1. Flint Health and Wellbeing Centre

2. Current Work - Building
Lots of work is currently being undertaken to ensure the success of the delivery of the health and Wellbeing centre to provide the best outcomes for the community. The work is split up into 3 key areas:
Building
Operational
Service Modelling
The building is currently on track for delivery for Spring 2018.
Monthly meetings are held with the contractors to ensure the work is on time and delivered to the highest quality.

3. Opening Hours
The current GMS contract stipulates that the core hours for GP practices is set at 8am to 6.30pm Monday to Friday ( exc. Bank holidays) none of our practices have opted to provide their own OoH across the whole of BCUHB
All GP OoH’s services are provided by BCUHB and will be continued to be accessed in the current way
Mental health services have agreed that they will provide services out of hours from the new centre, work is ongoing to define when these will take place
Third sector and local services will be approached to provide services outside of the core GP services to provide an innovative hub model for the building.

4. What services are we planning for the Health centre
Podiatry
GP minor surgery
Health Visitors
Phlebotomy
Antenatal
Baby Clinics
Eye clinics
Speech Therapy
Breastfeeding groups
Ear Syringing
Dopplers
Audiology
Cardiac Failure clinics
Dressings
Paediatrics
Paediatric continence
CRUSE – counselling
Stepping Stones – therapeutic services
Stop Smoking
CAIS – drug and alcohol
Diabetic Retinopathy
Continence
Telemedicine
Advanced Physiotherapy

5. Visual Service Model

6. Key Messages – What does the information tell us and how does it inform and shape our plans?
The Welsh Index of Multiple Deprivation suggests that a significant number of communities in Flint suffer from deprivation, the characteristics of which are reflected in the statistics of health and the wider determinants of health.
Approximately 40% of the total population are in the top two age brackets.
The profile of a community with higher health needs is that they will have higher emergency hospital admissions (Kingsfund 2012). Some areas of Flint are higher than the rest of Flintshire, BCUHB as a whole and Wales averages.

7. Key messages cont..
Residents of Flint live in one of the ten areas in North Wales that has the highest risk of people experiencing loneliness and isolation.
The profile tells us that the residents of Flint may require more support in accessing employment and educational opportunities.
Research informs us that the quality of housing has a direct link to health outcomes . The profile informs us that a higher proportion of flint residents may require support with some aspects housing.
There is a higher proportion of households in Flint living below the poverty line than in the rest of Flintshire, Wales and Great Britain.

8. Five out of eight of the areas of Flint are ranked within the most deprived 50% for Wales when considering health indicators) – Asthma, hypertension, COPD, Diabetes, Heart Failure, epilepsy.

9. Health and wellbeing in 1 site
the clinical strategy that was set out in HiNWiC is based upon a systematic assessment of population need, and the integrated clinical model adopted is consistent with key local and national policy drivers.
The principal elements of this service model across North Wales include:
Targeted prevention & self-care;
Developing integration of primary and community health and social care delivery.
The rollout of the Enhanced Care at Home service, an extended multi-professional community nursing service, enabling more people to remain at home for care or to return home sooner, when a period of hospital admission might otherwise be needed.
Moving care from acute hospitals to community locations – for example, a wider range of outpatient and diagnostic services.
Developing a network of strategic hospital hubs that provide more consistent and reliable inpatient, outpatient, x-ray, therapies and 7-day minor injury services.

10. Potential links to develop wellbeing aspects
Physical activity sessions
Parenting sessions, How to drug proof your kids, Strengthening families programme
Healthy cooking, Come and cook
Local club activities
Breastfeeding groups
Welfare benefits
Fruit and Veg Co-Op

11. Developing an innovative health and wellbeing centre model
Flint Health and wellbeing Centre is the opportunity for Betsi Cadwaladr University Health Board to develop the most effective model possible for the patients. We see this as:
Patients being able to navigate around the building with ease including being able to access any book in systems or have where possible appointments booked across systems. This means patients will not be moved around the systems unnecessarily.
Patients will be able to, where practicable have appointments grouped for the same visit so that they do not have to visit as often. This should also reduce DNA’s across various services.
As GP’s will be located in the same building as Community and Third sector services communication about patient services and support can be transferred more effectively meaning patients will get the most up to date information.

12. Model for health and wellbeing delivery
The HC will provide a hub, linked with other services in Flint which will be part of the community support aimed at reducing isolation and increasing engagement with the hard to reach groups and the local population.
A tried and tested health and wellbeing model is to be hosted by the new health centre in Flint, based on the Caia Park Health Team model. This will see a defined team based within the health centre delivering innovative preventative work to Flint residents and the surrounding areas.
A dedicated practitioner will be in place as of Jan 2018 to undertake information gathering for the development of a full programme of services to be delivered from the centre, as well as information to be displayed for the patients who access the centre.
An Assistant Practitioner will be appointed before the opening of the centre, that will be supported by the practitioner.
The Team in Flint will be managed and supported by the Advanced Practitioner based in Caia Park
The model will utilise evidence based prevention programmes to reduce the root causes of ill health. This will support the information sharing and engagement between the centre and patients.

13. How this could look

14. Thank you