5. The Vision & the Mission

7. Moray Elgin biggest town population 20,000

8. Population 120,000 2238km 2 Remote and rural population Poor road infrastructure current models of health care unsustainable

9. Track record to date

11. Patient tailored - Independent clinician led website Women consulted No 1 site in UK sites and world sites if google

13. Miscarriage Matters (CSO pilot study) Patient driven (needs assessment) Low level psychological intervention Resource additional information before during or after visits to health professional For online support groups and forums For online consultation As a therapeutic intervention For research/surveys For prescribing Cumming G , Klein S, Bolsover D, Alexander D, Hamilton N The development and evaluation of a miscarriage-related website for women and partners following early pregnancy loss : A pilot study 11th World Congress on Internet in Medicine 2006: 26 Paper presented and published abstract CAL dept

14. Summary HADS anxiety & depression scores significantly improved SF-36 scores all approximated to the norm at 3 months (apart from general health) SF-36 scores showed no significant improvement at 3 months cf baseline In those who had access to the website: Miscarriage impacts negatively on HADS and SF36 scores In those who did not have access to the website:

15. New developments

16. STRATEGY FOR THE DIVERSIFICATION OF THE ECONOMY OF MORAY FOLLOWING RESTRUCTURING OF THE RAF BASES AT KINLOSS AND LOSSIEMOUTH December 2005

18. 1/5/ 07 - 21/4/08 Baby feeding matters Statistics

19. Baby feeding videoconferencing study Internet Protocol (IP) Integrated Service Digital Network (ISDN) Dr Grays Buckie VC unit - spilt screen VC unit – split screen BFM website BFM website patient Health pro www.babyfeedingmatters.co.uk used as interactive teaching aid

20. Dufftown is situated in Moray in the North-East of Scotland 54 miles from Aberdeen 58 miles from Inverness 16 miles from Elgin The Dufftown Project

22. The future

25. good quality of life physical (community health-e-space.com Northern Scot) psychological emotional management dealing with long term condition role management (coming to terms with change in life role) online electronic support groups personal stories illness narratives computerised cognitive behavioural therapy spiritual – research project proposed disease prevention behavioural change (eg exercise, diet, smoking, alcohol ) SAE, goal setting, self monitoring, feedback www.babyfeeding matters & videoconferencing predictive modelling disease management & treatment SAE, goal setting, intervention, self monitoring, feedback eg urinary incontinence Dufftown hypertension pilot

26. Making e health real health treatment -> prevention (self care)

27. industry Life Science Building Connecting & Collaborating