1. Working across health and social care at cluster level
Sue Morgan, National Director for Primary Care
Susan Cooper, Corporate Director of Social Services & Wellbeing, Bridgend CBC
Alan Lawrie, Director of Primary, Community & Mental Health, Cwm Taf HB

3. Key Messages
Health and Social Care will work together…... joined up as a single system and scaled up
Make Wales a great place to work in Health & Social Care
Get better at measuring what really matters to people
Invest in new technologies
Implement the full primary care model

4. Primary Care Model
“A cluster brings together all local services involved in health and care across a geographical area, typically serving a population between 25,000 and 100,000. Working as a cluster ensures care is better co-ordinated to promote the wellbeing of individuals and communities.”
‘Poor relation’ in health
Medical lens
Vision is citizen focused and aligned with community assets

5. Health perspective... Releases GP & Adv Practitioner time and skills
Improved access to quality
care
Stable Primary Care
New Cluster Models
Complex & Specialised Care in Community
Releases
hospital specialists
Enhanced Multi-Professional PC Teams
Range of new community services
Reduced preventable & avoidable
ED / hospital admissions

6. ALL WALES WHOLE SYSTEM APPROACH
Empowered Citizens
Motivated staff
Informed Public
Stable Primary Care
Integrated, Whole Systems Approach
Promotion of Healthy Living
Sustainable Community Resources
Sustainable Models of Care
Improved access to quality
care
Increased
citizen
wellbeing
New Cluster Models
Complex & Specialised Care in Community
Accessible Resources
Support for Self Care
Increased Community Resilience
Reduced preventable & avoidable admissions
Wide Range of Community
Resources

7. KEY PRINCIPLES OF EFFECTIVE INTEGRATED WORKING (WIHSC 2018)
Demonstrate strong and clear leadership
Ensure vision is clear and shared, and based on the needs of the person
Value the knowledge and expertise of front line staff, investing in those expected to deliver the aim
View integration as an investment, not a cost saving venture
Strike the right balance between structural and people factors
Accept that achieving an integrated way of working is mandatory not optional
Draw on expertise to make it happen

8. CWM TAF UHB BACKGROUND

9. Cwm Taff Clusters – Current Position

10. Where do we aspire to …. (1)

11. Where do we aspire to …. (2)

12. CTUHB – Working with Social Work