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

Adaptation and Rehabilitation TeamART

Mental Health

ART

Rheumatology and Hand Therapy

ART

Children's Service

ART

Stroke and Neurology

Hospital

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