Learning from Mental Health PHBs in Stockport

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Loirndng jraf Fontil Hoilth

RO[]ANIL HOILUH K_EGOU]dn ]UAMCRA[U

HOILUH & WOLLKODNG

Uho Wiy Jarwire

Widtdng [aaf

RO[]ANIL

HOILUH

K_EGOU

@A_[NOT

Mhadmo

Iuthars - ]hdrloy Eoin Earoon [akorts Din [akorts

Oxtornil Mansultint - Eivo JdelorRorsanildsitdan Ma-arednitar - Kirry Udlesloy

Wdth Mantrdkutdans jraf

Roaplo wha hivo i Fontil Hoilth Rorsanil Hoilth Kuegot

dn ]tamcpart

Mantral



9 | R i g o

Ill Uagothor Rasdtdvo ” Dnjarf! Dnvalvo! Dnspdro!

LOI[NDNG J[AF FONUIL HOILUH

RO[]ANIL HOILUH K_EGOU]

DN

]UAMCRA[U

Mantonts

9. Oxomutdvo ]uffiry

;. Kimcgraune

=. Jamus Mahart

5. Jrifowarc

?. Fothaealagy

:. Ficdng tho Rramoss Warc & Oirly Jdnedngs

7. Autmafos jar Roaplo

8. Autmafos jar ]orvdmos

4. Manmlusdans

92 . Roaplo—s ]tardos & Uostdfandils



; | R i g o


Oxomutdvo ]uffiry

]tamcpart his koon summossjul dn eovolapdng porsanildsitdan ine dnedvdeuildsoe kuegots dnfontil hoilth sorvdmos avor tho list jaur yoirs ine wis deontdjdoe is i eofanstritar sdto kyNH] Ongline ta eovolap ine dfplofont Rorsanil Hoilth Kuegots (RHK) dn fontil hoilth.

Taung poaplo wdth mafplox nooes wha fot tho deontdjdoe mrdtordi jar whaf dt wis thaughthivdng i RHK waule ko tho coy ta unlamcdng thodr mafplox nooes, mroitdng sdfplo, faroimhdoviklo salutdans. Whdlst nat ieerossdng thodr uneorlydng hoilth edjjdmultdos RHK—s pravdeokottor foins aj finigdng thof, mroitdng in appartundty ta dfpravo thodr ldvos.Manvontdanil sorvdmos woro nat iklo ta pravdeo sumh dnedvdeuildsoe salutdans.

Ill Uagothor Rasdtdvo, (IUR) i lamil _sor-Loe argindsitdan wis maffdssdanoe ky ]tamcpartMldndmil Maffdssdandng Graup (MMG) ta uneortico RHK Rlinndng wdth poaplo ine thoyeovolapoe i RHK Rithwiy. Dnedvdeuil praspomtdvo minedeitos wha jroquontly ittone tho lamilOE ar uso i lamil mhirdty jar yaung miro loivors woro onmaurigoe ta solj-rojor ta IUR jar

issdstinmo wdth plinndng thodr RHK. Eurdng tho ldjo aj tho praòmt i tatil aj 92 poaploongigoe dn tho plinndng pramoss, loiedng ta tho uptico aj i RHK, tho ardgdnil plin hie koonjar ton ta jdjtoon poaplo.

It tho ansot aj plinndng wdth poaplo, dnedmitars eofanstritoe in dffoedito roeumtdan dn thouso aj oforgonmy sorvdmos ine i roeumtdan dn solj-hirfdng kohivdaurs ovon prdar ta romodptaj tho kuegot.

Uwa coy olofonts whdmh holpoe thdngs ta hippon qudmcly woro i woocly Maro Graupfootdng (ta edsmuss mafplox dssuos ine igroo jdnil plins) ine tho uso aj in dneoponeontjdninmo kracor (ilroiey pravdedng sorvdmos ta tho MMG).

Ieaptdng i romavory faeol ippraimh ta plinndng onikloe dnedvdeuils ta thdnc koyanesyfptafs ine rdsc, ta ostikldshdng i faro foindngjul ldjo, laacdng it wdeor dssuos wdthsalutdan jamussoe thdncdng utdldsdng tho foins ine tomhnalagy ta avormafo dsalitdan,dnmroiso maffundmitdan, eovolap mdrmlos aj suppart, hausdng, ofplayfont, trinspart inefast dfpartintly mipdtildsdng upan nituril rosaurmos.

Uho ivorigo mast aj in dnedvdeuil kuegot wis rolitdvoly sfill (ippraxdfitoly £7?2) inedtofs dn gonoril oisdly imqudroe, kaastdng faril ine dnmroisdng manjdeonmo. Oquilly, inyeoliy dn romodpt aj i RHK ievorsoly ijjomtoe tho lovol aj trust, manjdeonmo ine hapodfpimtdng an poaplo—s oxpomtitdans.

[ojorrils jraf tho ardgdnil tirgot mahart woro slaw dn kodng deontdjdoe it tho kogdnndng aj thopraòmt thorojaro tho igo ringo wis oxtoneoe ta poaplo wha fot tho mrdtordi ine woroeoofoe ta ko dn mrdsds.

Dnedvdeuil tostdfandos olaquontly eosmrdko tho pasdtdvo mhingos thit hivo ammurroe is irosult aj romodvdng i RHK kath ky tho dnedvdeuil ine jraf jifdly fofkors.

RHK—s pravdeoe i mroitdvo appartundty jar stijj warcdng dn mrdsds sorvdmos ine rolitoe suppartargindsitdans utdldsdng patontdil salutdans provdausly eondoe ta thof.

Maro Graup fofkors iro manvdnmoe thit RHK—s hivo kraught ikaut pasdtdvo kohivdaurilmhingos, onhinmoe quildty aj ldjo ine kottor romavory autmafos.



= | R i g o


Mast Ojjomtdvonoss

Is i rosult aj tho RHK Rdlat, dt wis ostdfitoe jraf thds mahart thit safo 955 OE opdsaeos

woro provontoe it i fdndfuf mast aj £995 (soo pigo 9?) onikldng i passdklo sivdng ta tho

NH] aj £9:59: ta ammur. Uho issamditoe masts aj athor troitfont mhirimtordstdms (erossdngs

ine mldndmil imtdvdty) fiy woll ifaunt ta iraune £522-:22 por porsan thorojaro tho patontdil

sivdngs fiy woll hivo koon fumh hdghor.

Oforgonmy Eopirtfont Ittoneinmo

Manmlusdans

9. Ovdeonmo gidnoe ky tho RHK praòmt manjdrfoe poaplo—s roldinmo an mastly oforgonmy

sorvdmos it tdfos aj mrdsds yot thoy hie i strang rolumtinmo ta ongigo jurthor wdth triedtdanil

sorvdmos.

;. [oldinmo an oforgonmy sorvdmos erifitdmilly roeumoe anmo plinndng kogin ine solj-

eojdnoe, dnedvdeuildsoe, iltornitdvo suppart salutdans woro plinnoe ta foot autmafos.

=. Uho mahart woro soon is mafplox ine mastly prdar ta romodvdng i RHK, yot dntorostdngly

onaugh thoy anly roqudroe faeost kuegots ta foot thodr autmafos ine roeumoe roldinmo an

triedtdanil oforgonmy sorvdmos.

5. Uho roeumtdan dn uso aj oforgonmy sorvdmos ijtor tho RHK plinndng pramoss ofphisdsos

tho dfpartinmo aj poaplo kodng dn mantral ine kodng onmaurigoe ine suppartoe ta jdne faro

porsanil, primtdmil ine oisdly finigoe salutdans ine iltornitdvo mapdng stritogdos.

?. _sdng salutdan-jamusoe thdncdng loe ta poaplo soirmhdng jar thodr ‘porjomt-jdt— salutdan ta

mhingos thoy wintoe ine nooeoe ta fico dn thodr porsanil mdrmufstinmos, anmo junedng

wis roloisoe thoy woro oisdly dfplofontoe.

2

?

92

9?

;2

;?

9 ; = 5 ? : 7 8 4 92 99

Mldonts

Kojaro RHK

Ijtor Rlinndng

Mldonts



5 | R i g o


:. Aptdng-dn ta tho RHK pramoss, porsan-montroe plinndng ine dnedvdeuildsoe gail sottdng

onikloe tho porsan ta ko jully dnvalvoe, hivdng mhadmo ine mantral avor thodr suppart

salutdans jraf tho kogdnndng aj thodr dnvalvofont.

7. Uostdfandos shaw tho sdgndjdminmo plimoe an tho RHK ippraimh ‘jooldng edjjoront— ta

triedtdanil sorvdmo rospansos, ky usdng tho viluos aj ma-praeumtdan, porsanildsitdan ineromavory, jamusdng an issots ine rosdldonmo ine hivdng fatdvitdanil manvorsitdans eovolapoe

manjdeonmo dn tho pramoss.

[omaffoneitdans

]tamcpart—s oxpordonmo hdghldghts tho pasdtdvo dfpimt thit porsanil hoilth kuegots min hivo

an poaplo—s ldvos ine an tho NH] dn tho mantoxt aj fontil hoilth. Roaplo mloirly gidnoe

groit konojdt ine sdgndjdmintly dnmroisoe thodr lovol aj wollkodng wdthdn thds praòmt3

Dt ds strangly romaffoneoe thit mansdeoritdan ds gdvon ta0

9. Mantdnuinmo aj pravdsdan aj RHK—s ta poaplo ldvdng dn mrdsds is i rosult aj fontil arpsymhalagdmil dll hoilth dn ]tamcpart whaso nooes iro nat oisdly fot thraugh oxdstdng sorvdmo

pravdsdan.

;. Rravdsdan aj i jrifowarc jar angadng fandtardng ine rovdow aj poaplo wha hivo ilroiey

romodvoe i RHK, thaso whaso RHK plins hivo koon ippravoe ine thaso whaso plins iro nat

yot mafplotoe ar ippravoe.

=. Rravdsdan aj tridndng ta jurthor dnmroiso tho mipimdty ine mipikdldty aj i pragriffo aj

angadng eoldvory aj RHK—s dn ]tamcpart, ta dnmlueo athor Zaluntiry & Mhirdtiklo argindsitdans

dn areor ta mipdtildso an tho mantrdkutdans, mipikdldtdos ine onorgdos.

5. _neorpdnndng kath tho pdlat pragriffo ine jurthor rall aut aj porsanil hoilth kuegots

wdll ko tho nooe jar i sdgndjdmint multuro mhingo. Is thds ds tho fast mhillongdng ispomt aj

dfplofontdng porsanil hoilth kuegots dt nooes ta ko mirojully mansdeoroe dn areor ta provont

stignitdan ine dfpidrfont aj iny passdklo pragross.

