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Key issues: Relationships
The event then considered some of the key issues in more detail, namely:
APN Role
Relationships
Relationships
What have been the key relationships needed to make the project work?
There are multiple relationships operating at a number of different levels.
There are important organisational relationships between PCTs and acute trusts, social services, and universities for APN training. Good relationships within the trust are also important e.g. A&E, ward level and professional (geriatrician) relationships.
There are also key relationships revolving around the APN. For example, the APN-patient/carer and APN-PCT relationship. Also relationships with the wider primary healthcare team, ward level relationships and the links with mentoring and support through GPs and hospital consultants.
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How have you tried to build these relationships?
Putting the relationships on a firm foundation is important has been important. PCTs have built stakeholder involvement into the project from a very early stage so that they could be involved in the decision making process from the outset.
It has also been important to put in place measures to improve relationship e.g. through education to develop understanding or visits to wards.
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What has been your key learning about relationships? What messages would be useful to other PCTs starting a project?
Be clear about roles so that everyone understands them.
Accept that trust of some stakeholder will only be gained by showing results. In order to break these barriers it is very important to feedback the positive results.
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What have been the key pieces of learning from the project for other local partners (not PCTs)?
Need to engage early to promote a sense of ownership among partners and stakeholder. The importance of being open to change/new ideas/different ways of working.
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