therapy strategy distribution list name contact …

THERAPY STRATEGY DISTRIBUTION LIST

NAME CONTACT ADDRESS ORGANISATION DEPARTMENT/ROLE

Jane Westlake

Jane Westlake, Health and Social Committees Clerk, WAG, Cathays Park, Cardiff CF10 3NQ

Health and Social Services Committees Clerk - Welsh Assembly Government

Health and Social Services Committes Clerk

Claire Morris

Claire Morris, HSSC Deputy Committee Clerk, WAG, Cathays Park, Cardiff CF10 3NQ Welsh Assembly Government HSSC Deputy Committee Clerk

Catherine Lewis

Catherine Lewis, HSSC Support, WAG, Cathays Park, Cardiff CF10 3NQ Welsh Assembly Government HSSC Service Support

AnnLloyd

Ann Lloyd, Head of Health and Social Care, WAG, Cathays Park, Cardiff CF10 3NQ Welsh Assembly Government

Head of Health and Social care

Dr David Salter

Dr David Salter, Chief Medical Officer, WAG, Cathays Park, Cardiff CF10 3NQ Welsh Assembly Government Chief Medical Officer

Rosemary Kennedy

Rosemary Kennedy, Chief Nursing Officer, WAG, Cathays Park, Cardiff CF10 3NQ Welsh Assembly Government Chief Nursing Officer

Mike Shanahan

Mike Shanahan, Director of Older People and Long Term Care Policy, WAG, Cathays Park, Cardiff CF10 3NQ Welsh Assembly Government

Director of Older People and Long term care Policy directorate

John Hill-Tout

John Hill-Tout, Joint Director Performance and Operations Directorate, WAG, Cathays Park, Cardiff CF10 3NQ Welsh Assembly Government

Joint Director Performance and Operations Directorate

Chris Tudor-Smith

Chris Tudor-Smith, Head of Health Promotion Diviosn, WAG, Cathays Park, Cardiff CF10 3NQ Welsh Assembly Government

Head of Health promotion Division

DR S Watkins

DR S Watkins, Senior Medical Officer, WAG, Cathays Park, Cardiff CF10 3NQ Welsh Assembly Government Senior Medical Officer

Dr DL Phillips

DR DL Phillips, Senior Medical Officer, WAG, Cathays Park, Cardiff CF10 3NQ Welsh Assembly Government Senior Medical Officer

Stuart Marples

Stuart Marples, Joint Director Performance and Operations Directorate, WAG, Cathays Park, Cardiff CF10 3NQ Welsh Assembly Government

Joint Director Performance and Operations Directorate

Mr P Clarke

Mr P Clarke, Children's Commissioner in Wales, WAG, Cathays Park, Cardiff CF10 3NQ Welsh Assembly Government

Childrens' Commissioner in Wales

Jane Ashwell Jane Ashwell, WAG, Cathays Park, Cardiff CF10 3NQ Welsh Assembly Government

Paul Langmaid Paul Langmaid, WAG, Cathays Park, Cardiff CF10 3NQ Welsh Assembly Government

Carwen Wynne-Howells

Carwen Wynne-Howells, WAG, Cathays Park, Cardiff CF10 3NQ Welsh Assembly Government

Hugh Bennett Hugh Bennett, WAG, Cathays Park, Cardiff CF10 3NQ Welsh Assembly Government

Dr.Owen Crawley

Dr.Owen Crawley, WAG, Cathays Park, Cardiff CF10 3NQ Welsh Assembly Government

Ronnie Alexander

Ronnie Alexander, WAG, Cathays Park, Cardiff CF10 3NQ Welsh Assembly Government

Sarah Watkins Sarah Watkins, WAG, Cathays Park, Cardiff CF10 3NQ Welsh Assembly Government

David Phillips David Phillips, WAG, Cathays Park, Cardiff CF10 3NQ Welsh Assembly Government

Mike Simmons Mike Simmons, WAG, Cathays Park, Cardiff CF10 3NQ Welsh Assembly Government

Mike Mitchell Mike Mitchell, WAG, Cathays Park, Cardiff CF10 3NQ Welsh Assembly Government

Huw Jenkins Huw Jenkins, WAG, Cathays Park, Cardiff CF10 3NQ Welsh Assembly Government

