SOUTH WEST WALES Regional Working and Collaboration 2017 ... Working and... · SOUTH WEST WALES...
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SOUTH WEST WALES Regional Working and Collaboration 2017 – 2018 Improving the health, wealth and wellbeing of South West Wales
Transcript of SOUTH WEST WALES Regional Working and Collaboration 2017 ... Working and... · SOUTH WEST WALES...
SOUTH WEST WALESRegional Working and Collaboration
2017 – 2018 Improving the health, wealth and wellbeing of
South West Wales
Contents
Pg. 24
Appendices
Pg. 3
The Ones to Watch in 2018-2019
Pg. 22
Pg. 10
Foreword
Progress made in 2017/18A Regional Collaboration for HealthJoint Regional Planning and Delivery CommitteeSwansea Bay City Deal
Pg. 4
Regional working and collaboration arrangementsA Regional Collaboration for HealthJoint Regional Planning and Delivery CommitteeSwansea Bay City DealSummary of Achievements
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ForewordThere are well established arrangements in place for regional working in South West Wales, based on a long history of the Abertawe Bro Morgannwg (ABM) and Hywel Dda University Health Boards working together.A Regional Collaboration for Health (ARCH) is a unique partnership formed between these Health Boards and Swansea University. We believe a joined up regional approach is the only way we will be able to deliver meaningful change to improve the health, wealth and wellbeing for the people of South West Wales.
During 2017/18 ARCH became one strand of the City Deal that was awarded by the UK government to the Swansea Bay City Region. The City Region brings with it a new way of working. The ARCH partners are working in partnership with local authorities and industry to influence the wider determinants of health such as housing, education, transport and economic regeneration. In addition, ARCH are capitalising on a new regional infrastructure, working towards digital inclusion. There has been a further step-change in the pace and formality of the regional planning and delivery agenda with the establishment of the Joint Regional Planning and Delivery Committee (JRPDC) in August 2017. The priority for the JRPDC has been to focus our common challenges and maximise the impact of working together where there are opportunities for improvement through collaborative working on short-term priorities and in-year delivery.
Underpinned by the Parliamentary Review for Health and Social Care in Wales, published by Welsh Government in 2017, all partners are clear that embracing regional working is crucial to developing and delivering healthcare that is fit for the future. With service pressures and workforce fragility being thefundamental areas for focus, working regionally has never been more imperative for South West Wales. We have an ambitious portfolio of regional work, set within clear governance structures and bolstered by the unique arrangements in place in South West Wales, such as the City Deal and ARCH.
Bernardine Rees OBEChair of Hywel Dda University Health Board
Professor Andrew DaviesChair of Abertawe Bro Morgannwg University Health Board
Professor Richard DaviesVice-Chancellor of Swansea University
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Regional working and collaboration arrangments
In 2017/18, through our regional working and collaboration arrangements we have:
Refocussed the ARCH governance arrangements and established the JRPDC which has led to a strengthened ownership of regional planning at Health Board and University Executive level;
Agreed joint statements on regional planning that are in both Health Boards’ Integrated Medium Term Plans (IMTPs);
Made significant progress on the £1.3bn Swansea Bay City Deal and ARCH partners are working with local authorities and industry to influence the wider determinants of health in the South West Wales region;
Secured Welsh Government pipeline funding for three of our Health and Wellbeing schemes;
Initiated over 40 individual ARCH projects since 2016. Delivered on our initial ambitions in 16 ARCH projects during 2017/18 and continue to achieve progress in over 20 ARCH projects due to be delivered between 2018 and 2021;
Visited the Skåne region of Sweden to exchange ideas and learning and identify areas for ongoing international collaboration;
Secured Welsh Government support to develop a regional Value Based Healthcare approach that will underpin our service transformation agenda;
Produced a regional Health and Wellbeing needs assessment (compendium) to support our population health planning and a baseline against which to monitor and evaluate theimpact of ARCH projects;
Secured funding to open a pipeline of untapped opportunities to work with researchers and health staff to put forward concepts with development potential via AgorIP, a £13.5million EU-supported scheme;
Completed regional needs assessments for orthopaedic, ophthalmology and catheter laboratory services to inform our Annual Plans for 2018/19;
Brought our clinicians together to develop shared pathways for orthopaedics, ophthalmology, vascular and stroke services;
Developed a directory of services and a joint checklist for discharge to facilitate a smoother transfer of patients between hospitals;
Completed a focussed piece of work on our Long Term Agreements (LTAs) to facilitate service change between our Health Boards.
City Deal
A Healthier WalesFu
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Gen
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Wel
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Act Taking W
ales Forward
Serv
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s &Wellbeing
Research
Enterprise
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Joint Regional Planning
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A Regional Collaboration for Health (ARCH)
In March 2017 the ARCH partners submitted a Portfolio Delivery Plan (PDP) to Welsh Government, committing the three organisations, Swansea University, ABM and Hywel Dda University Health Boards, to taking joint action at both significant scale and depth, covering services for a million people across the region.
The ARCH Portfolio brings together four powerful programmes of work, each addressing the ambition of ARCH by leading on identified projects, chaired by a member of the ARCH Delivery Leadership Group (DLG).
The ARCH Programme Board holds this group to account for the delivery, pace and programmes of work within the ARCH portfolio.
Examples of the projects being progressed under ARCH:
Skills &Education
ServiceTransformation
Wellbeing
Research,Enterprise &Innovation
Project example: 4Increase in Medical School numbers
4Regional Non-surgical Cancer Strategy
4Network of Health & Wellbeing schemes
4AgorIP Intellectual Property (IP) project
Why? 4Help train more doctors locally through increased numbers of Graduate Entry Medicine (GEM) students
Benefit? 4Help address NHS workforce pressures and reduce the number of vacancies across the whole region
4To provide the best possible non-surgical cancer care for the people of South West Wales, no matter where you live
4By planning future services as a region we can ensure patients have a pathway which is equitable and first class
4To address population health and wellbeing and rebalance services between hospital and community settings
4The schemes will help people access care closer to home, help people stay well in their communities and avoid hospital visits
4The IP framework will support everyone working in the NHS in Wales to turn their ideas into reality
4It will open up a pipeline of untapped research and turn innovation into products for the commercial market
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During 2017/18 the ARCH Programme Board has been strengthened following the Welsh Government Gateway Review carried out in March 2017. The review identified that joint collaborations of the scale and depth of ARCH, covering services for a million people and bringing together the health and university sectors are rare. However the review concluded that ARCH was in a “good place to take forward the challenges faced in the Health Economy of South West Wales”.
In September 2017 the new ARCH Programme Board arrangements were introduced.
Governance and Assurance
The ARCH partners are working to “improve the health, wealth & wellbeing of South West Wales”
Creating an NHS fit for the 21st Century
Encouraginginvestment &
creating new jobs
Creating the NHSworkforce of the
future
ARCH Board:
Chief Operating OfficerSwansea University
Chair of ARCH &ABMU Health Board
Chair of Hywel DdaUniversity Health Board
Vice ChancellorSwansea University
The recommendations made through the Gateway Review, coincided with Welsh Governments’ request that both Health Boards establish formal joint planning arrangements to support and clarify clinical service decisions across the region.
The ARCH PMO was established in April 2016 to provide dedicated programme support to a whole range of projects identified within the ARCH Portfolio Delivery Plan (PDP).
Welsh Government fixed term funding ceased in March 2017 and the ARCH partners agreed to continue to fund a smaller PMO on a permanent basis.
Through the latter half of 2017, the PMO was operating with a significantly reduced capacity, and this has impacted upon the pace and progress across all programmes, particularly the Skills and Education Programme.
Despite these challenges progress has been maintained across the portfolio and the PMO has since been re-focussed with new roles and appointments made between November 2017
ARCH Programme Management Office (PMO)
and January 2018. During 2017/18 the ARCH PMO has been providing support to both the ARCH Partnership and the emerging priorities within wider regional planning.
Chief ExecutiveABMU Health Board
Chief Executive Hywel Dda University Health Board
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Joint Regional Planning and Delivery Committee (JRPDC)
Boards through joint working, delivering on Ministerial objectives, especially those relating to the NHS Outcomes Framework as well as alignment to the more strategic ARCH Programme Board.
The focus in 2017/18 has been to enablesignificant in-year progress and pace in delivery for the region. Its work is aligned with that of the ARCH Programme Board whose focus is to continue to work towards delivering the wider strategic vision for the region.
New regional planning arrangements were introduced in August 2017 through the establishment of three Joint Regional Planning and Delivery Committees (JRPDC) across Wales. Membership of the JRPDC in South West Wales includes the Chairs and Chief Executives from Health Boards and the Director General for Health and Social Services.
The main aims of the JRPDC are to provide joint leadership for regional planning and delivery of priority services for both Health
Focus on our common challenges and maximise the impact of working together where there are opportunities for improvement through collaborative working;
Take forward a rolling programme of work to support planning, delivery and service improvement in the short and medium terms;
Build on the good relationships and foundations of joint working already agreed through the ARCH programme, securing together our longer-term strategy for regional collaboration between Health Boards and with our partner, Swansea University; and;
Ensure there is alignment of JRPDC priorities with the longer term transformational plans being progressed through the ARCH Service Transformation programme.
The approach within the JRPDC has been to:
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Swansea Bay City DealThe City Region deal is accelerating specific projects within the ARCH Portfolio helping to tackle some of the causes of illness and improve the wellbeing of our communities as well as support developments in research, innovation and education alongside Morriston and Singleton hospitals.
The two projects within ARCH benefiting from City Deal funding include the development of Health and Life Science campuses at Singleton and Morriston and the creation of a Wellness and Life Science Village in Llanelli. £15million of funding will support the plans at Morriston to deliver a 3rd Institute of Life Science (ILS) and facilitate the expansion of Singleton Hospital and the Swansea University campus into a second health campus where medical and other health technology companies will be focused.
