICAL ACTIVITY AND ACTIVE TRAVEL SURVEY

Continued from previous page buddies, and from the re- just not knowing where to start sponses we’ve had you are all featured highly. This is one of “Couch to 5K”; which is a nine- probably not far away from the most interesting and com- week programme supported by someone else who wants to do plex sets of responses, and we’ll podcasts, and importantly it a wee bit more as well. be looking into it quite a bit. Peo- starts at being a complete begin- …Oh …and the weather … ple are very creative in how they ner. Check out: http:// can’t do much about that one, manage to, or would like to, in- www.nhs.uk/Tools/Pages/ I’m afraid, but if you manage to troduce different ways of not sit- couch-5K-running-plan.aspx . get out and about regularly it ting for long periods. It usually Also, coming soon is the Work- might surprise you how rarely requires a very opportunistic ap- place Step Count Challenge you actually get a proper soak- proach. (see inset box on previous ing. And managers: you have a page). The nature of the geography, big part to play in giving permis- The biggest reason people and length of journeys in our re- sion and encouragement to your identified as helping them to be gion can present huge chal- staff to stretch legs (and all sorts more active was ‘time’ (or some lenges for regular active travel. of body parts), and get up from reference to it). This is a reality Almost 20% of you do travel to screens and desks for a while at facing most of us, and highlights work actively; but clearly there regular intervals. why finding opportunities that fit are a lot of structural and facili- Being active is arguably the into daily routines can be so im- ties issues that you rightly high- single most important thing we portant. Any extra time can be light as having a role in facilitat- can do for our health. The trick hard to find, but splitting activity ing active travel. More safe cycle is usually finding a way to do it into shorter chunks and seeking routes, showering and changing that we enjoy, and which fits into out slots during the day can facilities, and improvements to busy lives. It’s not all sweat and help. public transport all feature. Lycra; and remember that if you Another much-quoted factor Not far off half of all respon- are being active at the level that was having someone to be ac- dents have jobs that are mostly has the biggest gains for health, tive with and to help keep each sedentary; only 13% are mostly you can still usually hold a con- other going. Many of our work- active, and the rest are mixed. versation. places are actually ideal places Work pressures, limited So get your pals, and have a for finding those activity- breaks, nature of the job, and laugh too. English health minister follows NHS Highland’s lead Two years ago NHS Highland Seattle visiting Virginia Mason been using this method, which learned about the work of Virginia and announcing that he wants we have branded the Highland Mason Hospital in Seattle and English hospitals to adopt the Quality Approach, for a little while decided they would emulate its same approach. we have always said it would approach to improving the quality NHS Highland chair Garry take several years for the real of care. Coutts said: "We have been us- benefits to realise the full benefit. A number of top doctors and ing the techniques we learned Virginia Mason has been using managers from Highland visited from Virginia Mason for some the system for over 12 years the world-leading American hos- time and I remain convinced that and they tell us they are still pital to learn the techniques they this is the correct approach. We learning and have a long way to have used to vastly improve pa- will reduce harm, eliminate waste go. I hope Mr Hunt does not ex- tient safety and the quality of ser- and improve the quality of the pect instant results. It will take vices. care if we stick to what we hard work and tenacity for it to On 26th March, Jeremy Hunt, learned in Seattle." make a real impact across the England's health minister, is in He added: "Although we have whole of NHS England."

- 5 - Target for reducing falls ‘very realistic’ WHENEVER a target is set Katherine added: “We know them with the work. to reduce anything by 50% that falls can be a significant risk Lianne McInally, the national within a very short time- to quality of life and maintaining project lead for Up and About in scale, many eyebrows are independence for older people. In Care Homes, said: “What we are raised at exactly how that Highland, we are keen to take all teaching here will help to shape possible steps to help prevent the future of care homes in Scot- can be achieved. falls happening. land. However, that is exactly the “There were 14 care homes in “Our target is to reduce the aim of an ambitious new Scottish Highland recruited for this project number of falls and fractures in Government and Care Inspector- and it’s a wonderful opportunity to our participating care homes by ate programme for improvement learn how best to prevent falls by 50% by the end of 2015. when it comes to reducing falls building on the excellent work “This is a great opportunity for and fractures in a care home en- that is already ongoing in care care home workers from across vironment by the end of 2015. home across our Health and So- Highland to come together and ‘Up and About in Care Homes’ cial Care Partnership area. share ideas on best practice. is a Scottish Government-funded “It is hoped that by actively “One of the main reasons we project which focuses on a col- engaging those at the front line of chose to hold a learning session laborative approach to improve- delivering care, they will develop in Highland was for exactly that. It ment with the aim of embedding an understanding of the interven- can be very difficult for collabora- best practice for falls prevention tions that can help to reduce the tion when you’re miles away from in the everyday work of care risk of care home residents fal- each other.” homes. ling. Those who attended at the NHS Highland AHP associate “By applying the Institute for Centre for Health Science last director and executive lead for Health Improvement’s ‘Model for month were treated to a number falls prevention, Katherine Sut- Improvement’, this will help to of lectures and presentations on ton, said: “I think that with the empower the staff in our Highland topics such as ‘Why Falls Matter’, correct approach the 50% target care homes to make the improve- ‘Introduction to the Model for Im- is very realistic. We have an ex- ments to working practices that provement’ and ‘What is a Col- ample of this being achieved here they feel are most likely to result laborative Approach?’. in Highland. in improvement within their local Care Inspectorate rehabilita- “Southside Care Home in In- setting and for the benefits of tion consultant Edith Macintosh verness has managed to achieve their residents.” said: “I am absolutely delighted this by using the good practice To date, there have been with the engagement within the resource and the model for im- three regions targeted to hold care home sector in Highland. provement and by implementing special learning sessions aimed “This is a great opportunity for this into its daily work. at giving attending care home them to get focused support to “We were delighted to learn staff, and their wider community make a positive impact on the that the Highland Health and So- teams, the opportunity to reflect quality of care for older people in cial Care Partnership had been on the current falls prevention care homes.” selected as one of the sites to be and management within care The care home project is part included in the first phase of the homes and learn about how im- of a national programme of work national project.” provement methods can help on falls prevention in Scotland. - 6 - Seminars to put spotlight on domestic abuse THE charity Ross-shire Women’s The seminars are designed to The seminars are being facili- Aid is to hold two seminars on help people better understand tated by Nel Whiting, a learning domestic abuse on consecutive domestic abuse, appreciate its and development worker with days next month. impact and understand the main Scottish Women’s Aid. The events, entitled ‘Coercive issues in providing an appropriate Her role takes her throughout Control and the Leaving Process service to women, children and Scotland providing learning op- – Understanding Domestic young people experiencing do- portunities to a range of profes- Abuse’, will be held on two days: mestic abuse. sionals in the voluntary and statu- on 2nd April in Portree Community Registration will start at tory sectors. Centre, Skye, and on 3rd April in 9.30am on both days, and tea, To attend either seminar, Inshes Church, Inverness, on coffee and pastries will be avail- email [email protected] or con- both occasions from 10am-1pm. able. tact Claire on 01349 862689. VIDEOS: Humorous films have strong underlying health message Campaign calls on women to have smear test EVERY three years women three main reasons for reduced aged 20 to 60 years are in- rates of cervical screening up- vited to have a potentially take, particularly among women life-saving smear test. aged between 20-35 – fear, pain The test takes only five min- and embarrassment. utes, saves around 5,000 lives in A new campaign has now chatting in social settings, using the UK every year and prevents been launched by NHS Greater non-clinical language, about what eight out of 10 cervical cancers Glasgow and Clyde to tackle they think about the test, and a from developing. these obstacles, change behav- third is a comedy dialogue be- Smear test appointments can iours and increase uptake of the tween a drag queen and a young be made with GPs, family plan- test. woman. ning or sexual health clinic. Central to the ‘Smear Cam- They are being used by prac- It might be surprising, there- paign’, which is endorsed by NHS tice nurses during consultations fore, to find that in some areas Highland, are three short videos with the target audience, and are almost one in three women don’t specifically aimed at each of also broadcast on solus screens go for their smear test. these issues, which have all been in hospitals and health centres, Women aged 20-35 are the well received in research, and sexual health clinics, and com- most persistent defaulters and developed using feedback from munity and leisure centres. the biggest group never to have female focus groups. The videos are also being had a smear. All are humorous, but with an hosted on NHS Greater Glasgow Research carried out in 2012 underlying health message. Two and Clyde’s YouTube channel, into barriers to uptake identified depict women in this age group www.nhsggc.org.uk/smear - 7 - NHS HIGHLAND EMPLOYEE’S ADVENTURE Raging torrents and hostile natives in amazing Amazonia IS day job, as fire safety trainer with NHS Highland, H might be all about minimising risk and danger. But risk and danger might seem to some to be at the heart of Emil Carlsson’s hobby – raft- ing down some of the world’s most remote and dangerous riv- ers. And both were in abundance on Emil’s most recent white- water adventure, a 30-day, 600km expedition through what’s been described as the Grand Canyon of South Amer- ica. Highlights spoke to Emil last throwing and threats to kill. harry and is originally from the year about the expedition, and “The tribe, the Awajun, have Swedish island of Gotland in the caught up with him this month, a reputation for not welcoming Baltic Sea, has taken part in raft- just a few weeks after his adven- outsiders, for sometimes under- ing expeditions in places as far ture of a lifetime. standable reasons,” said Emil, afield as Costa Rica, Nepal, Mo- The 20-member expedition who at work is based in Raig- rocco, Uganda and the United down the River Maranon, the more Hospital, Inverness. “We States. largest tributary of the River had three interactions with them, However, the Rio Maranon Amazon, involved by far the big- one of which was very good and expedition was the biggest he’s gest and scariest rapids 33-year the others extremely tense. been on, and was easily the -old Emil has ever tackled. “The last of these was on the most challenging as it was held It also featured what Emil de- last day of the exhibition, and I during the rainy season, with scribed as “tense” close encoun- was still full of adrenaline when I particularly fast water and the ters with a sometimes hostile flew home!” tribe that involved stone- Emil, who lives in Clachna- Continued on next page

