What is Transformation?

Alliancing Cardiff and Vale University Health Board

The Transformation Programme is aimed at improving quality, safety and patient experience.

In January 2018 the Welsh Government published the Parliamentary Review of Health and Social Care, setting out a case for change which showed the impact of a growing and changing pattern of need, expectations of services, and the challenge of securing a future workforce. Those factors demand a new approach to maintain and improve the quality of health and care.

This year sees the 70th anniversary of the NHS; born in Wales, based on a model developed by the Tredegar Workmen’s Medical Aid Society. The NHS continues to enjoy huge public support. However, in the 1940s, no one foresaw that the demand for health and care would increase rather than diminish, due to changing needs, expectations and new forms of treatment and care. The key challenge is how public services might better anticipate and address new demands upon them effectively. The Parliamentary Review into Health and Social Care was established, on a cross-party basis, to advise on how this challenge might best be met.

In February 2018 the Welsh Government awarded the NHS in Wales £100m to transform its health and social care services so that it can meet the challenges in the years ahead.

Health professionals are tasked with delivering services in new, bold and innovative ways to secure a sustainable future for the NHS in Wales.

The Review recommends bold new models of care with services organised around the individual and their family, as close to home as possible.

Several innovations have already taken place across CAVUHB departments and these serve as case studies for other departments currently considering or embarking on the transformation agenda. To find more about our case studies click here

The Board have agreed four key deliverables as follows:

  • Reduce outpatient appointments on hospital sites
  • Reduce length of stay
  • Reduce any unwarranted harm, waste and variation
  • Reduce theatre inefficiencies and improve productivity

As part of the Transformation programme we have identified seven key areas, or ‘Enablers’, to help us achieve our goals. The Enablers are:

  • Secure a pathway approach and methodology
  • Secure a refreshed programme for accessible information for clinical staff (including the necessary platform) to drive improvement
  • Review the programme to secure a digitally enabled organisation and workforce
  • Develop a ‘Cardiff and Vale’ approach to management and leadership (including the learning partnership alliance with Canterbury) which will support culture change and build capability and capacity
  • Secure the model for primary care to drive a population outcomes approach for the system, enabling sustainability for general practice
  • Embed our vision (Shaping our Future Wellbeing), values and behaviours

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