£40million of funding will support the Llanelli Wellness and Life Science Village. The village will create employment and investment opportunities and will be based around community care. It will create an ILS for Hywel Dda as well as facilities for education and skills, sport, leisure and tourism, business development and wellness initiatives linked to research and development.
The City Deal is kick-starting a new digital industry for the region focusing on a growing world market. The region will become a “living laboratory” – essentially a test bed for Broadband technologies.
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Summary of AchievementsThrough our programme of regional planning and collaboration this last year we have achieved:
Health, Wealth andWellbeing
Creating a vibrant life- science and
health ecosystem that drives innovation
and research
Developing sustainable and prudent
health services for our region
Improving the health and
wellbeing of the population
Growing our own talent and securing the
workforce of the future
South West Wales
Non-surgical cancer
strategy agreed
Aim:
Aim:Aim:
Aim:
Health & Wellbeing
Academy at Swansea University
opened
Wellbeing schemes pipeline funding secured
City Deal Outline
Business cases submitted
Non clinical apprenticeships
scheme launched
Physician’s Associates 1st CohortGraduated
Talent Bank and Destination
NHSestablished
Strategic Outline Case developed for
pathology
Clinical pathways
redesigned
Regional Needs Assessments undertaken
Neurology performance
indicators agreed
Wellbeing Compendium
published
International Collaboration with Region
Skåne
EU funding secured for
Agor IP
Increased Graduate Entry Medical student
numbers
Morriston & Singleton Hospitals
Master Site Plans
completed
Joint Intellectual
Property policy agreed
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Health and wellbeing are inextricably linked; many of the drivers of better health such as income, housing and education, are the same as those associated with increased wellbeing.
The aims of the Wellbeing Programme have been to develop the ARCH ‘case for change’ and inform our understanding of the baseline level of health and wellbeing in the region and rebalance the system, by developing a regional network of health and wellbeing schemes, promoting new partnerships to deliver preventative programmes to reduce demand on the health service.
Wellbeing
Health and Wellbeing Compendium
Early in the ARCH programme a Regional Needs Assessment was commissioned through the Public Health Wales Observatory and the Farr Institute of Health Informatics Research (Swansea University’s Medical School).
This formed the ‘case for change’ in the ARCH PDP. The Compendium is the detailed version and it is being used by Health Board Directors of Public Health and Directors of Strategy/Planning to its fullest extent in supporting population health planning. The needs assessment provides a baseline to monitor and evaluate the impact ARCH projects are having across the region.
Progress made in 2017/18ARCHARCH is a long term transformational collaboration that aims to improve the health, wealth and wellbeing of the South West Wales region. The ARCH Portfolio Delivery Plan (PDP) identified fifty seven projects, relating to one or more of the four ARCH programmes. A number of these projects were initiated in 2016, others in 2017 and some are due to be made ‘live’ in 2018 – 2021.
The vision for ARCH is to develop an integrated, open, collaborative health and life science regional economy in South West Wales and to create a pipeline of projects to support delivery of its ambitious agenda. See Appendix 1 and 2 for the pipeline of projects and details of their status.
ARCH has four powerful programmes:Wellbeing, Skills and Workforce, Research, Enterprise and Innovation and Service Transformation.
Wellbeing
Health and Wellbeing SchemesDuring 2017/18 Health Boards were successful in securing Welsh Government Primary Care Capital pipeline funding for the Bridgend, Swansea and Cross Hands Health and Wellbeing Schemes. These schemes are part of the ARCH vision for a regional network of services, tailored to meet local needs and focused on prevention and rebalancing services between hospital and community settings.
Schemes are at various stages of development but all aim to deliver on the ARCH health and wellbeing characteristics of new models of care, supporting education and skills, life science advancement, and are part of wider community regeneration programmes.
ARCH: Health and Wellbeing schemes - characteristics
Swansea
BridgendTown Centre
LlanelliWellness & Life Science Village
Cross Hands
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Skills &Education
The Skills and Education programme aims to transform skills, education and workforce in the health economy of the region.
A key area for concentration has been the training and retention of health and life science professionals to support the overarching ambition of workforce stabilisation. Programme objectives include Creating a sustainable workforce, upskilling the current workforce as well as developing a pipeline of future talent.
Talent BankTalent Bank is a bespoke Further Education (FE) programme aimed at attracting young people into Health and Life Science courses.
In April 2018 the Talent Bank completed its second programme with students from Gower College. Students attended the programme which was hosted at the Fujitsu Innovation Hub located at the School of Management at Swansea University’s Bay Campus. Of the 20 students from these cohorts, two students have secured places to study medicine, and other students are expressing interest in a number of Health and Life Science courses. The Talent Bank intends to open up access in the 2018 cohort to other local sixth forms and colleges.
Destination NHSLaunched in June 2017, Destination NHS is a unique collaboration between Hywel Dda University Health Board, Swansea University and Pembrokeshire College. The scheme is designed to raise awareness of career opportunities within the NHS.
Destination NHS offers learners 100 hours work experience within a specified area. The students will have the opportunity to attend ten Masterclasses, delivered either at Pembrokeshire College, Withybush Hospital or Swansea University by health professionals. University visits will include practical and simulation sessions in their clinical suites, giving learners a real taste of their chosen profession and of university life. During the second year of the Extended Diploma learners will work on a health project, which will earn UCAS points and contribute to their university applications, whilst being mentored by both Swansea University and Hywel Dda Health Board.
Skills and Education
Talent Bank, in collaboration with the Medical School, will also host the annual Elevate Conference in October 2018, targeting young people from across the region who may be interested in a future career in Medicine, occupations allied to health, or the life sciences.
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Health and Wellbeing AcademyThe Health and Wellbeing Academy is an innovative project which was initiated in 2015 and has since grown in partnership with both ABMU and Hywel Dda. Since it opened its doors in 2017 it has treated 2,659 new patients – including 70 patients within the community who would otherwise be on NHS waiting lists, delivered 15 different health and wellbeing services, worked with six different charities and seven regional businesses.
NursingSwansea University has been ranked 2nd in the UK in the Guardian University Guide 2019, and is between 51 and 100 in the QS University World rankings. This is important in attracting and retaining talent to the region.
Physician AssociatesPhysician Associates are healthcare professionals that support doctors in diagnosing and managing patient treatment. The Post Graduate Diploma in Physician Associate Studies in Swansea is the first course of its kind in Wales.
Developed as a collaborative venture between Swansea University Medical School and the College of Human and Health Science, the first cohort of students graduated in May 2018 and secured employment in local health services. Applications for the course in September 2018 have exceeded the places available.
The Academy, part of the College of Human and Health Sciences - is the only service of its kind in Wales and has also helped reduce NHS waiting lists by empowering people to take control of their own health and relieving pressure on overstretched services. In turn, this has made a real difference to patients waiting for treatment in areas such as cardiology and musculoskeletal services.
The Academy won the Social and Community Impact award at the 2018 Guardian University Awards and the Outstanding Impact on Health & Well Being award at the Swansea University Research and Innovation Awards 2018.
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ApprenticeshipsARCH partners began working with Higher Education Institutes (HEIs) across the region in October 2016 to initiate Apprenticeship Schemes in Business Administration at Level 2 & 3.
ABMU have successfully recruited 128 apprentices since this date. Of the 53 individuals who have successfully completed the programme 43% have secured permanent roles within ABMU,13% have progressed to the higher level apprenticeship and 7% secured roles in a different organisation.
Hywel Dda University Health Board have established an Apprenticeship Academy. Relationships have been strengthened with local colleges and the development of potential Apprenticeship pathways is underway. The Health Board has 164 active apprenticeships, and a further 98 students awaiting a start date for summer 2018.
Medical School NumbersSwansea University Medical School has seen its undergraduate student numbers grow by 48% over the last two academic years. Student numbers have been positively impacted by the development of the BSc Applied Medical Sciences (AMS) programme in 2016/17 and a foundation level (AMS) leading into this BSc which was established in 2017/18.
The AMS programme is innovative and is attractive to students due to the three strands developed as part of the programme which prepares students for three employability outputs: in medical practice, medical research, or Enterprise & Innovation in medicine. Previously, Genetics and Biochemistry were the only Undergraduate pathways to medicine programmes on offer at the Medical School.
Due to the success of the AMS programme the Medical School is launching two new undergraduate programmes in September 2018. These are BSc Medical Pharmacology and BSc Population Health and Medical Sciences.
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Intellectual Property (IP)Policy AlignmentA collaborative approach to Intellectual Property (IP) allows greater opportunity for innovation across the region. In 2017/18 the research departments from both Health Boardscollaborated to align their IP policies.
Research,Enterprise &Innovation
The Research, Enterprise and Innovation Programme aims to create and undertake regional, world leading, multidisciplinary, collaborative research, to drive an ecosystem of vibrant life sciences and health activity to deliver improved health, wellbeing and prosperity for current and future generations. AgorIP
AgorIP is a £13.5million EU-supported scheme working to bring ideas and innovation to life.
It was launched in late 2016 following the successful pilot with Swansea Healthcare Innovation Partnership Program (SHIPP) and has seen enormous success in the first phase.
It is an IP commercialisation project that secured funding early in the ARCH initiation stage and will open a pipeline of untapped opportunities to work with researchers and NHS staff to disclose concepts with development potential.
This project is integrated with the Accelerate programme and Health Boards have standardised their Intellectual Property (IP) policies to support this.
The protection and commercialisation of intellectual property is often the best way of progressing novel ideas for the enhancement of patient care.
Agreeing this important policy allows Health Boards to work with staff within a legal framework to ensure that patients benefit from the innovations. It also ensures that staff who contribute intellectually to generating the ideas leading to innovations, receive tangible benefits. These benefits can include financial benefits for their contributions.
