IFIC’s new report, Realising the true value of integrated care describes the steps we must take to create a radically different future beyond Covid-19. The report is a powerful call to reset our compass to a new reality based on solidarity and collaboration for population health. IFIC Scotland and partners will explore this new future in series 5 of their Integrated Care Matters webinars. Guest panelists, members of IFICs international Special Interest Groups, will share their experiences and insights and challenge us to design a better future that improves lives and opportunities for all. Each webinar will be accompanied by a topic resource with links to further information. All who register will receive links to the recordings and topic resources.
Join us @IFICInfo #IFICScotland for #IntegratedCareMatters5 as we prepare to #BuildBackBetter
Hold the dates and register your interest for the free webinars – broadcast live 4-5pm (5-6pm CET) .
Click the links to register:
Discharge to Assess and Community Intermediate Care Pathways – 9th December
Age Friendly, Healthy, Connected Communities – 17th February
Social leadership, collective action and kindness – 14th April
Health Literacy and Realistic Medicine – 16th June
IFIC Senior Associate;
Associate Director, the Health and Social Care Alliance Scotland
Mandy has experience as an innovator and change and improvement agent in health and social care across public, private and voluntary sectors.
Senior Development Officer,
Health and Social Care Alliance Scotland
Rhona leads the Self Management programme at the ALLIANCE and works towards embedding self-management based approaches in health and social care by identifying, sharing and increasing learning around self-management. Rhona is responsible for managing the Self Management Network Scotland and it’s 800 plus members, one of the key drivers for the Self Management programme to share learning.
Download Rhona’s opening Presentation
Strategic Head Chronic Conditions Management
PennaethStrategol Rheoli Cyflyrau Cronig a Chronig
Claire is currently the Strategic Head of Community and Chronic Conditions Management in Hywel Dda University Health Board responsible for the strategic implementation of the Chronic Conditions Programme and leads and co-ordinates a range of activities that promote excellence in chronic conditions management practice through utilization of evidence and research. At a national level she attends on behalf of the Health Board the Respiratory Health Implementation Group and is the Lead for the Home Oxygen Sub group. Attends the All Wales Diabetes Implementation Group on behalf of the health board and has worked to develop education for people living with Diabetes, in particular Type 2 Diabetes.
At an international level, Claire is a moderator for the International Foundation for Integrated Cares Self-Management Coproduction Special Interest Group.
Download Claire’s Presentation
Community Links Manager
Roseann joined the ALLIANCE in February 2014 as the Community Links Manager with the Links Worker Programme, a highly innovative and unique programme that aims to support people to live well through strengthening links between primary care and community resources.
Roseann has always had a passion for working with people and especially within the field of mental health and qualified as a mental health nurse in the early 90’s. Since then she has worked within different Third Sector organisations in a variety of management roles setting up new and innovative services within a challenging and changing Social Care environment.
Away from work Roseann loves spending time with her family and 2 dogs going for long walks in their local park.
Download Roseanne’s Presentation
Professor, School of Health and Community Services,
Social Service Worker Program,
Durham College, Oshawa, Canada
Lorraine Closs has been a Durham College professor in the School of Health and Community Services since 2013. Prior to that she worked for 20 years providing services in the field of social work with the last eight years in senior management positions. Her experience in managing community partnerships includes responsibility for the operation of several programs including a youth residential program and a family health team. More recently, as faculty advisor in the Enactus program at DC for 3 years, she was responsible for inspiring students to create and leverage community partnerships to realize their entrepreneurial and social innovation project goals. From 2018 to 2020 she was the principal investigator of a Social Sciences and Humanities Research Council of Canada (SSHRC) funded research project entitled: Co-Design of a youth-led housing hub: Developing a unique and scalable housing model for youth living on their own in Durham. In May 2020 Lorraine was awarded further SSHRC funding for a 3-year research project entitled: Building Bridges Together: Co-production of Financial Empowerment Strategies for People Experiencing Low Income.
Download Lorraine’s Presentation
Head of Delivery,
Iriss, Glasgow, Scotland
Dr Muirhead is Head of Delivery at Iriss, an organisation that supports the social services workforce in Scotland. He oversees all project activity within the organisation. For the past six years, he has led a number of research projects in health and social care around areas such as mental health and well-being, supervision, practitioner research and evaluating impact and outcomes. Through these projects he has experience of using methods of co-production, enquiry-based and dialogic processes and strengths-based approaches. He has worked with statutory, third and independent organisations, predominantly examining using evidence in practice and exploring ways in which new and emerging knowledge can be used to make a difference to service delivery.
He has worked in a wide range of policy, academic and research settings since completing his PhD at the University of Dundee in 2009, including at the Office of the Chief Researcher within the Scottish Government, and as a Research Associate at the University of Sheffield.
