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Latest survey of Scotland’s rural GPs

Two weeks ago we asked our RGPAS (Rural GP Association of Scotland) members to provide feedback to the Committee in order to identify the latest views, opportunities and concerns about the new GP contract in Scotland.

Our members responded positively and rapidly.  66 responses were obtained over the week (over 50% response rate), the majority of which included considerably constructive comments.  Members were aware from the outset that all responses would be anonymised and published, and we are pleased to make this version available for download today.

Download the RGPAS March 2018 Members’ Survey on the new GP contract (PDF)

We believe that this represents an accurate snapshot of the current views about the contract and its anticipated impact on Scotland’s rural communities.   Chair of RGPAS, Dr David Hogg, wrote this blog a few weeks ago outlining why our Scottish Government needs to pay more attention to these concerns.

The RGPAS Committee and its members stand ready to engage positively with the Scottish Government to help provide the perspective that seems to have been sorely lacking in the negotiations leading up to the new contract being agreed by our leaders in the central belt of Scotland.

We have summarised some of the outcomes below.

 

 

 

 

 

 

 

Here’s some quotes from the survey…

Uncertainty

Our cluster lead has essentially hoovered up all our services to the central area where he and the other big practice are based. We no longer have physios and they tried to remove our health visitor. They are currently attempting to remove our vaccine service. The contract and the health board are a disgrace.

There is an overall sense of planning blight making it difficult to prepare for the upcoming retiral of 4 out of 10 partners by 2021 , after 3 years of waiting for a new contract to see no additional investment is having a negative impact on the practice.

Just the sense that the future is uncertain. Our practice nurse who runs an asthma clinic for us was really worried that some mainland based service would render her redundant.

It has indirectly contributed to my decision to leave my current role as a Salaried Rural GP

Yes, practices feeling unsettled, people thinking about retiring, Health Board getting even more anxious about resources, and threatening non core contracts

Impact on service planning

I am already aware that at least one IJB with a significant rural component has openly come out and stated that it feels that it will be unable financially to support/enact the changes proposed by the new contract. Although there is recognition that the stated goals of shifting work to the rest of the MDT to enable the GP to deal with complex generalism are unlikely to happen in the same way in rural practices as in suburban and urban practices there is still no clear communication about how funding for any work that is retained by such rural GPs (by necessity) may be obtained. There is no confidence that existing or proposed future enhanced services will be supported or financed.

No. In fact despite the future promises of that HB will provide all these new services, they are busy slashing things like smoking cessation.

No further cuts to date but cuts to our practice have already taken place over the last 3 years

Helping to define priorities for the rural SLWG

We used the opportunity to ask our members what they saw as the priorities for the Short Life Working Group to focus on, and there is a considerable range of constructive answers to this question.  These comments will be summarised by the RGPAS Committee and we will seek to do what we can to listen to these concerns and represent them to Scottish Government.  You can read all of the responses in the full copy of the survey.

Download the RGPAS March 2018 Members’ Survey on the new GP contract (PDF)
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Waiting for news about the #gpcontract rural SLWG

Members of the Rural GP Association of Scotland (RGPAS) are waiting patiently for news about the rural Short Life Working Group – the much-promised mechanism by which the Scottish Government has sought to reassure that implementation of the new GP contract to rural communities will be overseen.

RGPAS wrote to Cabinet Secretary for Health, Shona Robison MSP on 14th March, and yet to date we have had no response other than to confirm that our letter is ‘being considered’.  No formal announcement has been made as yet, despite early reassurances being offered that the SLWG would address concerns raised by rural GPs prior to the contract’s agreement.

What do Scotland’s rural GPs think?

Today we will be publishing the results of our latest members’ survey, which continues to demonstrate concern, disappointment and anxiety about how the new contract threatens to make rural practice in Scotland unsustainable.

  • Nearly 70% of respondents say they are less confident that the contract changes will be beneficial to Scottish rural practices
  • Nearly 70% of respondents say they are less confident about their rural practice’s sustainability due to the new contract
  • 97% of respondents believe that RGPAS should be represented on the rural Short Life Working Group
  • 97% of respondents have been happy with the RGPAS efforts to raise our members’ concerns about the new contract

What has been said so far about the SLWG?

On 25th January 2018, First Minister Nicola Sturgeon apparently advised that the SLWG had been set up.