- 8 - NHS HIGHLAND EMPLOYEE’S ADVENTURE Continued from facing page risk of flash floods. The exhibition had been ar- ranged in part to raise public awareness of plans to build a series of 15 dams on the river, submerging villages and vast areas of wild and ecologically important wilderness. “These dams will have major ecological and geographical im- plications for the entire Amazon basin,” said Emil, “and will result in a great many people being ABOVE: Tackling some white water fa- relocated from their ancestral RIGHT: Emil with his face having been homelands.” painted by Awajun vilagers The exhibition was essentially in three sections: through an them’ football match with bam- vour to them and it was a very area Emil described as being boo sticks as goalposts. joyous atmosphere. “easily as grand as the Grand “The kicked our ass!” joked “We left that village late in the Canyon in the United States, Emil. day on something of a high after with challenging rapids”; a lower, In their second encounter that experience and rafted down flatter section; and a three-day with the Awajun the party came the river to camp. About a kilo- stretch through the Amazon jun- upon a village whose residents metre downstream we came gle. weren’t expecting them, and upon two more villages, one on Emil, who rafted solo for most their welcome was much more each bank. We clearly weren’t of the trip, has good reason to guarded. wanted there. We heard shouts remember the first stretch. One Emil explained: “The Awajun of ‘Go and get your gun’ and of the rapids was so intimidating may have good reason for think- ‘You are going to die’, and two that it took the team three hours Awajun kayaks came out to in- to determine the safest route – CARTOON: tercept us. One of the Awajun yet Emil’s raft still ‘flipped’, tip- See page 27 put a big stick on my raft and ping him into the raging torrent. demanded: ‘Why are you here?’ “It was pretty scary,” he said. ing that white people will steal “They half-accepted our ex- “I was under for fully 15 seconds their children for organ harvest- planation that we were just tour- and was carried about a kilome- ing and their women to sell into ists and we managed to get tre downstream. I couldn’t over- prostitution. They are therefore away. It was our last day and it state how challenging that very wary of strangers and so was quite a relief to eventually stretch was.” there was a tense atmosphere get off the river. We certainly As for his encounters with the when we arrived, with a lot of didn’t want to get any further into Awajun, the first was pre- aggressive shouting. Awajun territory!” planned and went well. The ex- “The tension was relieved Emil, who took unpaid leave pedition’s leader had previously after the exhibition leader made from his work to go on the expe- befriended the chief of an Awa- a speech to the villagers. Some dition, has no plans as yet for jun village, whose residents wel- of the women of the village another rafting adventure. comed the expedition members came up to us after the gather- He said, “I think I’ll lead a with friendly curiosity. ing and started smearing red calmer life for a while, though I The team presented a leather paint from a local plant in our wouldn’t mind tackling some football to the village, and the faces, as a way of saying we white water in Asia at some chief organised an ‘us-versus- were accepted. We returned the stage in the future.”

- 9 - Highlights helps NHS Highland Archive grow

THE NHS Highland Ar- He’s concerned that Among the docu- Regional Health Board chive, housed in the some material may be ments were the NHS series within the NHS Highland Archive Centre lost to posterity unless it Scotland Handbook for Highland Archive. in Inverness, is growing is kept in the archive. General Medical Practi- Another addition for – thanks to an article in Within days of the tioners from 1947, cop- the archives, which last month’s Highlights. article’s publication, ies of the NHS Scotland came from a different NHS Highland board Elizabeth Hutcheson, Act 1947 and copies of route, is a copy of the secretary Kenny Oliver primary care assistant regulations relating to programme for the ser- had used Highlights to manager at Argyll and superannuation. vice which accompanied issue an appeal to Bute, contacted Kenny Colin Waller, an ar- the laying of the founda- members of staff who to tell him of some old chivist at the centre, un- tion stone following the came across old docu- NHS regulations that he dertook to archive the reconstruction and ments or images at their thought would be of in- documents, which he enlargement of the workplace to get in terest and should proba- said would be an inte- Northern Infirmary in touch with him. bly be archived. gral part of the Northern Inverness in May 1928.

Work starts on men- Serving up science tal health unit WORK has begun on a new purpose-built unit in Dundee for young people with mental with your cuppa... health problems. Earlier this month, NHS FANCY coffee and a slice of sci- Thompson will consider why Tayside chairman Sandy Wat- ence? sounds are so important to ma- son carried out the official sod- An informal way of engaging rine animals, and how research- cutting ceremony to mark the with the latest topics in science ers are evaluating whether wild- beginning of construction on has kicked off in Waterson’s, in life is at risk from industrial noise. the new Young People’s Unit. th the Eastgate Shopping Centre, On 20 May, Dr Francisco The £8 million development Inverness. Perez-reche, lecturer in Physics is part of the North of Scotland In Cafe Scientifique Inverness, and Life Sciences, and Dr Regional Child and Adolescent researchers share stores of how Stephen Torre, School of Divinity, Mental Health Service project, everyday lives have been History and Philosophy, Univer- which is a partnership between touched by progress in science. sity of Aberdeen, will talk about Tayside, Highland, Grampian, The first of these free sessions the history and philosophy of time Orkney and Shetland NHS was held on 18th March, when Dr travel. th boards and which has seen the Lyndsay Fletcher, of the School And on 24 June, Professor establishment of a specialist of Physics and Astronomy, ex- Sandra MacRury, Professor of network for young people with plored the science behind the Clinical Diabetes, University of severe and complex mental Northern Lights. Highlands and Islands, will give a health problems Next up, on 22nd April, will be talk entitled ‘Diabetes: Bench of The will include a 12-bed Professor Paul Thompson, Chair Bedside and Back’. She will ex- inpatient unit with an education in Zoology, Cromarty Lighthouse plore how new research and facility and family accommoda- Field Station, University of Aber- ways of working might help to tion for patients from across deen, whose talk is entitled unravel the causes, prevention the north of Scotland. ‘What’s all the noise about?’ As and management of one of the human activity on the oceans in- UK’s biggest health challenges. It is expected that it will be creases, noise pollution has be- All sessions are free and open fully operational by spring come a hot topic. Professor to everyone and run from 7-9pm. 2015. - 10 - (BSL) New booking Lip speaking Electronic note taking details for  Deaf/Blind Communica- tion Support communication Moira Paton, head of commu- nity and health information ilan- ning, said “Communication sup- support for port for deaf and deaf/blind peo- ple is a vital service that ensures deaf and deaf/ that people with a sensory impair- ment gain the most out of their blind people interaction with NHS Highland. DO your service users need com- “We would like to thank Deaf munication support to help to get Action for their support in provid- the most out of NHS Highland ing this service in the past, and services? look forward to working with col- If so, you will need to be leagues from The Highland aware of the changes to the Council who will provide the new booking service arrangements for service.” Argyll & Bute CHP). communication support for deaf For more details on how to and deaf/blind people. The new booking service contact the communication book- From 1st April, The Highland should be used for booking the ing support service, including Council will take on this service following types of communication how to access BSL interpreters from Deaf Action and will provide support for deaf and deaf/blind out of hours, access the informa- communication support to all ar- people: tion on the Equality and Diversity eas of NHS Highland (including  British Sign Language site of the staff intranet. NHS Highland scores highly in reporting adverse drug reactions THE Yellow Card Centre for Scotland, the organisa- safety and assists the Medicines and Healthcare tion responsible for helping to make medicines products Regulatory Agency (MHRA) in monitoring safer, has recently published a report indicating the safety of the medicines and vaccines that are NHS Highland is the second highest health board in on the market. Scotland for reporting adverse drugs reactions. “Information from Yellow Card reports are con- The figures taken from April 2012 until May last tinually assessed at the MHRA by a team of medi- year are in stark contrast to national statistics, cine safety experts who study the benefits and risks which show the number of reports have been on the of medicines. decline since 2008. “If a new side effect is identified, information is The report indicated that NHS Highland’s report- carefully considered in the context of the overall ing figures increased slightly from 80 in 2011/12 to side effect profile for the medicine and how the side 84 the year after and that the reporting rate per effect profile compares with other medicines used 100,000 population was significantly higher, at 27, to treat the same condition.” than the Scottish average of 16. Ruth continued: “We would encourage health- NHS Highland medicines management develop- care professionals and patients to continue report- ment nurse Ruth Miller said on behalf of the Medi- ing any adverse drug reactions by either completing cine Management Safety sub-group for NHS High- the Yellow Cards found within the British National land: “This is a very positive result for NHS High- Formulary or by completing the information on line land as reporting side effects impacts on patient at www.yellowcard.mhra.gov.uk.” - 11 - NO SMOKING DAY: Oral health improvement practitioner led film project Premiere showing for The Last Cigarette THE glitz and glamour of year pupils at Dunoon Grammar lost a leg and two former smok- Hollywood made its way to School. ers talking about their experi- Dunoon this month as the “While working with Mairi ences. town hosted a film premiere Thomson, the school’s drama Fiona said: “The pupils saw with a difference. teacher, she showed me a previ- the whole filming process, and ous film the class had done on appear in the drama. Some got to On 12th March, the town was domestic violence, drugs and al- work behind the camera, and given the red-carpet treatment as cohol abuse which gave me the helped with the sound too. the local cinema played host to idea and it just took off from “And, because both shorts the world premiere of a short fea- there.” have a ‘no smoking day’ theme ture, The Last Cigarette, and a Fiona explained that it took a running through them, the mes- hard-hitting documentary starring year to secure the necessary sages were ringing through loud pupils from Dunoon Grammar funding, and accommodation for and clear, as they will when School and actor David Hayman. the film crew, but filming was able watching the finished product.” While the synopsis of the film to take place over two weeks in Fiona added that she had was a closely guarded secret, it June last year. never been so involved with the and the documentary have a ‘no She worked closely with community, and saw Dunoon at smoking day’ theme running Shooters, the film branch of Spirit its best with help being provided through them. Aid, a charity founded by the ac- by all four emergency services, Fiona Duncan, an oral health tor David Hayman, who has a local businesses and the local improvement practitioner for NHS role in the short feature, which is paper, the Dunoon Observer, Highland based in Dunoon, led dedicated to improve the welfare which helped with some printing on the project and explained that of children worldwide. She also of materials. she hoped the film and documen- worked closely with Mairi and her She said: “I can’t say enough tary would build on previous No pupils. about how helpful everyone has Smoking Day campaigns. The documentary features been during the making of these. She said: “This all started two people talking about their per- “It’s a different way of deliver- years ago during previous No sonal experiences. They include ing a very important message Smoking Day campaigns which a non-smoker with mouth can- and I can’t think of a better day were specifically targeted at first cer,a smoker who has already than No Smoking Day for the pre- Maggie’s opens its doors to NHS Highland employees MEMBERS OF NHS Highland’s part of their staff induction. and will last approximately 30 staff who would like to know more The sessions are being held minutes, but anyone attending about Maggie’s Highlands are this year on 8th May, 12th June, will be invited to stay and join being invited to professional 31st July, 4th September, 9th Octo- Maggie’s meditation group at awareness sessions there. ber and 13th November. Next 9.30am, and the Tai Chi group at The sessions are for any year, they will be held on 15th 11am. member of staff of any grade or January, 19th February, 26th To book email h ig h - profession who has not had the March and 7th May. [email protected] or opportunity to visit Maggie’s as Each session starts at 9am phone 01463 706306. - 12 - Workshop puts spotlight on person-centred care PERSON-CENTRED care was focused on what can be done to a carer and a patient who shared the focus of a one-day workshop ensure that people are being lis- their experiences, what worked held earlier this month in Arro- tened to, inspiring and motivating for them and what didn’t. char, Argyll and Bute. people providing and receiving The first speaker was Tommy Caring Connections brought care, bringing person-centred Whitelaw, a full-time carer from together more than 100 people care to life in each health and Glasgow who looked after his from across Argyll and Bute saw care setting and helping people mother following her diagnosis of people who have experienced talk about their practice or experi- dementia. He now devotes his health and social care services ence of care and support. time touring to raise awareness meet with health and social care She added: “This will be the of the impact of dementia on professionals to discuss what beginning of a network that will families and the difficult but vital principles should be in place to go from strength to strength in role played by carers. ensure that the care provided in making sure that our health and The event also heard from a Argyll and Bute is respectful, car- social care services learn and patient from Dunoon who shared ing and person centred. develop from the experiences his experiences of care services, Pat Tyrrell, lead nurse in Argyll that people share with us.” looking at both the positive and and Bute, explained that the day Those present also heard from negative aspects. TECHNOLOGY: Assurance issued on security following review Email log-ins outside NHS network to be changed

