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Sian Harrop-Griffiths, SBUHB Director of Strategy, gave a presentation about the West Glamorgan Regional Partnership Board’s two transformation funded programmes. Delivering a whole system approach (WSA) they aim to significantly increase the scale and pace at which clusters become the vehicle to achieve
• a much greater focus on self-care and prevention,
• the integration of health and social care systems at a local level
• the delivery of care closer to home.
The ‘Our neighbourhood approach’ (ONA) provides a wrap around service to support the Primary Care cluster model by supporting the local communities. This includes support for individuals and community groups to come together to realise and develop their strengths. The transformation fund has given the West Glamorgan Partnership the opportunity to develop an integrated approach further in the communities/clusters.
Sian described the range of projects which aimed to test and implement a transformed sustainable model of primary care through facilitating self care and building community resilience, co-ordinating services to maximise wellbeing, independence and care closer to home.
All 8 clusters in SBUHB area now have the opportunity to coproduce, design , develop and implement services flexibly from a suite of options based on local population need. The implementation and governance framework is delivered on a partnership basis across all sectors using a robust project management approach.
The programme has progressed using a phased approach with Cwmtawe cluster commencing in Nov 2018 and Neath, Llwchwr and Upper Valleys Clusters in 2019. The remaining clusters will commence in early 2020. A copy of Sian’s slide presentation is attached for further information.
IH asked how the voice of Primary Care was heard when decisions about funding were being channelled through the Regional Partnership Board. Sian advised that the PCCU fed into the RPB through the CEO who was a member of the Board. She agreed to raise this at a meeting arranged with the new interim chair but really needed to know if there was an appetite to take this forward. Sian would forward some details about the RPB to the LMC. (SH-G)
Kirstie Truman asked how an assurance could be given for the roll out of successful projects. She highlighted the Early years project in the Penderi cluster which had been successful but was not being rolled out. She also queried the provision of Audiology services which had been agreed for three clusters but was not being rolled out further. Anjula said that there were challenges to be faced around the recruitment of staff but this should not prevent roll out. This would be discussed at the next Liaison meeting although there should not be a problem as Audiology had been through the scrutiny of the business case.
Sandra Husbands commented that evaluation of projects should not only be from a health perspective or whether the Health Board had funding. If more than one organisation were to benefit it may be necessary to look at other ways of funding. The reality was that if the Health Board were to pick up the funding of everything then something else would have to stop.
Ian commented that clusters were not mature at delivering business cases. Sian stated that it was the job of the Health Board to develop the skills within clusters to produce them. Kirsty commented that the Health Board had said that the development of one business case per cluster would be supported with the implication that clusters would learn from this. Sandra Husbands stated that schemes must be worked up for inclusion in the Health Board’s three year Integrated Medium Term Plan (IMTP) even if at a very early stage before consideration could be given for future funding.
It was clear that some confusion remained around on-going funding arrangements at the end of the 18 month transformation period and clear exit plans had to be in place. Employing staff on short term contracts was not ideal for staff or practices but if they were not providing services across a cluster this was necessary. Ian asked for clarification around the appointment of staff by the Health Board and whether this was still happening. (AM)
Ian thanked Sian for her presentation and contributing to the frank discussion which followed. Sian agreed to return at the end of the Transformation period.
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