Welcome to NHS Highland! Pat Tyrrell, Deputy Director of Nursing, NHS Highland Stephen Loch, Senior Nurse for Education and Training. NHS Highland

Geography

NHS Highland Population and workforce Population; 232,000 (870,000 sheep in 2013) Land mass; 12,000 square miles (40% of Scotland) same size as Belgium Workforce information; 10,000 staff (6,000 Nurses, Midwives, Allied Health Professionals) 50% of staff 4 District General Hospitals – Inverness, Wick, Fort William and Oban 15 Community Hospitals

Highland Health – Health and well being profiles Adults http://www.nhshighland.scot.nhs.uk/YourHealth/P ages/HealthProfilesAdult.aspx Children http://www.nhshighland.scot.nhs.uk/YourHealth/Pages/HealthProfilesChildrenYoungPeople.aspx

The Highland Quality Approach Our Strategic Framework (based on Virginia Mason Model)

NHSH Workforce report 14/15 “NHS Highland’s workforce age profile reveals an ageing workforce with the majority of staff in the 50-54 age group, closely preceded by 45-49 age group and 55-59 age group This will have significant impact for NHS Highland in the coming years as the workforce ages and retires”

Health care settings General Hospital, Community Hospital, GP Practices and peoples homes

Integrated Hospital / Community structures Highland first Board in Scotland to integrate Health and Social care (NHSH lead Adult care & Highland Council lead Children's care) Integrated HSCP’s will be law in Scotland by April 2016 http://news.scotland.gov.uk/News/Royal-assent-for-Integration-Bill-b1c.aspx “Operational units” and A&B HSCP Health and Social Care Community teams Integrated Team Leaders / co-located teams (Inverness East example)

Benefits of working in Highland Large area but small population Focus on quality improvement People work well together, hard working Beautiful place to work Generally friendly and welcoming Integration of health and social care Close partnership working with Highland Campus / UWS / UHI

Challenges of working in Highland Rural nature of area – 7 hours to drive from Wick to Campbelltown Services not always best organised for patients Reducing population of rural areas Use of technology, tele - health care Shifting the balance of care to community Aging workforce, recruitment and retention of staff Financial constraints

Education & Partnership working Clinicians contribute to teaching on pre-registration students for adult and mental health nursing Around 150 students each year requiring placements in clinical areas in NHSH Collaborate with Universities in many areas around post-registration training / research Close working to mutual benefit of both NHSH and Universities

We hope you enjoy your time here… Any questions We hope you enjoy your time here… Any questions? Further contact sloch@nhs.net or p.tyrrell@nhs.net Follow us on twitter @NMAHP_Highland