Jaatnato

Uho faeol thit wis utdldsoe dn ]tamcpart wis eoofoe ky NH] Ongline ine athor

eofanstritar sdto fofkors is in unmafpldmitoe ine porsan jamussoe faeol nat erdvon ky i

kuegot illamitdan faeol, kut erdvon ky tho mhingos tho dnedvdeuil nooeoe ine/ar ispdroe ta

fico dn thodr ldvos thit waule roeumo tho lovol aj thodr dll hoilth ine dnmroiso tho lovol ajwollkodng. Uho ]tamcpart mantdngonmy woro mafpldfontoe jar tho jarosdght dn eovolapdng i

loss kuroiumritdm ine fdndfil strumturoe faeol whdmh put tho dnedvdeuil it tho hoirt aj

plinndng ine onsurdng aptdfuf mhadmo ine mantral avor RHK Rlins.



? | R i g o


9. Kimcgraune Dn ;295, NH] ]tamcpart MMG dn pirtnorshdp wdth ]tamcpart Maunmdl, Ill Uagothor Rasdtdvo

(IUR) ine Ronndno Miro NH] Jauneitdan Urust, hivdng koon deontdjdoe is i eofanstritar

sdto ky NH] Ongline, kogin warc iraune tho eovolapfont ine dfplofontitdan aj Rorsanil

Hoilth Kuegots (RHK) dn fontil hoilth. I mahart aj poaplo wdth mafplox nooes wis

deontdjdoe jar whaf dt wis thaught hivdng i RHK waule ko pirtdmulirly konojdmdil, wdth in

oxpomtitdan ta plin i RHK wdth ton ta jdjtoon dnedvdeuils avor tho maurso aj tho praòmt.

Uhds mahart wis soon is3 poaplo wha iro igoe 9: yoirs ine avor, wha oxpordonmo

pralangoe edstross ky rdsc ta solj ine athor, ine wha oxhdkdt kohivdaurs whdmh miuso

manmorn ine jar whaf i porsanil hoilth kuegot wdll issdst dn dfpravdng thodr quildty aj ldjo

ine suppart thodr porsanil romavory àurnoy. Roaplo wha fiy konojdt jraf i RHK kut fiy

hivo koon soon dn i nufkor aj sottdngs dnmluedng tho Oforgonmy Eopirtfont, Rrdfiry Miro

ine Fontil Hoilth ]orvdmos.

I ]tritogy ]toordng Graup wis jarfoe jraf rospomtdvo sorvdmo irois, oxpordonmoe valuntirysomtar pirtdmdpints ine Oforgonmy Eopirtfont Rorsannol, ta holp pravdeo oirly gudeinmo,

edromtdan ine avorsdght ta i sfill praòmt eovolapfont toif, wdth rospansdkdldty jar

eovolapdng ine dfplofontdng i pithwiy pramoss jar dnvdtdng poaplo ta hivo i RHK. Rraòmt

Finigofont ]uppart wis pravdeoe ky in Oxtornil Mansultint wdth oxpordonmo dn tho

eovolapfont aj dnedvdeuildsoe kuegots.

;. Jamus Mahart

Dt wis dntoneoe thit oirly warc waule jamus an yaung poaplo igoe 9:-=2 yoirs, wha hie

ittoneoe tho lamil Oforgonmy Eopirtfont i fdndfuf aj throo ammisdans dn tho list twolvo

fanths, is i rosult aj solj-hirf, ilmahal ar erug ikuso ar ittofptoe sudmdeo. Dnjarfitdanine eiti praeumoe ky tho Narth Oist Rukldm Hoilth Aksorvitary shaw thit ]tamcpart his i

hdghor thin ivorigo rito jar oforgonmy haspdtil iefdssdans jar solj-hirf ine thit thoro ds

ilsa i hdghor thin ivorigo prapartdan aj 9:-98 yoir ales nat dn ofplayfont, oeumitdan ine

tridndng (NOOU]). Coy eiti jraf tho lamil [ipde Immoss Dntorjimo Edsmhirgo Uoif ([IDE)

dnedmitos thit whdlst ill ittoneoos iro ajjoroe i jallaw-up ippadntfont, anly i sfill nufkor

aj yaung poaplo imtuilly roturn.

Ieedtdanil dnjarfitdan jraf lamil toifs dnedmitos thit thds tirgot graup tone nat ta rospane

ta rautdno sorvdmos, sa athor dnnavitdvo ippraimhos woro mansdeoroe thit waule onmaurigo

thof ta fico mantimt.

Dt ds igidnst thds kimcgraune thit tho uso aj i solj-edromtoe RHK wis eoofoe ta ko

patontdilly tho fast jloxdklo ine porsanildsoe aptdan ine ano thit fiy hivo faro ojjomtdvo

ine langor listdng autmafos jar tho dnedvdeuil porsan.

Edsmussdans wdth Finigors jraf tho lamil Oforgonmy Eopirtfont ine [IDE Uoif loe ta tho

pramoss ky whdmh patontdil RHK minedeitos maule ko deontdjdoe ine dnjarfitdan pravdeoe jar

thof ikaut Rorsanil Hoilth Kuegots. Jurthor eovolapfonts dn thds iroi wdll ko fontdanoe

litor dn tho ropart.



: | R i g o


Uhoro woro 9= roquosts jar suppart romodvoe ky IUR, wha hivo suppartoe ton poaplo ta

mafploto thodr RHK plin. Aut aj thoso thdrtoon poaplo, ano porsan favoe aut aj iroi,

inathor wis sdgnpastoe an ta inathor faro ippraprdito sorvdmo ine ano porsan wis un-

mantimtiklo eospdto fultdplo ittofpts ky ofidl, tolophano, toxt ine lottor. Aut aj tho

rofidndng ton poaplo, throo poaplo woro sdgnpastoe vdi Ruro Dnsdght poor suppart mhirdty,

sdx jraf tho Oforgonmy Eopirtfont ine ano porsan mantimtoe IUR edromtly jraf tho Fontil

Hoilth Rrovontdan ine Rorsanildsitdan ]orvdmo.

OforgonmyEopt.

RuroDnsdght

]olj-Edromt

Favoeaut aj Iroi

]dgnpastoe _niklota

mantimt: = 9 9 9 9

Jdguro9 ippldmitdans jar i RHK

=. Jrifowarc

Ill Uagothor Rasdtdvo, (IUR) i lamil usor-loe samdil ontorprdso wis iscoe ta pravdeo tho fidn

plinndng suppart jrifowarc jar eovolapdng i RHK jar tho mhason mahart aj poaplo dn

]tamcpart. IUR eovolapoe in autldno RHK pithwiy deontdjydng coy pramoss padnts dnmluedng

tho roloiso aj fandos jraf in dneoponeont kracor, deontdjdoe dn tho RHK ta piy jar, ar

purmhiso tho mhason olofonts aj suppart thit tho dnedvdeuil koldovoe waule dfpravo thodrporsanil ldjo mdrmufstinmos.

IUR his oxpordonmo dn Rorsan Montroe ]uppart Rlinndng pirtdmulirly dn tho lamil ]olj-Edromtoe

]uppart Rdlat, mhifpdandng dnedvdeuil/porsanil/hoilth kuegots ine porsanildsoe sorvdmos.

IUR his koon suppartoe ky i lamil Rorsanildsitdan Maarednitar warcdng dn tho Fontil Hoilth

Rrovontdan ine Rorsanildsitdan ]orvdmo.



7 | R i g o


Uho jallawdng stigos iro i krdoj eosmrdptdan aj tho pithwiy pramoss0

]tops Imtdan Eotidl]UOR 9

Dnedvdeuil solj rojors ta IUR usdng

dnjarfitdan pimc pravdeoe

Eovolap dnjarfitdan pimc,dnmlueo mantimt eotidls & aptdans

ine Uho Ficdng I Edjjoronmo(FIE) apt-dn jarf & sio

Eovolap rospansojrifowarc, d.o. wha,

haw, whon

]UOR ; IUR fico mantimt wdth tho porsan

ine dntraeumo i suppart plinnorwhon porsan gdvos mansont

Ajjor tho dnedvdeuil tho mhadmo taeotorfdno whon & whoro ta

foot ine iny athor poaplo thitthoy mhaaso ta ko prosont

Mansdeor Lano Warcdngine Coopdng Roaplo

]ijo paldmdos

]UOR =Rlinndng wdth oimh porsan ds

uneorticon ta eovolap erijt RorsanilRlin

Eriw aut jraf edsmussdan wdththo porsan whit thoy wdsh tamhingo dn thodr ldvos thit wdll

fico i edjjoronmo

Deontdjy autmafos ta koimhdovoe ine haw thoywdll dfpravo hoilth &

wollkodng jar thoporsan. Ua dnmlueo law

mast/jroo maffundtykisoe notwarcs inesuppart

]UOR 5Rrapasoe Rorsanil Rlin ds oxifdnoeta eotorfdno eosdroe autmafos ta ko

imhdovoe

Edsmuss it Maro Graup footdngautmafos ta ko imhdovoe ineippraprditonoss dn rolitdan ta

porsans proedmifont

Mansdeor vildedty ajautmafos, uso aj pukldm

jdninmos ine fanoyfinigofont

]UOR ? Iny ippraprdito mhingos ar

ifonefonts iro fieo ta tho plin,hivdng mansdeoroe tho nooes aj tho

dnedvdeuil ine tho ldcoldhaae aj thoprapasoe autmafos jar tho porsanimtuilly kodng imhdovoe

Mallomtdvo thdncdng ine oxportdsoiro utdldsoe ta suppart mroitdvdty

ine fixdfdso mhinmos ajdfpravdng ldvos ta rojdno

patontdil autmafos

Mansdeor haw thosoprapasils ildgn ta athorsupparts kodng ajjoroe

ine ar pravdeoe.

