Prevention stage 1

Prevention Stage 1: Stay well and independent within the community

Objective Timeframe Strategic priority Population groups Links to Overarching Recs/ Areas for Improvement Links to National Outcomes Implementation Plan/s
1.1 Develop a shared, Health and Well-being Strategy for the region which embeds prevention and reduces health inequalities through mainstream action across the whole system Short term IAA and prevention All OR3;
OR7		 N1; N2; N3; N4; N5; N6; N7; N8; N9; N10; N13; N14; N17; N19; N22 Strategy under development
1.2 Establish regional preventions framework based on effective local practice and aimed at building community resilience Short term IAA and prevention All OR3;
OR7		 N1; N2; N3; N4; N5; N6; N7; N8; N9; N10; N13; N14; N17; N18; N19; N22 Regional Programme Plan – Integrated Commissioning and Preventions
1.3 Establish and implement regional standards for IAA services Short term IAA and prevention All OR3;
OR7		 N1; N2; N3; N4; N5; N6; N7; N8; N9 Regional Programme Plan – Integrated Commissioning and Preventions
1.4 Embed and promote Dewis and Infoengine as primary service portals, linked to the NHS 111 service and local Family Information Services Short term IAA and prevention All OR3;
OR7		 N1; N2; N3; N4; N5; N6; N7; N8; N9 Regional Programme Plan – Integrated Commissioning and Preventions
1.5 Establish and implement regional strategy for Technology Enabled Care (TEC) Short term IAA and prevention All OR3;
OR7		 N7; N8; N9; N22; N24 Strategy under development
1.6 Enhance and standardise out of hours provision across the region Medium term IAA and prevention All OR1;
OR3;
OR7		 N1; N2; N4; N8 Approach under discussion
1.7 Deliver integrated training and development programme to support practice around IAA and preventions Medium term IAA and prevention/ Workforce Development All OR3;
OR7		 N1; N2; N3; N4; N5; N6; N7; N8; N9 Regional Social Care Wales Workforce Development Programme (SCWWDP) – link to follow
1.8 Establish regional advocacy service for adults Short term IAA and prevention All adults OR1;
OR6;
OR7;
OR8		 N1; N2; N3; N4; N5; N6; N10; N12 Regional Programme Plan – Integrated Commissioning and Preventions
1.9 Ensure adults and children with autism, who do not have a learning disability or mental health problems, receive appropriate IAA and signposting to relevant support and services in the community through the development and implementation of a regional Integrated Autism Service Short term IAA and prevention Autism OR3;
OR6;
OR7		 N1; N2; N3; N4; N5; N6; N7; N8; N9; N10; N15; N17; N18; N19 Regional Programme Plan – Integrated Commissioning and Preventions
1.10 Raise awareness of carers through Carer Aware/ Young Carer Aware e-learning programmes, training and workforce development and the Investors in Carers Scheme, to ensure needs are identified and appropriate support provided Medium term Carers Carers OR3;
OR4;
OR6		 N1; N2; N3; N4; N5; N6; N9; N11; N12; N18 West Wales Carers Delivery plan
1.11 Ensure appropriate levels of respite and support services for carers, developed using a co-produced approach Medium term Carers Carers OR1;
OR3;
OR4;
OR6;
OR7		 N1; N2; N3; N4; N5; N6; N9; N11; N12; N18 West Wales Carers Delivery plan
1.12 Ensure carers have access to appropriate IAA to support them in their role Medium term Carers Carers OR3;
OR4;
OR6;
OR7		 N1; N2; N3; N4; N5; N6; N9; N11; N12; N18 West Wales Carers Delivery plan
1.13 Support the well-being of carers and former carers through supporting them to build and maintain emotional resilience Medium term Carers Carers OR1;
OR3;
OR4;
OR6;
OR7		 N1; N2; N3; N4; N5; N6; N9; N11; N12, N18 West Wales Carers Delivery plan
1.14 Develop community resilience and strengths-based early intervention and prevention initiatives to provide appropriate support for children and families, working with the third sector and focusing on the four well-being outcomes for children and young people Medium term IAA and prevention Children and Young People/ Substance Misuse OR1;
OR3;
OR4;
OR5;
OR6;
OR7		 N1; N2; N3; N4; N5; N6; N7; N8; N9; N13; N14; N17; N18; N19; N22 New Operating Models focussed on early intervention and prevention being developed across the Region. Thresholds framework developed and finalised (see 1.15)