Self Management Fund Manager,
Health and Social Care Alliance Scotland
Lara oversees the strategic development and ongoing evaluation of the Self Management Fund, working with appropriate partners across health and social care and the third sector to promote the learning stimulated by the investment from the fund. Lara is also responsible for supporting organisations to submit high quality applications with measurable impact then maintaining a productive relationship with funded organisations, providing support and guidance where required.
Prior to this, Lara worked as a Community Links Practitioner in the North East of Glasgow and at NHS Education for Scotland implementing electronic library services for social services workers.
Download Lara’s Presentation
CEO Hospice Isle of Man
Director Scholl Academic Centre
Anne Mills is CEO of Hospice Isle of Man, with support from IFIC Scotland and is the Special interest lead for Palliative and End of Life Care
Panelists and Presentations:
The Role of Carers to Support People in Community Settings
Professor Gunn Grande, BA (hons), MPhil, PhD
Gunn Grande is Professor of Palliative Care at the Division of Nursing, Midwifery & Social Work, University of Manchester, UK. She has been working within cancer and palliative care research for over 25 years, with main interests including access to palliative care and how to support care at home. Her recent research has particularly focused on the support needs of family carers when caring for someone at home towards the end of life. This includes work on the development and testing of a Carer Support Needs Assessment Tool (CSNAT) intervention and investigation into the scale and impact of carers’ contributions to end of life care.
Download Prof. Gunn’s Presentation
The Impact of ‘Forced Innovation’ During COVID-19 on Fatigue & Breathlessness (FAB) Follow-On Sessions
Alison Christian, Physiotherapist
Alison trained as a physiotherapist 30 years ago in Glasgow and has worked at Hospice Isle of Man for 19 years as a Specialist Palliative Care Physiotherapist. She has a special interest in working with patients who report breathlessness and fatigue and was integral in the development of a service designed to address these symptoms known as the FAB programme. The rehabilitation team evaluate the service regularly and adapt the content on the basis of the results. In 2019, Alison was central to the development of a new hospice initiative for patients experiencing breathlessness called Singing for Lung Health.
Download Alison’s Presentation
Watch FAB follow on session Video
Volunteer Impact at the Circle of Care
Lisa Rae BSW, RSW
Lisa is a trained social worker and has worked in the nonprofit sector for over 25 years with at least 20 of these years working closely with volunteers. Presently, Lisa is the Director of Volunteer, Intake and MOW Services at Circle of Care, Sinai Health Systems. Lisa was the recipient of the June Callwood Award for Excellence in Volunteer Management in the award’s inaugural year. She is also an instructor at Humber College, teaching the Foundations in Volunteer Management course. As a volunteer, Lisa has been active with many community agencies and is the Past President of PAVRO (Professional Association of Volunteer Leaders Ontario. She received the Golden Jubilee Medal for her volunteerism with Girl Guides of Canada.
Download Lisa’s Presentation
Hospice UK Supporting Hospice Influenced Care during COVID-19
Dr Max Watson
Max is a Palliative Care Doctor from Hospice UK in London and Belfast with a passion for generalist palliative care education and research, using innovative technology to create communities of practice to improve end of life care in underserved communities. Influenced by experience of working in rural Nepal for eight years Max has developed a range of educational programmes and handbooks, including the Oxford Handbook of Palliative Care with the goal of “democratizing” specialist knowledge. Since 2002 these programmes have been completed by more than 20,000 Doctors and Nurses in the UK, Nepal and India. As Director of Project ECHO with Hospice UK Max is leading the spread of ECHO methodology across the UK with more than 80 networks now established in a wide range of clinical and non-clinical areas from prison health care to practice based pharmacy, care homes to GP support.
Watch Dr. Max’s Presentation
Professor Anne Hendry
Anne is Senior Associate with the International Foundation for Integrated Care and Director for IFICs hub in Scotland. She is deputy honorary secretary for the British Geriatrics Society and was clinical lead for Reshaping Care for Older People and integrated care programmes in Scotland.
Rikke is the Executive Director of the Institute for Research and Innovation in Social Services (Iriss), a not-for-profit organisation and knowledge partner for IFIC Scotland. Rikke has extensive experience of systems analysis, change management, and scaling new initiatives from pilot stage to implementation. She has expertise in using data for social good through visualisation, analysis and shared problem resolution.
Dr Emma Miller
Emma is a registered Social Worker, with ten years experience of working in a frontline practitioner role before obtaining her PhD in Sociology in 2004. Since then she has worked between research, policy and practice on developing and embedding personal outcomes approaches in Scotland and internationally.Emma is currently a part time research associate at the University of Strathclyde in Glasgow and also works with a diverse range of organisations to help keep the focus on what matters to people.
