1. Primary Care & Community Services
Identified Area for Improvement:
Up-skill the rural primary care workforce by:
Producing a skills and competencies framework for practice nurses, health care assistants and practice managers
Delivering a programme of training to support the framework

2. Primary Care & Community Services
Identified Area for Improvement:
Establishing the role of Physician Associate across Mid Wales
Introduce a 4-year PA development programme (more later)
Roll out the concept of the ‘virtual ward’ to all parts of Mid Wales
Agree the core principles of the ‘virtual ward’ and then allowing for local variation to reflect local circumstances, ensure the core principles are in place across the area

3. Primary Care & Community Services
Identified Area for Improvement:
Establish an integrated community focussed dental service in Mid Wales
Develop an intermediate oral surgery service for complex extractions
Utilising Community Dental Service staff, develop a joint GA list in Bronglais Hospital
Develop a maxillofacial service which avoids the unnecessary use of secondary care services and patients travelling to South Wales

4. Primary Care & Community Services
Identified Area for Improvement:
Establish an enhanced community-focussed service which supports the timely discharge/ transfer of ‘medically fit’ patients from Bronglais Hospital
Identify current ‘blockages’ and implementing service changes to over-come them

5. Community Services Primary Care & Progress to Date:
Collaboration with University of Birmingham established
A longer-term commitment to Mid Wales is essential
4 year programme:
2 years in university, with clinical placements in Mid Wales (primary care and hospital)
2 years in paid employment (primary care and hospital) where clinical skills are further developed while in-service
Funding partly in place; unconfirmed commitment for all partners received
Aim is to support first intake of students from 2016

6. The Benefits to Mid Wales:
Primary Care &
Community Services
The Benefits to Mid Wales:
Increases the resilience and sustainability of primary care services
Allows the contribution of those working in primary care to be increased
Improves access times for primary care services
Supports the principles of Prudent Healthcare by ensuring the skills and competencies of primary care team members are used appropriately
An innovative service which can be provided with greater efficiency across Mid Wales as a whole