Research, Enterprise and Innovation
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“There is the risk of always focusing on the day to day struggles we face and not finding time to lift our heads and look to the future to find a long-term sustainable solution. We will only find
NHS Director GeneralDr Andrew Goodall
The South West Wales Non-Surgical Cancer StrategyIn 2016 we started work on a South West Wales Non-Surgical Cancer Strategy and many stakeholders were involved in developing the strategy including third sector partners, health care professionals and service users.
The strategy will shape how cancer services are developed over the next five to ten years to meet the needs of the citizens of South West Wales, a geographically challenging region.
The strategy was agreed by Hywel Dda & ABMU Health Boards in 2017 and has now been handed over to operational teams for delivery and implementation through the Joint Regional Planning Committee (JRPDC).
ServiceTransformation
The Service Transformation Programme aims to take a whole system approach to implement new service models based on the needs of our population. This requires a different approach to how we currently deliver health and care services, and cuts across system and organisational boundaries.
We need to change our system to provide services to meet the needs of local people and deliver better outcomes. The focus in 2017/8 has been on developing new regional service models for a number of fragile services.
Regional Neurological Conditions ProjectClinical and service teams across the region have been working over the last year to create a more equitable and sustainable service model for patients with neurological conditions. A set of performance measures have been established to inform the baseline position of current services and a ‘hub and spoke’ model has been recommended which includes a new regional inpatient model and 3 patient pathways for review in 2018; Epilepsy, Headaches and Function. A fully costed service model will be prepared by autumn 2018.
Service Transformation
the answers by looking forward - we need a long-term vision. ARCH has that vision”
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PathologyA draft Strategic Outline Business Case is being finalised for discussion in Autumn 2018. The business case seeks strategic solutions to address the sustainability issues particularly for the cellular pathology services where there are critical accommodation, workforce and workload pressures which cannot be addressed on an individual Health Board basis.
This explores options for the modernisation of Pathology services and recommends a preferred option concentrating the scope on regional services for Cellular pathology and diagnostic immunology to be based on the Morriston Hospital site. It also includes a space allocation for the potential development of cell and gene therapy to deliver breakthrough therapies and treatments to patients across the Region and more widely.
Hyper Acute Stroke Unit (HASU)Work commenced in 2017 to assess the impact of establishing a Hyper Acute Stroke Unit for the South West region in line with recommendations from National Stroke Implementation Group (NSIG). A HASU would provide emergency and in-patient specialist provision for the assessment and treatment of individuals who have suffered a stroke.
Clinical and service teams are reviewing and agreeing a set of regional standards that would underpin a HASU and next steps include developing the clinical patient pathways into and out of the HASU and developing a phased plan to move towards the regional model. This work is due to be completed in 2018.
Interventional RadiologyClinical teams across the region have recommended a networked hub and spoke service to support delivery of a 24 hour/ 7-day a week Interventional Radiology service across the region and this model is currently being reviewed by Health Boards.
Interventional Radiology (IR) is a comparatively new sub-specialty of radiology, sometimes known as ‘surgical radiology’. The procedures require the use of imaging techniques to guide interventional instruments into blood vessels and organs to diagnose and treat a wide range of clinical conditions. These innovative techniques offer huge benefits to patients, reducing the risk of infection and enabling the patient to have an easier and faster recovery often as a day case.
Attracting and recruiting specialists is key to delivering sustainable IR services across our Health Boards, including the opportunity to participate in clinical trials.
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Joint Regional Planning and Delivery Committee (JRPDC)
The JRPDC work programme was developed in Quarter 3, 2017/18. Last year, the JRPDC has focussed upon developing an in depth understanding of our respective demand and capacity positions, performance information and year end trajectory information to support delivery of priorities at pace. Specific areas of focus were in: Orthopaedics, Ophthalmology, Endoscopy and Catheter Laboratory provision.
Optimising the use of existing workforce and infrastructure assets across South West Wales;
Focusing resources on delivering reduced waiting times and improved outcomes for patients across the region;
Addressing potential areas for improvement in patient pathways and shared learning;
Aligning local, national and regional improvement programmes;
Identifying options to cohort activity in centre(s) across the region.
The priorities for JRPDC action during 2017/18 were:
Demand and Capacity We have a full regional understanding of our demand and capacity position through in-depth analysis and review.
We completed regional needs assessments for orthopaedic, ophthalmology and catheter laboratory services to inform our Annual Plans for 2018/19 and in partnership with the All Wales Delivery Unit (DU), completed specific work on demand and capacity in orthopaedics. The DU work was presented to a Regional Orthopaedic workshop in March 2108 to support local modelling of services.
We also shared staff and diagnostic capacity across the region to enable delivery of endoscopy performance targets at the end of 2017/18.
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Patient PathwaysWe brought our clinicians together to develop shared pathways for orthopaedics, ophthalmology, vascular and stroke and as a result have redesigned pathways for cataracts, Transient Ischiemic Attack (TIA), and peripheral vascular disease (Limb at risk);
Regional Eye Care Services Workshops took place in September 2017 and February 2018 and Health Boards identified local service redesign priorities.
Cataract pathways have been restructured in Hywel Dda to allow Optometrists to work to the top of their license to refer and pre-assess patients ahead of surgery, where appropriate. The benefit of this to patients is reduced need to travel to hospital for routine or unnecessary appointments. Follow ups are now carried out by optometrists in the community following surgery.
In ABMU, the current pre-assessment process for cataracts has been streamlined and as a result more patients can now be seen. This has led to reduced waiting times and removing the requirement for second eye pre-assessment when the procedure is undertaken within 12 weeks. All routine patients will be followed up by Optometrists in the community.
A Vascular Regional workshop was held in early 2017 resulting in some key pieces of work being completed during 2017/18. TIA and Lower Limb at Risk pathways were approved and have been passed to Health Board operational teams for implementation and further detailed analysis. A Directory of Services and a Joint Checklist for Discharge have been implementedbetween Health Boards and this has improved communication between hospitals in the region and facilitated a smoother transfer of patients. This has resulted in improved patient flow, reduced length of stay for patients, better patient outcomes, and an improved patient experience.
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Life Science and Health Campuses at Singleton and MorristonThe ARCH programme has defined a Campus and Village Life Science network to support growth of the Life Science & Wellbeing sectors. The Life Science & Wellbeing Campuses will build upon the successful Institute of Life Science initiative, providing a world-class integrated research & business incubator/park secondary/tertiary clinical, research and trials environment, and skills development centres.
These hubs will strengthen the regional capacity to innovate, attract additional inward investment and further increase export of high-value services and goods such as medical devices.
The Life Science and Wellbeing Campuses project will create expanded infrastructure with wider capabilities allowing more and larger opportunities to be captured, ranging from major inward-investment opportunities to Higher Education/NHS commercialisation activities. Creating significant new employment within high Gross Value Added (GVA) sectors, the Campuses will have complementary foci of technology and clinical innovation, supporting development across a broad range of technology readiness levels.
City Deal
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Significant progress is being made on the £1.3bn Swansea Bay City Deal. A number of the 11 City Deal project business cases are now with the UK and Welsh Governments. £40million of City Deal funding will support the Wellness and Life Science Village at Delta Lakes in Llanelli and £15m will support development of Singleton and Morriston hospitals as health and life science campuses.
Wellness and Life Science Village at Llanelli
With an outline planning application for the scheme having been submitted in the spring 2018, subject to consents, work on the Village is earmarked to start towards the end of 2018, with the first phase scheduled to be open in 2021.
The £200 million Llanelli Wellness and Life Science Village includes a Wellness Hub, a Community Health Hub, assisted living accommodation and a nursing home. The programme is being led by
Carmarthenshire County Council and aims to create up to 2,000 high-quality, well-paid jobs over 15 years, helping to boost the local economy by £467 million.
A preferred private sector chairman for the City Deal’s Economic Strategy Board has been selected, and a Joint Committee Agreement outlining principles of City Deal working will be considered by all four regional councils for approval this summer 2018.
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The Ones to Watch in 2018-2019
ARCH-i was originally set up as a web based platform for those within the region who are part of the quality and improvement community. Launched in February 2017, it was well received.
A further opportunity has arisen to scope a much larger project which will expand the opportunities of the ARCH-i branding in line with national and regional developments in improvement and quality.
The ACCELERATE Programme is a partnership delivered by the Life Sciences Hub Wales and three partner Universities; University of Wales Trinity St David’s, Swansea University and Cardiff University .
ACCELERATE aims to support and accelerate the translation of ideas from the health care system into new technology, products and services to create lasting economic value in Wales. ACCELERATE will focus on ways of speeding up the process of exploiting opportunities that help address health or social care need.
Commissioning and Professional ProgrammesThe College of Human and Health Sciences at Swansea University is preparing for a new commissioning cycle of professional programmes, which will include new programmes in physiotherapy, occupational therapy and occupational health. The College is embracing public health, primary care, community care, hospital care and social care to develop an integrated learning pathway.
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DigitisationA new project for Digitisation has been established under ARCH. Scoping workshops have been held to baseline the regional Digital Infrastructure that will underpin this work.
Both health boards have digital ambitions which will underpin how services are provided in the future, including technology enabled care, patient help and support, improve Primary and Secondary care working and social care integration
Early successes include the implementation of a pan-Health Board Wi-Fi access, which supports our workforce to mobilise and work regionally.
Primary Care Academy (PCA)In order to address the significant shortfall in medical graduates applying to train in general practice, Health Education England (HEE) have mandated that 50% of graduate go into general practice.
In Wales, Health Education and Improvement Wales (HEIW) is placing heavy emphasis on the role of primary and community care in developing an integrated multidisciplinary health and social care workforce and have been working together to develop the concept of a ‘Primary Care Academy’ (PCA) which will achieve these aims.
