Cardiff South West Cluster have developed a strong ethos for collaborative working since it was first established in 2014. A range of projects have focused on supporting members of the community through multi disciplinary working.
Collaboration has been established with health care professionals within both primary and secondary care. Close working relationships have been developed with members of local community organisations and social prescribing has become embedded in the model of primary care within the cluster.
The successful bid to the Transformation Fund has allowed the cluster to develop the model of working at pace, with a basis in learning from the From model of compassionate communities.
The model developed by the cluster has four main elements:
CARE PLANS
Care plans to support seamless care across systems focusing on the needs of the individual by asking ‘What matters to me?’
DISCHARGE LIAISON HUB
A discharge liaison hub to support people when they are discharged from hospital and support them to stay at home
FAIRNESS
We are consistent and fair in the way that we deal with people
COMMUNITY SUPPORT
Community development and support for individuals through wellbeing connectors
What’s Next?
Cardiff South West Cluster will continue to build on its strong partnerships to improve the health and wellbeing of local people. Our focus is on delivering more preventative care, tackling health inequalities, social isolation and ensuring residents can access the right support at the right time.
Key priorities for the future include:
- Expanding proactive care for people living with long-term conditions and multiple health needs.
- Increasing the use of digital tools, including the NHS Wales App, to help people manage their health and access services more easily.
- Strengthening community-based support through social prescribing and closer working with local organisations.
- Improving access to healthcare services and reducing variation in health outcomes across our communities.
- Supporting healthy lifestyles through targeted initiatives that promote physical activity, healthy eating, mental wellbeing and smoking cessation.
- Continuing to develop multidisciplinary teams so that patients benefit from coordinated, person-centred care closer to home.
- Listening to and involving our communities in shaping services that meet local needs.
By working together with residents, healthcare professionals and community partners, Cardiff South West Cluster aims to create healthier communities, reduce inequalities and help people live well for longer.
What We Have Done
Working with our community
Cardiff South West Cluster works closely with local communities, voluntary organisations and partner agencies to improve health and wellbeing across our area. Through initiatives such as community wellbeing events, social prescribing, healthy lifestyle programmes and collaborative outreach projects, we help people access the right support at the right time. By listening to our communities and working together, we aim to reduce health inequalities, improve access to services and support residents to live healthier, more independent lives.
Promoting health for all
Cardiff South West Cluster is committed to promoting health and wellbeing for everyone. We deliver a range of preventative health initiatives, including health screening opportunities, smoking cessation support, weight management advice, vaccination campaigns and education on healthy lifestyles. Through partnership working and targeted community engagement, we help people of all ages and backgrounds access the information, services and support they need to improve their health and wellbeing, ensuring no one is left behind.