Jennifer Frost Jennifer Frost, WAG, Cathays Park, Cardiff CF10 3NQ Welsh Assembly Government

Gladys Tinker Gladys Tinker, WAG, Cathays Park, Cardiff CF10 3NQ Welsh Assembly Government

Patrick Coyle Patrick Coyle, WAG, Cathays Park, Cardiff CF10 3NQ Welsh Assembly Government

Jeremy Savage

Jeremy Savage, WAG, Cathays Park, Cardiff CF10 3NQ Welsh Assembly Government

Ceri Breeze Ceri Breeze, WAG, Cathays Park, Cardiff CF10 3NQ Welsh Assembly Government

Dr Jane Ludlow

Dr Jane Ludlow, WAG, Cathays Park, Cardiff CF10 3NQ Welsh Assembly Government

Emma Morgan

Emma Morgan, WAG, Temple of Peace, Cathays Park, Cardiff National Public Health Service

Robin Mann

Robin Mann, WAG, Temple of Peace, Cathays Park, Cardiff National Public Health Service

Cerilan Rogers

Cerilan Rogers, NPHS, Temple of Peace, Cathays Park, Cardiff National Public Health Service

Stephen Rogers

Stephen Rogers, WAG, Cathays Park, Cardiff CF10 3NQ Welsh Assembly Government

Chairs of Community Health Councils

H Hoare, Chair, Brecknock and Radnor CHC, 2nd Floor Offices, 2 The Struet, Brecon, , LL3 7LH

H Hoare, Chair Brecknock & Radnor CHC, 2nd floor offices, 2 the struet, Brecon,LL3 7LH Brecknock & Radnor CHC Chair

Collin Thomson

Collin Thomson, Chair Bridgened County Borough CHC, Suite B, brittanic House, Llandarcy, neath, SA10 6JQ Bridgend County Borough CHC Chair

Gwyneth Briwnant Jones, Chair, Cardiff CHC, The Ground Floor, Park House, Greyfriars Road, Cardiff, CF10 3AF

Gwyneth Briwnant Jones, Chair Cardiff CHC, The ground floor, Park house, greyfriars Road, cardiff,CF10 3AF Cardiff CHC Chair

Sian E Thomas

Sian E Thomas, Chair Carmarthen/Dinefwr CHC, 103 Lammas Street, Carmarthen, SA31 3AP Carmarthen/Dinefwr CHC Chair

Jack Evershed

Jack Evershed, Chair Ceredigion CHC, 8 Portland Road, Aberystwyth, Ceredigion, SY23 2NL Ceredigion CHC Chair

Eileen Prestidge

Eileen Prestidge, Chair Clwyd CHC, Cartrefle, Ffordd Cefn, Wrexham, LL13 9NH Clwyd CHC Chair

John Maclennan

John Maclennan, Chair Conwy East CHC, 4 Trinity Square, llandudno, Conwy, LL30 2PY Conwy East CHC Acting Chair

David Owen

David Owen, Chair Conwy West CHC, 4 Trinity Square, llandudno, Conwy, LL30 2PY Conwy West CHC Chair

Cemlyn Williams

Cemlyn Williams, Chair Gogledd Gwynedd CHC, Llwyn Lon Roslyn, Abersoch, Pwllheli, Gwynedd, LL53 7BE Gogledd Gwynedd CHC Chair

Cllr D T Davies

Cllr D T Davies, Chair Gwent CHC, Mamhilad House, Mamhilad Park Estate, Pontypool, Gwent, NP4 0XH Gwent CHC Chair

Kath Charles

Kath Charles, Chair Llanelli CHC, 103 Lammas Street, Carmarthen, SA31 3AP Llanelli/Dinefwr CHC Chair

Cllr Morfydd Lloyd

Cllr Morfydd Lloyd, Chair Meirionydd CHC, Beechwood House, Dolgellau, Gwynedd, LL40 1BR Meirionydd CHC Chair

Wendy Gane

Wendy Gane, Chair Merthyr Cynon Valley CHC, 3rd Floor, the Hollies Health Centre, Swan Street, Merthyr Tydfil, CF47 6ET Merthyr Cynon Valley CHC Chair

Paul Harris

Paul Harries, Chair Montygomery CHC, Ladywell House, Newtoen, Powys, SY16 1JB Montgomery CHC Chair