It is proposed that the initial rollout of the Academy will commence in September 2019 for 4-6 medical students. A pilot programme will be run in February/March 2019, for two students for a period of 11 weeks. A GP practice in Pembroke Dock will be running the programme for this pilot. The pilot will be formally evaluated and the results and any recommendations for improvement will be considered and implemented prior to roll out the following September.
Looking AheadOver the next 12 months we will be continuing to deliver on the aspirations set out in the ARCH Portfolio Delivery Plan and shaping the future of regional working and collaboration across South West Wales.
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ce M
odel
Pilo
t Tes
ting
Bus
ines
s C
ase
Dev
elop
men
t
Ear
ly S
tage
Pat
ient
/Ser
vice
Rea
dy
Rol
lout
Impl
emen
tatio
nA
dopt
ion
AR
CH
Ince
ptio
n, In
cuba
tion
& Im
plem
enta
tion
Pipe
line
ST1
ST2
ST3
ST4
ST5
ST6
ST7
ST8
ST9
ST10
ST11
ST12
ST13
W1
W2
W3
W4
W5
W6
W8
& W
9W
7
REI
2R
EI1
REI
3R
EI4
REI
5R
EI6
SW1
SW2
SW3
SW4
SW6
SW12
SW5
SW7
SW8
SW9
SW10
SW13
SW14
SW15
SW16
SW17
SW18
SW19
SW20
NO
T LI
VE
Skill
s &
Wor
kfor
ce P
rogr
amm
eS
W1
Reg
iona
l Wor
kfor
ce P
lani
ngS
W2
Adv
ance
d A
dmin
Rol
eS
W3
Inte
grat
ed W
orki
ng R
oles
SW
4 Ta
lent
Ban
kS
W5
App
rent
ices
hips
SW
6 P
hysi
cian
Ass
ocia
tes
SW
7 N
ursi
ng A
ssoc
iate
sS
W8
Wid
er P
rofe
ssio
ns D
evel
opm
ent
SW
9 W
elsh
Dom
icile
d S
tude
nts
SW
10 D
igita
l Lite
racy
/E-L
earn
ing
SW
11 G
P/P
rimar
y C
are
Aca
dem
yS
W12
Hea
lth &
Wel
lbei
ng A
cade
my
SW
13 T
hera
pies
& H
ealth
Sci
ence
SW
14 H
ealth
care
Sup
port
Wor
ker
SW
15 A
RC
-iS
W16
Inst
itute
of C
olla
bora
tive
Lear
ning
and
D
evel
opm
ent
SW
17 &
19
Incr
ease
in M
edic
al S
choo
l No.
s
Wel
lbei
ng P
rogr
amm
eW
1 C
ase
for C
hang
eW
2 E
valu
atio
n C
apab
ility
W3
Llan
elli
Wel
lnes
s &
Life
Sci
ence
Vill
age
W4
Nea
th H
ealth
& W
ellb
eing
Sch
eme
W5
Sw
anse
a C
ity H
ealth
& W
ellb
eing
Sch
eme
W6
Brid
gend
Hea
lth &
Wel
lbei
ng S
chem
eW
8 &
W9
Pre
vent
ion/
Ear
ly In
terv
entio
n an
d S
ocia
l Im
pact
Bon
dsW
7 C
ross
Han
ds H
ealth
& W
ellb
eing
Sch
eme
Res
earc
h, E
nter
pris
e an
d In
nova
tion
Prog
ram
me
RE
I1 IL
SM
ediP
ark
Net
wor
kR
EI2
Hea
lthca
re T
echn
olog
y C
entre
(HTC
)R
EI3
ILS
@M
orris
ton
RE
I4 IL
S@
Hyw
el D
daR
EI5
Ago
rIPR
EI6
J-C
RF
Reg
iona
l Exp
ansi
on
SW
18 N
urse
recr
uitm
ent &
Tra
inin
gS
W20
Ove
rsea
s nu
rses
CP
D/U
K N
urse
Reg
istra
tion
SW
21 R
ecru
itmen
t of C
linic
al A
cade
mic
Pos
ts
Serv
ice
Tran
sfor
mat
ion
Prog
ram
me
ST1
Reg
iona
l Non
-Sur
gica
l Can
cer S
trate
gyS
T2 C
ardi
olog
y S
ervi
ces
ST3
Reg
iona
l Oph
thal
mol
ogy
Cen
treS
T4 D
erm
atol
ogy
Ser
vice
sS
T5 N
euro
logy
Ser
vice
sS
T6 V
ascu
lar S
ervi
ces
ST7
Inte
rven
tiona
l Rad
iolo
gyS
T8 R
egio
nal P
atho
logy
ST9
Stro
keS
T10
Sta
nd A
lone
Orth
opae
dics
Cen
treS
T11
Mor
risto
n E
nabl
ing
Site
Dev
elop
men
tS
T12
Sin
glet
on E
nabl
ing
SIte
Dev
elop
men
tS
T13
Dig
itisa
tion
of S
ervi
ces
SW11
W7
SW21
APP
END
IX 1
APP
END
IX 2
Stat
us o
f pro
ject
s ag
ains
t AR
CH
Por
tfolio
D
evel
opm
ent P
lan
Dat
e:
06
.07.
2018
Ve
rsio
n: 0
.8
SE2
Adv
ance
d A
dmin
Rol
e:P
ilotin
g of
Adv
ance
d A
dmin
ro
le to
free
up
clin
ical
tim
e
SE6:
Phy
sici
an A
ssoc
iate
s:D
evel
opm
ent o
f pip
elin
e of
P
hysi
cian
Ass
ocia
tes
train
ed to
su
ppor
t doc
tors
SE7:
Nur
sing
Ass
ocia
tes:
Dev
elop
men
t of t
he p
ipel
ine
of
nurs
ing
asso
ciat
e ro
les
for S
outh
W
est W
ales
SE8:
Wid
er P
rofe
ssio
ns D
ev:
Dev
elop
men
t of t
he p
ipel
ine
of
wid
er a
ssoc
iate
d ro
les
SE5:
App
rent
ices
hips
: D
evel
opm
ent o
f app
ropr
iate
clin
ical
an
d no
n-cl
inic
al a
ppre
ntic
eshi
ps
SE4:
Tal
ent B
ank :
Bes
poke
FE
pro
gram
me
aim
ed a
t yo
ung
peop
le 1
6 ye
ars+
SE3:
Inte
grat
ed W
orki
ng R
oles
: In
tegr
ated
role
s w
orki
ng a
cros
s N
HS
/ LA
boun
darie
s
SE1
Reg
iona
l Wor
kfor
ce P
lann
ing:
Pla
nnin
g &
Hor
izon
Sca
nnin
g,
Stra
tegy
doc
umen
tatio
n
Skill
s &
Edu
catio
n Pr
ogra
mm
e:
Proj
ects
& T
imel
ines
20
16
20
17
2
018
201
9
2020
202
1
20
16
201
7
2
018
201
9
2
020
202
1
20
16
201
7
2
018
201
9
2
020
202
1
20
16
20
17
2018
20
19
2
020
2021
20
16
201
7
2
018
201
9
2
020
202
1
2
016
2
017
201
8
2
019
202
0
2
021
2
016
2
017
201
8
2
019
202
0
20
21
Q1
Q2
Q3
Q4
Q1
Q2
Q3
Q4
Q1
Q2
Q3
Q4
Q1
Q2
Q3
Q4
Q1
Q2
Q3
Q4
2
016
2
017
201
8
2
019
2
020
2
021
Skill
s &
Ed
ucat
ion
Vi
sion
& A
ims:
The
prog
ram
me
is c
reat
ing
a pi
pelin
e de
velo
ping
bot
h sh
ort
term
sta
bilis
atio
n an
d re
cove
ry to
m
eet s
igni
fican
t def
icits
in th
e cu
rren
t wor
kfor
ce n
umbe
rs w
hile
al
so d
eliv
erin
g su
stai
nabi
lity:
In
itiat
ing
regi
onal
& c
olla
bora
tive
plan
ning
of
the
wor
kfor
ce;
E
stab
lish
polic
ies
whi
ch fa
cilit
ate
stra
tegi
c co
llabo
rativ
e re
crui
tmen
t whi
ch s
tabi
lise
and
reve
rse
the
curr
ent t
rend
s in
sta
ff va
canc
ies
in th
e S
outh
Wes
t Wal
es h
ealth
ec
onom
y in
the
shor
t and
med
ium
term
;
Wid
en a
cces
s th
roug
h co
llabo
ratio
n w
ith F
E to
im
plem
ent p
athw
ay p
rogr
amm
es fo
r 16-
18 y
ear-
olds
into
se
ctor
in th
e m
ediu
m to
long
-term
;
D
evel
op o
ur w
orkf
orce
to e
nsur
e w
e us
e th
e be
nefit
s of
ICT
in d
eliv
erin
g ca
re;
D
evel
op n
ew a
nd e
xten
ded
role
s fo
r ad
vanc
ed a
nd c
hang
ing
prof
essi
onal
role
s;
D
evel
op n
ew a
nd e
xpan
d un
derg
rad
&
post
grad
cou
rses
.
Stat
us
D
eliv
ered
on
initi
al a
mbi
tions
;
10%
of b
oth
coho
rts h
ave
secu
red
plac
es to
st
udy
med
icin
e at
uni
vers
ity;
P
lans
to d
eliv
er th
e pr
ogra
mm
e in
ord
er to
ope
n up
acc
ess
to o
ther
loca
l six
th fo
rms
and
colle
ges.
M
any
of th
e 1s
t Coh
ort t
o G
radu
ate
in M
ay 2
018
have
sec
ured
loca
l em
ploy
men
t;
The
Med
ical
Sch
ool h
ave
rece
ived
153
ap
plic
atio
ns fo
r the
20
plac
es fo
r the
S
epte
mbe
r 201
8 in
take
.