]UOR : Ijtor tho dnedvdeuil ippravos iny

mhingos thodr Rorsanil Rlin dt ds sontta MMG Maffdssdanor jar jdnilippravil ine iuthardsitdan aj

junedng roloiso

Jdnil erijt aj Rorsanil Rlin dssukfdttoe jar junedng ta ko

fieo ividliklo ine eotorfdnoldcoly stirt eito

Mansdeor/rosalvo inydssuos thit fiy irdso

ine warc tawiresjdnedng i salutdan

]UOR 7Rorsanil Rlin ds sont ta in

Dneoponeont Fanoy Finigofont]orvdmo (Kracor) deontdjdoe ky tho

MMG, wha wdll foot wdth tho porsanine igroo haw purmhisos arpiyfonts iro ta ko fieo

Edsmuss wdth Kracor coyolofonts aj plin ine tdfosmilos

ta ko imhdovoe. Onsuro inytomhndmil eotidls (DU oqudpfont)iro mloirly deontdjdoe ta onsuro

ojjomtdvo purmhiso ar imqudsdtdan

Mansdeor iny ieedtdanilsuppart olofonts, d.o.

sot up ar issofklypramoss, dnstillitdan aj

oqudpfont, dntornot uso

]UOR 8 Igroo wdth porsan i eito ky whdmh i

rovdow footdng fdght tico plimo,dnmluedng lamitdan ine athor porsans

tho dnedvdeuil fiy wint ta koprosont

Uhds oniklos appartundty tamallomt dnjarfitdan/eiti ikaut

haw tho autmafos woroimhdovoe, whit dfpimt thdsfieo an tho porsan—s ldjo,

iltoritdans dn tho plin eoldvory,whit warcoe, whit eden—t

Isc porsan porfdssdanta shiro thodr dnedvdeuil

stary/maffonts ineisc dj thoy waule kopropiroe ta wrdto i

tostdfandil

Jdguro; Uho pithwiy pramoss



8 | R i g o


5. Fothaealagy

Dnjarfitdan pimcs woro eovolapoe ky Ill Uagothor Rasdtdvo (IUR) ta dntraeumo Rorsanil

Hoilth Kuegots ine dnvdto dnedvdeuils ta mafploto i vory sdfplo Apt-dn jarf, milloe tho

Ficdng i Edjjoronmo Jarf (FIE Jarf). Uhds jarf roquosts IUR ta got dn taumh, wdth tho

porsan, ta oxplaro haw i RHK fiy holp krdng ikaut kottor hoilth ine wollkodng. Jdlos

mantidndng dnjarfitdan pimcs woro plimoe dn tho lamil Oforgonmy Eopirtfont (OE) ine ilsa

it i lamil Mhirdty, ‘Ruro Dnsdght— whdmh ds juneoe ky tho MMG ta pravdeo poor suppart ta

yaung poaplo dn ar loivdng Laacoe Ijtor Mhdleron—s ]orvdmos (LIMs).

Ua edstdngudsh kotwoon thoso twa edjjoront sorvdmo irois, OE pimcs woro nufkoroe ine

Ruro Dnsdght pimcs woro ilphikotdsoe.

Warcors woro iscoe ta ajjor i pimc aj dnjarfitdan ta poaplo wha fot tho mrdtordi ine ta

onmaurigo thof ta uso tho FIE Jarf ta stirt tho pramoss. Uhds stirts tho porsan montroe

plinndng àurnoy. Jraf tho autsot tho pramoss wis foint ta jool edjjoront ine thit mhadmo

ine mantral rofidnoe wdth tho dnedvdeuil. Anmo mantimt his koon fieo, i Rorsanil Rlinnorjraf IUR mantimts tho dnedvdeuil edromtly ta fico irringofonts ta foot it i plimo ine tdfo

aj tho porsan—s mhadmo ine thoy maule mhaaso iny athor poaplo thoy wdshoe ta ko prosont. It

tho dndtdil footdng tho Rorsanil Rlinnor waule oxplidn tho pramoss ine patontdil konojdts aj

hivdng i RHK ine gdvo oxifplos aj passdklo autmafos thit fdght ko imhdovoe.

Gudeinmo gdvon ky NH] Ongline dn dts pukldmitdans ikaut Rorsanil Hoilth Kuegots suggostoe

thit dt wis ossontdil ta stirt thds pramoss ajj ky dnjarfdng tho dnedvdeuil haw fumh fanoy

thoy woro ontdtloe ta dn thodr porsanil kuegot. Fumh thaught ine eokito wis gdvon ta thds

prdnmdplo dn rolitdan ta tho prapasoe mahart ine dt wis thon eomdeoe thit thoro wis ta ko na

dndtdil dnedmitdvo kuegot jar oimh porsan, in dfpartint edjjoronmo ta athor RHK sdtos. Uhoroworo twa prdnmdplo roisans jar ticdng thds ippraimh, tho jdrst kodng thit thoro wis na

dffoedito oxdstdng mast jrifowarc ividliklo jar poaplo wha prosontoe wdth sumh mafplox

nooes. Uho somane ine faro dfpartint prdnmdplo wis thit tho porsanildsoe plinndng faeol

wis novor ikaut tho fanoy, ill manvorsitdans woro jamussoe an whit waule ‘fico i

edjjoronmo— ta tho porsans murront mdrmufstinmos.

Uho ]tamcpart Faeol onmaurigoe dnedvdeuils ta oxplaro oxdstdng suppart aptdans ‘dnmluedng

nituril, samdil ine maffundty rosaurmos, jrdones ine jifdly. Whit thoy nooeoe ta ea

edjjorontly ta holp thofsolvos ine haw i RHK maule oniklo thaso mhingos ta hippon.

Murrontly, thoro ds na oxpasuro ta RHK dn Mhdle ine Iealosmont Fontil Hoilth ]orvdmos(MIFH]) dn ]tamcpart.

Whon i erijt autldno plin kogdns ta tico shipo, tho Rorsanil Rlinnor waule krdng thds ta i

woocly Maro Graup footdng. Uhds wis sot up ta pravdeo tho plinnor wdth suppart, gudeinmo,

rdsc finigofont ine gavorninmo avorsdght, ta onsuro plins utdldso junedng jraf tho Mldndmil

Maffdssdandng Graup (MMG) ippraprditoly ine wdthdn tho MMG—s Iuedt pratamal jrifowarcs.



4 | R i g o


?. Ficdng tho pramoss warc ine oirly jdnedngs

Uho Maro Graup wis fieo up aj IUR Rlinnors, MMG Maffdssdanor, Rorsanildsitdan

Maarednitar ine Oxtornil Mansultint. Athor oxtornil poaplo woro iklo ta ittone dj thoy

wdshoe ta edsmuss iny rolovint fittors ar shiro dnjarfitdan. Uhds onikloe tho maro graup ta

eovolap in avorirmhdng cnawloego kiso, paal oxpordonmo ine oxportdso ta onhinmo tho

quildty aj tho plinndng pramoss.

Rraòmt Graup fofkors igrooe in dndtdil pithwiy pramoss. Dt deontdjdoe tho coy stigos thit

nooeoe ta tico plimo dn areor ta hivo i plin dndtditoe, eovolapoe, prapasoe, ippravoe ine

dfplofontoe. ]oo Ipponedx 9

I coy olofont wis ta shiro dntontdans wdth athor coy sticohaleors d.o. [IDE toif, OE,

Immoss & Mrdsds Uoif, Mhdle & Iealosmont Fontil Hoilth ]orvdmos (MIFH]), Urinsdtdan Uoif.

Uwa dnjarfitdan shirdng sossdans woro hole it ]toppdng Hdll Haspdtil Fontil Hoilth _ndt, jar

thds purpaso. Dnjarfitdan pimcs woro edstrdkutoe it thds padnt ta oniklo tho pramoss ta

maffonmo. Ieoquito tdfo jar i quostdan ine inswor sossdan onikloe mallikaritdvo warc taavormafo iny deontdjdoe kirrdors.

Uwa virditdans aj tho pimcs woro eovolapoe ano jar tho OE ta uso wdth mldonts wha turnoe

up dn mrdsds ine tho athor jar Ruro Dnsdght mldonts wha fot tho immoss mrdtordi jar i passdklo

RHK. Uho dnjarfitdan pimcs woro prosontoe ta oimh argindsitdan dn i jdlo.

Uho twa Jdlos mantidnoe ;? pimcs aj dnjarfitdan oimh ano dnmlueoe0

In dnjarfitdan shoot jar tho warcor rogiredng RHK—s ine tho pramoss kodngeovolapoe dn ]tamcpart ]oo Ipponedx ;

I FIE jarf jar oimh dnedvdeuil ]oo Ipponedx = I stifpoe ieerossoe onvolapo ta oniklo tho dnedvdeuil ta sone ajj tho FIE Jarf ta

IUR In oisy roie eamufont ill ikaut RHK—s jar oimh dnedvdeuil ta coop ]oo Ipponedx 5

Whon dnedvdeuils woro mafplotdng thodr FIE Jarf thoy woro ajjoroe i nufkor aj aptdans

jar IUR ta fico tho dndtdil mantimt, thoso dnmlueoe tolophano, toxt ar ofidl. Uhds onsuroe

thit thoro wis na mast ta tho dnedvdeuil.

Uhoro wis i nooe jar dneoponeont fanoy finigofont dn mafpldinmo wdth MMG iuedt

pratamal. Dneoponeont Ldvdng Kracorigo Rirtnorshdp (DLKR) wis tho mhason argindsitdan is

tho oxdstdng projorroe pravdeor usoe ky tho MMG. Uhds onikloe immoss ta junedng is saan isi plin hie koon jdnilly ippravoe ine i mapy aj oimh plin wis sont ta DLKR ta dnjarf thof

aj haw tho fanoy wis ta ko usoe ta dfplofont tho RHK Rlin. I ‘Junedng Rramoss Rithwiy—

wis eovolapoe ta jimdldtito immoss ta i kuegot ]oo Ipponedx 8

Inathor coy olofont wis tho nooe jar ojjomtdvo maffundmitdan kotwoon tho Rorsanil

Rlinnor ine tho Jdninmo Kracor ta onsuro iny praklofs thit iraso woro spooedly rosalvoe ta

provont iny uneuo eoliy dn tho porsans plin komafdng imtdanoe. Dt wis ilwiys prueont ta

ko fdnejul thit tho poaplo wha woro plinndng thodr RHK woro ajton dn mrdsds ine tdfo wis

mrdtdmil dn eovolapdng, prapasdng, ippravdng, ine dfplofontdng tho plin. Oirly oxpordonmo

his shawn thit an mafplotdan aj i plin tho dnedvdeuil his eovolapoe dnmroisoe oxpomtitdansine komafos faro pasdtdvo ine hapojul ikaut thodr juturo, ine iny unwirrintoe eoliys



92 | R i g o


miuso thof ieeoe stross ine limc aj koldoj thit thoy maule ko holpoe. [ovdows iro ossontdil

ta tho RHK pramoss. Uhoy iro mrumdil jar romannomtdng wdth poaplo, mallomtdng ine mallitdng

eiti, fandtardng ine ieiptdng tho uso aj tho kuegot. Uhoy pravdeo tdfo jar poaplo ta rojlomt

upan thodr àurnoy, molokrito imhdovofonts ine mhingo tho edromtdan aj tho àurnoy dj

nomossiry ta foot now autmafos. Nooes mhingo ine tho Dnedvdeuil—s Rlin fiy nooe ta ko

iltoroe it [ovdow ta foot faro imhdoviklo autmafos. [ovdows min fico suro tho porsan

uneorstines whit ds oxpomtoe aj thof3 pravdeo mlirdty iraune iny mhingos is woll is

vildeitdng pragross ine plinndng porsanildsoe autmafos jar tho juturo.

