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Healthcare Recruitment in the Western Isles
Gordon JamiesonChief Executive
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Geography• 26000 population spread
across 11 populated islands
• 30 miles off the west coast of Scotland
• 150 miles of sparsely populated islands
• Joined by air links, ferries and causeways
• 40 minute flight from Glasgow
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Stunning scenery…
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But…
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Causeway
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Age DistributionWestern Isles Population Pyramids, 2009 - 2033
Western Isles Population Profile 2009
500 300 100 100 300 500
0
9
18
27
36
45
54
63
72
81
90+
Age
Number
FemalesMales
Western Isles Population Projection 2033
500 300 100 100 300 500
0
9
18
27
36
45
54
63
72
81
90
Age
Number
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679
638
779
783
658
544
624
787
972
1009
1000
957
1050
767
640
477
310
155
53
597
674
755
704
480
515
695
773
1012
1011
952
915
960
834
744
621
503
372
191
0 - 4
5 - 9
10 - 14
15 - 19
20 - 24
25 - 29
30 - 34
35 - 39
40 - 44
45 - 49
50 - 54
55 - 59
60 - 64
65 - 69
70 - 74
75 - 79
80 - 84
85 - 89
90+
Ag
e g
rou
p
Estimated population
Females
Males
Population estimate split by age group and gender
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Population estimates for the Western Isles
2010 compared to previous year
0
500
1000
1500
2000
2500
0 - 4 5 - 9
10 - 14
15 - 19
20 - 24
25 - 29
30 - 34
35 - 39
40 - 44
45 - 49
50 - 54
55 - 59
60 - 64
65 - 69
70 - 74
75 - 79
80 - 84
85 - 89
90+
Age group
Po
pu
lati
on
est
imat
e
2009
2010
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-4
-2
0
2
4
6
8
10
Wes
tern
Isle
s
Ayr
shire
& A
rran
Dum
frie
s &
Gal
low
ay
Gre
ater
Gla
sgow
&C
lyde S
hetla
nd
Lana
rksh
ire
Tay
side
SC
OT
LAN
D
Hig
hlan
d
Ork
ney
Gra
mpi
an Fife
For
th V
alle
y
Bor
ders
Loth
ian
Per
cen
tag
e ch
ang
e
Percentage change in population by NHS Board areas, 2000-2010
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Employment in the Western IslesEmployment rates (16-64) by local authority, Scotland. Change over two years (2008-2010)
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WIHB - Employment by Job Family
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Long Term Health ConditionsProjected Persons living with Long Term Health Conditions in Western Isles
2008 2031 % changeCHD 1136 1510 32.91%COPD 567 724 27.72%Asthma 1,337 1,298 -2.88%Diabetes 1128 1365 20.98%Dementia 509 839 64.85%All Selected LTCs 4676 5735 22.65%
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How do people spend their leisure time?
Euro stat survey• 45% of time watching television (25
hrs/wk)• 24% of time socialising• 22-23% of time doing sport and
hobbies• 10% of time doing other activities
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• Second most popular activity in Britain is visiting or entertaining friends or relations
• Cinema is the most popular cultural activity in the UK
• Newspaper survey found that 20% of women are compulsive shoppers – Retail Therapy
• Going to the pub is the most popular leisure activity outside the home
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Local island issues?
• Culture• Leisure opportunities• Sunday opening• Travel and costs• Cost of living
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Other
• Minch• Air travel• Weather• Demographics >65
working age population ↓
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Professional
• Increasing professional regulation• Professional isolation• Opportunities• Low staff turnover
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Clinical
• Clinical standards – outcome focussed
• Reliability – safety• Case mix• Centralisation agenda• Increasing sub-specialisation
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Solutions?
• Access to appropriate CPD• Relocation• Clinical and professional networks• Clear strategic intent• Optimal access and use of telehealth
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Solutions? (continued)
• Providing opportunities for play and recreation
• Supporting learning and development• Promoting youth as problem solvers• Fixing and preventing youth problems
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