Not
Liv
e
Com
men
ts
S
copi
ng w
ork
unde
rtake
n to
iden
tify
area
s of
bes
t pr
actic
e;
Pro
ject
s im
plem
ente
d ha
ve b
een
high
light
ed a
s B
evan
Exe
mpl
ars.
Th
e co
ntex
t and
stra
tegi
c di
rect
ion
of th
is
oppo
rtuni
ty is
bei
ng e
valu
ated
by
Wel
sh
Gov
ernm
ent.
Not
Liv
e
P
rovi
des
incr
ease
d su
ppor
t for
clin
ical
team
s;
Pilo
t com
plet
ed in
Bro
ngla
is H
ospi
tal,
AB
MU
has
on
e ap
pren
tice
in th
is ro
le.
Han
dove
r
Han
dove
r
H
ande
d ov
er to
Hea
lth B
oard
s fo
r Im
plem
enta
tion;
29
2 ap
pren
tices
recr
uite
d be
twee
n bo
th
Hea
lth B
oard
s si
nce
star
t of s
chem
e.
Han
dove
r
Han
dove
r
Scop
ing
P
ropo
sed
that
the
key
deliv
erab
les
will
be
prod
uctio
n of
gui
delin
es a
nd p
rinci
ples
to e
nsur
e ef
fect
ive
regi
onal
pla
nnin
g.
H
as p
oten
tial t
o su
ppor
t the
sih
ft to
prim
ary
care
del
iver
y; S
copi
ng n
ew ro
les;
Pha
rmac
y te
chni
cian
s, P
sych
olog
ical
Wel
lbei
ng P
ract
ition
ers,
M
uscu
losk
elet
al p
ract
ition
ers.
Key
Scop
ing
Proj
ect L
ive
Not
Liv
eH
ando
ver
Scop
ing
SE10
: Dig
ital L
itera
cy/E
-Lea
rnin
g:E
nsur
e A
RC
H p
opul
atio
n is
tech
sa
vvy
by p
rovi
ding
righ
t tra
inin
g
SE11
: G
P/Pr
imar
y C
are
Aca
dem
y:P
rovi
de in
nova
tive
prac
tice-
base
d le
arni
ng in
a m
ulti-
prof
essi
onal
co
ntex
t
SE12
: Hea
lth &
Wel
lbei
ng A
cade
my:
Ski
lls d
ev. a
nd in
nova
tive
pr
actic
e-ba
sed
lear
ning
SE13
: The
rapi
es &
Hea
lth S
cien
ce:
Car
eer d
evel
opm
ent &
sup
port
SE14
: Hea
lthca
re S
uppo
rt W
orke
r:
To d
eliv
er th
e A
ll W
ales
HC
SW
C
aree
r Fra
mew
ork
acro
ss re
gion
2
016
2
017
201
8
2
019
202
0
2
021
2016
2
017
201
8
2
019
202
0
2
021
2
016
2
017
201
8
2
019
202
0
2
021
2
016
2
017
2018
20
19
2020
202
1
2016
2
017
201
8
2
019
202
0
2
021
SE9:
Wel
sh D
omic
iled
Stud
ents
: A
ttrac
t & re
tain
wel
sh d
omic
iled
stud
ents
to re
mai
n in
Wal
es.
2
016
2
017
201
8
2
019
202
0
2
021
Q1
Q2
Q3
Q4
Q1
Q2
Q3
Q4
Q1
Q2
Q3
Q4
Q1
Q2
Q3
Q4
Q1
Q2
Q3
Q4
Skill
s &
Edu
catio
n Pr
ogra
mm
e:
Proj
ects
& T
imel
ines
Stat
us
SE15
: Ser
vice
Impr
ovem
ent
Net
wor
k - A
RC
H-i:
O
nlin
e fo
rum
for I
mpr
ovem
ent
Sci
ence
pra
ctic
e, re
sear
ch a
nd
teac
hing
, eng
agem
ent
SE16
: Ins
titut
e of
Col
labo
rativ
e Le
arni
ng &
Dev
elop
men
t:
Poo
ling
of re
sour
ces
acro
ss A
RC
H
partn
ers
to s
uppo
rt ro
llout
of s
kills
de
velo
pmen
t pro
gram
mes
2
016
2
017
201
8
2019
20
20
2
021
2
016
2
017
201
8
2
019
202
0
2
021
Fu
ll ro
llout
of t
he A
cade
my
will
co
mm
ence
in S
epte
mbe
r 201
9;
A pi
lot w
ill b
e ru
n in
Jan
uary
201
9, fo
r a s
mal
l nu
mbe
r of s
tude
nts
for 1
1 w
eeks
.
O
rigin
al s
ite w
as la
unch
ed in
Feb
ruar
y 20
17;
Fu
rther
opp
ortu
nitie
s fo
r gro
wth
bei
ng
expl
ored
.
B
usin
ess
as u
sual
;
Han
ded
over
to H
ealth
Boa
rd L
eads
.
B
usin
ess
as u
sual
;
Han
ded
over
to H
ealth
Boa
rd L
eads
.
D
eliv
ered
on
initi
al a
mbi
tions
;
Furth
er o
ppor
tuni
ties
for g
row
th b
eing
ex
plor
ed
Scop
ing
Han
dove
r
Live
Com
men
ts
Han
dove
r
Te
stin
g co
mpl
eted
for w
heth
er c
urre
nt
avai
labl
e tra
inin
g pr
ovid
es re
quire
d sk
ills;
D
esk
base
d sc
opin
g ex
erci
se to
inve
stig
ate
the
amou
nt o
f app
ropr
iate
trai
ning
ava
ilabl
e w
ithin
the
regi
on.
Han
dove
r
F
urth
er s
copi
ng b
eing
und
erta
ken.
Key
Scop
ing
Proj
ect L
ive
Not
Liv
eH
ando
ver
Scop
ing
Scop
ing
Live
Com
men
ts to
be
com
plet
ed.
Skill
s &
Edu
catio
n Pr
ogra
mm
e:
Proj
ects
& T
imel
ines
SE17
: Inc
reas
e in
Med
ical
Sch
ool
num
bers
(non
-GEM
): C
reat
e ne
w p
athw
ays
to m
edic
ine
&
CP
DSE
18: N
urse
recr
uitm
ent &
trai
ning
: A
RC
H to
wor
k w
ith W
ED
S to
in
crea
se re
gion
al n
urse
recr
uitm
ent
SE19
: Med
Sch
ool n
umbe
rs in
crea
se:
Impr
ovin
g su
pply
& re
tent
ion
of
doct
ors
in re
gion
& a
cces
s to
GE
M
SE20
: Ove
rsea
s nu
rses
CPD
/ UK
N
urse
re-r
egis
trat
ion:
U
pski
lling
of o
vers
eas
nurs
es w
orki
ng
in p
rivat
e se
ctor
as
supp
ort w
orke
rs to
be
com
e U
K R
egis
tere
d N
urse
sSE
21: R
ecru
itmen
t of C
linic
al
Aca
dem
ic P
osts
in k
ey a
reas
: A
reas
incl
ude
vasc
ular
; car
diol
ogy;
ne
urol
ogy;
der
mat
olog
y; ra
diol
ogy;
st
roke
ser
vice
s; a
cute
sur
gery
; and
, op
htha
mol
ogy
20
16
20
17
2
018
201
9
2
020
2021
20
16
2
017
201
8
2
019
202
0
20
21
2
016
2
017
201
8
2
019
202
0
20
21
20
16
201
7
2
018
201
9
2
020
202
1
20
16
201
7
2
018
201
9
2
020
202
1
Stat
us
Q1
Q2
Q3
Q4
Q1
Q2
Q3
Q4
Q1
Q2
Q3
Q4
Q1
Q2
Q3
Q4
Q1
Q2
Q3
Q4
Com
men
ts
Han
dove
r
Han
dove
r
To
tal M
edic
al S
choo
l num
bers
incr
ease
d by
48
% o
ver 2
yea
rs;
H
ande
d ov
er to
Uni
vers
ity L
eads
.
To
tal M
edic
al S
choo
l num
bers
incr
ease
d by
48
% o
ver 2
yea
rs;
H
ande
d ov
er to
Uni
vers
ity L
eads
.
Live
Han
dove
r
Han
ded
over
to U
nive
rsity
Lea
ds.
Not
Liv
e
Key
Scop
ing
Proj
ect L
ive
Not
Liv
eH
ando
ver
Com
men
ts to
be
com
plet
ed.
Serv
ice
Tran
sfor
mat
ion
Prog
ram
me:
Tr
anch
e 1
Proj
ects
& T
imel
ines
ST6
Vasc
ular
Ser
vice
s:
Dev
elop
ing
regi
onal
, int
egra
ted
path
way
s to
impr
ove
acce
ss to
sp
ecia
list c
are.
ST5
Neu
rolo
gy S
ervi
ces:
D
evel
opin
g re
gion
al, i
nteg
rate
d pa
thw
ays
to im
prov
e ac
cess
to
spec
ialis
t car
e.
ST4
Der
mat
olog
y Se
rvic
es:
Exp
lore
regi
onal
, int
egra
ted
path
way
s to
impr
ove
acce
ss to
sp
ecia
list c
are.
ST2
Car
diol
ogy
Serv
ices
: D
evel
opin
g re
gion
al, i
nteg
rate
d pa
thw
ays
to im
prov
e ac
cess
to
spec
ialis
t car
e.
ST1
Reg
iona
l Non
-sur
gica
l C
ance
r Se
rvic
es:
Dev
elop
ing
Sou
th W
est W
ales
N
on-s
urgi
cal C
ance
r Stra
tegy
.
ST3
Reg
iona
l Oph
thal
mol
ogy
Cen
tre:
E
xplo
re o
ptio
ns to
est
ablis
h
regi
onal
ele
ctiv
e ce
ntre
to s
erve
A
BM
U &
Hyw
el D
da.