Doreen Jones

Doreen Jones, Chair Neath Port Talbot CHC, Suite B, brittanic House, Llandarcy, neath, SA10 6JQ Neath Port/Talbot CHC Chair

Barrie Woolmer

suite 2 Cedar Court, Haven's Head, Milford Haven, Pembrokeshire, SA73 3LS Pembrokeshire CHC Chair

Edward Hancock

Edward Hancock, Chair Pontypridd/Rhondda CHC, Unit 10 Maritime Offices, Woodland Toe, Pontypridd, Rhondda Cynon Taff, CF37 1DZ Pontypridd/Rhondda CHC Chair

C Hinton

C Hinton, Chair Swansea CHC, Suite B, brittanic House, Llandarcy, neath, SA10 6JQ Swansea CHC Chair

Tommy Morgan

Tommy Morgan, Director, The Board CHC's in Wales, Highbury, Dinas Terrace, Aberystwyth, SY23 1BT The Board of CHC's in Wales Director

Jenny Hughes

2 Stanwell Road, Penarth, Vale of Glamorgan, CF64 2AA Vale of Glamorgan CHC Chair

Richard Owen

Richard Owen, Chair Ynys Mon CHC, 8a High Street, llangefni, Anglesey, LL77 7LT Ynys Mon CHC Chair

Chairs of NHS Trusts

Win Griffiths

Win Griffiths, Chair Bro Morgannwg NHS Trust, Trust Headquarters, 71 Quarella Road, Bridgend, CF31 1YE Bro Morgannwg NHS Trust Chair

Simon Jones

Simon Jones, Chair Cardiff and Vale NHS Trust, Heath Park Cardiff, Cf14 4XW Cardiff and Vale NHS Trust Chair

Margaret Price

Margaret Price, Chair Carmarthenshire NHS Trust, West Wales General Hospital, Carmarthenshire, SA31 2AF Carmarthenshire NHS Trust Chair

Eleri Ebenezer

Eleri Ebenezer, Chair Ceredigion and Mid Wales NHS Trust, Bronglais General Hospital, Caradog Road, Aberystwyth, SY23 1ER

Ceredigion and Mid Wales NHS Trust Chair

Hilary Stevens

Hilary Stevens, Chair Conwy and Denbighshire NHS Trust, Glan Clwyd Hospital, Sarn lane, rhyl, Denbighshire, LL18 5UJ Conwy and Debengshire NHS Trust Chair

Brian Willott

Brian Willott, Chair Gwent Healthcare NHS Trust, Grange House, Llanfrechra Grange, Cwmbran, torfaen, NP44 8YN Gwent healthcare NHS Trust Chair

Michael Williams

Michael Williams, Chair North East Wales NHS Trust, Administration Dept, PO Box 18, Wrexham, LL13 7ZH North East Wales NHS trust Chair

Jill Penn

Jill Penn, Chair North Glamorgan NHS Trust, Prince Charles Hospital, Merthyr Tydfil, Mid Glamorgan, CF47 9DT North Glamorgan NHS Trust Chair

Elfed Wynn Roberts

Elfed Wynn Roberts, Chair North Wales NHS Trust, Ysbyty Gwynedd, penrhos Garnedd, Bangor, LL57 2PW North West Wales NHS Trust Chair

Lynette George

Lynette George, Pembrokeshire and Derwen NHS Trust, Withybush General Hospital, fishguard Road, Pembrokeshire, SA61 2PZ

Pembrokeshire and Derwen NHS Trust Chair

Professor sir Adrian Webb

Professor Sir Adrian Webb, Chair Pontypridd and Rhondda NHS Trust, Administration Building, Dewi Sant Hospital, Albert Road, Pontypridd, CF37 1LB

Pontypridd and Rhondda NHS Trust Chair

Chief Executives of NHS Trusts

Paul Williams

Paul Williams, Chief Executive Bro Morgannwg NHS Trust, Trust Headquarters, 71 Quarella Road, Bridgend, CF31 1YE Bro Morgannwg NHS Trust Chief Executive

Paul Barnett

Paul Barnett, Chief Executive, Carmarthenshire NHS Trust, West Wales General Hospital, Carmarthenshire, SA31 2AF Carmarthenshire NHS Trust Chief Executive