Download Emma’s Presentation
Michelle Nelson (MA, PhD)
Michelle is a Scientist in the Collaboratory for Research and Innovation in the Lunenfeld-Tanenbaum Research Institute (Sinai Health System) and Assistant Professor in the Institute of Health Policy, Management and Evaluation at the University of Toronto. In her academic roles, she leads international research on transitions from hospital to home, community reintegration post stroke and the role of voluntary sector organizations in integrated care. She was elected to the World Stroke Organization board of directors, sits on a stroke rehabilitation interventions committee of the WHO and is the inaugural Chief Knowledge and Innovation Officer (After Stroke) for March of Dimes Canada. She leads IFICs volunteers and voluntary sector special interest group.
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Prof Marco Inzitari
Marco is Director of Healthcare Research and Teaching in Parc Sanitari Pere Virgili Hospital, a large intermediate care hospital in Barcelona. He is Associate Professor of Medicine, Universitat Autonoma de Barcelona, and President of the Catalan Society of Geriatrics and Gerontology. His interests include frailty, person centred care, healthcare technology, e-Health and prevention.
Download Marco’s Presentation
Prof Dawn Skelton
Dawn is an exercise physiologist and Professor in Ageing and Health at Glasgow Caledonian University. She Chaired the Royal Osteoporosis Society’s Statement on Exercise and Osteoporosis (2018) and the Older People panel for the UK’s update of the Physical Activity for Health Guidelines. She publishes extensively on falls prevention and exercise in older people, is an internationally renowned keynote speaker and Director of Later Life Training Ltd, a not-for profit company, that trains health and fitness professionals to work with effective physical activity and exercise with frailer older people and stroke survivors. She received the British Geriatrics Society Marjory Warren Lifetime Achievement Award an honorary doctorate by Umea University and Honorary Fellowships from the UK Chartered Society of Physiotherapy and the Royal College of Physicians of Edinburgh.
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Prof Áine Carroll
Áine is Professor of Healthcare Integration and Improvement at University College Dublin and a Consultant in Rehabilitation Medicine at the National Rehabilitation Hospital in Dublin. She is co-Director of IFIC Ireland and a Senior Associate of IFIC. Prior to this, she was National Director of the Clinical Strategy and Programmes Division in the Health Services Executive and established the Integrated Care Programmes for older persons, chronic disease, children and patient flow. Áine is acknowledged Internationally for her expertise in large-scale change and implementation. An experienced Improvement advisor, she has provided advice, guidance and training on quality improvement and change to leaders of healthcare systems across the world. She is passionate about Person Centred Coordinated Care and Implementation Science.
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Michelle is Head of Therapies and Podiatry at Department of Health and Social Care, Isle of Man Government. She has a Bachelor of Science in Physiotherapy from The University of Wolverhampton and has experience as Service Manager in both hospital and community care. Michelle is skilled in Operations Management, Orthopaedic Rehabilitation, Intermediate Care, Musculoskeletal Physiotherapy, Strategic Planning, and Change Management.
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Morag is a nurse who has been instrumental in setting up a number of integrated discharge and community rehabilitation teams. She now applies this extensive clinical experience to promote Technology Enabled Care (TEC). She is seconded part time to the National TEC team as Strategic Lead supporting Remote Health Pathways. This role includes the scale up of blood pressure monitoring and the procurement and implementation of a new national remote monitoring platform. In her local role as Programme Manager for Lanarkshire’s Technology Enabled Care Programme she leads the adoption of remote Health Monitoring, Video consultations and associated digital work streams across NHS Lanarkshire and two Health and Social Care Partnerships.
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Dr Janet Bettger,
Duke University, US
As a health services researcher and implementation scientist, she designs and studies new models of care to prevent functional decline particularly after an injury or hospitalization for an acute event or surgery. She deeply values interdisciplinary team science and enjoys building networks of partners to spread and scale effective interventions.
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Queens House, Kelso
Jane has been at Queen’s House in Kelso in the Scottish Borders for around three years and was appointed Chief Executive in April this year (2019). Queen’s House (Kelso) Ltd. is a registered charity and over the last two years it has grown to now have three homes and around 125 staff. It has one care home called Queen’s House with 32 residents, built in 2002. A care home aimed at supporting people living with dementia was opened in December 2018 called Murray House, with 18 rooms. We have another nine-room care home for people with physical disabilities and cognitive disabilities. We also have a resource centre, Place & Space where people living with dementia in the community can come together.
Professor Adam Gordon
Vice President, Academic Affairs
Clinical Associate Professor in Medicine of Older People, University of Nottingham.
His research interests are predominantly in how healthcare is delivered in care homes but he has also done work around peri-operative geriatrics and has recently begun to work in the field of sarcopenia as part of the Centre for Musculoskeletal Ageing Research at the University of Nottingham. He maintains an active educational portfolio and played a key role in developing the UK and European recommended undergraduate curricula in geriatric medicine. He is a firm believer in bringing more clinicians into research and in ensuring that healthcare professionals and patients understand the impact of research in the real world.