1.15 Implement ‘The Right Help at the Right Time for Children, Young People and their Families’ regional threshold framework which includes support to reduce Adverse Childhood Experiences (ACEs) Short term IAA and prevention Children and Young People OR3;
OR4;
OR5;
OR6;
OR7		 N1; N2; N3; N4; N5; N6; N7; N8; N9; N10; N11; N12; N13; N14 Framework
1.16 Implement the ‘Signs of Safety’ Practice Framework across the Region. Short term   Children and Young People OR1 N1; N10; N11; N12 Signs of Safety is in active development within the Region. Regional practice framework is in the planning stages and an initial regional meeting is scheduled for April 2018.
1.17 Implement the Child Poverty Strategy for Wales within West Wales Medium term IAA and prevention Children and Young People OR3;
OR7		 N7; N8; N9; N16; N17; N18; N20 Each Local Authority has a strategy in place e.g. Ceredigion Combating Poverty Strategy 2016-2018 Regional implementation in development.
1.18 Ensure preventative services meet the needs of children and young people with mental health problems through the Together for Children and Mental Health Strategy for child and adolescent mental health Medium term IAA and prevention/ Transforming Mental Health Services Children and Young People OR1;
OR3;
OR4;
OR5;
OR6;
OR7		 N1; N2; N3; N4; N5; N6; N7; N8; N9; N13; N14; N17; N18; N19; N22 Together for Mental Health Delivery Plan
Regional arrangements in development -documentation to follow
1.19 Ensure community-based preventative support is optimised for people with a Learning Disability, drawing on regional Statement of Intent and Model of Care and Support Medium term IAA and prevention/ Transforming LD services Learning Disabilities OR3;
OR4;
OR6;
OR7		 N1; N2; N3; N4; N5; N6; N7; N8; N9; N13; N14; N17; N18; N19; N22 Strategy Under Development
1.20 Ensure IAA provision supports people with a Learning Disability in accessing appropriate care and support and enhances their access to generic services Medium term IAA and prevention/ Transforming LD services Learning Disabilities OR3;
OR7		 N1; N2; N3; N4; N5; N6; N7; N8; N9; N13; N14; N17; N18; N19; N22 Regional Programme Plan – Integrated Commissioning and Preventions
LD Strategy under development
1.21 Ensure preventative services meet the needs of people with mental health problems through the Together for Mental Health Strategy within the Region Medium term Transforming Mental Health Services Mental Health OR1;
OR3;
OR4;
OR5;
OR6;
OR7		 N1; N2; N3; N4; N5; N6; N7; N8; N9; N13; N14; N17; N18; N19; N22 Transforming Mental Health Proposed Implementation Plan
1.22 Provide single regional contact number for people with mental health problems with links to specialised local information and to generic IAA provision in the region Short term IAA and prevention/Transforming Mental Health Services Mental Health OR1;
OR3;
OR7		 N1; N2; N3; N4; N5; N6; N7; N8; N9; N10; N13; N14; N17; N18; N19 Transforming Mental Health Proposed Implementation Plan
1.23 Ensure IAA and preventative services meet the needs of people with dementia through delivery of the Regional Dementia Strategy Medium term IAA and prevention Older People OR1;
OR3;
OR4;
OR6;
OR7		 N1; N2; N3; N4; N5; N6; N7; N8; N9; N10; N13; N14; N17; N18; N19; N22 Dementia Action Plan for Wales 2018-2022
1.24 Ensure needs of people with sensory impairment are addressed through:
  • Piloting the Sensory Loss Friendly Award and rolling out across health and social care
  • Sharing learning from the HDUHB Communication Support Service and applying good practice across health and social care
  • Undertaking a regional review of services for people with a sensory impairment with a view to enhancing services
 Medium term IAA and prevention Sensory impairment OR1;
OR3;
OR6		 N1; N2; N3; N4; N5; N6; N7; N8; N9 Regional approach to be developed
1.25 Ensure preventative and IAA services meet the needs of people experiencing substance misuse issues Medium term IAA/ prevention Substance misuse OR1;
OR3;
OR4;
OR6		 N1; N2; N3; N4; N5; N6; N10; N11; N12 Strategy under development
1.26 Ensure preventative and IAA services meet the needs of people experiencing VAWDASV Medium term IAA/ prevention VAWDASV OR1;
OR3;
OR4;
OR6		 N1; N2; N3; N4; N5; N6; N9; N10; N11; N12 Strategy due mid 2018

Note: The Overarching Recommendation from the Population Assessment OR2 applies to all objectives