Cardigan integrated care project makes progress

The Cardigan Stakeholder Board meeting (for the Cardigan integrated care project) was well attended once again.
Jeremy Brown, Ceredigion County Director and also Project Director, welcomed new members of the Board, including representatives of the Aberteifi 50+ Forum and Cyngor Tref Aberteifi.
Dee Colam, Interim Service Development Manager with Ceredigion Social Services Department gave a presentation on proposals for transforming older people’s services in Ceredigion.
She said reasons for changing the way in which services are delivered are that current ways of working are outdated; there’s a need to provide better services at lower cost and to develop closer working relationships between health and social care; the older population is increasing, with people living longer and more people want to stay in their own homes for as long as possible.
The aims of this project, which is now about to enter the implementation phase, are to develop the following across Ceredigion:
  • A single point of access, one telephone number for all community services 
  • A Targeted Intervention Team, which will provide short term reablement ‘plus’ to support patients to regain their independence and confidence in carrying out everyday activities 
  • A Planned Care and Support Team for long term, on-going care, such as home care, residential services, chronic conditions management and ‘Virtual Wards’ to manage complex conditions and keep people out of hospital. 
"Ceredigion is now at the forefront of innovation in this area." she said.
The same themes of integration and sustainability were reinforced by the next speaker at the Cardigan Stakeholder Board meeting, Gareth Jones, a Partner in ‘Fusion Health’, which specialises in the planning, development and delivery of health facilities that support new models of care and improved outcomes. Fusion Health is working with the project team to develop the service model for the Cardigan Integrated Care Project.
The key elements of his presentation were the vision for integrated care; the foundations of the service model; the approach to planning and the development of a compelling business case.
Mr Jones stated: "Hospitals are important, but the vast majority of care is out of hospital. 90% of NHS contacts are in primary care, in addition to which there is an abundance of care provided by social services, housing, third sector and nursing/residential homes. The real challenges are the needs of older people, long term conditions, promoting independence, prevention and care closer to home. If we get these things right, we will succeed in building a community based model of care on firm foundations and design the facilities we need to support it."
The Cardigan Stakeholder Board Members present were very appreciative of the information provided by both Dee Colman and Gareth Jones. Members felt that at some point in the near future it was important that the public were also made aware of how local older people's services provided by Health and Social Services were going to be transformed in Ceredigion.
In terms of the proposed site, the Project Board has agreed to instruct first stage survey works through the Supply Chain Partner, Balfour Beatty. These will include the following:
  • Topographical Survey 
  • Utility Survey 
  • Ecological Survey 
  • Tree Survey 
  • Review of the information obtained from the Sainsbury Site. 
The Outline Business Case is due to be submitted to Welsh Government later this year.
The final stage of the business case process is the completion of the Full Business Case, with the aim of construction starting in 2014.
The development of a new Community Resource Centre in Cardigan features in the Health Board’s consultation document ‘Your Health Your Future – Consulting our Communities’. This document also includes proposals to continue to work closely with Ceredigion County Council on the Cylch Caron project in Tregaron and to build a new Community Resource Centre in Aberaeron, with the aim of creating integrated primary care, community and social care services across the county.

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