Learning from Local InitiativesNHs Dumfries and Galloway

Asking Ourselves Questions in the Context of Health and Social Care Integration?

Ewan Kelly

N – whose needs are being met by our current provision/education

A – what does this say about our abilities, capability, capacity

V- whose voice is being heard, not heardV – what is being valued, undervalued,

undervaluedY – what does such reflection say about you,

me , us (as a group, organisation, collaboration)

D and G Board Area Bereavement Care Group – January 2015 Meeting

What?

Why ?

Goal/Aim?

Who?

How?

Big Picture yet Local Issues?• Cultural change – death part of life and death/dying part of

the core business in acute, primary and social care.• Demedicalisation/normalisation of grief• Integrating bereavement care into daily practice• Education/formation (staff self awareness)• Bereavement and loss affects everyone – staff included • Bereavement is anticipatory for patient and loved ones and is

never resolved after death – impacts on wellbeing – • Loneliness and isolation• Co-ordination across health and social care – including

working with and learning from third sector• Aligning/integrating bereavement care with other key

workstreams/issues

First Actions?Involve the experts – the bereaved themselves

Scoping and sharing what is already in place- especially in third sector eg carer groups, faith

communities

Build relationships and communicate