20
16
201
7
2
018
2
019
2
020
202
1
20
16
201
7
2
018
2
019
2
020
202
1
20
16
201
7
2
018
2
019
2
020
202
1
20
16
201
7
2
018
2
019
2
020
202
1
20
16
201
7
2
018
2
019
2
020
202
1
20
16
201
7
2
018
2
019
2
020
2021
Q1
Q2
Q3
Q4
Q1
Q2
Q3
Q4
Q1
Q2
Q3
Q4
Q1
Q2
Q3
Q4
Q1
Q2
Q3
Q4
Serv
ice
Tr
ansf
orm
atio
n
Visi
on &
Aim
s:
The
AR
CH
Ser
vice
Tr
ansf
orm
atio
n Pr
ogra
mm
e w
ill ta
ke a
who
le s
yste
m
appr
oach
to im
plem
ent n
ew
serv
ice
mod
els
base
d on
po
pula
tion
need
s:
Hea
lth a
nd s
ocia
l car
e
wel
lbei
ng s
chem
es a
cros
s th
e re
gion
. Thi
s ne
twor
k w
ill
capi
talis
e on
dig
ital
adva
ncem
ents
to h
elp
peop
le
acce
ss a
dvic
e an
d co
nnec
t to
virtu
al s
uppo
rt an
d tre
atm
ent.
It w
ill s
uppo
rt pe
ople
to c
are
for
them
selv
es a
nd tr
ansf
orm
the-
way
they
acc
ess
serv
ices
, m
axim
isin
g th
e ab
ility
to re
ceiv
e th
eir c
are
at h
ome
or in
the
co
mm
unity
;
Th
is n
ew m
odel
will
be
base
d on
GP
clus
ter n
etw
orks
whe
re a
nu
mbe
r of G
P pr
actic
es w
ill w
ork
with
a w
hole
rang
e of
ser
vice
s (h
ealth
, soc
ial a
nd th
ird s
ecto
r)
to b
ring
care
clo
ser t
o pe
ople
s’
hom
es a
nd e
ncou
rage
gre
ater
pe
rson
al re
spon
sibi
lity
for h
ealth
; D
igita
l exc
lusi
on w
ill b
e
addr
esse
d th
roug
h th
e ro
llout
of
inno
vativ
e he
alth
care
sol
utio
ns to
al
low
peo
ple
to m
onito
r the
ir ow
n ca
re a
t hom
e an
d re
ceiv
e ad
vice
fro
m h
ealth
care
pro
fess
iona
ls;
O
ur re
gion
al n
etw
ork
of lo
cal
hosp
itals
will
pro
vide
the
right
leve
l of
car
e in
the
right
set
ting;
E
stab
lish
Mor
risto
n H
ealth
C
ampu
s as
the
regi
onal
cen
tre fo
r ac
ute
and
criti
cal c
are;
D
evel
op n
ew re
gion
al m
odel
s fo
r a
num
ber o
f fra
gile
ser
vice
s;
D
evel
op e
lect
ive
faci
litie
s w
hich
ca
n de
liver
hig
her
thro
ughp
ut a
nd d
rive
dow
n
wai
ting
times
;
S
tream
line
patie
nt p
athw
ays
thro
ugho
ut th
e re
gion
, to
be
com
e m
ore
effic
ient
, pa
tient
-focu
sed,
as
wel
l as
re
duci
ng v
aria
bilit
y an
d im
prov
ing
sust
aina
bilit
y of
ser
vice
s.
Stat
us
H
ande
d ov
er to
Hea
lth B
oard
s fo
r Im
plem
enta
tion
Janu
ary
2018
.
R
esou
rce
focu
sed
on d
evel
opm
ent o
f C
athe
ter L
abra
tory
pap
er, p
athw
ay w
ork
now
to
be
prog
ress
ed.
H
ub a
nd S
poke
mod
el a
gree
d, id
entif
ied
path
way
are
as fo
r rev
iew
, Hea
dach
e,
Epi
leps
y an
d Fu
nctio
n, fo
r dev
elop
men
t and
fu
ll co
stin
g of
ser
vice
mod
el.
Not
Liv
e
Com
men
ts
H
ealth
Boa
rds
prog
ress
ing
unde
r Joi
nt
Reg
iona
l Pla
nnin
g an
d D
eliv
ery
Com
mitt
ee.
H
ealth
Boa
rds
prog
ress
ing
unde
r Joi
nt
Reg
iona
l Pla
nnin
g an
d D
eliv
ery
Com
mitt
ee.
H
ande
d ov
er to
Hea
lth B
oard
s fo
r Im
plem
enta
tion
Apr
il 20
18.
Not
Liv
e
Key
Scop
ing
Proj
ect L
ive
Not
Liv
eH
ando
ver
Han
dove
r
Live
Live
Han
dove
r
ST11
Com
bine
Acu
te M
edic
al
take
at M
orris
ton
Cam
pus:
Tr
ansf
er m
edic
al ta
ke f
rom
S
ingl
eton
to M
orris
ton.
ST12
: Sin
glet
on E
nabl
ing
Site
D
evel
opm
ent:
Est
ablis
hing
new
mod
el fo
r ad
mis
sion
s, ra
pid
acce
ss to
di
agno
stic
s to
avo
id a
dmis
sion
s.
20
16
201
7
20
18
20
19
20
20
20
21
20
16
201
7
20
18
20
19
20
20
20
21
ST10
Mor
risto
n En
ablin
g Si
te
Dev
elop
men
t: D
evel
opm
ent o
f M
orris
ton
site
to
bec
ome
acut
e hu
b.
2016
2
017
2018
2019
2020
2021
20
16
201
7
20
18
20
19
20
20
20
21
ST7:
Reg
iona
l Pat
holo
gy:
Reg
iona
l sta
te-o
f-the
-art
faci
lity
for s
ervi
ce, r
esea
rch,
teac
hing
.
ST8
Reg
iona
l Str
oke
Mod
el:
Dev
elop
ing
regi
onal
, int
egra
ted
mod
el t
o st
roke
cen
tre.
ST9
Stan
dalo
ne O
rtho
paed
ics
regi
onal
faci
lity:
A
dedi
cate
d un
it fo
r Mor
risto
n
& N
PT
elec
tive
activ
ity.
ST7
Inte
rven
tiona
l Rad
iolo
gy:
Dev
elop
ing
regi
onal
, int
egra
ted
path
way
s to
impr
ove
acce
ss to
sp
ecia
list c
are.
20
16
201
7
20
18
20
19
20
20
20
21
20
16
201
7
20
18
20
19
20
20
20
21
20
16
201
7
2
018
2
019
2
020
2
021
Serv
ice
Tran
sfor
mat
ion
Prog
ram
me:
Tr
anch
e 1
Proj
ects
& T
imel
ines
Stat
us
Q1
Q2
Q3
Q4
Q1
Q2
Q3
Q4
Q1
Q2
Q3
Q4
Q1
Q2
Q3
Q4
Q1
Q2
Q3
Q4
O
utlin
e S
ervi
ce M
odel
agr
eed,
fina
ncia
l fra
mw
ork
eve
lope
d, fo
r cos
ting
of fu
ll se
rvic
e m
odel
.
D
raft
Dis
cuss
ion
SO
C c
ompl
eted
, for
su
bmis
sion
to W
elsh
Gov
ernm
ent.
Fu
ndin
g se
cure
d fo
r HA
SU
Pro
ject
M
anag
er, I
mpl
icat
ion
of H
ywel
Dda
mod
el to
be
disc
usse
d an
d G
ap A
naly
sis
to b
e co
mpl
eted
ag
ains
t Stro
ke S
tand
ards
.
C
apita
l Cas
e on
Hol
d, H
ealth
Boa
rds
prog
ress
ing
unde
r Joi
nt R
egio
nal P
lann
ing
and
Del
iver
y C
omm
ittee
.Com
men
ts
O
ptio
ns p
aper
dev
elop
ed A
ugus
t 201
7 on
im
plic
atio
ns o
f mov
ing
the
acut
e ta
ke to
M
orris
ton,
incl
udin
g th
e pr
opos
ed
serv
ices
to re
mai
n at
Sin
glet
on.
M
aste
r site
pla
n si
gned
off
Apr
il 20
17.
A
mbu
lato
ry C
are
Uni
t mod
el, i
nclu
ding
ac
tivity
flow
s an
d hi
gh le
vel w
orkf
orce
re
quire
men
ts a
gree
d by
Pro
ject
Gro
up.
M
aste
r site
pla
n si
gned
off
Apr
il 20
17.
Tr
anch
e 2
proj
ects
sub
ject
to W
elsh
G
over
nmen
t app
rova
l and
pro
gres
sion
of s
ite
infra
stru
ctur
e at
Mor
risto
n in
clud
ing
road
link
s.
Key
Scop
ing
Proj
ect L
ive
Not
Liv
eH
ando
ver
Live
Live
Live
Live
Not
Liv
e
Not
Liv
e
Not
Liv
e
Serv
ice
Tran
sfor
mat
ion
Prog
ram
me:
Tr
anch
e 2
Proj
ects
& T
imel
ines
20
16
201
7
20
18
20
19
20
20
20
21
ST13
Ser
vice
Dig
itisa
tion:
Te
chno
logy
Ena
bled
Car
e &
C
itize
n H
eld
Por
tal.
ST14
Reg
iona
l Sou
th W
est
Reg
iona
l can
cer c
entre
to s
erve
A
BM
U &
Hyw
el D
da p
atie
nts.
ST15
Pha
rmac
y R
eloc
atio
n in
c R
egio
nal A
scep
tic:
Reg
iona
l ase
ptic
faci
lity
to
serv
e bo
th A
BM
U &
HD
da.
ST16
Obs
tetr
ics/
Neo
nata
l &
Gyn
ae re
loca
tion:
R
egio
nal b
ase
for
AB
MU
w
omen
’s &
chi
ldre
n’s
serv
ices
, re
loca
tion
of A
BM
U O
bs,
Neo
nata
l, G
ynae
to M
orris
ton.