Of course we must listen to the issues for rural GPs, which is why a short-life working group has been established to look specifically at those issues. Members do not simply have to listen to the Scottish Government on this; it is the British Medical Association’s position that the concerns that are being expressed by rural GPs are unfounded and that no GP will lose funding as a result of the new contract. That is the reality of the situation, but I accept that we have to convince rural GPs that that is the case, and we will continue to work collaboratively with them to seek to do exactly that.

First Minister for Scotland, Nicola Sturgeon, speaking at First Minister’s Questions on 25.1.18

(Quote from theyworkforyou.com website)

You can watch the above announcement being made in the video clip below.

Since then we have heard very little, and we remain in the dark about how the SLWG will function, how it will represent rural GPs in Scotland and how key stakeholders like RGPAS and LMCs will be able to contribute to this forum.

RGPAS call for action from the Scottish Government

We call on the Scottish Government to understand the level of concern expressed, and to respond to it in a transparent, co-operative and effective manner.   RGPAS is ready to contribute constructively to the rural SLWG.  Inclusion in the Short Life Working Group should be forthcoming for both RGPAS and relevant LMC representatives, including Highland LMC which we suspect represents the majority of Scotland’s rural GPs.

Inevitably, the schedules of Scotland’s rural GPs are busy and require advance planning, and therefore we request adequate notice and arrangements to ensure effective representation.  We also hope to see adequate patient representation given that the new contract paves the way to redesigning primary care services for all of Scotland’s communities.

The issues facing rural Scottish General Practice are complex, this has been acknowledged by SG and SGPC. Phase one of the new GP contract did not adequately address these issues.  We believe that the solutions can be found to deliver a fit for purpose, rural-proofed contract. The answers lie in the rural workforce and as such we are very keen to represent remote and rural GPs on the SLWG.

Dr Alida MacGregor (GP Principal, Cowal Peninsula), RGPAS Vice-Chair

We would like clarification regarding the timing and make-up of the ‘Short Life Working Group’.  As representatives of many rural GPs in Scotland who will be affected by the contract, we believe that it is essential to  have the opportunity to represent our members’ views . We are ready to contribute to this important opportunity to develop local primary care services – particularly as GPs are often in the best position of understanding the needs of their communities and the ways in which services can be most effectively delivered.

Dr Susan Bowie (GP Principal, Shetland), RGPAS Secretary

It has been widely acknowledged that the 2018 GP contract almost completely ignored the potential opportunities for developing rural general practice and also failed to address the problems facing us.  I welcome the setting up of a SLWG to address these deficiencies and see it as an opportunity for SGPC to regain some credibility with rural doctors. In order to do so it is essential that grass roots remote and rural doctors are strongly represented on the group. In my opinion this would best be done by including Highland LMC and the Rural GP Association of Scotland. Failure to do so will miss an opportunity to strengthen rural practice, and further reinforce the perception that rural medicine is undervalued by the centre.

Dr Richard Weekes (GP Principal, Ullapool), RGPAS Committee Additional Member

The new contract for Scottish GPs received virtually no support among rural doctors, and Scottish Government sought to reassure them by announcing a Rural Short Life Working Group. It is vital to ensure that the two organisations representing the majority of rural GPs – RGPAS and Highland LMC – will be included in the working group. Rural GPs across Scotland, particularly the majority who fear that the contract will make their practices unsustainable, will see effective representation of their concerns as being a vital to implement the new contract successfully.

Prof Phil Wilson (GP Inverness & Director of the Centre for Rural Health), RGPAS Research Lead

RGPAS have consistently put forward constructive ideas to solve the serious lack of an effective rural element in new contract.  RGPAS and the Highland LMC are able to offer considerable insight, expertise and credible representation on rural issues to the Short Life Working Group.   The new contract can still be rural-proofed, but only if those with a deep practical knowledge of rural health are at the heart of the SLWG.

Dr Douglas Deans, RGPAS Committee Co-opted Member (Rural Faculty)

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Mayara Floss: the challenges for women working in rural health

Mayara Floss

This video of Dr Mayara Floss – rural doctor in Brazil and passionate advocate for international rural health – has recently been publicised via the Rural WONCA email list by Dr John Wynn Jones, chair of the WONCA Working Party on Rural Health.