CHANGES are being made and an assurance has been is- it from an NHS-connected com- to the NHSmail log-in page sued that the level of security of puter (blue log-in screen). The that members of staff see your NHSmail account will be same applies if you are locked when you they are on maintained. out of your account - your Local a computer outside the NHS On password security, you will Organisation Administrator (LOA) never be asked to disclose your must reset it and you have to (N3) network (white log-in password in full in any other then change it from an NHS- screen). place than on the NHSmail log-in connected computer before you At the moment, when you go page at www.nhs.net (either in- can log in. to www.nhs.net from a computer side or outside of the NHS). If To make things easier for you, that is outside the NHS you are prompted to enter your there will be the facility to change (N3) network, you are prompted password on any other website, your password from a non-NHS to enter the first three characters or asked for it over the phone, connected computer after it has of your NHSmail password into you should regard the request as expired or been reset by your an on-screen keyboard. attempted fraud and report it to LOA. When the changes are made, the national NHSmail helpdesk – When you go to the NHSmail the on-screen keyboard will no [email protected]. log-in page at www.nhs.net, if longer appear and you will enter It is also planned to make it your password needs to be your whole password using your easier for you to retain access to changed, the reset password box computer/device keyboard. your account. will appear. There has been a thorough At the moment, if your pass- If you have any questions, review of the security of NHSmail word expires you have to change contact [email protected] - 13 - ARGYLL AND BUTE: Raymond keen to develop service CHP gets new lead chaplain ARGYLL and Bute Community burgh on Wednesday and Loch- Health Partnership has appointed gilphead on Thursday and some- Raymond Deans as the new lead times Friday as well — not that chaplain for the CHP. this is a rigid list, but it should Raymond started in his new help staff to know when to expect role in February and will be work- me.” ing closely with staff, patients and He added: “As part of my work carers across Argyll and Bute. to develop the chaplaincy ser- He had previously been work- vice, I am happy to meet with hospital itself or have now been ing part-time as a chaplain on staff, patients and carers at any discharged.” Bute for 10 years. time and will be providing training Mary Wilson, Allied Health Raymond said: “This is a new on spiritual care to staff over the Professional lead for the CHP, venture and I am looking forward coming months and years. who will be managing the chap- to working with my colleagues in “I would also like to develop laincy service, said: “Raymond is Campbeltown and Oban as we chaplaincy visits for patients who very experienced and extremely seek to develop the chaplaincy. are being cared for in their own enthusiastic and I know that he is “I have tried to establish a rou- homes and who might value a looking forward to embracing the tine of visiting Dunoon on Mon- visit by the chaplain, even though challenges and opportunities of day, Bute on Tuesday, Helens- they have not actually been in the his new role.” Healthcare professionals start their new jobs on Islay NHS HIGHLAND has appointed two new health Jura, having previously worked for five years in professionals for the communities of Islay and Jura. child health in London. GIll Hearle commenced on 3rd March in her new Gillian is originally from Islay and her move to role as senior charge nurse in Islay Hospital. the island was predominantly fuelled by the desire Her move to Islay follows a career in the Queen to give her own young family a chance to experi- Alexandra’s Royal Army Nursing Corps, during ence the freedom and outdoor space that it has to which time Gill worked in Germany, Cyprus, New offer. Zealand, Oman, Iraq and Afghanistan. Commenting on these new appointments Alison Gill is qualified as an advanced nurse practitio- Guest, clinical services manager for Islay, said: “I ner and her most recent experience was in primary am really delighted to welcome Gill and Gillian to and pre-hospital care with previous roles in burns NHS Highland. and intensive care units. “They bring with them a wide range of experi- Gillian Nelson-Edwards this month started work ence and I am sure they will both be a great addi- in her new role as public health nurse for Islay and tion to our team on Islay.” - 14 - CAMPBELTOWN: Sunroom shines in prestigious national award scheme TAFF and patients at Campbeltown Hospital have been S celebrating after the Sunroom at the hospital was given a prestigious national Hospital award, the Macmillan Qual- ity Environment Mark. Based in the in-patients unit, the Sunroom provides a dedi- cated environment to meet the needs of those with palliative unit makes care requirements and their rela- tives. It provides a more homely en- vironment for those who may re- quire being in hospital for symp- tom management or care at the its mark end of their lives. It also provides relatives’ accommodation to en- able them to remain close by and The Sunroom is among only of staff. We are very grateful to it has access to the garden 18 sites in Scotland to be given Macmillan Cancer Support and through patio doors, allowing pa- the award, which has been devel- all the local fundraisers and do- tients and families to enjoy the oped in collaboration with people nations we receive which makes outdoor space. living with cancer and organisa- the Sunroom possible”. The award recognises and tions including the NHS. Donnie Cameron, clinical ser- rewards good practice and high Kitty Millar, Macmillan nurse vices manager for Kintyre, said: standards within the physical en- for Kintyre, said: “We are de- “Everyone in Campbeltown Hos- vironment of a cancer care build- lighted with this award as it is an pital is delighted with the award ing. acknowledgment of the hard work which is a reflection of the hard work and dedication of all staff. It is not merely the caring attitude of the nurses but the diligence and cheerful demeanour of do- mestic staff and the willingness of catering staff to adapt menus which makes the Sunroom such a special place.” Elaine Hamilton, associate Macmillan development man- ager, said: “This award reflects the hard work and dedication of everyone involved in making the Sunroom at Campbeltown Hospi- tal such a special place. “Assessors found that staff worked extremely hard to create a welcoming atmosphere and Pictured, from left, are Kirsteen Graham, support services man- that staff are committed to provid- ager, Campbeltown Hospital; Maggie Wilkinson, Macmillan, nurse ing high quality care in a comfort- for Kintyre; Kitty Millar, Macmillan nurse for Kintyre, and Elaine able environment. their hard Hamilton, associate Macmillan development manager work.” - 15 - NHS Highland in national effort

for IBD patients NHS HIGHLAND is paving the way nationally in providing better standards of care for people with inflammatory bowel disease. With the north of Scotland having the highest reported incidence of both Crohn’s disease and co- litis in the UK, NHS Highland and another Scottish health board were recently chosen to work with the Dave Armour and Lisa Macleman pictured in the charity Crohn’s and Colitis UK on using the results Raigmore Infusion Suite of a national inflammatory bowel disease (IBD) au- dit to improve care. are piloting the use of smartphone technology to NHS Highland IBD lead clinical nurse specialist track patients’ daily health, and we are using other Dave Armour said: “We were chosen not only be- methods such as mindfulness and psychology.” cause of the high incidence in the area but because Lisa Macleman added: “Patients who have these as a team we are already at the forefront of innova- conditions recognise the benefit of seeing a dietitian tive work with research and technology and have a as research about food and IBD is often conflicting. good relationship with the local Crohn’s and Colitis My role is to promote evidence-based research on UK Highlands and Islands Support Group. food, health and disease and translate this into “As well as providing a nurse-led IBD clinic three practical guidance to enable patients to make ap- times a week we now have a joint weekly clinic propriate lifestyle and food choices.” which is led by consultant gastroenterologist Lind- “A significant number of patients with IBD have say Potts, specialist gastroenterology dietician Lisa or are at risk of developing malnutrition. We are Macleman and myself. working to ensure that all IBD patients admitted to “For more severe cases at Raigmore Hospital in hospital have access to a dietitian even if they are Inverness our Infusion Suite provides high-level bio- not on the gastroenterology ward.” logical therapy and iron infusion. While patients get NHS Highland’s ‘Who We Are’ Twitter account – their treatments we have the opportunity for face-to- @NHSHWhoWeAre – this week has the IBD/ face education and counselling, which can make a gastroenterology team members tweeting about the vast difference to patients’ quality of life. condition and their roles. The team also has a re- “We are also trying different approaches to help source website available to both members of the our patients manage their symptoms long term. public: There is a telephone advice line for patients, carers, http://www.nhshighland.scot.nhs.uk/Services/ and health professionals. Our research colleagues Pages/LiverandGastroenterologyService.aspx Headway Highland plans new social group

