Fife Shine Project – shifting the culture of care Julie Paterson, Senior Manager, Fife H&SCP Dr Margaret Hannah, Director of Public Health, NHS Fife

Outline Personal outcomes – SDS experience Introducing the approach with older people Growing a new culture of care Some stories

Personal outcomes – SDS experience

Introducing the approach with older people Find ways for older people to thrive, not just survive at home. Explore what matters to people, nurturing quality relationships. Co-create solutions with and by the community

Some stories Community hospital ward – stroke patient From mobility scooter to 4 miles walking a day From lying in bed most days to walking dog, spending time with grand-daughter, shopping etc.

Shift in mindset Belief in the past Belief now Patients have to change, not us. We need more staff. Only if we are doing something are we providing health and care Belief now We have to change first to facilitate change in our patients. We do not need more staff but we need to work differently, in a more integrated way and in real partnership with our community. A good quality conversation is itself a health and care intervention. Gradually in Fife, I am finding our mindset is shifting. I generated this list of changes with healthcare staff involved in the Shine project. Interestingly now, they have asked to change the language to people not patients, health and social care not just healthcare, staff, not just doctors and nurses.