Mayara was invited to give her perspective on the issue of “Investing in rural health workers for the economic participation and empowerment of rural women and girls” at a meeting of the joint Commission on the Status of Women: a side-event of the World Health Organisation, International Labour Organisation, Permanent Mission of Ireland to the United Nations and Women in Global Health.

John introduced the video more eloquently than I could, and so with his permission, here’s what he said:

Dear All

I want to congratulate Mayara and thank her on behalf of Rural Wonca and all the rural health workers around the world for her presentation and wise words at the United Nations Commission on the Status of Women. Mayara is an exceptional person. I can’t even call her a future leader because despite the fact that this is her first year as a doctor she is already a world leader and an example to us all. It will be the Mayara’s of this world who will take up the mantle for the next generation and its our duty to support them.

Please look at the video of her session. She describes how medical schools in the largely rural country of Brazil do little to promote and teach rural health care. She eloquently describes her own journey against the odds and her quest to work among rural communities and the barriers that she encountered. Everyone needs to watch her presentation! 

During the panel session she implores us first to listen to our patients and are communities before coming up with ” so called helpfull solutions”.

She also asks us to think about the political tragedy that is happening in Brazil and the dismantling of one of the most enlightened primary care systems in the world and its replacement with private health.

We are all very proud of her and the many other members of Rural Seeds who are working so hard around the world to build their careers and make a difference for rural communities.

Kind regards

John

Mayara speaks in the video below for 20 minutes, at 30 minutes in, and there are subsequent (excellent!) contributions to the discussion thereafter.

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Applications invited now for Scottish Rural GP Fellowships 2018

NES Logo 2005Applications are now being invited for the GP Rural Fellowship Scheme, overseen by NHS Education for Scotland.

The Fellowships offer a fantastic opportunity to build skills and experience in rural general practice, whilst experiencing the challenges and opportunities first-hand – during a well-supported year which includes nine weeks of study leave and a generous study budget.

The Fellowships are located across rural Scotland, from Dumfries & Galloway, to the Shetland Isles, including islands such as Islay, Arran, Skye and the Uists.

Many previous rural fellows have stayed in rural practice, and this article published in the Journal of Rural & Remote Health highlights the strengths and successes of the programme which has been running for over ten years.

Rural Fellowship Facebook Page     Rural Fellowship – Official Information

Closing date for applications: Wednesday 11th April 2018

Fellowships (one year) commence in August 2018.

Watch the latest video about the Fellowships…

Former Rural Fellow Gemma Munro explains more about her time as a Rural Fellow.

Why be a rural GP?

This video, as part of the RCGP #ThinkGP project, featured the range of rural GP duties on the Isle of Arran.

 

… and here’s a video from 2016 featuring some of the Fellows and others involved with the scheme…

Interested?  We want to hear from you…

All the Rural Fellowship sites will welcome you to chat on the phone or visit and tour round what’s on offer.  We can fix up a chat with current or previous rural fellows, and you can ask questions on the Fellowship Facebook page.  There is a lot of information available from the websites mentioned already, but sometimes it’s easier to arrange a chat on the phone or Skype… all descriptors of the Fellowships (on the official fellowships page) have contact details where you can find out more.

A couple of years ago we interviewed some of those involved in running the Rural Fellowships.  Hear more from them about what they think the fellowships can offer recently qualified GPs…

Gill Clarke – Fellowships Co-ordinator

gillGill has been running the fellowship scheme now for several years.  I asked her about the opportunities available, and why she thinks the fellowship scheme is a good way to enable recently-qualified GPs to experience rural practice.

Gill is very happy to be contacted about any of the fellowship options.  gillian.clarke1@nhs.net


Angus MacTaggart – Islay Rural GP

angusAngus is one of two principals of Islay Medical Services, which now delivers primary health care across the island, as well as out of hours and hospital services.  He describes the attractions and challenges that he identifies with rural practice.

You can contact Angus at: Angus.mactaggart@nhs.net


 

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Louise Polson publishes in RRH about student placement in Shetland

Louise Polson, medical student at Glasgow University, has written about her student rural medicine placement in Remote & Rural Health.