HEADWAY Highland, the brain injury association, is The group would have a range of activities, such to hold an information day at Skye and Lochalsh as arts and crafts, guest speakers, befriending, out- Council for Voluntary Organisations, Tigh Lisigarry, ings and free counselling. Portree, on Tuesday 22nd April. Brain injury survivors, family members, carers Headway are looking to set up a local social and professionals will all be welcome at the infor- group for anyone who has sustained a brain injury, mation day, which will run from 2-7pm. perhaps as a result of an accident, stroke or dis- For further information, contact Susanne on ease. 07767 416006. - 16 - OLDER PEOPLE: Need to reshape care provision Volunteers raise awareness of Community breastfeeding THE breastfeeding peer support- ers who volunteer for NHS High- networkers play land held a breastfeeding aware- ness event at Falcon Square, In- verness, earlier this month. They wanted to hold the event following a recent episode in key role Staffordshire where Emily Slough was insulted on-line for feeding THE demographic of Scot- be very different in the future, her eight-month-old daughter land is changing. In future with resources shifted from insti- Matilda in public. years, Highland’s older peo- tutional care into preventative Peer supporter Tania Daschofsky said: “I breastfeed ple will form a greater pro- care and community based sup- my son wherever he needs fed portion of the population port. Partners in NHS Highland, local government and the third and I have never had anything than ever before. sector are committed to working negative said to me. By having With the population aged 65 with older people to ensure their this event we want to raise the and over expected to increase by health older people to ensure awareness of breastfeeding in 50% during the next 20 years, their health and wellbeing is opti- public and support women in and with increasing life expec- mised and that community sup- their choice to breastfeed.” tancy, the number of over-90s port is improved. will treble in the same period. “The community networkers These changes will mean that will play a very valuable role in Spam email alert there will be increasing pressures helping to develop and support A WARNING has been issued on health and social care ser- those community services which about a spam email being sent to vices in the future, requiring a help to keep people independent members of the public regarding shift away from institutional care and healthy and able to live for cancer test results. towards care and support for longer in their own homes and The National Institute for people in a community setting – communities.” Health and Care Excellence effectively reshaping care for Community networker for In- (NICE) has posted a warning on older people (RCOP). verness East, Ruth Cleland, its website to assure people that In order to help face this added: “One of the biggest chal- this email is not from NICE and to demographic shift, 11 new RCOP lenges we face is loneliness and state that its origin is being inves- community networkers are now in isolation, which is in itself a bar- tigated. Further information can post across the Highland region. rier to health and independence. be found on the NICE website or Among the aims of these new “It is so important that people its associated Twitter account: posts is to support the shift of re- feel part of and connected to their http://www.nice.org.uk sources into community-based communities in which they live support and preventative care. and that they are able to access Traffic warning They will help to identify what services and information which WORK continues to install a bio- support is required for carers and can help them remain independ- mass boiler at Raigmore Hospi- for existing services and what ent. tal. During this time, while all ef- new initiatives are needed to help “We want to see older people forts will be made to keep it to a improve the lives and outcomes enjoy full and healthier lives, able minimum, some disruption to car for older people in the Highlands. to look after themselves and parking and flow of traffic near RCOP development officer each other and staying active in the site will be unavoidable at Michelle Manzie said: “The future their communities for as long as times. shape of healthcare services will possible.” - 17 - Statistics offer insights into autism in Highland

AUTISM will probably affect important to look at a patient’s figures have doubled for adults in about one in 100 people in early development, as there is Highland during this period. the Highland area. There are quite a difference between autism “I think high-profile figures some people who will have and Aspergers neurodevelop- such as Susan Boyle publicly re- the condition but are not yet ment patterns before and after vealing that she lives with autism the age of three.” diagnosed. has certainly increased aware- Susan Boyle recently revealed Faith works part-time as an ness and understanding of how that, aged 52, she had been diag- autism diagnostician at Autism difficult it can be for some people nosed with Asperger syndrome, Initiatives in Albion House, an who may have had life-long ex- which is a condition within the autism resource centre in Inver- periences of bullying, misdiagno- autism spectrum. How could ness. She assesses people re- sis and social exclusion. someone live for over half a cen- ferred to her by GPs as being “It is very common to hear tury without diagnosis? suspected of having autism, de- people speak of their relief upon According to Faith Wilson, livers training and is involved with diagnosis as it is almost like a NHS Highland professional lead, development to progress the au- weight has been lifted from their this is more common than you tism strategy in Highland. minds. Many people have told me might think. Faith has compiled a number how they have had to almost act She said: “It can be difficult to of statistics over the last two like a different person each and diagnose an adult with autism years which reveal some interest- every day simply to ‘fit in’ with the because it’s quite important to ing insights into autism in High- expectations of the rest of soci- have a patient’s early develop- land. ety. ment history in order to gain an Faith said: “We looked at “What these statistics also accurate diagnostic result. Obvi- some referral and diagnostic fig- show is that there has to be im- ously, the older someone gets, ures from the last two years and proved referral criteria to help their memory fades of how they the results made for interesting prevent inappropriate referrals. were as a child. reading. Unsurprisingly, there are The assessment process is con- “If someone is referred to us in more males than females living stantly evolving and changing, their early 50s, it could be that with autism in Highland, which the ADOS assessment tool has their parents have died and they reflects the national statistics. recently been upgraded to reflect might not have any older siblings “However, there was a rise in the new diagnostic criteria, and it that can remember their behav- the number of referrals in the can be difficult to keep up with ioural patterns as a youngster. past year – especially the number the pace – especially when I am “This can be an issue as it’s of females self-referring. Referral working part-time in this position.” Nurse lands Commonwealth Games voluntary role INVERNESS-BASED clinical research nurse Fiona “It would be nice to be able to make contact with Leslie has successfully applied to join the huge them,” said Fiona, who will find out in May exactly team of volunteers at this year’s Commonwealth what her role during the Games will be. Games. If you will be taking part in the Games as a vol- And Fiona has used the Staff News Drop Box on unteer, please let us know by contacting communi- the NHS intranet to try to find out if there will be cations manager Tom Davison at anyone else from NHS Highland on the team. [email protected]. - 18 - An Aghaidh Mhòr agus an t-Ath Leathann air an taghadh airson ospadail ùr

Tha e air a thighinn am bàrr gur e An Aghaidh Mhòr agus an t-Ath Leathann na h-àitean a chaidh an taghadh sa Ghàidhealtachd airson ospadail ùr. Air 11 Màirt thagh am buidheann stiùiridh a tha a’ coimhead a-steach do ath-dhealbhachadh sheirbheisean slàinte agus cùram sòisealta inbhich san Eilean Sgitheanach, Loch Aillse agus Iar Dheas Rois gur e an t-Ath Leathann a b’ fheàrr airson ospadal ùr sa sgìre. Seachdain roimhe sin, chaidh aontachadh aig coinneamh shòn- Dr Boyd Peters aig Ospadal Iain Teàrlach ann am Baile nan Granndach raichte de bhòrd Sheirbheis Slàinte na Gàidhealtachd, gun deidheadh gabhail ri co-chomhairle trì mìosan leasachadh san Aghaidh Mhòr, a’ Mar phàirt den cho-chomhairle ann am Bàideanach agus Srath Spè, toirt toiseach tòiseachaidh do ath- fhoirmeil seo thèid làraich ùra a far an do rinneadh mion-sgrùdadh dhealbhadh nas motha ann an shireadh san Aghaidh Mhòr airson mur tha de ath-dhealbhachadh seirbheisean slàinte is cùram an ospadail ùr agus an ionad sheirbheisean coimhearsnachd. sòisealta agus a dùnadh Ospadal ghoireasan. Mar thoradh air a-sin, tha a h-uile Iain Theàrlaich ann am Baile nan Anns an Eilean Sgitheanach, coltas ann gun tèid gabhail ri athar- Granndach agus Ospadal an Nao- Loch Aillse agus Iar Dheas Rois rachadh – ospadal ùr coimhears- imh Vincent ann an Cinn a’ Ghiùth- chaidh mion-sgrùdadh a dhèanamh nachd agus ionad ghoireasan a saich. airson faicinn dè an coltas a bhiodh air goireas sheirbheisean san àm ri teachd. Chaidh aontachadh gun deidheadh an dà ospadal san sgìre, san Ath Leathann agus Port Righ, an ùrachadh. Mhol am buidheann stiùiridh gum bu chòir prìomh ionad ghoireasan coimhearsnachd agus ospadal (seòrsa de ‘hub’) a chruthachadh ann am fear seach fear de na bailtean agus goireas beag nas lugha san t’ eile. Chaidh am beachd seo a thoirt fa chomhair a’ bhùird aig coinneamh sònraichte air 4 Màirt agus chaidh aontachadh gun deid- headh an làrach a b’ fheàrr a chom- harrachadh. A’ leantainn air adhart Ospadal An Naoimh Vincent, Cinn Ghiùthsaich air duilleag 21 - 19 -

An Aghaidh Mhòr agus an t-Ath Leathann air an taghadh airson ospadail ùr A’ leantainn air adhart bho dhuilleag 20

