1. The Development of the All Wales Traumatic Stress Quality Improvement Initiative
Clare Crole-Rees
variable Disparities in workforce skills, funding and service provision have led to
It provides:
Expert assessments and evidence-based treatments for PTSD and CPTSD
Training, consultation and supervision locally
A 2nd Opinion service for out of area referrals

2. The background Cardiff TSS was the only specialist service in Wales
The new Initiative takes a whole
system, consistent approach
PTSD and CPTSD are under-detected
Inequity of provison across Wales
Cardiff TSS is the only specialist non-veteran service in Wales
Welsh Government invited a Proposal for an AWTSQII
Initiative

3. Key Principles Equitable access Network of local services
Lean, person-centred pathways
National clinical governance
National minimum data-set
National Hub
Standard functions and outcomes
Co-produced

4. What have we learnt? Variability in access to Interventions that are
Evidence-based
Matched to person’s needs
Examples of effective practice
Variability in access to evidence-based interventions t
Lack of expertise and capacity within Primary Care
Provision of matched-care is variable
Ineffective pathways through Primary and Secondary Care Services

5. Integrated Clinical Pathway

6. Functions of the Hub HUB Training Consultation / 2nd Opinion
National Dataset
Stakeholder involvement
Research and Development
Intervention Standards
Standardised Assessments
Website and communication
Consultation / 2nd Opinion
Balance between measurable outcomes and development of processes that support capacity bulidling
Decision making inclusiveness and effectiveness
Soliciticing and sustaining participation

7. The work so far… Steering Group involving key stakeholders
Initial process mapping
Website under development
Stabilisation training materials

8. Next steps…. Liaison with service leads National standards agreed
National Minimum Data Set
Training resources and processes
Specialist work streams for priority and vulnerable groups

9. Thank you for listening!
Any questions?