She writes…

This placement also provided the opportunity to research and write this essay, which gave me a much deeper understanding of how emergency care is provided in remote areas and allowed me to consider how care could be improved for future patients. I believe key areas for improvement include increasing links with medical schools to provide more student placements, possibly through publicising positive testimonies from students who have already been (such as myself), and also improving recruitment and retention of staff through increased access to further training opportunities.

Congratulations Louise!  We are particularly pleased to see this published, as Louise joined us in 2015 when she received an RGPAS Student Scholarship to attend our annual conference.

Read the full article here: https://www.rrh.org.au/journal/article/3824#cite_2

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Our Scottish Government needs to recognise the potential of Scottish rural practice

The agreement of the new Scottish GP contract has triggered real concerns about just how seriously the challenges facing Scotland’s rural communities are being considered by our professional and political leaders – and how rural NHS services are being considered in the context of the overall NHS Scotland team.  In RGPAS (the Rural GP Association of Scotland) we believe that there has been little attempt to rural-proof the contract, and any plans to do so have been sidelined until ‘Phase 2’ which, of course, might never happen.

Rural GPs tend to be a robust lot.  We have to be, particularly with the professional isolation and sometimes downright scary clinical presentations to manage, with distance and geography providing an ever-dynamic challenge. Much of our professional resilience and stamina is generated by the support and trust that is handed over to us by the patients we work for, and the teams we work with, in ways that spark professional satisfaction greater than any other career imaginable to us.  And it is that privilege, responsibility to advocate and sense of duty, that has driven our concerns about the future of Scottish general practice as defined by the new contract.

Articulating our concerns has, at times, been difficult: we lack the political vocabulary, media experience and strategic confidence to communicate these concerns as effectively as we might if we didn’t have a significant day and night job to do.  Challenge has also presented in terms of time; returning home after a busy day in the surgery and a night oncall, to find 20 messages from journalists seeking an informed and on-record representative view is, I suspect, a world away from the luxury of a media team and press officers.  But surely we shouldn’t have to employ a media team to represent rural communities in a GP contract?

We have, however, had extraordinary encouragement, including from some who have been able to offer expertise in the areas of media and strategic engagement.  Throughout, we have been determined to maintain a respectful tone with our colleagues, confreres and appointed representatives.  Despite the shortcomings of the contract, I really believe that those involved all aim to act as professionally and ambitiously as any of us.  However we suspect they just don’t understand rural practice enough to see the opportunities that many of us saw for a new contract to sustain healthcare to rural communities in Scotland.  Throughout, it has been stimulating to work with bright, impassioned and committed colleagues.  And whilst journalists might collectively get a bad name, we have been fortunate to engage with ones who have respected our need to continue the day job, and put up with our own limitations of returning calls and emails between otherwise busy days.

It is clear that the new contract has failed to take into account the challenges and opportunities of providing healthcare in rural Scotland.  The honest admission from one of the SGPC Senior Negotiators during a roadshow that rural practice has been “parked” until a Phase 2 of the contract that might not even happen, was a bombshell moment for many of us listening in Inverness.  It appears that rural practice has been put on the ‘too difficult’ pile for the time being.  And there is ongoing confusion around the much-promised Short Life Working Group for rural practice.  Our First Minister advises that it has been set up.  Government tells us that it hasn’t, and won’t be for another few months.  RGPAS members are ideally placed to offer much-needed perspective, ideas and innovative ways forward, but we understand that because we raised concerns about the proposals, our invite to the group may not be forthcoming.

At this point I should make clear that I have no political affiliations. Personally, I used to think that SNP was doing a good job of managing NHS services in Scotland, however it has been extremely disappointing that the needs of rural communities have not been better reflected in the GP contract. I am keen to see that reversed, and believe there is the potential for that to happen.  It is surely incumbent on any party in power to reflect the needs of Scotland’s rural communities in its policies.

Click to download the report (2.6MB)

In November last year, I worked with our vice-chair Alida MacGregor and the rest of our committee to rapidly write a response document that provided positive solutions for the key issues that were identified in the proposed contract.  Informal feedback was complimentary about the realistic and constructive tone struck.  We realise that coming up with a Scotland-wide contract is difficult.  There are huge challenges across the primary care landscape of Scotland.  The efforts to identify some effective and realistic ways forward were recognised in our response.  Unfortunately, however, we have yet to receive any formal recognition or reply to the suggestions made in this document – from our negotiators or Scottish Government.  The document includes an executive summary, which summarises our key areas of concern.