[ovdows iro i jarfil romare aj haw pukldm fanoy his koon usoe. Uhoy pravdeo i stitofont

ikaut tho autmafos imhdovoe ine mrumdilly whit dfpimt wis fieo an tho porsan—s lovol aj

dneoponeonmo jraf stitutary sorvdmos.

_sdng thds porsanildsoe ippraimh, dt wis ropartoe ky tho plinnors thit poaplo komifo faro

pasdtdvo whon ongigdng wdth tho plinndng pramoss ine tho porsan—s lovol aj mrdsds kogin ta

roeumo3 oquilly whon tho pramoss sujjoroe iny eoliy dt hie i nogitdvo dfpimt an tho porsan. In oxifplo aj thds ds eofanstritoe dn ano porsan—s tostdfany. ]oo Ipponedx ?

Fidntidndng rogulir mantimt wdth dnedvdeuils anmo thodr plin hie koon ippravoe ine pissoe

ky tho MMG maffdssdanor onsuroe thit IUR maule pdmc up iny dssuos ar eoliys is thoy

ammurroe, ta ajjor roissurinmo ine jdne salutdans is spooedly is passdklo. IUR mills thds

Onhinmoe Rlinndng.

:. Autmafos jar Roaplo

Jraf tho kogdnndng aj plinndng wdth tho jdrst porsan, thoro wis in dffoedito ine erifitdm

eomroiso dn tho eoponeonmy an ine uso aj Haspdtil ine Oforgonmy ]orvdmos. Dt oforgoe

thit edsmussdng praklofs dn i nan-sorvdmo onvdranfont onmaurigoe tho porsan ta koldovo

thit thodr mdrmufstinmos woro ikaut ta mhingo jar tho kottor. Uho coy prdnmdplo horo wis

thit poaplo jolt thoy woro ofpaworoe ta hivo safo mantral avor ispomts aj thodr ldjo. IUR

Rlinnors onsuroe thit tho autmafos tho porsan wis soocdng ta imhdovo woro aj thodr awn

mhadmo, onikldng tho mhingos whdmh tho porsan imtuilly nooeoe dn thodr ldjo. IUR Rlinnors

manmontritoe an pasdtdvo salutdans, hapo jar tho juturo ine onmaurigofont ta fico mhadmos

ine tico porsanil mantral. Uhds ‘edjjoront manvorsitdan— wdth poaplo holpoe thof ta soo i

edjjoront, krdghtor juturo ine hivdng i RHK onikloe mhingos ta ko fieo.

Ill aj tho poaplo wha plinnoe jar i RHK ropartoe i pasdtdvo ine ajton erifitdm

dfpravofont dn thodr ofatdanil ine fontil wollkodng ine i lovol aj manjdeonmo, holpdng

thof ta hivo i faro pasdtdvo ine foindngjul autlaac an thodr ldjo dn gonoril. Uhoy hivo

ropartoe dnmroisoe dntorost dn tho warle iraune thof, groitor physdmil imtdvdty ine faro

samdil dntorimtdan. Uhds his koon ilsa natoe ky poaplo mlaso ta RHK pirtdmdpints.

Miror jooekimc ropartoe0-

‖ ]dnmo kodng wdth ‘Ill Uagothor Rasdtdvo— fy san his stappoe solj -hirfdng whdmh ds i hugo

pasdtdvo stop jarwire is thds his koon gadng an jar sovoril yoirs. Hds manjdeonmo ds grawdng

ine ho ds i faro rolixoe ine hippdor porsan. D hivo koon roilly ploisoe wdth thds sorvdmo,

is i piront dt his koon i hugo roldoj ta jdne safoano thit his imtuilly hie in dfpimt an

suppartdng fy san ta turn hds ldjo iraune ine ta laac jarwire ta tho juturo …. Uhds sorvdmo



99 | R i g o


his holpoe fy san ta got kimc an trimc wdth hds ldjo3 thoy ldstonoe ta whit ho wis siydng,

koon vory suppartdvo ine onmaurigdng. Uhds typo aj sorvdmo his eojdndtoly fieo i

edjjoronmo.‖

Uho pasdtdvo ijjomt aj hivdng ‘i edjjoront manvorsitdan wdth poaplo— his koon natoe ky athor

RHK eofanstritar sdtos0-

“]a thit ds whit dnspdros fo ikaut RHK—s. Dt—s nat ùst ikaut tho fanoy, dt—s ikaut

manvorsitdans thit hippon dn tho warcdng aut aj i plin ta imhdovo safothdng, nat ùst eoil

wdth praklofs . ]afotdfos thaso manvorsitdans min loie ta unoxpomtoe rosults‖

Finei Wdlldifsan pravdedng i RHK Klag dn Eovan

Uhoro wis i ropartoe dfpravofont dn oimh porsan—s uso aj faro ippraprdito mapdng

stritogdos whon dn edstross, roeumdng thodr lovol aj solj-hirf whdmh dnmlueoe kurndng, muttdng,

ilmahal, erugs, avoreasos otm.… ine i erifitdmilly roeumoe uso aj oforgonmy sorvdmos.

Uho jallawdng mhirt shaws tho roeumtdan dn tho nufkor aj vdsdts ta tho OE ijtor plinndng wdth

poaplo. Uho mast aj oimh dnedvdeuil RHK ds rolitdvoly faeost yot tho mast sivdngs ta ill

oforgonmy sorvdmos ds sdgndjdmint.

Mafpirdsan aj Oforgonmy Eopirtfont (OE) Ittoneinmo

Rrovdaus OE ittoneinmo 6 prdar ta plinndng

Murront OE ittoneinmo 6 ijtor plinndng

Mldonts [ojorrilOntry [auto

Rrovdaus OE Ittoneinmo

Murront OE Ittoneinmo

Mast aj RHK£

M9 OE ;2 : 9822M= OE 92 2 ??2M? OE 8 9 524M7 OE 9; ; 885M8 OE 9: 2 99?=M4 OE 9; 2 :22

]E: RR] 95 2 472

RI R_[O ;; 9 =2;5

RM R_[O ;2 2 ?5?RE R_[O 92 2 9222

Uatils 955 92 £92,249Jdguro = OE ittoneinmos

Wo hivo mafpdloe i tiklo aj Mafploxdty Dnedmitars jar poaplo wdth i RHK dn ]tamcpart ta

eofanstrito tho typo aj mafplox dssuos oimh dnedvdeuil ds mapdng wdth, ine i stir ritdng ta

shaw i smilo jraf fdle ta sovoro. ]oo Ipponedx 7

Whdlst plinndng wdth poaplo, dt wis nomossiry ta try ta ostikldsh thodr lovol aj fontil

wollkodng it twa stigos eurdng plinndng, it tho kogdnndng aj RHK plinndng ine igidn it tho

rovdow stigo dn areor ta mafpiro tho rosults. Uho Wirwdmc-Oednkurgh Fontil Woll-kodng

]milo (WOFWK]) solj-issossfont taal wis mhason jar thds purpaso.



9; | R i g o


WOFWK] ds i smilo aj 95 pasdtdvoly wareoe dtofs, wdth jdvo rospanso mitogardos, jar

issossdng i papulitdanµs fontil wollkodng. Wirwdmc ine Oednkurgh _ndvorsdtdos woro

maffdssdanoe ta eovolap dt dn ;22:. Issossdng tho fontil wollkodng (pasdtdvo fontil hoilth)

aj tho papulitdan roqudros vildeitoe smilos thit rojlomt murront manmopts aj fontil wollkodng.

WOFWK] mavors kath hoeandm ine oueidfandm porspomtdvos.

Uho 95 pasdtdvoly wareoe WOFWK] stitofonts iro0-

9. D—vo koon jooldng aptdfdstdm ikaut tho juturo

;. D—vo koon jooldng usojul

=. D—vo koon jooldng rolixoe

5. D—vo koon jooldng dntorostoe dn athor poaplo

?. D—vo hie onorgy ta spiro

:. D—vo koon eoildng wdth praklofs woll

7. D—vo koon thdncdng mloirly

8. D—vo koon jooldng gaae ikaut fysolj 4. D—vo koon jooldng mlaso ta athor poaplo

92. D—vo koon jooldng manjdeont

99. D—vo koon iklo ta fico up fy awn fdne ikaut thdngs

9;. D—vo koon jooldng lavoe

9=. D—vo koon dntorostoe dn now thdngs

95. D—vo koon jooldng mhoorjul

Rirtdmdpints iro iscoe ta mansdeor thodr thaughts ine jooldngs avor twa woocs.

Uho stitofonts iro smaroe 9 ta ? ine tho smaros iro ieeoe tagothor jar i tatil

96 Nano aj tho tdfo ;6 [iroly =6 ]afo aj tho tdfo 56 Ajton ?6 Nano aj tho tdfo

Uho tatil smaro dnedmitos0 - 2-=;6Law =;-526 kolaw ivorigo 52-?46 Ivorigo ?4-726

Ikavo Ivorigo.

Uho smaros dndtdito i edsmussdan ikaut tho ovdeonmo kisoe stops ‘Jdvo Wiys Ua Wollkodng—

9. Got imtdvo ;. Mannomt wdth athors =. Coop loirndng

5. Ko iwiro aj yaursolj ine tho warle ?.Gdvo ta athors

Roaplo woro iscoe ta mafploto thof it tho stirt aj plinndng ine igidn it thodr rovdow

footdng wdth i edsmussdan ikaut tho jdvo wiys ta wollkodng. Uho rosults an tho somane

WOFWK] eofanstritoe sdgndjdmintly dnmroisoe smaros an thodr wollkodng/pasdtdvo fontil

hoilth.

]oo Ipponedx : - Dnedvdeuil WOFWK] [osults



9= | R i g o


Wirwdmc-Oednkurgh Fontil Woll-kodng ]milo (WOFWK]) mafpirdsan mhirt

WOFWK] 9 ticon it tho kogdnndng aj plinndng ine WOFWK] ; ticon it rovdow- Ipponedx :

Jdguro 5 WOFWK] mafpirdsan smaros

Dj i pirtdmdpint—s smaro ds dnmroisoe ky =-8 padnts dt waule eofanstrito

thit Fontil Hoilth Wollkodng jar tho porsan his sdgndjdmintly dfpravoe.