Mheas a’ bhuidheann stiùiridh a t h a a g a t h - dhealbhachadh sheirbheisean, gur h-e an t- Ath Leathann an t-àite a bu fhreagar- raiche airson an ionaid as motha agus gur e Port Righ a bu fhreagar- raiche airson na t’ eile. Ach cha deach aontachadh sam bith a dhèanamh air dè an dearbh làrach a bhiodh ann. Thèid an tuilleadh sgrùdaidh a dhèanamh a-nis air grunn làraich Ospadal Cuimhneachaidh Mhic Fhionghain, an t-Ath Leathann agus thèid dèanamh cinnteach cuideachd gun tèid beachd a thoirt air gach làrach a b’ urrainnear a bhith freagarrach. Ach, a chionn ’s gur ann le Seirbheis Slàinte na Gàid- healtachd a tha an talamh ri taobh an Ionaid Slàinte san Ath Leathann, thèid sealltainn ris an làrach sin sa chiad àite. Nuair a thèid na làraich as frea- garraiche an taghadh thèid molaid- hean a chuir air adhart aig an ath Ospadal Phort Rìgh choinneamh den bhòrd sa Ghiblein a’ thòisicheas co-chomhairle foirmeil leithid seirbheisean - è i g i n n dhèanamh gu math soilleir nach eil trì mìosan a sheallas ri modal làn- bunaiteach, ionad airson leòntan dad cinnteach fhathast”. sheirbheis agus làrach a dh’fhao- nach eil ro èiginneach agus àite Thuirt Cathraiche Seirbheis dadh an cleachdadh. obrach do sgioba coimhearsnachd Slàinte na Gàidhealtachd, Garry Nuair a thèid sin a dhèanamh Seirbheis Slàinte na Gàidhealtachd Coutts gur e “cothrom air leth” a bha thèid na molaidhean mu dheireadh airson ceann a’ Tuath an eilein. Ach, seo a thaobh ath-dhealbhachaidh an cuir mu choinneimh a’ bhùird cha bhiodh leapannan idir innte. dhan dà àite. agus an uairsin mu choinneimh Leis gu bheil aire a’ mhòr- “Tha e mìorbhaileach a bhith an mhinistearan an Riaghaltais. shluaigh, mar a bhiodhte a’ sùil- comas a bhith aig an ìre seo leis an Ghabhadh am prìomh làrach a eachadh, gu geur air gum faodadh dà choimhearsnachdan seo”. A- tha san amharc farsaingeachd de ospadail a bhith a’ dùnadh agus measg na bha làthair bha Dave Mac ghoireasan leithid Seirbheis Charbad feadhainn eile gan togail, bha am Thòmais, Ball Pàrlamaid na h-Alba -eiridinn na h-Alba, cùram sòisealta bòrd airson dèanamh cinnteach aig airson an Eilein Sgitheanaich, Loch agus slàinte coimhearsnachd, a thil- a’ choinneimh shònraichte a bh’ aca Aillse agus Bàideanach, a thuirt ris a’ leadh air goireasan airson euslain- air a’ mhìos seo gun robh gu leòr ri bhòrd: “Tha mise gu math toilichte tich a bhiodh a’ fuireach an oidhche, dhèanamh fhathast mus deidheadh leis mar a thathas a dèiligeadh ri goireasan rannsachaidh leithid x-ray tòiseachadh air obair togail sam bith. cùisean agus tha mi a’ toirt mo làn- agus endoscopy, rùm airson mion- “Tha sinne ann an teis mheadhan thaic dhuibh. o b a i r - lannsair, endoscopy, pròiseis dha rìreabh fada far am “Cha robh trioblaidean a th’ air a seirbheisean chemotherapy agus bheil cur-a-steach an t-sluaigh anns bhith aig Bàideanach & Srath Spè fala agus na prìomh ghoireasan a an dà choimhearsnachd cudromach” agus an Eilean Sgitheanach, Loch gheibhear a-mach à ospadal leithid thuirt Maimie Nic Thòmais, ceannard Aillse agus Iar Dheas Rois idir gu sheirbheisean orthopaedic, surgical, PR. bhith furasta dèiligeadh riutha ach broilleach agus ENT. “Tha mi a’ tuigsinn gum bi daoine tha e air a bhith na chuideachadh Ghabhadh an t-àite na bu lugha a’ dlùth amharc air na h-ospadail leis mar a tha daoine air a bhith air seirbheisean a-mach à ospadal anns gach àite, ach bu mhath leam a an toirt a-steach dhan chùis”. - 20 -

Raising awareness and understanding of SDS OVER 100 people were in of presentations and workshops raising awareness of SDS and attendance at the Highland helping them gain a greater un- focusing on mental health, chil- Self-Directed Support (SDS) derstanding of the Social Care dren’s services and service users service user and carer event and Self-Directed Support and carers. at Smithton Church in Inver- (Scotland) Act, which comes into Highland SDS team manager force from 1st April. Jennifer Campbell said: “We ness earlier this month. were thrilled with the turnout at Health professionals, social The event was the culmination our event yesterday. With over workers, parents, carers and ser- of a week-long series of events 100 people in attendance, it vice users were treated to a host throughout Highland aimed at shows that there is eagerness in Highland for people to find out This is one of the best things more about Self-Directed Support and how it can help people take control of their own lives. to have happened to me! “The atmosphere throughout the day was amazing and there AFTER six months working in an ful that his new job would help were some excellent networking administrative role with the Self- improve his confidence and so- opportunities taking place. The Directed Support team in Inver- cial skills. feedback we received was ex- ness, Daniel Windsor was plan- “My confidence has improved tremely positive and people left ning a move to pastures new. greatly and I’m now more outgo- with a far greater understanding The 21-year-old’s contract ex- ing and better at communicating of SDS, which was the aim of the pired on St Patrick’s Day and he with people I don’t know. entire week. admitted that he was sad to be “It’s fair to say that getting this “It has been an extremely leaving what he called a ‘family- job was one of the best things to positive week and with less than like team’ in Kinmylies. ever happen to me. a month to go until the Act comes However, after an eleventh- “I hope to take what I have into force, the SDS team here in hour intervention, Dan’s stay with learned in my time here and ap- Highland will continue to work as the team was extended for the ply it to any jobs I get in the fu- hard as ever to ensure all the next six weeks. ture. I have applied for a few proper procedures are in place to “I’m really pleased I get to clerical positions and for some help people make the transition work for a little bit longer with the volunteer work. This is something easier.” team as I’ve thoroughly enjoyed I simply wouldn’t have had the The star attraction of the event my time here,” said Daniel. “The confidence to do before.” was a presentation by Simon whole experience has been really Natalie Thomson, SDS social Duffy, the director of the Centre positive and I have achieved all worker, has worked closely with for Welfare Reform. Simon was my goals in a short period of Daniel over his six-month sup- heavily involved in the creation of time.” ported employment contract – an the modern SDS and hopes that Daniel lives with Asperger opportunity presented to NHS people in Highland embrace the syndrome and often finds it diffi- Highland after linking up with Ca- Act once it comes into force. cult to socialise with people be- pability Scotland. “It would be excellent if people fore getting to know them. When She is delighted with the pro- can see how flexible SDS is and Highlights caught up with the gress he has made and is thrilled how much they can make it work SDS team’s newest recruit in Oc- Dan’s contract has been ex- for them in their lives,” said tober last year, Daniel was hope- tended. Simon. - 21 - Conference looks at older people’s needs ‘GETTING Behind the Future – A signing new health and social and delivered locally and to con- Vision for Older People in Cowal care services. sider what else will be required to and Bute’ was the name of a con- Argyll and Bute CHP lead address future needs within the ference recently hosted by Cowal nurse Pat Tyrrell commented: community. Community Care Forum. ‘’The conference was an excel- “The motivation and commit- The conference was well at- lent opportunity to meet with a ment of those providing local ser- tended and the aim was to get wide range of members of the vices was inspiring as was the NHS Highland and Argyll and local community, to learn about positive feedback from people Bute Council working together, the innovative approaches and who experience these services while involving the public, in de- services that are being developed on a daily basis.’’ SEMINAR: Rural practitioner uses event to raise awareness of issue Sports concussion seen as under-recognised problem AN NHS Highland doctor is administrators and medics.” compensation case for former calling for greater recogni- He added: “Exercise is the sin- American footballers who have tion of the seriousness of gle most important thing people had early-onset dementia. Last concussion in sport. can do to help their health and year, the first death in Northern Dr Jonathan Hanson, a rural we need to encourage more peo- Ireland, and probably in the UK, practitioner based on Skye, be- ple to exercise and participate in due to second impact syndrome lieves that raising awareness of sport safely if we are to address was recorded at the inquest of a the issues around concussion will the ticking timebomb we face in 14-year-old rugby player. And in help to ensure that people can terms of health issues such as football, there was controversy take part in sport more safety – obesity and diabetes.” over Spurs goalkeeper Hugo and enjoy the many health bene- Dr Hanson, who graduated Lloris being allowed to play on fits it brings. from Aberdeen University, was a despite having been concussed. Dr Hanson underlined the member of the Team GB medical Dr Hanson added: “The Scot- point as one of the speakers at a team for the 2008 Beijing Olym- tish Government has issued an seminar on the pitch-side and pics, is team doctor for the Scot- excellent document to every primary care management of land ’A’ rugby squad, resuscita- sports club in the country. It’s concussion in Aberdeen. The tion physician for the Scotland called ‘Sports Concussion’, and seminar was part of a sports and rugby squad and doctor for the has the sub-heading ‘Concussion exercise medicine course by the Team GB mountain running can be fatal’. University of Aberdeen. squad. “Sports concussion is not a “Head injury in sport is cer- But it’s his particular interest in minor issue, which is why it is tainly a hot topic these days and I sports concussion that will be the vital that we raise awareness of hope that the seminar will contrib- focus of his Aberdeen talk. the signs and symptoms of con- ute further to raising awareness Dr Hanson explained that cussion and of the best practice of concussion and the problems there had been a number of high- guidelines on dealing with head associated with it,” said Dr Han- profile cases involving concus- injury in sport.” son. “Concussion is a major prob- sion in recent times. His talk, ‘Concussion – who lem that is under recognised and In the United States, the Na- has the responsibility?’, was de- must be taken seriously by par- tional Football League has been livered in Aberdeen Sports Vil- ents, teachers, sports people, involved in a multi-million dollar lage on 25th March. - 22 - Growing befriending group on the look-out for more volunteers BEFRIENDING Caithness continues to grow from strength to strength. This voluntary service is grate- ful for the people of Caithness who are happy to become volun- teers and commit their time to the scheme, but says volunteers are continually needed to meet the need. Befriending is a supported one -to-one relationship between a befriender(volunteer) and a be- friendee (someone who has been referred to to the service). It gives the befriendee a chance to form a trusting non-judgemental relationship. Befriending usually exchange ideas, and attend fur- health care professionals, sup- means meeting with each other ther training. port workers, family or other vol- once a week and sharing in an Various special events are untary organisations who recog- activity which has been mutually held, such as at Christmas 2013 nise a need in an individual. Self agreed. we they met lunch. Befriending referrals are also welcomed. The service currently has a Volunteers and Befriendees com- Once a referral has been made a befriending group that meets in pleted a quiz, had time to chat home visit is arranged where the Wick once a month and is hoping with one and other and were en- individual needs of the befriendee to start the same activity in tertained by one of the volunteers is assessed and matched up to Thurso. who delivered a monologue. It is one of our trained volunteers who It usually meets in a local cof- hoped to do more of this in the will become their befriender. fee shop and has visited the fol- future. For further information contact lowing, Caithness Horizons Befriending Caithness is are Angie House, befriending co- Thurso, an art exhibition in St involved with intergenerational ordinator, [email protected] or Fergus Gallery and The Distillery work and have been involved on 01955 609962. in Wick, and many more events with Wick High School delivering You can also check out are to take place in the future. tea parties and sing-alongs in www.facebook.com/ The volunteers attend a volun- local residential homes and day befriendingcaithnessvolutneers teer befriending meeting every centres, which have proved very a n d two months which gives everyone popular. www.befriendingcatihnesswordpr a chance to meet each other and Referrals can be made by ess.com - 23 - PHOTO GALLERY

