Abertawe Bro Morgannwg University Health Board | CHANGING FOR THE BETTER/SOUTH WALES PROGRAMME

Update: 16th May 2013 - Joint statement from Chairs and Chief Executives

Update: 15th May 2013 - Consultant in Emergency Medicine, Andy Macnab explains why A&Es need to change

Update: 25th April 2013 - South Wales Programme Newsletter

Update: 28th January 2013:

South Wales Programme: Matching the Best in the World

The five health boards in South Wales—Abertawe Bro Morgannwg, Aneurin Bevan, Cardiff and Vale, Cwm Taf and Powys—have been talking to NHS staff, the public and stakeholders about a series of ideas put forward by our clinicians about the future of a range of specialist hospital services: consultant-led inpatient paediatrics, neonatal care, obstetrics and A&E care.

These ideas have been put forward in response to the challenges facing these services, including ensuring we have the highly-skilled and trained clinicians we need to provide care to the sickest and most seriously-injured patients at all times. This will ensure that the small number of patients who need this specialist care are able to receive it, wherever they live, when they need it.

The ideas put forward by our clinicians include concentrating this expertise on fewer hospital sites — four or five—across South Wales. The 12-week engagement to debate these ideas finished on December 19.

The South Wales Programme board is currently working on the next stage of the plan – which includes analysing the responses to the engagement process in detail – in preparation for formal public consultation in spring 2013.

The South Wales Programme team, which includes the Welsh Ambulance Service, is also working with clinicians to further develop the clinical service models for obstetrics, paediatrics, A&E and neonatal care. Clinical reference groups have been set up to undertake this detailed service planning work collaboratively across the five health boards.

The latest documents to be published on this website (noon, January 28, 2013) are:

South Wales Programme engagement methods (updated 21/02/2013)

South Wales Programme engagement themes summary (updated 21/02/2013)

South Wales Programme engagement themes by health board

South Wales Programme engagement written responses (updated 21/02/2013

· Press release about the publication of the engagement responses

A summary of responses to the ORS questionnaire (updated 22/02/2013)


Background: In May 2102 we outlined the challenges facing the NHS and why we need to change the way we deliver care. After months of working with over 340 doctors and clinical staff; representatives from patient groups; the voluntary sector; local authorities and others taking part in our Changing for the Better programme, we now have some ideas of what those changes could be. From 26th September 2012 to 19th December, 2012, we undertook a comprehensive engagement to help do this. Alongside Changing for the Better there is another project, the South Wales Programme. While these are different projects, some services have been considered by both. Therefore the ideas coming from the South Wales Programme will have implications for some of our local services. Links to documents for both programmes are below. Our Vision for Your Future Healthcare We want a local NHS which offers the best quality care possible within the resources we have. Our ambition is to provide NHS services in Swansea, Bridgend and Neath Port Talbot that are comparable with the best anywhere. We want modern, safe and reliable services which meet 21st Century healthcare demands - including caring for growing numbers of frail, older, people; more patients with chronic diseases and tackling unhealthy lifestyles. Want to find out more by watching our videos? Or read some earlier information about why services need to change?
Message from Hamish Laing, Consultant Plastic Surgeon and ABMU Director of Clinical Strategy Health Boards across South Wales, included ABMU, have started a public dialogue about ideas to make NHS services safer, more reliable and better able to provide high quality care. No decisions have been made yet. Why are we doing this now? Our NHS is facing huge challenges, and if we ignore them services could collapse. Instead, we want to think plans through and provide NHS services which are comparable to the best anywhere. That’s why 100s of our doctors and nurses have been looking at ways to do this. You may know what happened at Neath Port Talbot Hospital recently, when acute medical admissions stopped. Behind this was a chronic shortage of doctors; a problem faced across the UK. We must find ways to stop what happened at Neath Port Talbot happening to other services; and for that we need to plan change. Doctor shortages are not the only problem. The NHS is based on a 50-year-old blueprint not designed for today’s healthcare demands. We have a soaring number of frail and elderly patients who need a lot of care. There are ever more people with long-term illnesses. The NHS has financial pressures. Future demands on the NHS are stacking up with too many people overweight, smoking and drinking too much. So we must make changes. We want to provide more community care and support healthier lifestyles. We need to make better use of our staff, especially doctors. Most NHS care would still be delivered locally, but sometimes, you might need to travel a bit further. The trade-off is you will see expert teams offering a safe and reliable service. There is so much more to tell you - so please read our engagement document (link below) and watch the videos to find out more.
Changing for the Better engagement documents: Full Changing for the Better document ('Plain English' document with all the key information) Changing for the Better - Easy Read Document - (published on website 07/05/2013) *Short Guide Changing for the Better* document Full Changing for the Better document - Welsh version Short Guide Changing for the Better document - Welsh version NEW: Short animated film explaining why change is needed (5 mins) Subtitled version of the animated film Welsh version of the animated film British Sign Language version** of the animated film
South Wales Programme documents: SWP - press release 26th September 2012 SWP - Matching the Best in the World document SWP - Matching the Best in the World two-page summary document SWP - FAQs SWP - Children's document SWP - Matching the Best in the World document - Cymraeg SWP - links to supporting technical documents. Because of their large sizes, they are in divided into four files: Part one 9Mb Part two 9Mb Part three 4Mb Part four 9Mb