Uho rosults spoic jar thofsolvos

Mldont ?6;2 padnt dnmroiso Mldont 769; padnt dnmroiso Mldont 86;8 padnt dnmroiso

Dt ds portdnont ta nato thit jar thds vory sfill mahart aj poaplo, nat anly ede thoy imhdovo tho

dndtdil autmafos dn thodr plins, kut thoy ropartoe i nufkor aj ieedtdanil pasdtdvo ispomts ta

thodr ldvos O.g.

9. Dfpravoe dnsdght dnta thodr hoilth ine wollkodng;. Dfpravoe mapdng stritogdos=. Dfpravoe dntorimtdan wdth athors (jrdones ine jifdly)

5. Dfpravoe manvorsitdans wdth thodr GR—s ?. [oeumoe uso aj solj-hirf

2

92

;2

=2

52

?2

:2

Mldont? Mldont7 Mldont8

Wofwks 9

Wofwks ;



95 | R i g o


7. Autmafos jar ]orvdmos

Dt ds edjjdmult ta quintdjy tho imtuil dfpimt mast ta sorvdmos prdar ta tho stirt aj thds warc, kut

tho RHK plins ine mhadmos poaplo fieo it in dnedvdeuil ine mallomtdvo lovol fieo i tingdklo

dfpimt an tho roeumtdan aj lamil oforgonmy ine hoilth sorvdmos.

Uho jallawdng ldst dnedmitos tho autmafos imhdovoe eurdng tho praòmt.

9. [oeumtdan dn ittoneinmo it Oforgonmy Eopirtfont;. [oeumtdan dn unwirrintoe GR ippadntfonts=. [oeumtdan dn uso aj NH] suppldos d.o. erossdngs, suturos ine sunerdos

O.g. ano porsan usoe kurndng is solj-hirf ine nooeoe spomdjdm erossdngs anly ividliklo

ta hor thraugh tho OE. Hor plin dnmlueoe purmhisdng hor awn supply aj thoso spomdjdm

kurn erossdngs - sho hisn—t ittoneoe OE sdnmo plinndng wdth IUR ine dntorostdngly his

nat solj-hirfoe - jdnedng iltornitdvo mapdng stritogdos.*Dnjarfitdan immurito it tdfo aj

ropart mafpdlitdan

5. [oeumtdan dn tho nufkor aj jallaw up ippadntfonts kodng fieo?. [oeumtdan dn uso aj oforgonmy sorvdmos- Ifkulinmos, Ririfoedms, Raldmo,

Jdro ]orvdmos:. Mast ine tdfo roeumtdan dfpimt an NH], Fontil Hoilth ine lamil iuthardty

stijj toifs7. Dntraeumtdan aj iltornitdvo pithwiys jar suppart whoro triedtdanil sorvdmos

hivo nat koon iklo ta ko ojjomtdvo8. Kottor uso aj NH] junedng ta prafato provontitdvo stritogdos ine

roeumtdan dn immoss ta sorvdmos

4. Uho ivorigo ifaunt aj in dnedvdeuil—s RHK wis £7?2 ine ds i jrimtdan ajtho intdmdpitoe mast—s whdmh iro dnmurroe ky sorvdmos kojaro RHK plinndngwis dntraeumoe

Rrdnmdpilly tho uso aj RHK—s pravdeo stijj wdth in appartundty ta laac wdth

tho dnedvdeuil, jar faro ojjomtdvo, oisdly imhdovoe suppart salutdans thit

sorvdmos iro usuilly uniklo ta mansdeor, ine min mipdtildso an tho porsan—s

nituril tilonts, ikdldtdos ine eotorfdnitdan!

Uhds jimdldty ilsa his tho patontdil ta illovdito tho jrustritdans thit stijj

fiy sujjor whon passdklo salutdans iro ovdeont kut nat immossdklo ta thof

thraugh usuil sorvdmo rospansos.

Uhorojaro tho uso aj RHK— s his i groit ofpawordng mipimdty jar kath

thaso wha iro iklo ta immoss thof ine ilsa thaso wha issdst thof.

Haw fumh fdght ko sivoe ky provontdng unwirrintoe Oforgonmy Eopirtfont

opdsaeos1

Dn tho mafpirdsan aj Oforgonmy Eopirtfonts (OE) Ittoneinmo Uiklo, (pigo99)

jdguros suggost thit eurdng tho pordae kotwoon plinndng jar, ine imqudrdng i RHK

thoro wis i roeumtdan dn tho OE ittoneinmo rito aj ippraxdfitoly 955 opdsaeos. Dt ds



9? | R i g o


edjjdmult ta pravdeo imtuil masts por pitdont àurnoy3 hawovor, dnedmitars aj prakiklo

mast min ko praòmtoe.

Oforgonmy eopirtfont ittoneinmos

Jdguros pravdeoe ky tho Eopirtfont aj Hoilth [opart, [ojoronmo Masts ;29=,

suggost thit tho mast aj in ivorigo I&O ittoneinmo wis £995 por opdsaeo, kut

thoro ds na ieedtdanil eiti ividliklo ta shaw iny athor issamditoe ar rolitoe masts,

thraughaut tho pitdont ̀ aurnoy.

I nufkor aj poaplo dn tho RHK Mahart prosontoe wdth physdmil dnùry (solj-hirf) ine

ar erug/ilmahal dngostdan, ilang wdth thodr lovol aj fontil dll hoilth it OE. Uho

jallawdng tiklo soocs ta dllustrito passdklo ieedtdanil mast irois thit iro cnawn ta

hivo koon dnvalvoe eurdng i nufkor aj OE opdsaeos dnvalvdng RHK mldonts dn mrdsds.

Iroi CnawnMast £

_ncnawn Mast Rassdklo mast £ Uatil

OE Iefdssdan 995

Urdigo/Issossfont * 5?Waune/Dnùry Miro * =2Uroitfont Rimcs * 52

Erossdngs * ;2Foedmitdans * :2

]urgdmil pramoeuros * *X [iy/]min * *

Fontil Hoilth Issossfont * 5?Jallaw up ipt it [IDE * :2

MFHU Rrimtdtdanor 5?GR Ippadntfont * 42

Rrosmrdptdans * :2

995 54? :24

2

?

92

9?

;2

;?

9 ; = 5 ? : 7 8 4 92 99

Mldonts

Kojaro RHK

Ijtor Rlinndng

Mldonts



9: | R i g o


Is i rosult aj tho RHK Rdlat, dt wis ostdfitoe thit safo 955 provontoe OE opdsaeos

it i fdndfuf mast aj £995 onikloe i passdklo sivdng ta tho NH] aj £9:,59: ta

ammur. Uho issamditoe masts aj athor troitfont mhirimtordstdms fiy woll ifaunt ta it

loist £522-:22 por porsan por opdsaeo.

Uhds eaos nat tico dnta immaunt tho masts aj dn-pitdont iefdssdan jar thaso

poaplo whoro dt imtuilly ammurroe provdausly, kut naw provontoe ky tho

uso aj Rorsanil Hoilth Kuegots!

RHK Miso ]tuey- mastdngs

Ano porsan wis haspdtildsoe jar avor 7 eiys jallawdng i sudmdeo ittofpt whdmh nomossdtitoe

paldmo & jdro sorvdmo porsannol hivdng ta kroic eawn hor eaar ine thon trinspartoe hor ta

tho haspdtil—s OE eopirtfont, thds opdsaeo wis is i rosult aj triufitdm spdril aj eoprossdan

jallawdng tho lass aj hor mafpindan ine kost jrdone, nifoly hor pot eag.

]orvdmos usoe dn thds dnedvdeuil miso iro shawn dn tho jallawdng tiklo ta dllustrito prakiklo

mast0 (Uho litost jdguros ividliklo iro avor ; yoirs ale kut iro i noir ippraxdfitdan aj imtuil mast)

Uypo aj ]orvdmo Fdndfuf mast £Jdro Ongdno & mrow aj 5 mdrmi £9:2/hr ([oj0 Nattdnghif Jdro ]orvdmo) 9:2NH] Ifkulinmo & mrow aj ; mdrmi £955-£;9:/hr ([oj0 Nitdanil Iuedt Ajjdmo) 955Raldmo Ritral Mir wdth mrow ; mdrmi £9;2/hr ([oj0 ]tijjareshdro RMM) 9;2NH] Oforgonmy Eopirtfont Iefdssdan ([oj0 Eopirtfont aj Hoilth) 995NH] Haspdtil Iefdssdan ta 8 eiys B £;=; ([oj0 R]][_) 98?:Rrakiklo Mafkdnoe Mast aj ]orvdmos ;=45

*Nato 90 Uhds eaos nat dnmlueo tho masts aj oforgonmy ar prosmrdptdan foedmitdan ar athor

rolitoe sorvdmos.

*Nato ;0 ]dnmo sho his imqudroe hor RHK, sho his koon iklo ta saurmo i now puppy ine

purmhiso i fakdlo Nokuldzor, kath aj whdmh hivo onikloe hor ta mantdnuo ta finigo hor

eoprossdan faro ippraprditoly ine ivade tho nooe jar immossdng oforgonmy sorvdmos.

**Jaatnato0 I nufkor aj poaplo dn thds mahart hivo fieo sovoril sudmdeo ittofpts ine oimh

aj thoso opdsaeos hivo nomossdtitoe tho dnvalvofont aj nuforaus sorvdmo porsannol imrass

edjjoront sorvdmo irois ine tho mast aj thoso opdsaeos min anly ko guossoe it.

Wdthaut tho konojdt aj i eotidloe stuey, tho patontdil masts sivdngs fieo

ky provontdng OE opdsaeos min anly ko issufoe ine dj i jdguro aj £?22 por

porsan/opdsaeo woro usoe jar thds mahart, thon tho tatil sivdngs waule

ifaunt ta safo £7;,222



97 | R i g o


[ojoronmo0 ‘[ojoronmo Masts— Eopirtfont aj Hoilth ;29=

;29;-9= rojoronmo masts mavor £??.; kdlldan aj NH] oxponedturo, in dnmroiso aj £9.7 kdlldan(=.;%) avor £?=.5 kdlldan dn ;299-9;

Uhds roprosonts ?5% aj £92;.: kdlldan NH] rovonuo oxponedturo dn ;29;-9=

?.: fdlldan eiti dtofs woro sukfdttoe ky ;55 NH] trusts ine NH] jauneitdan trusts Eotidloe masts woro pravdeoe jar ;,922 troitfonts ar pramoeuros mavordng avor 9? fdlldan

JMOs wdthdn iefdttoe pitdont miro ilano Uho ivorigo mast aj i eiy miso ds £:4= (£:8;) Uho ivorigo mast aj in olomtdvo dnpitdont stiy oxmluedng oxmoss koe eiys ds £=,=:: (£=,;9?) Uho ivorigo mast aj i nan-olomtdvo dnpitdont shart ine lang stiy mafkdnoe oxmluedng oxmoss

koe eiys ds £9,584 (£9,5=:) Uho ivorigo mast aj in oxmoss koe eiy ds £;7= (£;:5) Uho ivorigo mast aj in autpitdont ittoneinmo ds £928 (£92:) Uho ivorigo mast aj in I&O ittoneinmo ds £995 (£928).