HE North- ern Lights never fail T to capti- vate, but these im- ages, which were tweeted by Skye- based rural practi- tioner Jonathan Hanson, show them at their best. If you have any photographs taken from — or indeed of — an NHS High- land building, please submit them to Highlights.

Please send your photographs tom.davison@nhs highland.net

- 24 - TIGH NA DROCHAID: Significant improvement in grading for facility

Politician praises palliative care partnership on Skye A PALLIATIVE care partner- 2009, Boots UK and Macmillan of giving medicines if people can- ship set up one year ago entered into a long-term partner- not swallow tablets or capsules. has been visited by Dave ship with the ambition of giving To support this close working Thompson MSP, who everyone, wherever they are in relationship, Gill also visits pa- praised the scheme’s ongo- the UK, access to the best cancer tients at the local care homes on information and support in their ing support to patients suf- a regular basis and both commu- local community. fering life-limiting condi- nity hospitals on the island, giving Patients with life limiting condi- pharmaceutical care guidance to tions. the nurses who otherwise would The innovative partnership, tions on Skye have direct access to a specially trained pharmacist have no input from pharmacy the first of its kind in rural Scot- professionals. land, was set up in February available in the Boots UK store in In addition, a new drop-in 2013 after NHS Highland secured Portree.Working alongside health and social care professionals, clinic started in September 2013 funding from Macmillan Cancer for patients and carers to access Support for the post and chose to Macmillan palliative care rural pharmacist practitioner Gill Har- advice and information on life lim- partner with Boots UK. iting conditions. This allows for Cancer is often the toughest rington advises on different medi- Continued on next page fight many people will face. In cine choices and different ways - 25 - Skye palliative care partnership Continued from previous page fessionals in the area, and the QUOTE way in which she acts as a the treatment in the community source of information to sign post and reduces the need for hospital Having a healthcare people to other services that they admissions. may benefit from. Researchers from the Univer- system that is able “Community pharmacy has an sity of Strathclyde are working to work together to important part to play in helping with the project partners to de- to alleviate the strain on the NHS velop the new service and will be meet the needs of in Scotland by providing commu- asking patients, carers the local community nity-based services. Boots UK is and healthcare and social care is vital, especially so always keen to work in partner- professionals, about what they ship with other care providers to think is needed so that the ser- in an area as rural ensure patients and customers vice can be tailored to local as Skye where local can access the best possible needs. care in a location that is conven- Mr Thompson, SNP MSP for access is very ient to them.” Skye, Badenoch and Strathspey, important Gill Harrington, Macmillan pal- visited the team earlier this month liative care rural practitioner com- to learn more about how the part- munity pharmacist, said “I’ve nership is making a difference to traumatic time.” been delighted to take on the role the local community. Fiona Macfarlane, healthcare of providing this service which He said: “Having a healthcare development manager at Boots has made such a difference to system that is able to work to- UK, said: “Since this post was the lives of patients and families gether to meet the needs of the established last year, we’ve within the local community. local community is vital, espe- helped lots of people suffering “Having the ability to travel to cially so in an area as rural as from life-limiting conditions that visit patients in their own homes Skye where local access is very have physical as well as emo- and to build close relationships important. tional symptoms. What makes with those we are caring for really “Meeting Gill and the rest of this partnership important is not helps me to understand individual the team gave me a real insight just the prescription advice Gill is needs and offer advice that can into this fantastic partnership, able to offer patients but the role assist in treating the physical and which is supporting patients and she plays in providing training to emotional aspects of palliative families through what is a very other health and social care pro- care.” Government to consult on gender gap on boards MANDATORY quotas to ensure quired. Currently this power sits day and age we still have gender at least 40 per cent of public with the UK Government. inequality on our public boards. boards are made up of women The consultation, which is set “A board needs to reflect the could bridge the gender gap and to launch in April, will ask people it serves and this in turn create more effective boards, whether mandatory quotas are will make it better equipped to Equalities Minister Shona Robi- essential for public boards, and if deal with decision making and son has said. potential legislation should be improve its performance.” Ms Robison revealed that the extended to corporate boards She added: “Scottish women Scottish Government was launch- and third-sector organisations. make up 52 per cent of our popu- ing a consultation on the issue of Ms Robison said: “Although lation. They clearly have a voice women’s representation and we have much to celebrate with to be heard and we will do all that gathering views on how we could the advances we have made to we can to make sure this hap- best use the power to legislate to recognise and promote women’s pens by driving forward this con- address this imbalance, if re- issues, it’s clear that even in this sultation on legislation.” - 26 - CANCER CARE: Services transformed at Lorn & Islands Hospital New chemotherapy suite opens in Oban CANCER care in Oban is be- cally rather than having to travel The new and improved chemo- ing transformed with the considerable distances to attend therapy suite will make an enor- opening of new and im- other units. I would also like to mous difference to cancer pa- proved chemotherapy ser- thank the local Macmillan nurses tients and their families. vices at Lorn & Islands Hos- who have been very involved in “It’s thanks to the hard work deciding the design, decoration and dedication of our supporters pital. and soft furnishings of the unit.’’ in the area who raise so much The new chemotherapy suite Elspeth Atkinson, director, money for us that we are able to should provide comfort to those Macmillan Cancer Support said: make such a significant contribu- receiving treatment for cancer “Macmillan wants to ensure eve- tion to this important project. within Lorn & Islands Hospital ryone affected by cancer in Oban “We don’t want anyone to face and is jointly funded by NHS receives the best treatment, infor- cancer alone, and the continued Highland and Macmillan Cancer mation and support and in the support of people in Oban will Support. It was specifically de- most supportive environment. help make sure nobody does.’’ signed to provide a more pleas- ant and welcoming environment for patients and carers but also provides two private areas with a much needed information point and a quiet private area for those who would benefit from privacy and confidentiality. The chemotherapy suite was officially opened by Councillor Elaine Robertson in January. Veronica Kennedy, locality manager for Oban, Lorn and Isles said: “I am delighted by the open- ing today of the new chemother- apy suite in Lorn & Islands Hospi- tal. The hospital has benefited greatly from the generosity of Macmillan investing in this local service and we have supported the development of a welcoming, bright unit for our local commu- nity to receive a wide range of treatments. “The service has continued to grow and develop over the last Pictured, from left, are Veronica Kennedy, locality manager, 10 years and this has led to many Lorn & Islands Hospital; Councillor Elaine Robertson; and El- patients receiving treatment lo- speth Atkinson, director, Macmillan Cancer Support - 27 - Living with ME MEMBERS of the Lochaber ME “It is hard to comprehend how the patient’s perspective on how group held an information day on everyday tasks like brushing your their lives have been affected. the illness last month at the Fort teeth or combing your hair can “Protected Learning Time ses- William Health Centre. leave you physically and mentally sions in Lochaber are always a The event was organised by exhausted.” great opportunity for the whole group founder Meg Pollock and The event also saw Dr Charles community team of doctors, saw her give an insight into her Shepherd, medical adviser to the nurses, AHPS and students to personal experience of living with ME Association, give a talk on learn from each other and from Myalgic encephalomyelitis. The recent biomedical research, diag- our patients.” day was well attended by GPs, nosis and management of pa- An evening question and an- allied health professionals and tients with ME. swer session at the Alexandra NHS Highland Lochaber district Locality clinical lead Dr James Hotel included a discussion on manager Joanna Hynd. Douglas said: “This was a useful vaccinations, safe levels of vita- “I was delighted to attend the opportunity to discuss chronic min supplementation and manag- ME information day in Fort Wil- fatigue syndrome with GPs and ing the illness in children. liam and it was very moving to the community care teams. Proceeds from the event were hear the personal experiences of “We felt privileged to have the donated to the ME Association people who have lived with the UK’s national medical expert on and also saw five new members illness for so many years,” said the condition to consider the join the Lochaber ME group, tak- Joanna. medical science of the illness and ing their numbers to 43 people.

