Derek T BarronInterim Executive DirectorNursing, Midwifery and Allied Health ProfessionsNHS Orkney

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Scotland’s public health record

Changes in demography

The economic environment

Some of the challenges

To address variability of health and social care outcomes in different parts of Scotland, particularly older people

To make it easier to provide services to help people stay at home, rather than being admitted to hospital

To make it easier to get people out of hospital quickly and back into a homely setting

Why Integrate?

The Public Bodies (Joint Working) (Scotland) Bill 2013 was introduced to Parliament on 28 May.

2020 Workforce Vision "Everyone Matters" June 2013

CNO Education review – setting the Direction

Some strategic drivers

Geography

The Orkney experience

1. Engage early with the process – change happens and it is best to be prepared

What three pieces of advice would they give to community nurses who are about to face integration?The Orkney experience

1. Engage early with the process – change happens and it is best to be prepared2. Try and understand the human dimensions of change for yourself, your team and also the leaders of change – this helps to manage yourself and support others

What three pieces of advice would they give to community nurses who are about to face integration?The Orkney experience

1. Engage early with the process – change happens and it is best to be prepared2. Try and understand the human dimensions of change for yourself, your team and also the leaders of change – this helps to manage yourself and support others3. Speak up – you know your process and area of work better than anyone else – your expertise is needed and needs to be utilised but also remind and remember the day job still needs to gets done and with the least disruption to patients as possible.

What three pieces of advice would they give to community nurses who are about to face integration?The Orkney experience

Staff worked hard to minimise disruption for patients, support colleagues and take part in discussion as time allowed. If we had to do it again, what would they do differently?

· I would try harder to articulate and ensure understanding of the risks as well as the benefits to radical change especially during transition, and influence effectively.

I think the key to integration is planning.

The Orkney experienceWhat worked well during our integration?

I would try harder to articulate and ensure understanding of the risks as well as the benefits to radical change especially during transition, and influence effectively.

I think the key to integration is planning.

I think if certain areas had been thought through prior to the integration, it would save feeling like we are always fire fighting

- eg joint policies (information sharing, statutory obligations), - plans and key decisions about the delivery of children's services.

The Orkney experienceIf we had to do it again, what would they do differently?

What is the single greatest benefit to integration?

Having good leadership from a Social Worker Head of service which is hugely important to deliver the benefits to patients and staff.

Be prepared though – this does not happen overnight and can be person dependent!

The Orkney experienceWhat worked well during our integration?