In 2018 Welsh Government announced a £100m Transformation Fund, to support Regional Partnership Boards deliver on the ambition set out in ‘A healthier Wales: our plan for health and social care’.
The Fund is intended to meet the time-limited additional costs of introducing new models of health and social care. It is aimed at accelerating the wider adoption and scaling up of new ways of working which are intended to replace or reconfigure existing services.
The initial focus of the Transformation Fund is on models which can make early progress on: seamless alignment of health and social care services; local primary and community-based health and social care delivery; and new integrated prevention services and activities.
Who makes up the Cwm Taf Morgannwg Regional Partnership Board?
Regional Partnership Boards, bring together local authorities, health boards and other public bodies and community groups, to improve delivery of health and social care.
The Cwm Taf Morgannwg Regional Partnership is made up of leaders from: Bridgend, Rhondda Cynon Taf and Merthyr County Borough Councils; Cwm Taf Morgannwg University Health Board; the regions County Voluntary Councils, Bridgend Association of Voluntary Organisations (BAVO), Interlink Rhondda Cynon Taf and Voluntary Action Merthyr Tydfil; the 3rd sector and housing.
When did Cwm Taf Morgannwg Regional Partnership Board secure Transformation Funding, and what period does the funding cover?
On 10 June 2019, Welsh Government announced the allocation of £22.7m Transformation funding to the Cwm Taf Morgannwg Regional Partnership. The funding covers the period July 2019-March 2021.
Does the transformation work cover Bridgend as well as Merthyr and Rhondda Cynon Taf?
Cwm Taf Morgannwg Regional Partnership Board formed on the 1 April 2019 as a result of the change to the boundaries of Abertawe Bro Morgannwg and Cwm Taf university health boards. The development of transformation proposals was undertaken prior to the boundary change, however, to ensure that the population of Bridgend were not disadvantaged, the Cwm Taf Regional Partnership Board submitted proposals across both Bridgend and Cwm Taf.
How is the Transformation funding being used?
The money is being used to expand successful projects across Cwm Taf and Bridgend to provide greater choice and independence for individuals, whilst reducing pressure on social care, GP surgeries and hospitals. There are two significant programmes of work with a number of pieces of work within them:
|Accelerating the Pace of Change of Integrated Services: Bridgend|
|Ambition 1 – Every Day is a Tuesday||Seven Day Access to Community Health and Social Care Services – “Every Day Is Tuesday”, delivering extended alternative service options to hospital and long term care|
|Ambition 2 – Team Around the People||A Primary and Community Care Multidisciplinary Team approach, delivering a one team approach around people, coordinating Primary Care and Community Services Cluster responses.|
|Ambition 3 – Resilient Communities||Developing and Delivering Resilient Coordinated Communities; with key organisations, their partners and the communities that they serve developing benefits, by working collaboratively to apply preventative approaches that enhance the wellbeing of the population of Bridgend.|
|Stay Well in Your Community : Rhondda Cynon Taf and Merthyr|
|Risk Stratification and Segmentation||To develop a Cwm Taf risk stratification and segmentation model which allows anticipatory interventions to be targeted at those individuals who are most likely to benefit from it.|
|Assistive Technology||To deliver an assistive technology service which combines telecare monitoring and a coordinates an appropriate multi agency response, with proactive outbound preventative focused contact.|
@Home Phase 2
|To deliver rapidly responsive community services, accessed by community professionals via a single point of access, to individuals with immediate care and support needs in the community to avoid unnecessary conveyance / attendance at hospital.|
|Community Health and Well-being Teams||To deliver multi-agency, multi professional anticipatory care at a Cluster level via targeted Multiple Disciplinary Team (MDT) assessment and the implementation of individual care and support plans.|
|Urgent Primary Care Out of Hours||To deliver robust and responsive Urgent Primary Care Out of Hours Services through a prudent workforce model and complementary artificial intelligence triage application / symptom checker and video assisted triage.|
When will communities see the transformation programmes go live?
Each workstream has spent the first months since the June 2019 announcement of funding refining plans, engaging with key stakeholders and recruiting staff. The Resilient Communities workstream went live in October 2019, with workstreams following this go live date through to June 2020.
What will improve because of the transformation programmes?
Each workstream is focusing on a different aspect of improving health and care within our communities, however they will deliver as a whole system improving the following outcomes:
|Improved health and well-being.
More people will maintain independence for longer and be able to live safely at home.
Fewer people will experience a crisis.
People will be better supported in preventing the need for health and social care services.
People will be able to access services more easily and at times and in circumstances that better suit them and meet their needs
More people will be aware of community care, support and opportunities and feel confident about taking steps to maintain and improve their own health & wellbeing.
|People will more easily access the ‘right’ services for them and experience fewer ‘hand-offs’.
More people will feel they have ownership and control over their care and support.
Fewer people will need ongoing professional health and/or social care interventions.
Fewer people will need to attend A&E attendances.
Fewer people will need to call an ambulance.
Fewer people will need to call Urgent Primary Care Out of Hours
Fewer people will need to be admitted into a care home.
Will these new ways of working still be provided at the end of the Welsh Government Transformation funding?
In developing each programme, the Cwm Taf Morgannwg Regional Partnership Board has consider how it will sustain the services beyond the Welsh Government funding. It is expected that each of the workstreams, by providing early, person-centred care, will prevent individuals needing to use wider health and social care services. Each workstream will measure how it is performing and what impact it is having. By reviewing this at key points during the programme, January 2020, April 2020, July 2020, November 2020 and January 2022, it will be possible to release money from the wider health and social care services to fund the new services.
How can I find out more?
If you would like to find out more about the Cwm Taf Morgannwg Regional Partnership Board Transformation Programmes, please contact,
Regional Partnership Board, Head of Programme Management Office