Dr Siobhán Kennelly
Siobhan, consultant geriatrician in Connolly Hospital & CHO9 and Clinical lead for the Connolly Hospital Memory Assessment and Support service. Honorary clinical senior lecturer, RCSI. National Clinical Advisory Group Lead for Older Persons HSE in 2019 and clinical lead on the Integrated Care Programme for Older Persons (ICPOP).
Dr. Akber Mithani
Dr Mithani is currently regional Medical Director for Fraser Health Long Term Care and Assisted Living Services and Clinical Associate Professor, Faculty of Medicine, The University of British Columbia. He has participated in over 30 peer-reviewed funded research projects, abstracts, book and journal publications. Currently he supervises and teaches Family Practice RII residents and IMG Family Practice RII residents in their mandatory clinical geriatric rotation.
Dr. Mithani has been Director, Primary Care of the Elderly Research Group, Providence Health Care, Vancouver. He lectured extensively across the world in areas of Islamic Ethics and spirituality. Dr Mithani is founder of the Research Institute of Spirituality and Ethics, which provides support and advice to Muslims around end-of-life care and decision-making. He continues to participate in humanitarian work across the world in his capacity as a physician.
Dr Sean Ninan
Sean is a Consultant Geriatrician in Leeds Teaching Hospitals NHS Trust with a special interest in community geriatrics. Sean is also the dementia lead for the trust.
Naomi is the Compassionate Getxo lead, Getxo Zurekin, Basque Country, Spain.
Naomi came first contact with palliative care was in Guatemala in the 1990´s as a newly qualified nurse. Since then she has worked in different areas, both employed and voluntary, including in St Joseph’s Hospice as a staff nurse, with Macmillan as a volunteer, and creating and implementing a hospice at home project in an area of Northern Spain.
She currently lives in the Basque Country where she leads Compassionate Getxo, Getxo Zurekin.
Dr Jenni Burton
Jenni Burton is a Clinical Lecturer in Academic Geriatric Medicine at the University of Glasgow. Her clinical specialist training is based within Glasgow Royal Infirmary. Alongside this, Jenni is working on using care home data to improve understanding of pathways into care and the needs of the care home population. Her aim is to improve the evidence-based organisation of care for older people through data-informed research.
Claire was seconded to the Care Home and Rapid Response Team as one of the senior nurses in the team. She is an NMC registered adult nurse with Masters in Advanced Nursing Studies. She rejoined the Isle of Man DHSC in November 2018 taking up the role of Senior Healthcare Public Health Practitioner in the Public Health Directorate. Since qualifying she has spent nearly 20 years based overseas gaining wide experience of healthcare in humanitarian and emergency contexts, particularly from working in large scale cholera and ebola responses. She has a passion for ensuring quality health services for vulnerable people, using evidence to build on innovative practices as a means of tackling complex health issues.
Download Claire and Oliver’s presentation!
Oliver Radford has been the General Manager for Integrated Community Care for the Isle of Man Department of Health & Social Care since 1st May 2020, initially leading on community based Covid response projects as well as picking up the responsibility for delivery of the integrated care transformation programme. Prior to that he was General Manager for Unscheduled Care at Noble’s Hospital since January 2019, and before that he was Surgical Divisional Manager, commencing in post in April 2016.
Oliver has a first degree in Physiology, specialising in Neurophysiology (from the University of Leeds) and a MSc in Healthcare Informatics from the University of Manchester. He started his NHS career at Central Manchester University Hospitals in 2004 as a Clinical Risk Project Manager, implementing incident reporting and risk register systems at Manchester Royal Infirmary. Oliver was promoted to the post of Directorate Manager for Anaesthesia in 2007, which involved responsibility for provision of anaesthetic, pain management of pre-operative assessment services for the seven hospitals in the Central Manchester Hospitals group. Responsibility for the Critical Care Directorate was added onto Oliver’s portfolio in 2010, the main component of which was leading on the Critical Care redevelopment project which completed in 2014 with the delivery of a new 52 bedded Critical Care complex. In 2014, Oliver moved into a 12 months secondment as the Elective Transformation Lead for the Central Manchester Trust, focussing mainly on theatre planning and productivity, followed by a 12 month role as Directorate Manager for Head & Neck Services (ENT, Maxillofacial Surgery, Oral Surgery and Audiology). During his time within Head & Neck Surgery, Oliver successfully centralised the Head & Neck Cancer Services from Christie and North Manchester General Hospitals into a single unit, and, to accommodate the increased workload, led on the commissioning of the new Manchester Head & Neck Centre.
Download Claire and Oliver’s presentation!