Earlier Changing for the Better documents - explaining why your NHS needs to change


	Document - Why your local NHS needs to change Cymraeg - Pam bod angen i'ch GIG lleol newid Summary leaflet - Why your local NHS needs to change Cymraeg - Summary leaflet - Pam bod angen i'ch GIG lleo newid For audio versions of these documents, please see below.

Changing for the Better videos and audio files


Full video (15 mins): ABMU Changing for the Better All other videos are approximately 1-2 minutes long.	Chapter 1: Overview of Changing for the Better Subtitled version of Overview	Chapter 2: Colin Ferguson, Royal College of Surgeons
Chapter 3: Unscheduled Care	Chapter 4: Maternity and Newborns	Chapter 5 : Children and Young People
Chapter 6: Frail, Older People	Chapter 7: Long Term Conditions	Chapter 8: Staying Healthy
Chapter 9: Planned Care	Chapter 10: Patient Triza Jones	Chapter 11: Patient David Fellowes
Chapter 12: Patient Doreen Edmunds	Audio file - summary leaflet:Why your local NHS needs to change	Audio file Welsh - summary leaflet: Why your local NHS nees to change
Audio file - full document: Why your local NHS needs to change	Audio file Welsh - full document: Why your local NHS needs to change	Prof Marcus Longley presents his report on why the NHS in Wales needs to change (5-6 mins)
What's wrong with the NHS in Wales? 4 FAQs (including the doctor shortage and financial issues)	Why change is needed in the NHS in South Wales	Short animated ABMU film about Changing for the Better

Get involved - YouTellUs


	We want you to let us know what you think of our ideas, and your experience of your local NHS. YouTellUs is a web forum established by Swansea University to help you share your views with us. You will find a link to the questionnaires above, and also have an opportunity to register with YouTellUs. If you register, we can let you know about the outcomes of the questionnaires directly, and also tell you about future surveys and events. We want you to get involved so please join YouTellUs! Please visit: www.YouTellUs.org Or you can write to us to give us your views: Changing for the Better Team, ABM University Health Board, 1, Talbot Gateway, Baglan, Port Talbot, SA12 7BR Or email: ABM.C4B@wales.nhs.uk Or telephone: 01792 704019

Useful links


Together for Health	Bevan Commission - final report: Forging a Better Future
Fair Society, Healthy Lives: Marmot Report	Setting the Direction
Measuring inequalitites: Trends in mortality and life expectancy in Wales	Right Care Right Place First Time
Acute Care Toolkit	Emergency Surgery: Standards for unscheduled surgical care
Welsh Institute for Health and Social Care (WIHSC) - press release WIHSC report English WIHSC report Welsh WIHSC Quality and safety paper WIHSC Access paper WIHSC Workforce paper	ABMU Changing for the Better and South Wales Programme - Media Release, 30th July 2012

In this section

This page in Welsh/Y dudalen hon yn Gymraeg

CHANGING FOR THE BETTER/SOUTH WALES PROGRAMME

South Wales Programme: Matching the Best in the World

Message from Hamish Laing, Consultant Plastic Surgeon and ABMU Director of Clinical Strategy

Full Changing for the Better document ('Plain English' document with all the key information)

Earlier Changing for the Better documents - explaining why your NHS needs to change

Changing for the Better videos and audio files

Get involved - YouTellUs