ST17
Pae
diat
ric U
nit R
eloc
atio
n:
Rel
ocat
ion
of p
aeds
uni
t at
Mor
risto
n H
ealth
Cam
pus.
ST18
Car
diol
ogy/
Car
diac
Cen
tre:
E
stab
lish
regi
onal
Car
diac
Cen
tre
Sou
th W
est W
ales
.
20
16
201
7
20
18
20
19
20
20
20
21
ST19
: Maj
or T
raum
a C
entr
e:
Est
ablis
hing
Mor
risto
n as
maj
or
regi
onal
trau
ma
cent
re.
Q1
Q2
Q3
Q4
Q1
Q2
Q3
Q4
Q1
Q2
Q3
Q4
Q1
Q2
Q3
Q4
Q1
Q2
Q3
Q4
Stat
us
S
copi
ng w
orks
hops
taki
ng p
lace
, al
ignm
ent o
f Hea
lth B
oard
prio
ritie
s an
d sy
nerg
y be
twee
n In
form
atic
s S
rate
gic
Out
line
Pro
gram
mes
.Sc
opin
g
Com
men
ts
Tr
anch
e 2
proj
ects
sub
ject
to W
elsh
G
over
nmen
t app
rova
l and
pro
gres
sion
of s
ite
infra
stru
ctur
e at
Mor
risto
n in
clud
ing
road
link
s.
C
onsu
ltatio
n P
erio
d co
nclu
ded,
Maj
or
Trau
ma
Cen
tre s
ite re
com
men
ded
as
UH
W C
ardi
ff, M
orris
ton
Hos
pita
l re
com
men
ded
as M
ajor
Tra
uma
Uni
t with
lead
ro
le w
ithin
Maj
or T
raum
a N
etw
ork.
Tr
anch
e 2
proj
ects
sub
ject
to W
elsh
G
over
nmen
t app
rova
l and
pro
gres
sion
of s
ite
infra
stru
ctur
e at
Mor
risto
n in
clud
ing
road
link
s.
Tr
anch
e 2
proj
ects
sub
ject
to W
elsh
G
over
nmen
t app
rova
l and
pro
gres
sion
of s
ite
infra
stru
ctur
e at
Mor
risto
n in
clud
ing
road
link
s.
Tr
anch
e 2
proj
ects
sub
ject
to W
elsh
G
over
nmen
t app
rova
l and
pro
gres
sion
of s
ite
infra
stru
ctur
e at
Mor
risto
n in
clud
ing
road
link
s.
Tr
anch
e 2
proj
ects
sub
ject
to W
elsh
G
over
nmen
t app
rova
l and
pro
gres
sion
of s
ite
infra
stru
ctur
e at
Mor
risto
n in
clud
ing
road
link
s.
Key
Scop
ing
Proj
ect L
ive
Not
Liv
eH
ando
ver
Not
Liv
e
Not
Liv
e
Not
Liv
e
Not
Liv
e
Not
Liv
e
Not
Liv
e
20
16
201
7
20
18
20
19
20
20
20
21
20
16
201
7
20
18
20
19
20
20
20
21
20
16
201
7
20
18
20
19
20
20
20
21
20
16
201
7
20
18
20
19
20
20
20
21
20
16
201
7
20
18
20
19
20
20
20
21
Wel
lbei
ng P
rogr
amm
e:
Tran
che
1 Pr
ojec
ts &
Tim
elin
es
W1:
Und
erst
andi
ng:
Cas
e fo
r Cha
nge:
Dev
elop
the
AR
CH
Cas
e fo
r Cha
nge
thro
ugh
a sy
stem
atic
regi
onal
hea
lth a
nd
wel
lbei
ng a
sses
smen
t.
W2:
Und
erst
andi
ng:
Eval
uatio
n ca
pabi
lity:
Alig
ned
wor
k w
ith th
e P
rude
nt H
ealth
care
In
telli
genc
e U
nit t
o pr
ovid
e lo
ngitu
dina
l lin
ked
data
pla
tform
us
ing
SA
IL d
ata.
W3:
Reb
alan
cing
: Ll
anel
li W
elln
ess
& L
ife S
cien
ce
Villa
ge: I
nclu
des
a W
elln
ess
Hub
, S
ports
Aca
dem
y, W
elln
ess
Hot
el,
Neu
ro R
ehab
Vill
age,
Out
door
W
ellb
eing
, res
earc
h ca
pabi
lity.
W4:
Reb
alan
cing
: N
eath
Hea
lth &
Wel
lbei
ng S
chem
e:
Will
co-
loca
te p
rimar
y &
com
mun
ity
care
ser
vice
s w
ith w
ellb
eing
, thi
rd
sect
or, o
ut-o
f-hos
pita
l & s
ocia
l car
e w
ith b
usin
ess
spac
e &
edu
catio
n.
W5:
Reb
alan
cing
: Sw
anse
a C
ity H
&W
Sch
eme:
S
tate
-of-t
he-a
rt fa
cilit
y w
hich
in
tegr
ates
hea
lthca
re, w
ellb
eing
, re
sear
ch w
ith tr
aini
ng fa
cilit
ies.
Q1
Q2
Q3
Q4
Q1
Q2
Q3
Q4
Q1
Q2
Q3
Q4
Q1
Q2
Q3
Q4
Q1
Q2
Q3
Q4
Stat
us
Wel
lbei
ng
Vi
sion
& A
ims:
The
Wel
lbei
ng P
rogr
amm
e w
ill
mak
e a
quan
tifiab
le
impr
ovem
ent t
o th
e he
alth
and
w
ellb
eing
of t
he p
opul
atio
n of
Sou
th W
est W
ales
, whe
n co
mpa
red
with
oth
er re
gion
s.
The
prog
ram
me
will
mak
e a
subs
tant
ial c
ontr
ibut
ion
to:
C
ontri
butin
g to
the
redu
ctio
n of
hea
lth in
equa
litie
s be
twee
n po
pula
tion
grou
ps;
A
ffect
ing
a ta
ngib
le
step
-cha
nge
in o
ur a
ppro
ach
to
prev
entio
n an
d ea
rly
inte
rven
tion
acro
ss a
ll A
RC
H
prog
ram
mes
;
have
a d
emon
stra
ble
impa
ct o
n ke
epin
g pe
ople
wel
l for
long
er;
M
axim
ise
the
pote
ntia
l of
inno
vatio
n an
d em
ergi
ng
digi
tal c
apab
ility
and
nex
t ge
nera
tion
tech
nolo
gies
to k
eep
peop
le w
ell,
incl
udin
g ch
angi
ng
the
way
in w
hich
ser
vice
s ar
e de
liver
ed.
R
educ
ing
inap
prop
riate
de
man
d on
key
hea
lthca
re s
ervi
ces
by in
fluen
cing
the
key
soci
al d
eter
-m
inan
ts o
f hea
lth a
nd s
uppo
rting
pe
ople
to re
mai
n w
ell w
ithin
thei
r co
mm
uniti
es.
Im
prov
e ac
cess
to
oppo
rtuni
ties
and
serv
ices
that
Com
men
ts
W
ellb
eing
Com
pend
ium
fina
lised
.
Live
Live
Not
Liv
e
Han
dove
r
P
roje
ct B
oard
est
ablis
hed.
D
raft
Bus
ines
s C
ase
was
sub
mitt
ed to
Wel
sh
Gov
ernm
ent u
nder
the
City
Dea
l in
Janu
ary
2018
.
M
eetin
gs w
ith P
ublic
Hea
lth D
irect
ors
are
ongo
ing
to s
cope
the
wor
k on
R
egio
nal D
ata.
Scop
ing
Key
Scop
ing
Proj
ect L
ive
Not
Liv
eH
ando
ver
20
16
201
7
20
18
20
19
20
20
20
21
20
16
201
7
20
18
20
19
20
20
20
21
20
16
201
7
20
18
20
19
20
20
20
21
20
16
201
7
20
18
20
19
20
20
20
21
20
16
201
7
20
18
20
19
20
20
20
21
Q1
Q2
Q3
Q4
Q1
Q2
Q3
Q4
Q1
Q2
Q3
Q4
Q1
Q2
Q3
Q4
Q1
Q2
Q3
Q4
W6:
Reb
alan
cing
: B
ridge
nd H
&W
Sch
eme:
M
ulti-
agen
cy p
artn
ersh
ip w
ill
co-lo
cate
prim
ary
& c
omm
unity
ca
re w
ith re
hab
& th
erap
y se
rvic
es,
ILS
sat
ellit
e.
W7:
Reb
alan
cing
: H
ywel
Dda
H&
W S
chem
es:
Exp
lorin
g fu
rther
dev
elop
men
ts in
th
e H
ywel
Dda
regi
on.
W8
& W
9: P
reve
ntin
g:
Prev
entio
n/Ea
rly in
terv
entio
n an
d So
cial
Impa
ct B
onds
: In
itial
focu
s on
obe
sity
and
dev
elop
in
vest
men
t mod
el fo
r pre
vent
ion,
in
clud
ing
a re
gion
al W
ellb
eing
Bon
d.
Wel
lbei
ng P
rogr
amm
e:
Tran
che
1 Pr
ojec
ts &
Tim
elin
esSt
atus
Com
men
ts
Scop
ing
C
urre
ntly
set
ting
out s
cope
opt
ions
, sc
hedu
les
of a
ccom
mod
atio
n an
d hi
gh le
vel
cost
ings
for c
onsi
dera
tion
by W
elsh
G
over
nmen
t prio
r to
OB
C d
evel
opm
ent.
Not
Liv
e
Live
C
ompl
eted
ear
ly a
ppra
isal
of S
IB;
N
atio
nal i
nter
est i
n th
is a
rea
is h
igh;
W
ellb
eing
Bon
d M
anife
sto
Com
mitm
ent.