8. Manmlusdans

8.9 Ovdeonmo gidnoe jraf warcdng wdth thds sfill nufkor aj poaplo manjdrfoe thit thoyroldoe hoivdly upan mastly oforgonmy sorvdmos whonovor thoy woro dn mrdsds. Hawovor, nan-

ittoneinmo it jallaw up footdngs eofanstritoe thit thoy ede nat wint ta ongigo wdth i

triedtdanil sorvdmo salutdan.

8.; Ijtor plinndng wdth poaplo, laacdng it solj-eojdnoe autmafos ine jdnedng iltornitdvo,

dnedvdeuildsoe, suppart salutdans, roldinmo an triedtdanil sorvdmos wis erifitdmilly roeumoe.

8.= Dt ds dntorostdng ta nato thit eospdto thds mahart—s mafploxdty ine mastldnoss provdaus ta

romodvdng i RHK, dnedvdeuils anly roqudroe i faeost kuegot ta foot thodr autmafos ine

roeumo thodr roldinmo an triedtdanil sorvdmos.

8.5 Uho rolitoe roeumtdan dn uso aj lamil sorvdmos mloirly dnedmitos thit hivdng i ‘edjjoront

manvorsitdan—, suppartdng poaplo ta eotorfdno porsanildsoe supparts is iltornitdvos ta

triedtdanil sorvdmo rospansos, anly soocs ta rodnjarmo tho dfpartinmo aj solj-edromtoe suppart

ine aj poaplo kodng dn mantral aj thodr awn salutdans ine iltornitdvo mapdng stritogdos.

8.? Onmaurigdng dnedvdeuils ta uso salutdan jamusoe thdncdng loe ta poaplo mhaasdng thodr

awn dnedvdeuil ‘porjomt-jdt— rospanso ta whit thoy wintoe ta mhingo. Uhds loe ta tho

eovolapfont aj stridghtjarwire ine unmafpldmitoe porsanil salutdans, whdmh woro oisdly

dfplofontoe is saan is junedng wis roloisoe.

8.: Whon poaplo mhaaso ta apt dn ta tho RHK pramoss ine ongigo dn porsan montroe

plinndng, ine eosdgn thodr awn gails ky deontdjydng porsanildsoe autmafos, thds ofpawors

tho porsan ta hivo mhadmo ine mantral avor thodr suppart salutdans.

8.7 Ky utdldsdng tho viluos ine prdnmdplos aj ma-praeumtdan ine porsanildsitdan, ine usdng

jimdldtitdan ine fatdvitdanil manvorsitdans, jamussdng an poaplos issots ine rosdldonmo,

dnedvdeuils hivo koon iklo ta gidn trust ine manjdeonmo dn tho RHK plinndng pramoss, ine

hivo viluoe ine rospomtoe tho ippraimh usoe ta holp tho warc tawires rosalvdng thodr

ardgdnil edjjdmult. Uhds ds ovdeonmoe dn poaplo—s dnedvdeuil tostdfandos ine maffonts.



98 | R i g o


4. Roaplos ]tardos ” Uostdfandos - Maffonts

Uho jallawdng stary his koon mallomtoe jraf Ruro Dnsdght jraf RHK Mldont M

“D jolt ldco mrip ill tho tdfo…. kojaro D gat i hoilth kuegot.D usoe tho kuegot ta got i kdco ine i fakdlo phano ine D—f hapojully gadng an i shart

kroic saan.Fy kdco his fieo sa fumh edjjoronmo is D hie koon unofplayoe sdnmo ;227. D gat holpjraf Ruro Dnsdght ta got i pide àk ine naw fy kdco ds horo D min got ta warc an dt. Dt ticosfo ;2 fdnutos naw dnstoie aj noirly in haur whdmh ficos i lat aj edjjoronmo ta fo.Dt his mhingoe fy ldjo, roilly dt his. D min got iraune ovorywhoro jar jroo, D wis struggldngta ijjare i kus piss sa naw D min rdeo fy kdco ovon up ta tho hdlls, dt ficos fo joolgaae! D stdll hivo eiys whon D ean—t jool groit kut D min osmipo naw. Hivdng i kdco ine inup ta eito phano his holpoe fo got kimc dnta warc igidn ine D cnaw D min coop thds àknaw whorois kojaro D fdght hivo run aut aj fanoy ine nat koon iklo ta ijjare thokus. Naw thit wan—t hippon, thincs ta Din jraf IUR ine ill tho poaplo wha holpoe fo goti kuegot!

Dt his mhingoe fy ldjo! “

“I groit rosult jar Mldont M ‖ - ky ]], Finigor aj Ruro Dnsdght

Maffonts ticon it rovdow stigo0-

“D hivo gidnoe faro dneoponeonmo thraugh tho holp jraf thds praòmt, ine fot twa poaplo3]hdrloy & Earoon jraf IUR whdmh D jolt uneorstaae fo jar tho jdrst tdfo dn i lang tdfo.Uhinc Tau IUR jar i groit holp dn fy fontil hoilth ine jar tho appartundtdos yau ine fyRHK hivo gdvon fo ‖

Mldont ?

“D hivo koon i lat faro pasdtdvo ine hivon—t ittoneoe I&O it ill. D if iklo ta edstrimtfysolj ta stap solj-hirfdng kohivdaurs ine hivo koon dn mantimt wdth fy ale jrdones vdi]cypo. D ilsa uneorstine fy awn dllnoss kottor ‖ Mldont 8

“]dnmo hivdng fy porsanil hoilth kuegot thdngs hivo koon jir kottor jar fo, is D rogulirlyuso tho thdngs thit hivo koon pide jar, jar fo. Dt his erifitdmilly dfpravoe fy ldjo. Whontdfos iro hire ar ovon whon thoy iro gaae, D hivo waneorjul thdngs ta uso. Uhincs jar illtho gonudno suppart jraf ]hdrloy ine Earoon jraf IUR .‖ Mldont 7

Maffonts jraf mirors aj poaplo wdth i RHK

‖Uhds sorvdmo his koon krdlldint is dt ldstons ta tho porsan ta soo haw thoy min ko suppartoerithor thin tho porsan jdttdng dn wdth tho sorvdmos thit iro murrontly an ajjor. Uhoippadntfonts tico plimo it hafo rithor thin dn i haspdtil sottdng whdmh ds i lat farorolixdng. Uhds sorvdmo his holpoe fy san ta got kimc an trimc wdth hds ldjo, thoy ldstonoe tawhit ho wis siydng, koon vory suppartdvo ine onmaurigdng. Uhds typo aj sorvdmo hiseojdndtoly fieo i edjjoronmo.‖



94 | R i g o


“Tos thds ds tho jdrst sorvdmo whdmh f y san his rospaneoe ta. Ho his ittoneoe sovoril

ippadntfonts wdth hoilth prajossdanils ine his nat rospaneoe ta ar aponoe up ta ldco ho

his wdth ]hdrloy ine Earoon. Dt his gdvon hdf hapo ine i mhinmo ta got aut aj tho rut ho

wis dn ky pravdedng tho thdngs ho nooeoe dn areor ta turn hds ldjo iraune. Ho wis iklo ta

purmhiso i now mafputor dn areor ta soirmh jar inathor àk, ho hie i kdco ine i gyf piss

whdmh dfpravoe hds solj- ostoof ine dnmroisoe hds manjdeonmo. ]dnmo kodng wdth ‘Ill Uagothor

Ra sdtdvo— fy sa n his stappoe solj-hirfdng whdmh ds i hugo pasdtdvo stop jarwire is thds his

koon gadng an jar sovoril yoirs. Hds manjdeonmo ds grawdng ine ho ds i faro rolixoe ine

hippdor porsan. D hivo koon roilly ploisoe wdth thds sorvdmo, is i piront dt his koon i hugo

roldoj ta jdne safoano thit his imtuilly hie in dfpimt an suppartdng fy san ta turn hds ldjo

iraune ine ta laac jarwire ta tho juturo.‖

“ Ano suggostdan D waule ldco ta fico ds, waule dt ko passdklo jar i mauplo aj faro vdsdts is

fy san roilly konojdttoe jraf tilcdng ta ]hdrloy ine Earoon is thoy ldstonoe ine hie in

uneorstinedng aj whoro ho wis it dn hds ldjo.‖

‘ Whon poaplo spaco, wo ldstonoe kut ede nat ùego

Whon poaplo woro last dn tho eirc, wo wilcoe wdth thof tawires tho ldght,

Whon poaplo wintoe ta favo jarwire ,wo givo thof i gontlo hine

Ine whon poaplo nooeoe primtdmil issdstinmo -

Wo ede i kdt aj porsan montroe plinndng ! — ky IUR



;2 | R i g o


Cizz his wrdtton ikaut hor Rorsanil hoilth Kuegot Oxpordonmo



;9 | R i g o




;; | R i g o




;= | R i g o




;5 | R i g o


Ipponedx 9 ” Rithwiy Rramoss

Ipponedx9

Rrapasoe Rorsanil Hoilth Kuegot Rithwiy Rramoss

Rorsan igroos ta

mafploto ‘Ficdng I

Edjjoronmo Jarf— it [IDE

jallaw up ippadntfont &

shiro dnja wdth IUR

IUR romodvos rojorril

ine mansdeors haw holp

fiy

ko pravdeoe ine ficos

mantimt wdth porsan.

Dnjarfitdan ds mallomtoe

ine romareoe jraf horo

IUR warc wdth porsan ta

eotorfdno whit fdght

mhingo whit—s

hippondng dn thodr ldjo &

erijt Rorsanil Rlin

eovolapoe

Jdnil Rorsanil Rlin ds

eovolapoe wdth tho

porsan ine prosontoe

ta Maro Graup jar

ippravil

Ippravoe Rorsanil Rlin

ds sont ta MMG

Maffdssdanor

jar jdninmdil

iuthardsitdan ine

dnstrumtdan jar

piyfont ta ko fieo

Rorsanil Rlin

eofanstritos nituril

supparts & rosaurmos

ilang wdth iny masts ar

olofonts aj lamil

sorvdmos ta ko utdldsoe

Junedng ds roloisoe tatho

Dnedvdeuil ar igrooe

fanoy

finigofont jimdldty ta

fico ippraprdito

piyfonts is eotidloe dn

tho Rorsanil Rlin

Dnedvdeuil pirtdmdpitosdn i fandtardng &

rovdow footdng, ar is

edromtoe ky tho

Rorsanil Rlin.

