1. (Re)connecting with meaning and
motivation
Chair
Ros Moore (Chief Nursing Officer)
Ewan Kelly (Programme Director for Spiritual Care and
Healthcare Chaplaincy, NES)
Bob Devenny (Head of Spiritual Care, NHS Lanarkshire)
James Clark-Maxwell (GP, NHS Dumfries and Galloway)
David Rigby (GP, NHS Western Isles)
Quality Education for a Healthier Scotland

2. Aims
Explore significance of meaning and motivation for the wellbeing of
patients, carers and staff by:
Sharing insights from Community Chaplaincy Listening: service
based in GP surgeries where healthcare chaplains help patients
(re)discover their personal assets or inner resources to live with
loss and transition
Engage with innovative models of healthcare chaplaincy which
support values based reflective practice and helps practitioners
and teams deliver holistic relationship based care
Quality Education for a Healthier Scotland

3. Quality Education for a Healthier Scotland

4. Invitation to engage in this session exploring meaning and
motivation in 3 dimensions of life experience :
• Human
• Service user (or potential service user)
• Practitioner or professional
Quality Education for a Healthier Scotland

5. Meaning
Write down 3 things which either:
• make you get up in the morning
• raises your spirits GIVE
MEANING
• you fall back on when the chips are down AND PURPOSE
• make you feel alive
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6. Motivation
Why did you come into health or social care?
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7. Quality Education for a Healthier Scotland

8. What is chaplaincy listening? What is
unique about it?
Focussed on helping patients explore existential questions and
questions about personal identity in relation to loss and
transition in their lives
Why? Why me? What have I done to deserve this?
If there is a God why does God allow this to happen? REFERRAL
I haven’t been a bad person! It’s not fair! TRIGGERS
I don’t know who I am any more…..
Helping patients to (re)discover their personal assets or inner
resources to live with these questions and the loss and
transition in their lives
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9. Being with
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10. Community Chaplaincy Listening : the
intervention
NHS Chaplains in General Practice surgeries
Patients referred to listening service by GPs (in the
main)
Patients seen for 50 mins each session by Chaplains:
average number of sessions 2
Patients tell story and work through their concerns
Chaplain provides active listening and guided support –
focus on existential and identity questions
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11. Action Research Findings from CCL Phase 1
(2010–2011)
4 health boards, 4 healthcare chaplains, 49
patients
• Increased self-management, self-worth and
confidence in decision-making
• Reduced GP time with such patients
• Normalisation of sadness, anxiety and loss of
meaning during times of transition and loss
• Potential reduction in prescription costs
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12. 23 GP Practices, 11 Health Boards involved in CCL 2
(2011 - autumn 2012)
5
3
3
1
4
1 1
1
1
2
1
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13. Community Chaplaincy Phase 3
(Autumn 2012-2015)
- funded by Scottish Government,
managed by NES and Univ of Aberdeen
Expected outcomes
• Recruitment of further GP surgeries across Scotland (interest also from
England)
• Development of existential listening services in other health and social
care contexts
• Cost benefit analysis of CCL
• Development of an ‘accredited’ training scheme for volunteer spiritual
care listeners
• Use of specifically recruited, trained and supervised volunteers as
spiritual care listeners as part of established CCL services
• Chaplains to provide training and supervision and continue to deal with
complex existential issues
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14. Figurin’
The Joad Family
Grapes of Wrath
J Steinbeck
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15. You are bound
to get idears, if
you go thinking
about stuff
Reflection leads to
change! Quality Education for a Healthier Scotland

16. Ony one thing in the
world I’m sure of, an
that’s I’m sure nobody
got a right to mess with
a fella’s life. He got to
do it all by hisself. Help
him maybe, but not tell
him what to do…
Assets Based
Approach Quality Education for a Healthier Scotland

17. Maybe I oughtn to a talked like that-
fella should maybe keep stuff like that in
his head?
Yes you should talk- sometimes a sad
man can talk the sadness right out of his
mouth….
p55
Talking and listening
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