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A view from the Western Isles Sonja Smit, Occupational Therapy Services Manager. http://www.wihb.scot.nhs.uk/ot/otindex.html. Challenges of working in Remote, Rural and Island setting. Multiple and combined roles Broad portfolios Isolation (professional & managerial)
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A view from the Western IslesSonja Smit, Occupational Therapy Services Manager http://www.wihb.scot.nhs.uk/ot/otindex.html
Challenges of working in Remote, Rural and Island setting • Multiple and combined roles • Broad portfolios • Isolation (professional & managerial) • Close proximity to patients • Confidentiality – ‘stigma’ of accessing services • Geographical challenges
Model of OT Service in the Western Isles Community based service reaching into the hospital Community Equipment Service Adaptation and Rehabilitation Team ART Mental Health ART community Stroke and Neurology community community Hospital ART Rheumatology and Hand Therapy community Children's Service ART Telecare/Faire
What do we do: • Videolink /skype • Shared electronic patient record • Share expertise and experience • Build informal networks with specialist on mainland • Mentoring arrangements • Staff Attributes: flexible, innovative, used to problem solving, resilient, positive • Use our community resources, third sector
What we are working towards: • Obligate network / formal networks • Clear pathways for people with neurological conditions • Development of a neurological MCN • Investment in local services – reablement • A solution to meet the need for neuro –psychology services • Good communication with mainland centres