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The North Wales Experience

The North Wales Experience. Geoff Lang, Director of Primary, Community and Mental Health Services Janet Ellis, Demonstrator Lead Betsi Cadwaladr University Health Board. North Wales CCM Demonstrator. One of 3 sites in Wales with Carmarthenshire and Cardiff

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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

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