We wanted early on to avoid creating too much division between urban and rural effects of the proposed contract.  General practice across Scotland is in need of increased resource.  The system has been in a state of crisis for some time, and there is no prospect of improvement unless big changes and more funding is provided.  Collapsing practices are becoming too common an occurrence across Scotland, and – particularly as a small country – we would like to see #RealisticMedicine recognised in a #RealisticContract: to work together as GPs to boost the sustainability of primary care across the country.  Workload is the rising tide that needs to be addressed, along with tackling the premises issue also seems to be a major stress-point for our urban colleagues.

And yet, as we learned more about the process, intentions and impact of the new contract, it became evident that the challenges of rural practice have been sidelined and placed on hold for a number of years yet.  Even more surprisingly, we learned that inner-city deprivation and health inequalities have been apparently forgotten in the new contract too.  It is widely accepted that measuring rural deprivation is difficult, and scores such as SIMD (Scottish Index of Multiple Deprivation) still do this poorly.  SIMD is far more robust for detecting and measuring urban deprivation.  However even despite the excellent work of the Deep End Project to focus on ways of alleviating urban health inequalities, it seems that an opportunity has been missed to address urban health poverty and deprivation.

The funding allocation has not produced the consistent increase in funding to Deep End practices that would allow unmet need and the inverse care law to be addressed. In reality this means that funding streams for patients in the most deprived third of Scotland are not at parity with the rest of the population. This situation will continue to impact on A&E departments, hospital use and premature mortality and morbidity, as documented in many Deep End reports. That is an unfortunate consequence of the inaccuracy of the weighting formula.

Dr Anne Mullin, Chair of the Deep End GP Project (December 2018)

Returning to rural, our negotiating colleagues will highlight the steps forward with golden hellos and relocation packages.  We note them but are not very convinced – they haven’t worked so far.  They will also highlight that ‘no practice will lose out’, and that our practice funding is protected for the foreseeable future.  However being placed on ‘income support’, whilst discovering that the official workload estimation formula greatly underestimates the true workload in rural GP practices, is not the strategy that we see fit for a country where 20% of the population lives rurally, and many more visit for their holidays.  The many additional services that are currently provided for our rural patients have gone completely unrecognised.

Prof Phil Wilson, Professor of Rural Health & Primary Care at the Centre for Rural Health in Inverness, and RGPAS Committee member has commented:

Prof Phil Wilson

The new workload allocation formula is based on an outdated and unrepresentative sample of practices (the PTI dataset was abandoned as worthless by SGHD in 2013), and relies simply on consultation numbers (or Read codes) per patient as the driver for allocation of funds to practices.

Funding allocations are now simply calculated on the basis of patient numbers, age and SIMD scores, and the cost of supply of medical services (higher in rural areas) is now excluded from the formula for reasons that have not been made clear.

Arguably it is patients in rural and remote areas that are most reliant on their practices to deliver health care. They have no option to register with a nearby practice or attend an A&E department if their practice collapses. Over 90% of practices in the northern Health Boards will be in the income support category. It is rural practices that have the biggest problems recruiting GPs and there are already large swathes of Caithness, Sutherland and the Isles where patients cannot access a doctor without travelling huge distances.

Yes, we are protected from the considerable cuts that would otherwise occur (up to 85% for some practices!), but there is an absence of any additional resource which is so greatly needed in some areas.  In addition, it seems that it was left to us to work out the impact for ourselves – using carefully mapped ISD data and some helpfully released contract impact data, to visualise the impact.  If the impact of the new contract was sufficiently scrutinised from the outset, why not address the rural/urban issue from the outset, instead of relying on others to process the figures?  As a result of this, some of us found the contract proposals to be a ‘scratch and sniff’ document, and unfortunately many times we found ourselves scratching through rhetoric and aspiration, to find a smell that was not particularly rosy.  Expert academics have lambasted the interpretation of econometric analysis provided by Deloitte: they were particularly surprised as Scottish Government have a reputation for normally doing workload allocation formulae rather well.