Juturo nooes ta ko

deontdjdoe

Eotidls aj autmafos

imhdovoe ky thodnedvdeuil iro

mitilaguoe ine

romareoe, ine

inomeatil ovdeonmo ds

ilsa mallomtoe ta gdvo

tho dnedvdeuils

porspomtdvo.

RHK Ones

[opoit RHK Rramoss [oedromt



;? | R i g o


Ipponedx ; ” RHK dnjarfitdan shoot jar stijj ta uso wdth poaplo it tho jdrst footdng

Gottdng Holp

Ede yau cnaw thit jraf Iprdl ;295, thit poaplo wha hivo hoilth nooes whdmh ijjomt thodr gonoril

quildty aj ldjo ine dntorjoro wdth eiy ta eiy ldvdng, fiy ko iklo ta got holp ta try ine mhingo safo ajtho thdngs thit iro miusdng tho porsan edstross

Haw eaos thds warc1

Dj yau wint ta hivo holp ta laac it whit ds miusdng yaur edstross ar edjjdmulty, ine oxplaro whit cdne

aj thdngs yau waule wint ta mhingo dn yaur ldjo, thoro iro poaplo ividliklo wha hivo oxpordonmo dn

suppartdng poaplo eovolap porsanil plins ta ea thds.

Uhoso poaplo warc an tho autsdeo aj sorvdmos ine pravdeo viluiklo issdstinmo thraugh thodr awn

oxpordonmo aj sorvdmos, ar thraugh jifdly fofkors, ine wha iro holpdng ta loie tho mhingo pramoss

dn tho eoldvory aj porsan montroe supparts is in iltornitdvo ta triedtdanil sorvdmos. Uhoy hivo koondnvalvoe dn plinndng wdth poaplo dn ]tamcpart jar sovoril yoirs ine hivo holpoe finy poaplo ta jdne

thodr awn romavory salutdans

Whit eaos thds foin jar yau1

Dj yau igroo ta hivo safoano holp yau oxplaro whit fdght fico yaur ldjo kottor, ine jool

mafjartiklo mafplotdng tho sdfplo ‘Ficdng I Edjjoronmo— jarf ine past dt usdng tho stifpoe

ieerossoe onvolapo, safoano wdll fico mantimt wdth yau wdth i vdow ta footdng up wdth yau ta soo

haw yau fiy ko holpoe.

………………………………………………………………………………………………………………………..

Uhds eamufont ds jar stijj uso anly

Rloiso ea NAU rofavo jraf tho jaleor

Uhds smrdpt ds dntoneoe ta issdst stijj ta hivo in dndtdil manvorsitdan wdth

poaplo wha jdt tho mrdtordi aj tho praòmt ta dntraeumo thof ta tho deoi aj i

Rorsanil Hoilth Kuegot



;: | R i g o


Ipponedx = ” Ficdng i Edjjoronmo Jarf (FIE Jarf) Mrdtordi shoot jar apt dn

]UI[U

HO[O

I[O TA_…

*9:-=2 yoirs ale

*Filo ar Jofilo

*Ldvdng dn ]tamcpart

EA TA_ HIZO…

*Ofatdanil warrdos

*Rhysdmil hoilth

manmorns

Tos

Na

Na

Tos

Na

I[O INT AJ UHO]O U[_O JA[

TA_…

*_so solj -hirf ta mapo

*_so ilmahal ta mapo

*_so erugs ta mapo

*Hivo koon dn tho miro

systof

AC… thds dsn—t jar

yau…

Coop kodng

iwosafo!

Uhinc yau

jar yaur

tdfo!

Na

Tos

I[O TA_…

Dntorostoe dn laacdng jar i

edjjoront salutdan1

Wo fiy ko iklo ta holp yau

ta holp yaursolj plin jar i

kottor juturo…

Tos

Krdlldint!....

Whit ea yau

ea naw1

Rloiso jdll dn

tho jarf an

tho athor

sdeo!



;7 | R i g o


Ipponedx = - Ficdng i Edjjoronmo Jarf (FIE Jarf) Apt dn dnjarfitdan

Rorsanil Hoilth Kuegot

Ficdng I Edjjoronmo Jarf

Nifo0 Eito aj kdrth0

Ieeross0 Mantimt eotidls0

Rhano

Ofidl

Haw waule yau projor us ta mantimt yau1 Rhano Uoxt Ofidl Ean—t fdne

Ill Uagothor Rasdtdvo (IUR) iro horo ta holp yau wrdto yaur Rlin jar i Rorsanil Hoilth

Kuegot.

Rloiso roie tho dnjarfitdan dn tho gudeo.

Uhds ds whit TA_ ea noxt0

9. Rloiso jdll dn thds ‘Ficdng i Edjjoronmo Jarf— ine sone dt ajj is saan is passdklo - dntho stifpoe, ieerossoe onvolapo pravdeoe

;. IUR wdll ko dn taumh wdth yau ta holp yau ta wrdto yaur plin

Rloiso toll us ikaut tho jallawdng0

Whit ds nat warcdng dn yaur ldjo1



;8 | R i g o


Whit nooes ta mhingo1

Whit waule yau nooe ta jdx dt1

Rloiso pravdeo iny ieedtdanil dnjarfitdan thit yau thdnc ds dfpartint

D gdvo mansont jar Ill Uagothor Rasdtdvo ta hale ine shiro dnjarfitdan wdth athor

mallikaritdvo pirtnors ta suppart fy ippldmitdan jar i Rorsanil Hoilth Kuegot

O0 illtagothorpasdtdvoByihaa.ma.uc U0 29:9::7;7;2 F0 277842459:9

]dgnoe………………………………………………….

Rloiso Rrdnt Nifo ………………………………………

Eito…………………………………………………………

mailto:[email protected]






;4 | R i g o


Ipponedx 5 ” Oisy [oie Dnjarfitdan jar oimh RHK pirtdmdpint

Whit Ds i Rorsanil Hoilth Kuegot1

I Rorsanil Hoilth Kuegot ds in ifaunt aj fanoy thit min ko usoe ta suppart yaur deontdjdoe

hoilthmiro ine wollkodng nooes, plinnoe ine igrooe kotwoon yau ine yaur Rorsanil

Rlinnor. It tho montro aj yaur Rorsanil Hoilth Kuegot ds yaur ‘Rorsanil Rlin—.

Taur Rorsanil Rlinnor warcs jar in dneoponeont argindsitdan milloe Ill Uagothor Rasdtdvo.

Uhoy wdll warc mlasoly wdth yau ta eovolap yaur dnedvdeuil ‘Rorsanil Rlin— thit rojlomts tho

mhingos thit yau wint ta fico ta yaur ldjo sa thit yau mantdnuo ta hivo mhadmo ine mantral.

Wrdtdng i Rorsanil Rlin holps yau thdnc thraugh ine eomdeo yaur hoilth ine wollkodng gails

ine dt wdll sot aut haw yaur kuegot wdll ko spont ta oniklo yau ta roimh yaur gails ine coop

yau hoilthy, sijo ine woll.

Tau ean—t hivo ta mhingo tho hoilthmiro ine suppart thit ds warcdng woll jar yau, kut dj thoro

ds safothdng thit dsn—t warcdng, yau min mhingo thit.

Whit cdnes aj thdngs maule D spone fy Rorsanil Hoilth Kuegot an1

Rurmhiso aj porsanil oxormdso oqudpfont o.g. troiefdll, oxormdso kdco, kdmymlo

Rorsanil Hoilth tridnor

Fissigo ta dfpravo mdrmulitdan ine pidn roldoj

Iltornitdvo thoripdos sumh is irafithoripy jar pidn roldoj ine rolixitdan ar ta roldovo

inxdoty

Iltornitdvo ippraimhos ta sfacdng mossitdan- hypnathoripy, imupunmturo

Wiys aj prafatdng hoilthy oitdng, ar wodght lass o.g. cdtmhon oqudpfont, kithraaf

smilos, maacory maursos, tho mast aj àdndng i sldffdng mluk

Wiys aj gottdng aut ine ikaut ine footdng athor poaplo. Uhds maule dnmlueo lodsuro

imtdvdtdos/hakkdos thit waule coop yau ammupdoe ar stdfulitoe ine dnvalvo immossdng

tho lamil maffundty- pravdedng appartundtdos ta samdildso

Oqudpfont jar lodsuro imtdvdtdos/hakkdos - irt fitordils, stuey kaacs, spartdng

oqudpfont

Urivol oxponsos ta immoss safo sorvdmos ar ta pursuo lodsuro imtdvdtdos

Junedng ta oniklo yau ta ko immafpindoe an in imtdvdty dj yau nooe dt

Oqudpfont ta dfpravo immoss iraune tho hafo, rifps ta dfpravo immoss ta

edjjoront pirts aj yaur hafo ar gireon jar whoolmhidr usors

Uhoso iro foint is oxifplos ta gdvo yau in deoi aj whit yaur kuegot maule ko spont an. Dj

thoro ds safothdng olso thit yau thdnc waule fico i roil edjjoronmo ta yaur hoilth ine

wollkodng edsmuss dt wdth yaur porsanil plinnor.



=2 | R i g o


Whit yau min—t spone yaur Rorsanil Hoilth Kuegot an

Uhoro iro i jow thdngs thit yau min—t spone yaur Rorsanil Hoilth Kuegot an0

Oforgonmy ar imuto sorvdmos, whdmh iro ilroiey pravdeoe ky tho NH] ta ovoryano dn

tho mauntry wdthaut mhirgo

Uho vist fiàrdty aj prdfiry hoilthmiro sorvdmos (dnmluedng vdsdts ine issossfonts)

Is GR—s pravdeo i mafprohonsdvo, rogdstritdan-kisoe sorvdmo, whdmh ds jroo it thopadnt aj immoss

Inythdng dllogil

Gifkldng

Eokt ropiyfont

Uakimma

Ilmahal

Uroitfonts (ldco foedmdnos) thit tho NH] waule nat narfilly june komiuso thoy iro

nat shawn ta ko mast-ojjomtdvo

Rorsanil Hoilth Kuegot- Rorsanil ]tardos

[izdi—s stary.

