Pathfinder Community Engagement

Community Engagement Programme 2019

Loneliness, home care, appointment waiting times and travel were just some of the main issues coming from the extensive engagement sessions the Pathfinder team have embarked upon over the past few months.   
The team have now completed all the engagement reviews. The summaries to highlight the main themes discussed at each session will be available to read here soon.
We’re also in the process of compiling the responses from the online survey, which featured more than 100 respondents, including many Western Trust staff members, to give us an even more in-depth look at how people feel about the services in the area.
We’ll be using these reviews to put together a detailed report on the progress of the Pathfinder project so far and the next steps we’ll be taking in the coming months. 

The engagement journey has been a vital part of the Pathfinder process and is a very important foundation in our work progressing successfully. Below are the key themes from the engagement sessions held in January and February 2019. 



Dromore Sports Complex, Session 1
January 16, 2019

Car parking at SWAH is too far away for people with disabilities compared to Omagh Hospital. Follow up appointments could be more local to save travel to Altnagelvin or Craigavon. It is thought that many tasks could be dealt with locally by local triage nurses in local practices. Referrals to ED leads to long waiting times. Care Packages and Domicilliary Care not available and terms of work restrict the time spent with patients and expenses for travel make the job unattractive. Funding for volunteer groups could assist in care of patients being provided by volunteers in the patient’s home, instead of high costs for care in hospitals or Homes.
Funding of community programmes enhances mental health and wellbeing of elderly people and reduces the level of pressure on emergency departments. Furthermore, programmes and clubs ran by volunteers encourages older people to attend and socialise, reducing feeling of loneliness or social isolation. Funding could offer communities more independence and help themselves through literature, volunteers and social prescribing.


Dromore Sports Complex, Session 2
January 16, 2019
Transition from paediatric to adult care is not fluent and waiting lists were seen as an issue. Calls for a local physio to localise appointments. Mental health is concerning and services to be provided, perhaps through funding local groups to solve the social prescribing problems. Treatment could be provided at night or on weekends using the school facilities, perhaps having ambassadors to promote health and wellbeing. Some referrals to hospitals could be avoided if the procedures was undertaken locally at day surgeries.

A collection of images from the Pathfinder engagement sessions:


Continuation of the engagement sessions reviews:






Pictures from the engagement sessions. 

















Ecclesville Centre, Fintona
February 7, 2019 
The abuse of staff working within the trust was a concern as well as many young people moving away from the area due to low levels of job opportunities. Issues were discussed on the high levels of education to fulfil the requirements of roles within Health and Social Care and when university students move to Belfast they tend to stay there. Hence, people of the area would prefer higher and further education and training to be provided locally, perhaps through a social academy resulting in the expenditure on doctors being reduced by enhancing the roles of nurses and carers.




Belcoo Community Centre
February 20, 2019
Social workers assist in identifying relevant care that is needed and can be provided in the community. The Rapid Response and Community Nursing teams work well and with more communication the unification of teams and groups can be achieved, avoiding duplication locally and more effective care in patient’s homes. To improve the relationship between the hospitals and local community, training should be more collaborative between acute hospital and community services, enabling the services to be to work closer together.
By developing a relationship between the trust and local communities, more services could be provided, offering more care and developing a strong volunteer workforce. In addition to this, information could be more accessible to the elderly and health and wellbeing could be promoted through community programmes locally.
The GP’s in the local area could be assisted with Nursing Practitioners, communication needs to improve between doctors and patients, especially after locums leave and for follow up appointments. The amalgamation of GP services has left appointment availabilities limited. However, the level of service received is outstanding. The waiting times on appointments with GP’s and OOH is leading to an increase of footfall in A&E.
The recruitment process for nurses is long and as there are limited opportunities for permanent roles, many nurses choose to move to agencies or permanent roles elsewhere. Choosing a career path is unattractive to young people due to expenses and limited opportunities for career progression. This results in families, especially in rural areas, dealing with stress and having to revert to care homes due to less care packages being available.
Negative media has led to an unattractive portrayal of the area and this a disincentive to young doctors as if they read negative coverage in the press, they will believe it. 











Below is the list of sessions held throughout Fermanagh and West Tyrone from January to February, 2019. 