Fundamentally, the approval and implementation of a resource allocation formula that so drastically works against rural areas is surprising from a Government that should be reflecting the demographics of a country that is proud of its rural landscape.  We explained this in our letter in December to Shona Robison, our Cabinet Secretary for Health.  The question that our leaders in education, social work and other public services have been asking: ‘is this the precedent for future funding to rural areas?’.  For easy reference, here’s that map again:

Turning to the recruitment elements of the contract: we need to recognise that a strong driver for recruitment is retention.  Students and trainees who see fulfilled, fairly-treated and adequately resourced GP teams are more likely to go into general practice.  Golden handshakes, relocation allowances and bonded undergraduate education can all be implemented with some effect.  However, we need to embrace the pipeline model of recruitment & retention.  We need to recognise that leaks further downstream (particularly if for negative reasons) can be hugely detrimental to recruitment.  We need an integrated, positive, pragmatic and holistic approach to why folk come to and go from work in rural communities.

The internationally regarded Prof Roger Strasser, Professor of Rural Health & Dean/CEO of the Northern Ontario School of Medicine in Canada, is considered an expert in rural health recruitment, retention and delivery.  He has been moved to comment:

Prof Roger Strasser

This situation seems paradoxical. On the one hand, the Scottish government is investing in education, training and service initiatives to improve health in rural and remote areas, and on the other hand the government is undermining these initiatives by undervaluing and demoralising the rural practitioners who are the cornerstone of care.

It appears to be a classic example of decisions being made to address issues/concerns in the cities/dense population areas that have unintended negative consequences for people in rural and remote communities.

Unfortunately rural practitioners and their communities are left questioning whether these consequences are truly ‘unintended’.

The ball is now in the Scottish Government’s court.  Rural GPs in Scotland are as ready as we ever have been to continue innovative, realistic and community-focussed healthcare design, and we hope to see our involvement invited in the near future.  We need to see the work of rural GP teams recognised more accurately, supportively and fairly if we are to find a positive way forward from the difficult months that have resulted from a contract that has been inadequately rural-proofed.

Rural practice in Scotland has always been fertile ground to serve up great solutions for the challenges of modern healthcare.  This new contract has delivered a body-blow to rural GPs and their teams.  Give us respect, recognition and realistic resource and we will deliver.

Find out more about RGPAS concerns regarding the new contract at our #RememberRural information page: http://ruralgp.scot/rememberrural/

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Latest news from the SRMC

THE Scottish Rural Medicine Collaborative (SRMC) has been set up with Scottish Government funding to look at ways of improving the recruitment and retention of remote and rural general practice in Scotland.

The SRMC works across 10 health board areas – Grampian, Highland, Orkney, Shetland, Western Isles, Dumfries & Galloway, Ayrshire & Arran, Fife, Tayside and Borders, all of whom are represented on the programme board, as are NHS Education for Scotland, RCGP Scotland, and the Rural GP Association Scotland. It is also working with the INTERREG:making it work (MiW) programme.

Six closely linked rural GP projects with distinct objectives have been set out for the two-year programme.

These are:

  • Recruitment strategy/good practice guidelines. This is aimed at improving the consistency and effectiveness of recruitment.
  • Recruitment yearly wheel. This will identify and help promote appropriate recruitment events.
  • Marketing resources. This will explore look at developing a rural GP recruitment website.
  • Community of practice. This will provide an online forum to share knowledge and experience.
  • Recruitment and retention toolkit. This will consider how po- tential or new employees in remote and rural general practice can have a structured approach to activities and plans to integrate them into their communities. It will cover community recruitment, community integration and employers’ recruitment support.
  • Recruitment support. This will look at ways of providing specific sup- port for employers of rural GPs.

The SRMC team have just published their latest newsletter – download it by clicking the button below.

Download the SRMC Newsletter March 2018
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Dumfries & Galloway GP event – invitation to come visit!

Calling all GPs with itchy feet…

We invite you to come and spend a night in the lovely Creebridge House Hotel in Newton Stewart on
Saturday 28 April 2018.

Dinner, bed and breakfast for you and a partner will all be paid for.

All we ask is that you share dinner on the Saturday evening with a few local GPs.  We would also like to treat you to lunch at the Crown Hotel in Portpatrick on the Sunday.

