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Borehamwood Older Gay Dating Site Directory You are curious any time you were perched on the chair by your supporter. Communicating could possibly be.

Meantime, however, there was a beautiful sunset silhouetting the remaining trees against the sky. The half light reminded me of a weekend spent in DGRI in the middle of January when the hospital was coping with the increased demands that Viv referred to. Indeed a nurse described the previous day as one of the busiest in their career.

Opinions & ideas in NHS Dumfries and Galloway

Despite this, the beauty of a hospital waking up was evident. Walking in through the atrium I was met with the tired faces of the night shift as they head home for the day, further into the hospital the corridors were lit with the nurses working their way round the wards providing care and breakfast to their patients. All felt well and peaceful.

The pressures were immediately apparent upon attending the whole hospital huddle and, as I joined a multidisciplinary and multiagency team, of doctors, nurses, allied health professionals, pharmacists and members of the team from Social Work Services and Scottish Ambulance Services, to work together to support flow.

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Many of this team had not met before this weekend but all worked towards the same goal. Communication between the team was excellent and frequent and at points throughout the weekend each member of the team stepped forwards to lead. It was an honour to participate. The structural changes to mark the start of new ways of working have taken place with the migration of the new hospital complete and the Health and Social Care Partnership established and now we are in the business of transition. William Bridges would suggest that there are three phases: ending, neutral zone and then new beginnings which involve new understandings and should give people a part to play in the transition.

In moving towards the new beginnings it may be that we should take lessons from the geese that are currently flying overhead,. They know where they are heading and everyone in the team is important. When the lead tires everyone should be brave and step up to take their turn to lead. They communicate constantly and look after each other on the way. Perhaps in this way we can streamline our traffic jam. Like my favourite local wildlife sanctuary this transition from newly planted saplings to fully developed forest will take time and care.

The replanting of the forestry will be diverse as a successful natural forest, including many different types of tree, is the best for supporting its wildlife community. I am hopeful that in developing new ways of working to support the population of Dumfries and Galloway our teams will be equally diverse including and valuing the unique contributions of doctors, nurses, social work services, third and independent sectors and each of the allied health professions. The whole health and care system is struggling to cope with increasing demand and stretched resources.

So what can we do to try and help this situation?


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How can we find sustainability within health and social care services in Dumfries and Galloway? At the moment when I think about the health and social care system I see a beat up old s car that has been overloaded, it has been patched up and repaired, a roof rack has been added for extra capacity and it is limping along trying hard to keep up with the modern world. This year, we will celebrate 70 years of the NHS established in post war Britain The primary model of care is the same today as it was in remaining relatively unchanged through the decades.

Reviewing what we do, working together with partners and stakeholders to find new ways to deliver care and support will help us to adapt to the current and future demands on services. The single fact that applies to all organisations is their ability to survive depends on their ability to change and adapt to the environment in which they operate.

For example:. There has been a major shift, even in the last 5 years, in the way that people shop.

Shopping habits have been influenced greatly by the internet and the most successful organisations have responded to the change in how people want to shop. Most of the major supermarkets have recognised the preferences of a large number of people to order food online and have it delivered. But there is also change in the way people do their grocery shopping in store. Just last month Amazon opened their first grocery store Amazon Go, but it is not at all a traditional store —there are no checkouts, no queues and no people to take payment from you, just use the app to enter the store and pick up what you need, and go!

February | | dghealth

Technology is also playing a major role in changing the banking sector. From to the number of people regularly accessing online banking services doubled. Considering new technology is just one way to affect change and it is important. But there are a range of things we can think about and do to progress towards sustainability. By having conversations like this within teams, with the people who use services and with partners across the whole system we will be able to find new ways of working that will take us closer to an adaptable and sustainable system.

The new Service Planning Framework has been developed to help us have a consistent approach to these conversations and approaches.

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It sets out six essential planning principles and suggests a range of potential actions to help teams to do this. Service Planning Framework. To answer our initial question about whether sustainable services are possible in Dumfries and Galloway, we suggest they are. But it is going to take some time and effort, working together across the whole system to adapt to the environment we are working in. No doubt services will look and feel different and that is what is needed to become sustainable. Employee, age 41 As a member of the LGBT community I am glad to see that acceptance in the community is both growing and improving.

History The history of charitable endowment giving dates back to the Roman Empire when Marcus Aurelius endowed four teachers in Athens to head up schools of philosophy. What does the Charity do? What has the Charity Funded? This project aims to build the capacity of the LGBT adults and older people and their unpaid carers to more effectively self-manage their long term conditions, and to access the support and services they need.

I call it Betsy. I had to get to love the illness, I had to get to love the medication. I had a really horrible relationship with the meds. I was really resentful, really hating them. And as soon as I started to think more positively, that changed. In the meantime, she hopes for a cure. A patient in Berlin had leukaemia and he had a stem cell transplant.

After that he was tested HIV negative, and there have been at least another three cases like that. Sign in Edit Account Sign Out. But how does such openness help one woman from Glasgow? By ruth walker. Picture: Donald MacLeod. Sign up. Thanks for signing up! Sorry, there seem to be some issues. Please try again later. News you can trust since US Election.

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