Well North

Well North is a pilot anticipatory care project to improve the health of people experiencing health inequalities in remote and rural areas in the North of Scotland. Well North exists as six projects in remote and rural areas in the North of Scotland involving five health boards:

The project particularly focuses on early intervention with adults at higher risk of coronary heart disease and diabetes. It aims to increase the rate of health improvement in remote and rural communities by enhancing primary care or community services to deliver anticipatory care.

Well North will do this by:

  • testing approaches to address the relationship between rural social deprivation and health inequalities
  • identifying and targeting those at particular risk of preventable serious ill-health (including those with undetected chronic disease)
  • offering appropriate interventions and services to them.

NHS Grampian

  • Has a practice in Dufftown operating a self caring community initiative focusing on specific chronic diseases and conditions. This initiative has also been extended to the neighbouring Rothes area.
  • Well North Grampian (Dufftown) Programme contact: Tracy Gervaise. Email: tracey.gervaise@nhs.net
  • If you live in Grampian and stay in Aberdeen, please visit the Keep Well Grampian health checks section to find out if you might be eligible for a health check there instead.
  • NHS Grampian are also piloting the use of Adult Healthy Weight Care Pathways with a view to identifying patients who are overweight or obese with other disorders or diseases. They are looking to work with a cluster of rural general practices to provide evidence-based lifestyle interventions and support existing staff to improve access to a healthy diet and physical activity within these communities.
  • Well North Grampian (Healthy Weight) Programme contact: Judith Hendry. Email: judith.hendry@nhs.net

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NHS Highland

  • Reviewing existing services in North West Sutherland with a view to identifying people at risk and then looking to work with them toward increasing access, provision and timing of services to support their needs. Additionally, the programme is offering inequalities targeted cardiovascular health checks for individuals aged 40-64.
  • Well North Highland (North West Sutherland) Programme contact: Christian Goskirk. Email: christian.goskirk@nhs.net
  • NHS Highland are also piloting the use of Adult Healthy Weight Care Pathways with a view to identifying patients who are overweight or obese with other disorders or diseases. They are working with a cluster of rural general practices in the south Skye and Kyle of Lochalsh areas to provide evidence based lifestyle interventions and support existing staff to improve access to a healthy diet and physical activity within these communities.
  • Well North Highland (Healthy Weight) Programme contact: Sarah Bowyer. Email: sarah.bowyer1@nhs.net

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NHS Orkney

  • Is focusing on delivering inequalities targeted cardiovascular health checks for individuals aged 40-64.
  • Well North Orkney Programme contact: Christina Bichan. Email: christina.bichan@nhs.net

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NHS Shetland

  • Trialed a holistic approach using a deprivation and social exclusion tool to work with vulnerable and excluded individuals or households on Unst, the Fair Isle and three suburb areas of Lewick. This approach has since been extended to two further practices in the north mainland area of Shetland.
  • Well North Shetland Programme contact: Jane Macaulay. Email: jane.macaulay@nhs.net

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NHS Western Isles

  • Is seeking to implement 'Better Health, Better Care' by enhancing the provision of anticipatory care through extending the screening and treatment service currently provided by their local multifunctional mobile health unit into Cardio Vascular Disease prevention and Diabetes screening.
  • Well North Western Isles Programme contact: Colin Gilmour. Email: colin.gilmour@nhs.net

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