[izdi jraf Forsoysdeo nooeoe haspdtil troitfont ine maunsolldng ijtor loivdng in ikusdvo

rolitdanshdp. ]ho wis gdvon immaffaeitdan dn in iroi whoro sho eden—t cnaw inyano ine

sho jolt vory dsalitoe. Dn areor ta ittone mallogo ine coop hor foedmil ine maunsolldng

ippadntfonts sho wis iklo ta piy jar trinspart. ]ho wis ilsa iklo ta kuy i mafputor ta holp

wdth hor stuedos ine ta fidntidn suppartdvo o fidl mantimt wdth hor jifdly avorsois.

]usin—s stary

]usin ds sujjordng jraf igariphakdi, sho hie i sossdan anmo i wooc jar throo yoirs wdth i

suppart warcor wha taac hor shappdng it tho lamil suporfircot.

Whon ]usin eomdeoe ta tico up tho ajjor aj i porsanil hoilth kuegot, sho wis iscoe dj sho

wintoe ta rotidn tho suppart warcors an thds kisds.

]usin side na. It tho murront tdfo sho eden—t ldco gadng shappdng wdth tho suppart warcor ine

wis sa inxdaus ikaut dt sho eden—t sloop tho ndght kojaro tho ippadntfont. ]ho iscoe dj sho

maule uso hor illawinmo ta kuy i liptap mafputor dnstoie.

Dt wis eomdeoe ta ippravo hor roquost. Ilthaugh tho purmhiso waule nat issdst dn roimhdng i

muro jar hor manedtdan, dt waule suppart hor dn jooldng manjdeont dn finigdng dt.

Wdth hor liptap mafputor ]usin ds nat anly iklo ta ea hor awn shappdng anldno, sho ds iklo

ta avormafo hor jooldngs aj dsalitdan thraugh usdng ]cypo ta tilc wdth jifdly ikraie, ine ky

pirtdmdpitdng dn anldno maffundtdos whdmh pravdeo i notwarc aj suppart.

Mast aj pravdedng woocly suppart warcor sossdan avor i yoir6£9;22. Ano ajj mast aj

liptap6£522. ]usin—s Rlin wis kottor it footdng hor porsanil nooes, dt wis mast ojjomtdvo

ine fast dfpartintly dt wis mhason spomdjdmilly ky ]usin horsolj ijtor mansdeordng i ringo aj

aptdans.



=9 | R i g o


Ipponedx ? ” Mldonts tostdfany autldndng edjjdmultdos rolitoe ta eoliys dn jdninmo

Ua Whaovor

D stirt i pramoss aj ipplydng jar i porsanil kuegot komiuso D koldovoe dt waule holp.

Holp mhingo fy ldjo ine gdvo fo thdngs ta ea, purpaso ta maffundmito wdth thowarle, fy jrdones ine jifdly ine fy suppart. D ean—t hivo i jifdly noir fo, D ean—t

hivo jrdones noir fo ine fy suppart ds smittoroe thru tho warle.

D wis gdvon i mhinmo ta hivo i mafputor ine thdngs ta ea, thdngs D lavo. I shart,

sdfplo pramoss kut = fanths litor D hivo na deoi whit—s gadng an. Whit D hivo eano

wrang igidn ta hivo prafdsos kracon ta hivo eroifs rdppoe jraf uneor fy joot1 D

quostdan wha hitos fo onaugh ta ea thds11

Uho wint ine nooe ta pundsh fysolj jar jooldng thds, tho gudlt D jool komiuso poaplo

iro trydng ta ea ndmo thdngs jar fo ine D stdll hivo eolusdanil thaughts ine wint ta

ea whit poaplo ldco Kirry (Rorsanildsitdan Ma-arednitar) ine [ishdei iro trydng ta

provont.

Uolldng fy whalo ldjo ta inathor stringo porsan ro-ldvdng tho holl trdggoroe woocs aj

jlishkimcs. D stirtoe ta quostdan dj ovorythdng thit ds iraune fo ds roil, iro tho

poaplo D soo thoro ” ill jraf tho sfill thaught dj D hie roilly ippldoe jar i porsanil

Hoilth Kuegot. Ua quostdan dj D hivo ovon spaco ta i hufin ds eostraydng fy fdne.

D waule ldco ta porsanilly thinc tho poaplo wha fieo tho pramoss whit dt his koonup ta naw, jar whit jolt maule hivo koon i ldjo mhingdng thdng kut naw dt his

komafo inathor sdtuitdan D ean—t uneorstine, min—t mantral, whon D jool taa finy

thdngs dn fy ldjo iro aut aj fy mantral ldco jaae. Uho ano thdng poaplo min—t stap fo

jraf mantralldng. ]a, D ean—t oit ine D fico suro tho ojjomts iron—t natdmoe komiuso dt

ds fy thdng ine lottdng poaplo dn, trydng ta mantral tho thaught pramoss ta mhingo tho

suk-mansmdaus roimtdan ta ovonts dn fy ldjo jools ldco D waule hivo nathdng ” sa

thincs jraf i vory fossoe up kay.

Uhds fossigo wis wrdtton prdar ta romodvdng iny RHK junes- Uho widtdng tdfo ta

romodvo junedng wis throo fanths ine mloirly jolt ta ko fumh taa lang.



=; | R i g o


Nifo0 Eito0 ]maro0

Uho Wirwdmc-Oednkurgh Fontil Woll-kodng ]milo (WOFWK])

Kolaw iro safo stitofonts ikaut jooldngs ine thaughts.Rloiso tdmc tho kax thit kost eosmrdkos yaur oxpordonmo aj oimh avor tho list ; woocs

]UIUOFONU]

Nano ajtho tdfo

[iroly ]afo ajtho tdfo

Ajton Ill aj tho

tdfo ]ukUatil]maro

9 ; = 5 ?

9. D—vo koon jooldng aptdfdstdmikaut tho juturo

;. D—vo koon jooldng usojul

=. D—vo koon jooldng rolixoe

5. D—vo koon jooldng dntorostoedn athor poaplo

?. D—vo hie onorgy ta spiro

:. D—vo koon eoildng wdthpraklofs woll

7. D—vo koon thdncdng mloirly

8. D—vo koon jooldng gaae ikautfysolj

4. D—vo koon jooldng mlaso ta

athor poaplo

92. D—vo koon jooldng manjdeont

99. D—vo koon iklo ta fico upfy awn fdne ikaut thdngs

9;. D—vo koon jooldng lavoe

9=. D—vo koon dntorostoe dn nowthdngs

95. D—vo koon jooldng mhoorjul

Uatil ]maro0

Ill Uagothor Rasdtdvo - IUR

U0 29:957?:;94 F0 277842459:9

Wirwdmc-Oednkurgh Fontil Woll-Kodng ]milo (WOFWK])© NH] Hoilth ]matline, _ndvorsdty aj Wirwdmcine _ndvorsdty aj Oednkurgh, ;22:, ill rdghts rosorvoe.

Ipponedx : ” Wirwdmc-Oednkurgh Fontil Woll-kodng ]milo (WOFWK])




== | R i g o


[O]_LU]

2-=; padnts

Taur wollkodng smaro ds vory law. Fast poaplo hivo i smaro kotwoon 59 ine ?4. Tau fiy wint ta

kogdn ky tilcdng ta i jrdone ar hoilth prajossdanil ikaut haw yau min stirt ta ieeross thds. Uhoro irojdvo ovdeonmo-kisoe stops wo min ill tico ta dfpravo aur fontil wollkodng. Uhoy iro0

• Got imtdvo

• Mannomt wdth athors

• Coop loirndng

• Ko iwiro aj yaursolj ine tho warle

• Gdvo ta athors

=;-52 padnts

Taur wollkodng smaro ds kolaw ivorigo. Fast poaplo hivo i smaro kotwoon 59 ine ?4. Why nat ticoimtdan ta dfpravo yaur fontil wollkodng1

Uhoro iro jdvo ovdeonmo-kisoe stops wo min ill tico ta dfpravo aur fontil wollkodng. Uhoy iro0

• Got imtdvo


• Coop loirndng


• Gdvo ta athors

52-?4 padnts

Taur wollkodng smaro ds ivorigo. Fast poaplo hivo i smaro kotwoon 59 ine ?4. Tau min stdll dfpravo

yaur fontil wollkodng ky ticdng imtdan. Uhoro iro jdvo ovdeonmo-kisoe stops wo min ill tico ta

dfpravo aur fontil wollkodng. Uhoy iro0

• Got imtdvo


• Coop loirndng


• Gdvo ta athors

?4-72 padnts

Gaae nows, yaur wollkodng smaro ds ikavo ivorigo. Fast poaplo hivo i smaro kotwoon 59 ine ?4.

Mantdnuo eadng tho thdngs thit iro coopdng yau hippy. Uhoro iro jdvo ovdeonmo-kisoe stops wo min

ill tico ta dfpravo ine fidntidn aur fontil wollkodng. Uhoy iro0

• Got imtdvo


• Coop loirndng


• Gdvo ta athors



=5 | R i g o


Ipponedx 7- Eofanstritdng tho mafplox dssuos poaplo wdth i RHK iro eoildng wdth

ine i stir ritdng ta shaw i smilo jraf fdle ta sovoro

Uiklo aj mafploxdty dnedmitars jar poaplo wdth i RHK dn ]tamcpart

Mldont

Jroquont

OE

Ittoneor

Erug

&/ar

Ilmahal

Ikuso

Avoreaso ]olj-

Hirf

Ikuso

Hdstary

]udmdeo

Deoitdan

Fultdplo

Hoilth

Manmorns

Fontil

Hoilth

Manmorns

LIM

Hdstary

Hafoloss

9 *** *** ** ** *** ** *

= * *** * * * * *

? ** *** *** * *** *** **

: ** ** ** *** *** *** ***

7 ** *** * ** * * **8 ** * * ** ** * *** ** *

4 * * ** * ** **

I *** *** * ** ** * *

M ** * ** ** ** * *

E *** ** * * *

K ** ** * ** * *

K Favoe aut aj iroi ijtor plin mafplotoe

; [ojorroe ta tho Rrovontdan & Rorsanildsitdan ]orvdmo5 Na mantimt ijtor dndtdil ippldmitdan eospdto fultdplo ittofpts ta fico mantimt

* FDLE

** FAEO[IUO

*** ]OZO[O



F0 277842459:9 U0 29:957?:;94

Ofidl0 illtagothorpasdtdvoByihaa.ma.uc

Eavo Hauso

:?, _ndan ]troot

]tamcpart

Ipponedx 8- Junedng [oloiso jrifowarc





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Learning from Mental Health PHBs in Stockport

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