See pages 6 & 7 - 28 - History, chaplaincy, sports and exercise: they are all in the Highland Health Sciences Library

ONE of the strengths of the under the auspices of Jim and to highlight its chaplaincy and Highland Health Sciences Li- Steve Leslie with their project spirituality collection. It holds brary is its multidisciplinary na- concerning the history of the works such as: The Hospital ture. It holds a wide range of hospitals of the Highlands (AWX Chaplain’s Handbook: a Guide materials on many subjects. 27 LES) (http:// for Good Practice (WX 187 Just have a look at how the li- www.historyofhighlandhospitals. COR). brary can broaden your knowl- com/index.asp). For the rest of the health care edge of topics covered in this Contemporary medic Dr team there are a wide range of issue of Highlights. Jonathan Hanson on Skye ex- similar resources such as: Spiri- As the independence debate amines raising awareness of the tual Care in Everyday Nursing rages around us it is worth re- effects of concussion in sport. Practice: A New Approach (WY membering that Scotland and Why not look at some of the 87 CLA) and Palliative Care, Highland Scotland played an material the library holds on the Ageing, and Spirituality: a Guide important role in the develop- health benefits of exercise for Older People, Carers and ment of modern medicine. (Walking for Fun and Fitness Families (WB 310 MAC). At the Scottish level there are (WB 541 HAW) and Sport and Whatever your needs the works such as: A History of Physical Activity for Mental Highland Health Sciences Li- Scottish medicine: Themes and Health (WM 450.5 CAL), and brary is there to help. Don’t Influences (WZ 40 DIN). Local sports medicine (Oxford Hand- spend more than 10 minutes on practitioners were also responsi- book of Sport and Exercise a problem you may be having – ble for developing medicine for Medicine (WB 292 MAC) and contact the library. To find out example from c1300 the Beaton Emergencies in Sports Medicine more about the library call 01463 family on Skye (WZ 100 BAN) (WB 292 RED). -255600 (x7600). and from the 1830s Dr John The appointment of Raymond Grigor in Nairn (WZ 100 RAE). Deans as a chaplain to the NHS Rob Polson Local work into the history of Highland team of chaplains in ([email protected]), the health services continues Argyll and Bute allows the library Subject Librarian Pupils graduate from scholarship programme A TALENTED group of senior secondary pupils It was designed and led by the University of Stir- from remote and rural areas of the Highlands ling’s School of Nursing, Midwifery & Health, in part- graduated from an innovative University of Stirling nership with NHS Highland and Western Isles, Pre-Nursing Scholarship Programme earlier this Highland Council and Comhairle nan Eilean Siar month. Education Centre. The 16 young people celebrated their success at The two-year pilot project, funded by Scottish a graduation ceremony in Inverness where they Government and NHS Education for Scotland, was were presented with graduation certificates by NHS established to provide an inspiring experience for Highland board nurse director Heidi May. would-be nurses, allowing them to develop core She said:. “The University of Stirling help us here skills through the achievement of the SQA Skills for at NHS Highland to develop some of the best Work Health Sector Intermediate 2 Course. nurses in the UK. Nursing is such a privileged job to The project aims to promote nursing as a first do and I wish all the students the very best for the choice career and enhance school pupils’ employ- future.” ability, communication and networking skills, whilst The programme was delivered at Stirling’s High- addressing issues of isolation within remote and land Campus in Inverness. rural areas. - 29 - Guide for engaging young volunteers published by Scottish Health Council

NHS STAFF now have ac- cess to a new guide that of- fers advice on how to in- volve young people as vol- unteers in health services. ‘A Starting Point for Engaging Young Volunteers’, published by the Scottish Health Council on behalf of the National Group for Volunteering in NHSScotland, provides examples of how to best engage young people in volun- teering roles. ies from around Scotland includ- “We recognise that in some Supporting NHS boards to de- ing: cases young people will not be velop appropriate opportunities  a young volunteer who assists able to commit to long-term vol- for young people will help to en- at the Medicinema at the Royal unteer roles so we hope to en- sure that the volunteers gain from Hospital for Sick Children, courage the development of roles a productive and safe volunteer- Yorkhill that meet the needs of everyone ing experience, while patients  a project in Midlothian where involved – healthcare providers, and staff around them benefit too. young people between the ages patients and young people. The guide contains advice that of 14 and 20 befriend residents in Louise Macdonald, chief ex- takes account of the positive con- sheltered housing complexes ecutive of Young Scot, said: “At tribution young people can bring  a young volunteer who sup- Young Scot we know the differ- to the NHS and the types of roles ported a breastfeeding support ence young volunteers can make that they would be most suited to. programme in Lanarkshire. to communities across Scotland. It was produced in response to Sandy Watson, chair of the This guide recognises the contri- challenges highlighted by NHS National Group for Volunteering bution young people offer through boards in finding suitable place- in NHSScotland, said: their energy, enthusiasm and ments for young people, particu- “Volunteers are not staff and commitment. Having the oppor- larly those in transition from should never be considered as tunity to volunteer with the NHS school to higher education where such. However, they can play a offers the young people who take their time may be limited. hugely important role in support- part invaluable skills for life and With input from volunteers, ing the NHS in a variety of ways work, as well as benefitting those NHS staff and the voluntary sec- and enabling frontline staff to get they help through projects and tor, the guide contains examples on with doing their jobs. activities.” of good practice which demon- “This guide is designed to pro- strate the impact that volunteer- vide NHS Boards with sugges-  ‘A Starting Point for En- ing has on the volunteers and the tions and prompts to help them gaging Young Volunteers’ is people they engage with. develop appropriate volunteer available at http:// The guide features case stud- roles for young people. www.scottishhealthcouncil.org - 30 - Consultant retires THIS month NHS Highland bid a fond farewell to Consultant Oncologist Dr David Whillis who has re- tired after 23 years at Raigmore Hospital. Scores of people attended his retiral presenta- tion, showing the high regard in which he is held. Dr Whillis, who is a keen climber outside of work, came to Highland as he wanted to work in a small unit that allowed close working relationships as well A clearly emotional Dr Whillis, whose retiral as the challenge of a rural location. came the day before his 60th birthday, thanked eve- Since his start at Raigmore he has seen, devel- ryone and said he had enjoyed every minute of oped and contributed to many changes including working at Raigmore. more Consultants in the service, the development He said: “Oncology is definitely the best place to and opening of the Macmillan suite and Maggies work at Raigmore! We’re a close-knit family in the Centre, development of the out-reach service and department and I am really proud to have been part the arrival of the hospital’s Linacc machines. of that.” East Ross to introduce single access point THE way people gain access to -ordinator will be the main point aged 18 or over can be referred health and social care services in of contact for initial referrals and by a host of health professionals. East Ross is about to change. they will be able to signpost or Angela continued: “The Single From 7th April this year, the liaise with the community care Point of Access proactively sup- Single Point of Access for Adult team to co-ordinate an appropri- ports service users to remain in Services will provide a standard- ate and timely response to care the community as the preferred ised first point of contact for pro- need requests. action to have the support they fessionals and the general public “People who are deemed to need, remain in control of their – ensuring effective co-ordination have an urgent referral will be lives and live as safely and inde- of care to the most appropriate offered admission to respite or a pendently as possible. service. residential or nursing home, or “This is achievable by using a East Ross Integrated Care perhaps even into a community comprehensive model of commu- (ERIC) provides adult health and or acute hospital. nity care that is client centred and social care services in the East “Those who have a non-urgent ensures the views and needs of Ross area. The Single Point of case will have unprecedented the service user, carers and fam- Access helps professionals ar- access to our integrated multidis- ily are always at the forefront of range the right care for urgent ciplinary teams, which includes all decision making.” and non-urgent referrals. having their case managed by In order to ensure effective Angela Bruce, NHS Highland our community nurses and social referrals, the following informa- health and social care co- workers.” tion will be required: ordinator from Invergordon In addition, the Single Point of  The clients details includ- County Community Hospital, Access can co-ordinate care to ing name, address, phone num- said: “We aim to work together to provide a wide range of services, ber, date of birth and CHI/Care deliver a wide range of co- including skilled multidisciplinary first number (if known) ordinated health and social care team assessment and interven-  Reason for referral and services to those in our commu- tion, provision of equipment to service users health condition nity who require support and care help avoid acute hospital admis-  Information on whether the during times of illness and need sions, assessment for domiciliary service user needs urgent care with links to specialist community (at home) therapy and liaising for appropriate timely responses services – including statutory and with GPs to manage effective  Details of the person mak- voluntary sectors when required. clinical/social care at home. Any ing the referral “The health and social care co person in the East Ross area - 31 - CHALLENGE: How you can change the exercise habits of a lifetime Fifty days to improve fitness WITH not long to go before the start of this year’s 5x50, which starts on Sunday 30th March, people are being encouraged to Ray take up the challenge and get fit Wallace, in fifty. 5X50 co- The challenge, which is in its founder, third year, was launched in 2012 and Elaine as a charity challenge encourag- Mead on ing people to run, walk, jog or the run cycle 5K (or 30-minute exercise equivalent) every day for 50 days “We all make resolutions at active; or for those who are al- with the aim of changing exercise New Year like lose weight, get ready active it’s an extra chal- habits for a lifetime. healthy, improve your personal lenge for you to complete. Fitting With over 5000 participants best, and organise your life so it in can be a challenge, and I’m from 43 countries taking part in why not try this? Commit to exer- trying to find opportunities during the first year, and an excess of cise every day for 50 consecutive the working day as well as at £160,000 raised for various chari- days and change your habits of a home” ties since the challenge began, it lifetime. There is a minimum registra- is hoped that this year will be “There are numerous benefits tion fee of £5 to sign up, 75% of even bigger. both physically and mentally that which goes to Sports Relief. Ray Wallace, co-founder and being fit can give you. Even if you Challengers are supported via member of the core team behind don’t think you’ll manage the 5k this website and our social media 5x50, hopes as many people take all at once you can split it up dur- channels to complete their daily the opportunity to sign up and ing your day, it can be done. The activities either individually or in take part. hard part is going to be keeping it groups. He said: “We have about 2000 up for the duration of the 50 The online community will al- people signed up for this year’s days!” low users to register for events, challenge so far but I do expect NHS Highland chief executive link with other challengers, re- that figure to increase as we get Elaine Mead has already signed ceive training advice, be encour- closer to the start date. There is up for the challenge and is en- aged and supported by our net- also a lot of talk going on just couraging others to do the same. work of Fivers and importantly, now about Sport Relief and the She said: “I’ve done the 5x50 motivate one another to keep go- Fit in 14 Campaign so looking before and I was happy to sign ing over the 50 days. into a more active lifestyle will be up again. It really helps me with Find out more at on everyone’s mind! that extra incentive to get more www.5x50.org - 32 - Audrey Godfrey, a Lochaber- based social worker, answers the questions this month. We asked Audrey to give us a picture of herself, and she pro- vided this one. She acknowl- edged that it was “a bit cryptic”, but added: “Fans of Terry Pratchett will recognise it.” As for the rest of you, check it out. What’s your job? What about your favourite To assess and identify difficul- book? ties; promote independence; No particular favourite but any- provide support as required for thing by Terry Pratchett. individuals and their families/ carers; support people with If you won £10 million in the making choices and to work lottery, what would you spend within the relevant Acts govern- Q it on? ing the social work role. Apart from family, friends and good causes I would attempt to Describe yourself. complete my bucket list. I’m 5ft 7ins and quite chilled, but not quite horizontal; I take life as What about a smaller sum, it comes, I don’t see the point in say £1,000? In the late 60s, at a very tender becoming too het up, especially &A Finish my kitchen and have a age, I became a head banger. I over trivia. MacDonald’s! can’t remember exactly what

