Aneurin Bevan Health BoardNew Ways Of Working

Blaenau Gwent Caerphilly Social Care Partnership Event

Sam Crane – Head of Partnerships and Networks

Blaenau Gwent & Caerphilly

Why New Ways of Working?

• To review the form and function of the ABHB Locality structures following the establishment of the Health Board in Oct 2009

• To maintain locality focus – working in partnership with Local Authorities, GPs, Third Sector and other stakeholders in developing Single Integrated Plans.

Benefits of New Ways of Working

• Focus on Primary Care, Partnerships and Networks across the Organisation

• Locality focus underpinned by new integrated partnership structures

• Further development of Neighbourhood Care Networks to lead the local transformation agenda through collaboration with all key partners

• Clinical leadership at sub Locality level, mirroring local delivery teams

• Ensuring pathways are developed which are patient focussed and begin and end in the community

• Maximising all resources

Primary Care and NetworksDivisional Director – Bobby Bolt

Community ServicesDivisional Director – Julie Thomas

Assistant Medical Director – Dr Liam Taylor

Clinical Directors Dr John Holland – CaerphillyDr Sally Lewis – Torfaen & South MonmouthshireDr Alastair Roeves – B Gwent & North MonmouthshireDr Liam Taylor- Newport

5 x Heads of Partnership & NetworksSam Crane – Caerphilly & B GwentGale Davies – TorfaenClaire Harding – NewportBronwen John - Monmouthshire

Head of Primary Care – Adele GittoesDivisional Nurse – David HopkinsBusiness partner Accountant– Chris ComminsBusiness Support & Performance – Richard Davies

Assistant Medical Director – Prof Pradeep Khanna

Tanya Spriggs - Divisional Nurse – Caerphilly Rob Sainsbury - Divisional Nurse – South (Newport/South Torfaen/South Mon) Katrina Rowlands - Interim Divisional Nurse – North (B Gwent/North Torfaen/North Mon)

Jennie Willmott – General ManagerStrategic Programme Manager Complex Care – Claire Aston

ServicesDistrict Nursing / CRTs / Adult CHC / Complex Care /Community Hospitals / Palliative Care / Care of the ElderlyCommunity Dental Services / Nursing Home Governance

Neighbourhood Care Network Leads12 across ABHB)

3 x Caerphilly 3 x Newport 2 x Monmouthshire- Dr Farr (East) Dr Leney Dr Gray- Dr Edwards (South) Dr Price Dr Harries- Dr Griffiths (North)

2 x B/Gwent 2 x Torfaen - Dr Southan Dr Lewis- Dr Donovan Dr Minton

Functions of Primary Care and Networks Division

• Lead the Partnership Agenda at Locality level, including Single Integrated Plan

• Manage all Section 28as, Service Level Agreements with LAs and Third Sector

• Develop Neighbourhood Care Networks to drive the service transformation agenda across the Health Board

• Manage all Independent Contractor issues: contracts, performance workforce, professional issues

• Support effective prescribing in Primary Care• Primary Care Estate developments• Manage Prisons in Usk and Prescoed• Manage the Mental Capacity Act (Deprivation of Liberty

Safeguarding Function for Health Board and 5 LAs.

Chief ExecutiveDr Andrew Goodall

Chief Operating Officer/Deputy CEOJudith Paget

Primary Care and Network

sDivisional Director –

Bobby Bolt

Community ServicesDivisional Director –

Julie Thomas

Scheduled Care

Divisional Director – Dr Peter LewisActing GM –

Leanne Watkins

Unscheduled Care

Divisional Director – Dr

Stephen HutchinsonGM – Steve

Curry

Family & TherapiesDivisional

Director – Dr Dave

WilliamsGM – Sian

Millar

FacilitiesDivisional Director –

Jamie Marchant

Mental Health &

LDDivisional Director – Dr Chris

O’ConnorGM – Gary

Hicks

CFPSHPaediatricsNeonates

Sexual HealthMaternityTherapiesChildrens

CHC

AnaestheticsCancerCritical

Care/ResucENT

SurgeryPathologyRadiology

RheumatologyUrologyTheatres

Acute medicine

CardiologyDiabetes

Emergency Care

PharmacyNeurologyRespiratory

StrokeCOTE

Adult and Older Adult

Mental Health Substance

MisuseLearning

DisabilitiesSpecialist Services

Strategic Drivers

• Together for Health• Sustainable Social Services• Setting the Direction (Frailty)• Health Board’s Clinical Futures Strategy

(YYF)

• Single Integrated Plan development and implementation through Neighbourhood Care Networks

Neighbourhood Care Networks in Caerphilly

• 3 - North, South and East

• Clinically led to reflect and integrate role of primary care in the delivery of all services in the community

• Membership being reviewed: include GPs, CRTs, Community Health and Social Services, Acute Consultants, Third Sector, Housing, Communities First

Neighbourhood Care Networks

Principle function: To Optimise and Improve Care to Local Communities:– Through Collaborative working – Finding local solutions to services delivery

issues– Maximising use of all resources– Whole system approach to patient centred

pathways (across all health, community and social care settings

– Delivery of single integrated plan

Partnership Principles

• Community strategy for Caerphilly still remains a key foundation for partnership activity

• Four Community Plan themes (Education for Life, HSCWB, Regeneration and Living Environment) remain unaffected by restructuring

• Effective working relationships continue to be developed through the Primary Care & Networks Division and linked through the Neighbourhood Care Networks

• Senior Partnership Staff to be based with Local Authority Corporate Teams to strengthen cross organisational working

• All planning for health related services to reflect the ABHB 5 year Plan, Divisional Operational Plans and NCN priorities.

• Key links for Partnership Planning (Single Plan and wider community engagement, third sector contracting etc) through Primary Care & Networks Division and Locality Heads of Partnerships & Networks.