1. REMOTE AND RURAL IMPLEMENTATION GROUP Summary of day 1 Dr Annie Ingram 2 nd September 2009

2. REMOTE AND RURAL IMPLEMENTATION GROUP Common Themes Workforce and Education Obligate Networks Care Pathways Emergency Response & Transport E health Infrastructure

3. REMOTE AND RURAL IMPLEMENTATION GROUP Workforce Robust Workforce Planning Competency driven not posts Doctors to staff R&R services Skills maintenance Integrated Community Care Teams Community resilience Grow our own Be brave!

4. REMOTE AND RURAL IMPLEMENTATION GROUP Education Responsive solutions that deliver service requirement Deliver competency based approaches Not just medics…but Medical education for R&R is vital Rural Fellows – fit for purpose?

5. REMOTE AND RURAL IMPLEMENTATION GROUP Obligate Networks Greater clarity – be explicit where, resources, authority Status – needs a CEL ONs – different way of doing business – should be way forward Ensure that ALL boards engage – not just R&R eHealth infrastructure

6. REMOTE AND RURAL IMPLEMENTATION GROUP Care Pathways Care pathways & Networks are a fundamental requirement to sustain services Recognise role in business continuity Balance required to maintain local services and access specialist care Extend multi-professional approach Ownership & discussion important to develop high level pathways into local protocols Involve patients to help understand complexities

7. REMOTE AND RURAL IMPLEMENTATION GROUP Emergency Response & Transport Community resilience needs to be retained Strong support EMRS but balance required so that local services are not deskilled Standards need to be formalised General support for SOF Funding, costs and affordability Implementation needs performance management

8. REMOTE AND RURAL IMPLEMENTATION GROUP eHealth Infrastructure IT NEEDS TO WORK….. …. AND THE BANDWIDTH NEEDS TO BE SUFFICIENT TO DELIVER THE CLINICAL NEEDS.