March 2019

Engagement journey review

Over the past number of months we have held an extensive engagement programme across Fermanagh and West Tyrone. We are now in the process of highlighting the main topics that were discussed at each engagement session for your reference. 

We will be releasing the detail on a gradual basis as we work our way through the feedback received from all engagement sessions. All of the feedback given through the engagement sessions will be considered and used to inform improvements to services where possible. This engagement journey has been a vital part of the Pathfinder process and is a very important foundation in our work progressing successfully. 

The online survey has now closed.


March 2019

Pathfinder progress – where we are now 


After months of stimulating and vibrant engagement sessions with more than 2,000 local people across Fermanagh and West Tyrone, we have now completed the first phase in the ongoing Pathfinder process.

We have heard from you about what is working and what is not working so well within the Health and Social Care Services across this region and are now in the process of collating the vast amount of information gathered at the engagement sessions from you, Western Trust staff and other stakeholders. 

Over the next few weeks we will be releasing this information as key themes, by area on the Pathfinder online hub. Any requests for information in alternative formats can be made directly to the Pathfinder office.

We’re looking forward to sharing this work with you as it develops to support Health and Social Care services working better for you. 

For more information check this page regularly as well as our Twitter and Facebook pages.

December 2018

Have your say: Your voice can influence the future of Health and Social Care in Fermanagh and West Tyrone

The Western Trust are asking the public to join them on an engagement journey as they strive to create better, sustainable and affordable Health and Social Care services across Fermanagh and West Tyrone.

With over 30 events delivered and over 500 people from the region having already provided their views, issues and ideas in the open and honest Engagement discussions at those events so far, the Western Trust are continuing with a highly comprehensive series of events in January and February 2019. The upcoming January list of events can be seen below but the full programme, which will see events coming to most areas in the region, can be found at

Deputy Chief Executive of the Western Trust, Kieran Downey, who is leading the Pathfinder project, says “We have had excellent open and honest discussions in our engagement sessions so far. Already there are a number of strong suggestions emerging from a wide range of people in Communities and also from within our staff. This engagement is hugely important to us and is really gathering momentum. With so many people taking the time to engage with us, we are committed to hearing the experiences and views of all the community and this is certain to help to improve the delivery of services going forward. Everyone is a stakeholder in this process and this is a golden opportunity to help influence our planning for the future”.

An online hub for the Fermanagh and West Tyrone Pathfinder Project has been setup to provide information at

Everyone is a ‘Stakeholder’ in this process and thus all Community Groups (and individuals) are invited to come along to events and provide their views/experiences and input to the future planning of Health and Social Care Services in the Fermanagh and West Tyrone Region.

Tyrone GAA Manager, Mickey Harte is one of a number of people in the region who have used the services and commented “To better anything we have to experience it and talk about it. We have to find new ways of doing the things that we used to do. That is the same in anything and of course is the case in a sporting context – we can’t keep doing the same things o we will continue to get the same results. That is what the Western Trust are about in this Pathfinder project in finding the best possible service going forward for that is what the people of Fermanagh and West Tyrone deserve.”

If you would like to be involved in any of the Public Engagement Events for Pathfinder or would like to request a specific Engagement Session with your Group, then email Communications Manager, Chris Curran at

October 2018

The initial engagement component of Pathfinder has two early phases...


Pre-Engagement information presentations:

There will be two phases to the initial engagement phase of Pathfinder. The first phase will encompass a series of presentations, providing information to the Public on what Pathfinder is and how we will engage with the public. These presentations will be to various groups, by open invitation, across Fermanagh and West Tyrone. This phase will run from mid-October through to the end of November.

Engagement phase of the Pathfinder Project...

Phase 2 of this engagement period will be in the format of short presentation and comprehensive discussion (Café Style Engagement). We are promoting how we really want to hear the thoughts of the public (all stakeholders) on the future of affordable Health and Social Care for Fermanagh and West Tyrone. Details of the presentation and engagement sessions have been put in place for individuals who wish to attend and engage with us.

Engagement sessions will be led by Western Trust Deputy Chief Executive, Kieran Downey, along with members of the Corporate Management Team.