1. Community Based Services and Clinical Futures 2008

2. Clinical Futures … Holistic approach Patient at the centre Health Social Care and Wellbeing Strategy Right care, right person, place, time etc... Community based services Modern care environment for Gwent

3. Current District General Hospitals Community Hospitals Community Health ServicesFuture Specialist Critical Care Centre Local General Hospitals Community Based Services Primary Care Continuity

4. Community Based Services Gwent Strategic Service Model Health Community Specific Services Localised Models of Care Services Common Clinical Pathways

5. Things we agree on … High quality and safe services Clear point of entry when needed Increased services closer to home Join up across the patient journey Sustainability designed into services Rebalancing of care to include more proactive management Services that promote and maintain independence with patients as partners in their care

7. Emerging Framework for Community Based Services in Gwent

8. Foundations … Health Promotion 1.Simple Examples 2.Two 3.Three 4.Four 5.Five

9. Foundations … Independent Living Support 1.Simple Examples 2.Two 3.Three 4.Four 5.Five

10. Foundations … Examples

11. Foundations … Examples

12. Foundations … Examples

13. The Model of Services

14. What do we need to do..? More systematic approach to patient care using common pathways Necessary resource shift and investment Development of teams and skills Excellent infrastructure Deliver leadership and real commitment with focus on performance and clinical outcomes Build public and workforce confidence by delivering early wins

15. What you’ve already told us … Clearer governance and accountability frameworks across boundaries Rapid access to a range of specialist advice and services Spread the workload across a more effective and dynamic workforce model Better coordination of public services across all the agencies Need to agree the common clinical pathways quickly Real involvement in development and delivery in an equal partnership

16. Questions in your head … “How can I take advantage of the existing development mechanisms?” “Which issues are important to me and need my involvement?” “What skills and experience can I personally bring to the table?”

17. What do you want to do …