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The North Wales Experience

The North Wales Experience

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The North Wales Experience

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  1. The North Wales Experience Geoff Lang, Director of Primary, Community and Mental Health Services Janet Ellis, Demonstrator Lead BetsiCadwaladr University Health Board

  2. North Wales CCM Demonstrator • One of 3 sites in Wales with Carmarthenshire and Cardiff • North Wales – Gwynedd and Wrexham (former LHBs and partners) • Tasked with implementing and testing the CCM Model and Framework within Localities (30,000 – 50,000 population) • Other key work areas include:- -virtual and email clinics; - testing PRISM and EARLI tools; - development of generic Local Enhanced Service; - Community Health Guardian; - developing processes for community engagement.

  3. AIM To provide and test a sustainable, affordable generic CCM service model, that supports patients’ needs locally and promotes independent living within the community.

  4. How have we delivered this? • By building and testing the complete CCM Model and Framework in localities: • South Wrexham • Meirionnydd • Dwyfor • Arfon • By focusing on key enabling factors in the change process – communication, leadership, governance, Organisational Development and culture, research and evaluation • By using the learning from the four localities to roll out across all 14 localities in North Wales • By sharing our experiences

  5. IMT to support information sharing GP Clusters Risk Stratification Generic CCM support worker Care Co-ordinator Core CCM Team Generic Care Pathway Prevention; Early Intervention; Self Care; Reablement; Involvement; Prevention; Early Intervention; Self Care; Reablement; Involvement; Prevention; Early Intervention; Self Care; Reablement; Building the Model

  6. Kotter’s 8 Step Model • Establishing a sense of urgency • Creating the guiding coalition • Developing a vision and strategy • Communicating the change vision • Empowering broad-based action • Generating short term wins • Consolidating gains and producing more change • Anchoring new approaches in the culture

  7. Demonstrator Status- an Enabler • Gives people space and permission to think • Stimulates conversations that wouldn’t have happened before • Gives people access to the levers they might not have had before • Creates a culture of readiness for change

  8. Key Achievements - summary • Localities and Clusters defined and agreed • Methodology for above developed • Extensive use of mapping for service planning • Establishment of multi-agency Locality Operational Groups • GP Locality Leads in place • Locality Care Co-ordinator role • Closer links with partners • Communication and engagement processes in place

  9. Evaluation Programme Reports and learning papers including: • Defining the Building Blocks; • Model of CCM Services • Service Improvement through Virtual Clinics • Assessing the Role of the Health Guardian • Patient Advisory Groups • Locality Based Approaches to Service User Engagement (First Hand) • 360 Evaluation