How you spend the rest of your weekend is up to you…

For more information, please contact Lucy Gurling (GP Liaison Officer) at lucy.gurling@nhs.net

There is no cost to you for this event. We want to make it easy for you to come and experience the beauty and feel-good nature of Wigtownshire. Our hope is that, once you have had a taste of the place, you may consider coming to live and work here.

To register for this event, we need an assurance from you that you are a fully qualified GP who is actively considering a move within the next year, and that you are open minded about moving to rural Wigtownshire.

Anyone interested should contact Lucy Gurling by emailing lucy.gurling@nhs.net describing in a couple of paragraphs a little about you and why you would like to come to this event.

In terms of plans for the weekend, we would be more than happy to point you in the direction of places of interest in the area, and also happy to organise informal tours of GP premises if requested.

Please come armed with questions about living and working here, and also about family life – we will do our best to answer you. But if, having visited, you decide this area is not for you, we will respect that and will be pleased that you came to explore what Wigtownshire has to offer.

For more information you can view this PDF or watch the clip below…

Banner image above courtesy of JMiall
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International research into rural young people’s views

Research into rural youth launched to coincide with the Year of Young People

An initiative designed to research and better understand rural young people, aged 18-28, has been launched. The Rural Youth Project coincides with the 2018 Year of Young People and will combine an online survey, year-long in-depth video logs (vlogs) of 15-20 rural young people and a Rural Youth Ideas Festival.

The target countries for the research are: England, Scotland, Wales and, internationally, Austria, Australia and the USA.

Collaborative

The initiative is a social enterprise venture and is the brainchild of Jane Craigie and Rebecca Dawes. The Rural Youth Project has the support of partners interested and engaged in the rural youth ‘space’, they are LANTRA Scotland, the Scottish Association of Young Farmers (SAYFC), Scottish Enterprise, Scottish Rural Action, Scottish Rural Network and YouthLink Scotland, and will be managed by Jane Craigie Marketing.

Inspired by their participation in leadership initiatives, including the Scottish Enterprise Rural Leadership Programme and the Windsor Leadership Programme, Jane and Rebecca aim to identify and engage young rural leaders to help them drive positive change within their local rural communities.

“Rural young people are fundamental to the vibrancy, energy and economic outlook of rural places,” explains Jane Craigie. “We wanted to better understand what young people perceive their challenges and opportunities to be, as well as gaining a better understanding of their degree of optimism for the future.”

Important to understand the needs of rural young people

Rebecca Dawes, with her background in the SAYFC, added that there is a real lack of insight into this important group within our rural communities, hence the decision to run this project.

She said: “the research to date amongst rural young people, both nationally and internationally, has been fragmented, but what we do know is that rural areas have a lower percentage of 16-34 year-olds and evidence suggests that migration of young people away from rural areas hinges on education, employment opportunities, housing and public transport availability – some of the many research areas that we are surveying.

“With so much emphasis on youth this year, we want to make sure that rural young people have a voice that will be heard, what better way is there to share their outlook?”

The project, which will be repeated annually, aims to research a wide range of rural young people including those working in education, farming, retail and hospitality, as well as those who are in full time education, or unemployed.

“The project, which will be repeated in 2019-22, has the bold ambition to better inform society and policy-makers about the vibrant talent that is held amongst our rural youth, and to compare our findings with those from other countries around the world.

James Rose explained why the Scottish Rural Network are supporting the project “The future of rural Scotland is in the hands of its young people. In 2018, the Year of Young People, The Scottish Rural Network (SRN) is supporting the Rural Youth Project to gain a vital insight into what matters to young people in rural areas and bring together the people who will define our rural communities in the years to come.”

Penny Montgomerie from SAYFC added “Young people need to have the confidence to drive policy and influence decision makers on matters that impact them rather than relying on older generations to make presumptions on their needs.”

Jane Craigie Marketing will use their wide-reaching networks within the international agricultural and rural leadership community and the International Federation of Agricultural Journalists to publicise the project and its outcomes.

The survey will open on 26 January and close on 30 April 2018. The incentive for completing the survey is a pair of tickets to the TRANSMT Festival in Glasgow on 8 July or a pair of tickets for ButeFest 2018.

The 2018 Project will culminate in a three-day Rural Youth Ideas Festival, run by Jane Craigie Marketing on 20-22 July in rural Scotland and an action plan developed by the Project partners.

The survey can be reached via the Project website www.ruralyouthproject.com

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