O
utlin
e B
usin
ess
Cas
e in
dev
elop
men
t for
su
bmis
sion
to W
elsh
Gov
ernm
ent;
S
ite M
aste
r Pla
nnin
g co
ntin
ues
to
prog
ress
as
sche
dule
d.
Key
Scop
ing
Proj
ect L
ive
Not
Liv
eH
ando
ver
20
16
201
7
20
18
20
19
20
20
20
21
20
16
201
7
20
18
20
19
20
20
20
21
20
16
201
7
20
18
20
19
20
20
20
21
Stat
usR
esea
rch,
Ent
erpr
ise
& In
nova
tion
Prog
ram
me:
Pro
ject
s &
Tim
elin
es
R,E
&I
Vi
sion
& A
ims:
The
Res
earc
h, E
nter
pris
e &
In
nova
tion
Prog
ram
me
will
cr
eate
and
und
erta
ke re
gion
al,
wor
ldle
adin
g, m
ultid
isci
plin
ary,
co
llabo
rativ
e re
sear
ch, t
o dr
ive
an
ecos
yste
m o
f vib
rant
life
sc
ienc
es &
hea
lth a
ctiv
ity to
de
liver
impr
oved
hea
lth, w
ellb
eing
an
d pr
ospe
rity
for c
urre
nt a
nd
futu
re g
ener
atio
ns:
parti
cipa
te in
clin
ical
rese
arch
an
d tri
als
offe
ring
a un
ique
ca
pabi
lity
to g
loba
l com
pani
es
and
indi
geno
us e
nter
pris
es;
K
ick-
star
t a c
ultu
re c
hang
e to
en
sure
the
regi
on c
an c
apita
lise
on th
e op
en in
nova
tion
syst
em,
to d
eliv
er e
cono
mic
ben
efits
and
im
prov
ed h
ealth
and
wel
lbei
ng;
C
onso
lidat
e an
d ex
pand
succ
essf
ul c
olla
bora
tions
and
par
t-ne
rshi
p w
orki
ng w
ith th
e pu
blic
and
pr
ivat
e se
ctor
;
Th
e pr
ogra
mm
e w
ill e
stab
lish
the
regi
on a
s a
glob
ally
si
gnifi
cant
act
or fo
r int
egra
ted
open
in
nova
tion
in h
ealth
;
In
nova
te w
ithin
the
heal
th a
nd li
fe
scie
nce
sect
or to
dev
elop
en
trepr
eneu
rial a
nd in
nova
tion
skill
s;
S
uppo
rt th
e de
velo
pmen
t of a
n in
tegr
ated
fram
ewor
k ac
ross
the
partn
ersh
ip fo
r cre
atio
n, c
aptu
re
and
com
mer
cial
isat
ion
of n
ew
know
ledg
e;
Id
entif
y op
portu
nitie
s fo
r the
de
velo
pmen
t and
rete
ntio
n of
In
telle
ctua
l pro
perty
(IP
);
M
anag
e an
d co
-ord
inat
e th
e de
velo
pmen
t of M
ediP
ark.
D
evel
op th
e re
gion
as
a liv
ing
labo
rato
ry w
hich
wou
ld a
llow
cl
ose
to a
mill
ion
peop
le to
Q1
Q2
Q3
Q4
Q1
Q2
Q3
Q4
Q1
Q2
Q3
Q4
Q1
Q2
Q3
Q4
Q1
Q2
Q3
Q4
REI
2: H
ealth
care
Tec
hnol
ogy
Cen
tre
(HTC
):H
TC w
ill c
reat
e a
cent
re fo
r o
pen
inno
vatio
n w
ith a
sp
ecifi
c fo
cus
on tr
ansl
atio
n of
tech
into
med
ical
inno
vatio
n fo
rmin
g pa
rt of
a w
ider
Hea
lth
Tech
nolo
gy N
etw
ork
REI
4: I
LS@
Hyw
el D
da:
Will
dev
elop
rese
arch
and
de
velo
pmen
t act
ivity
in W
est
Wal
es. I
LS s
atel
lites
to b
e
loca
ted
acro
ss A
RC
H re
gion
REI
3: I
LS@
Mor
risto
n:W
ill fo
cus
on in
nova
tion
and
ad
vanc
emen
ts in
acu
te c
are,
su
rger
y, d
ata
and
gene
tics
of
lif
e sc
ienc
e. R
eplic
atin
g th
e
ILS
infra
stru
ctur
e of
Sin
glet
on
REI
1: I
LS M
ediP
ark
Net
wor
k:M
ediP
ark
will
pro
vide
a b
road
ra
nge
of s
kills
, tra
inin
g an
d
empl
oym
ent o
ppor
tuni
ties
Com
men
ts
Live
B
usin
ess
Cas
e be
ing
com
plet
ed fo
r HTI
C a
t S
ingl
eton
as
part
of th
e C
ity D
eal,
Life
Sci
ence
an
d W
ellb
eing
cam
puse
s pr
ojec
t.
Act
ivity
fund
ing
secu
red
£24m
as
part
of
Acc
eler
ate
(ER
DF,
EW
& W
W&
V).
B
usin
ess
Cas
e be
ing
com
plet
ed fo
r HTI
C a
t M
orris
ton.
£
15m
(S+M
) app
rove
d in
prin
cipl
e pe
ndin
g FB
C.
Live
Live
Not
Liv
e
Key
Scop
ing
Proj
ect L
ive
Not
Liv
eH
ando
ver
C
ampu
ses
appr
oved
in p
rinci
ple,
bus
ines
s pl
anni
ng F
BC
. Fi
rst p
hase
will
see
initi
al
ddev
elop
men
t of A
RC
H c
ampu
s vi
sion
whi
lst
deve
lopi
ng fu
rther
pha
ses
to a
chie
ve lo
ng
term
vis
ion.
£
200m
Lla
nelli
Life
Sci
ence
and
Wel
lbei
ng
villa
ge p
rogr
essi
ng w
ell,
long
term
vis
ion
for
addi
tiona
l ILS
at H
ywel
Dda
.
Hyw
el D
da T
rans
form
ing
Clin
ical
Ser
vice
s to
in
form
RE
I prio
ritis
atio
n.
201
6
201
7
201
8
2019
20
20
202
1
2
016
2
017
2
018
20
19
2020
2
021
2
016
2
017
2
018
20
19
2020
2
021
2
016
2
017
2
018
20
19
2020
2
021
Q1
Q2
Q3
Q4
Q1
Q2
Q3
Q4
Q1
Q2
Q3
Q4
Q1
Q2
Q3
Q4
Q1
Q2
Q3
Q4
REI
6: J
-CR
F R
egio
nal
Expa
nsio
n:Th
e Jo
int-C
linic
al R
esea
rch
Fa
cilit
y (J
-CR
F) is
a s
ingl
e
porta
l for
all
clin
ical
rese
arch
w
ithin
the
regi
on, p
rovi
ding
a
plat
form
for t
rans
latio
n of
re
sear
ch in
to c
linic
al in
nova
tion
REI
7: L
lane
lli W
elln
ess
&
Life
Sci
ence
Vill
age
(R,E
&I):
C
reat
e an
ope
n in
nova
tion
and
R
&D
env
ironm
ent i
n W
est W
ales
w
hich
cou
ld e
xpan
d an
d su
ppor
t th
e ex
istin
g IL
S o
fferin
gs
REI
8: T
alen
t Ban
k (R
,E&
I):C
reat
e a
regi
onal
sup
ply
of
indi
geno
us h
igh-
calib
re a
nd
skill
ed S
TEM
tale
nt
REI
9: H
&W
bein
g A
cade
my
(R,E
&I):
Faci
litie
s to
sup
port
high
-qua
lity
rese
arch
, inn
ovat
ion,
de
velo
pmen
t and
edu
catio
n
REI
5: A
gorIP
:W
ill o
pen
up a
pip
elin
e of
un
tapp
ed re
sear
ch &
turn
in
nova
tion
idea
s in
to
prod
ucts
and
ser
vice
s
201
6
201
7
201
8
2019
20
20
202
1
Res
earc
h, E
nter
pris
e &
Inno
vatio
nPr
ogra
mm
e: P
roje
cts
& T
imel
ines
Stat
usC
omm
ents
Han
dove
r
A jo
int H
ealth
boa
rd IP
Pol
icy
was
agr
eed
and
Ago
rIP w
as la
unch
ed in
May
201
8.
Han
dove
r
D
eliv
ered
on
initi
al a
mbi
tions
;
10%
of b
oth
coho
rts h
ave
secu
red
plac
es to
st
udy
med
icin
e at
uni
vers
ity;
P
lans
to d
eliv
er th
e pr
ogra
mm
e in
ord
er to
ope
n up
acc
ess
to o
ther
loca
l six
th fo
rms
and
colle
ges.
Han
dove
r
Del
iver
ed o
n in
itial
am
bitio
ns;
Fu
rther
opp
ortu
nitie
s fo
r gro
wth
bei
ng
expl
ored
Live
Live
Key
Scop
ing
Proj
ect L
ive
Not
Liv
eH
ando
ver
R
egio
nal e
xpan
sion
at L
lane
lli W
elln
ess
and
Life
Sci
ence
Vill
age.
Com
men
ts to
be
com
plet
ed.
2
016
2
017
2
018
20
19
2020
2
021
2
016
2
017
2
018
20
19
2020
2
021
2
016
2
017
2
018
20
19
2020
2
021
2
016
2
017
2
018
20
19
2020
2
021
ARCH (A Regional Collaboration for Health) is made up of Abertawe Bro Morgannwg University Health Board, Hywel Dda University Health Board and Swansea University
A Regional Collaboration for Health: South West Wales Regional Working and Collaboration 2017-2018
www.arch.cymruwww.arch.wales