single I bought but it was proba- Hobbies and interests? bly something by The Who. If you could have dinner with Tackling the wilderness that three people, dead or alive, calls itself a garden in our new who they be and what would house. Learning ‘new heights’ What is your favourite food? you cook them? as I scramble up the cliff at the Salmon fillet with a soft cheese, Terry Pratchett to explain and back of the house trying to see lime juice and pine nut topping discuss some of his theories; the wood for the trees. I love served on a bed of mashed Captain James T Kirk for the playing games on the DS and sweet potato. adventure; Elizabeth the First as PS3 but have still not managed she was such an amazing to save Lara Croft. My ambition woman for the times plus so is to beat my six-year-old grand- How about your favourite many discoveries were made daughter. There are other hob- film? during her lifetime ... where bies and interests, like photog- would we be without potatoes! I raphy, but I don’t have time with ‘There’s life Jim but not as we would get my partner to cook as the ongoing renovation of our know it’! he is quite remarkable in the new home. Maybe this year! kitchen and I would probably have Indian cuisine as Elizabeth What was the first single you And TV programme? might find this challenging, and I ever bought? Has to be CSI … any of them. enjoy a bit of spice!

- 33 - INNOVATION: Portal can help to turn your idea into reality From the drawing board to the operating table...

DO you have an idea about a new technol- ogy or product that can help the NHS? Got an idea up your sleeve that will improve patient care? The new Health Innovation Procurement Portal (HIPP-Scotland) will provide informa- tion, guidance and support to help you turn your idea into reality. NHSScotland has designed this portal as a requirements – that’s where the Innovation single-point resource to develop stronger part- Portal comes in.” nerships with industry. It provides potential After completing a simple registration proc- suppliers with information, guidance and sup- ess, each proposal will be assessed by experi- port on how to develop ideas and innovations enced and qualified healthcare professionals into products and technologies that may be of who will be able to provide constructive criti- use to NHSScotland, or to further develop es- cism and feedback on potential technologies tablished products. and innovations. NHS National Services Scotland’s Jim “They will assess the proposal and evaluate Miller, who helped develop the Innovation Por- its costs and benefits, including commercial tal, explained: “There are thousands of people aspects, how it fits with wider strategies, evi- working in or supplying NHSScotland. Those dence and market readiness. on the front line are often most likely to spot Jim continued: “If your proposal looks an idea for a new product or technology which promising, the feedback from the portal will can make it easier to do our jobs, help patients hopefully provide a platform for further devel- or make savings. opment and discussion.” “But what’s been lacking in the past is a For more information, check out the HIPP- single point where NHS Scotland and Industry Scotland website: http:// can feedback and review new ideas and future hippscotlanduat.cloudapp.net/

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Do you know of something you think for it. Please send your articles for should be featured in Highlights? An Highlights to [email protected] award, an achievement, a piece of (01463 704903) or visit the Staff research, an appointment, a retrial … Dropbox on the NHS Highland intra- you name it, Highlights has a place nent home page. - 34 - MEETMEET THE THE BOARD BOARD: : ALASDAIR GRAHAM LAWTONCREAR Tapping a fund of experience

SOMEBODY once said: called 999. I was first to the highest quality. “People like to pigeonhole scene and did all the checks I “The default view of the public you. It’s easier.” But there’s was supposed to do. Ten minutes sector is one of overpowering nothing easy about pigeon- later I was followed 10 by the bureaucracy and inefficiency and, whole blue-light brigade and that while there may be an element of holing Graham Crerar. was my work done.” that, I found it a refreshing sur- He’s driven double-decker His experience as a first re- prise to see the calibre of people buses in Edinburgh, travelled the sponder gave him an insight into working in the NHS – and I’m Far East hippy trail and runs a the difficulties in meeting basic continuing to see that in High- croft in Ardnamurchan. He’s health needs in rural communi- land.” sailed round most of the UK, en- ties. Graham says he joined the joys visiting lighthouses and oc- He said: “I was in my early 40s NHS Highland board, again in casionally competes in big cy- at the time, I was reasonably fit response to a press advert, be- cling events. Career-wise, he and had never had a serious ill- cause he felt he had something rose from office boy to a position ness or spent time in hospital. I to offer. in fund management which saw could meet my own – and my “The NHS had played such a him running portfolios of around family’s – needs, and I had a car, significant part in my life that I £20 billion, and he helps to run and lived near a GP. wanted to continue to contribute the family hotel chain that bears “However, I knew that not eve- to it in some way,” he said. his name. ryone was in that position – cer- “I’ve worked in finance, com- One of NHS Highland’s new- tainly, not everyone in the High- merce and the public sector, and est board members – his appoint- lands is that fortunate.” lived in a rural community, and I ment took effect on 1st January – Graham gained further in- could see that NHS Highland was Graham Crerar doesn’t necessar- sights into the world of healthcare struggling to provide excellent ily defy definition; it’s just that his when, in response to an advert in care in such communities. I felt CV needs a few pages more than the Guardian, he successfully my background provided a useful most people’s. applied for a post as non- combination with relevance to the But let’s start with an aspect of executive director of Suffolk NHS role, so I applied.” his past life that’s relevant to his Primary Care Trust and later be- But, for all his past experience, board role. Once, when he was came its deputy chair. Graham contests that if he’s living in a village in Suffolk, he “The whole experience was learned one thing since joining served as a first responder. extremely insightful,” he recalled. the board, it’s this: “It showed just “I did it for two years, during “Actually, it was a real eye- how much I have to learn.” which time I was called out on opener. We are constantly being Graham’s work with the NHS only half a dozen occasions,” he bombarded by the press on the in England, where there is a recalled. “One of these times was inefficiencies of management in vastly different organisational Christmas Day. Somebody the NHS, yet when I joined the structure, may not quite have pre- thought he was having a heart primary care trust two-thirds of pared him for the entirely different attack. He’d had a hot bath and the managers were, or had been, felt feint when he stood up, so clinicians, and they people of the Continued on next page - 35 - MEET THE BOARD: GRAHAM CRERAR

Continued from previous page for a spell as a bus driver, they also retained an interest in the travelled to Asia, and in the family hotel business (Crerar Ho- set-up that exists north of the bor- course of eight months took in Sri tels currently has 12 hotels der. Lanka, India, Nepal, Thailand and thoughout the country, and Gra- “In Scotland, the big advan- Indonesia. On his return, in Au- ham remains involved). tage is that there are so few lay- gust 1984, he fired off job appli- With his parents living in Oban ers between the health visitor cations to “lots” of companies, and his father in declining health, who goes to see how Mrs Mac- and eventually got an interview Graham decided to leave the donald is faring at home and the with investment managers Ivory fund management world and re- health minister,” he said. “I be- & Syme in Edinburgh. turn north. lieve that makes it easier to get “They told me that they didn’t “My youngest daughter (he things done.” have a job for me but would keep has four children) was getting For Graham, ‘getting things my CV and consider it the follow- ready to go to university and it done’ in NHS Highland involves ing year,” said Graham. “To be was clear to me that there was no serving on the control of infection honest, I would have done any- longer any compelling reason for and clinical governance commit- me to stay in England,” he said. tees and the carbon and sustain- But his return to Argyll and ability programme board, as well QUOTE Bute wasn’t without its hiccups. In as on the Badenoch, Strathspey September 2011, Graham moved and Nairn District Partnership. In Scotland, the big to the new house he and his wife “I’m still finding my feet,” he had built in Ardnamurchan. Five said, when asked for his views on advantage is that months later, the house was de- the Highland Quality Approach, there are so few stroyed by fire. Graham had it and so I don’t think I’m in a posi- rebuilt. “It’s exactly the same, but tion to give you an informed view. layers between the doesn’t have the same flue sys- “However, I’ve been interested tem that caused the fire,” he said. to see the extent to which I en- health visitor who Apart from serving as commis- counter the Highland Quality Ap- goes to see how sioner on The Northern Light- proach – it’s evident in the lan- house Board – “It’s a non-exec guage and behaviour of the entire Mrs Macdonald is role and I find it very enjoyable; I team. It’s also clear to me that it’s get to visit wonderful lighthouses something solid to hold on to. faring at home and in the most extraordinary places The financial environment is the health minister – Graham keeps busy tending hard, and if people do not have the croft he took over when he something solid as the basis for moved home. decision making, it would be very thing, even licking stamps in the “Just now, there’s a lot of fenc- easy to be blown around. I sup- post room. A week later, I got a ing and draining to be done but I pose the Highland Quality Ap- job doing more or less just that, hope to buy some sheep for the proach can provide that anchor.” as an office boy – I literally filled croft in September,” he said. “I The financial environment – the chairman’s fountain pen.” live in a small crofting township it’s something knows even better After six months, Graham got and I took over what was a va- than the health service. on the firm’s graduate pro- cant croft because I wanted to Born in Oban, he went to gramme and a job as trainee fund get involved in all the decisions school there before moving to manager. Eight years later, with affecting the community.” George Watson’s College in Ed- considerable experience in both Outside work, Graham’s a inburgh. From there he went to investment and pension funds, he keen sailor, and reckons he’s the University of Aberdeen, ini- and two colleagues set up their probably sailed around the whole tially to study Geography but lat- own fund management business. of the UK “except the bit off Cape ter switching to do an honours Graham subsequently held a Wrath”, and also enjoys cycling, degree in Economics. number of key posts, including ski-ing and fishing. Graham met his wife Pauline head of UK equities for a major in university and, after he worked fund management business, but Now try to pigeonhole him! - 36 -