Healthcare Recruitment in the Western Isles

Gordon JamiesonChief Executive

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

Stunning scenery…

But…

Causeway

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

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

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

-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

Employment in the Western IslesEmployment rates (16-64) by local authority, Scotland. Change over two years (2008-2010)

WIHB - Employment by Job Family

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%

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

• 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

Local island issues?

• Culture• Leisure opportunities• Sunday opening• Travel and costs• Cost of living

Other

• Minch• Air travel• Weather• Demographics >65

working age population ↓

Professional

• Increasing professional regulation• Professional isolation• Opportunities• Low staff turnover

Clinical

• Clinical standards – outcome focussed

• Reliability – safety• Case mix• Centralisation agenda• Increasing sub-specialisation

Solutions?

• Access to appropriate CPD• Relocation• Clinical and professional networks• Clear strategic intent• Optimal access and use of telehealth

Solutions? (continued)

• Providing opportunities for play and recreation

• Supporting learning and development• Promoting youth as problem solvers• Fixing and preventing youth problems