Allison Williams

Allison Williams, Chief Executive, Ceredigion and Mid Wales NHS Trust, Bronglais General Hospital, Caradog Road, Aberystwyth, SY23 1ER

Ceredigion and Mid Wales NHS Trust Chief Executive

Gren Kershaw

Gren Kershaw, Chief Executive, Conwy and Denbighshire NHS Trust, Glan Clwyd Hospital, Sarn lane, rhyl, Denbighshire, LL18 5UJ Conwy and Debengshire NHS Trust Chief Executive

Martin Turner

Martin Turner, Chief Executive Gwent Healthcare NHS Trust, Grange House, Llanfrechra Grange, Cwmbran, torfaen, NP44 8YN Gwent healthcare NHS Trust Chief Executive

Hilary Pelper

Hilary Pelper, Chief Executive, North East Wales NHS Trust, Administration Dept, PO Box 18, Wrexham, LL13 7ZH North East Wales NHS trust Chief Executive

Jim Hayburn

Jim Hayburn, Chief Executive, North Glamorgan NHS Trust, Prince Charles Hospital, Merthyr Tydfil, Mid Glamorgan, CF47 9DT North Glamorgan NHS Trust Chief Executive

Mary Hodgeon

Mary Hodgeon, Chief Executive, Pembrokeshire and Derwen NHS Trust, Withybush General Hospital, fishguard Road, Pembrokeshire, SA61 2PZ

Pembrokeshire and Derwen NHS Trust Acting Chief Executive

Margaret Foster

Margaret Forster, Chief Executive, Pontypridd and Rhondda NHS Trust, Administration Building, Dewi Sant Hospital, Albert Road, Pontypridd, CF37 1LB

Pontypridd and Rhondda NHS Trust Chief Executive

Jane Perrin

Jane Perrin, Chief Executive, Swansea NHS Trust, Central Clinic, trinity Buildings, 21Orchard Street, Swansea, SA1 5AT Swansea NHS Trust Chief Executive

Paul Miller

Paul Miller, Chief Executive, Velindre NHS Trust, Trust Headquarters, 2 Charnwood Court, Parc Nantgarw, Cardiff, CF15 7QZ Velindre NHS Trust Chief Executive

Don Page

Don Page, Chief Executive, Welsh Ambulance Service NHS Trust,HM Stanley Hospital, St Asaph, Clwyd, LL17 0WA

Welsh Ambulances Service NHS Trust Chief Executive

Chief Executives of LHBs

Lynne Joannou

Lynne Joannou, Chief Executive, Anglesey LHB, 17 high Street, llangefni, Anglesey, LL77 7LT Anglesey Local Health Board Chief Executive

Joanne Absalom

Joanne Absolom, Chief Executive, Bleanau Gwent LHB, Station Hill, Abertillery, Blaenau Gwent, NP13 1UJ Blaenau Gwent Local Health Board Chief Executive

Kay Howells

Kay Howells, Chief Executive, Bridgend LHB, North Court, David Street, Bridgend Industrial Estate, Bridgend, CF31 3TP Bridgend LHB Chief Executive

Judith Paget

Judith Paget, Chief Executive, Caerphilly LHB, Ystrad Mynach Hospital, caerphilly Road, Ystrad Mynach, CF82 5YR Caerphilly LHB Chief Executive

Sian Richards

Sian Richards, Chief Executive, Cardiff LHB, Trenewydd, Fairwater road, Llandaff, cardiff, CF5 2LD Cardiff LHB Chief Executive

Alan Brace

Alan Brace, Chief Executive, Carmarthenshire LHB, Unit 5, parc Dafen, heol Cropin, Llanelli,SA14 8QW Carmarthenshire LHB Chief Executive

Derrick Jones

Derrick Jones, Chief Executive, Ceredigion LHB, The Bryn, North Road, Lampeter, Ceredigion, SA48 7HA Ceredigion LHB Chief Executive

Wyn Thomas

Wyn Thomas, Chief Executive, Conwy LHB, Glyn Colwyn, Princes Park, Princes Drive, Colwyn, Conwy, LL29 8PL Conwy LHB Chief Executive

Alan Lawrie

Alan Lawrie, Chief Executive, Denbighshire LHB, Ty Livingstone, HM Stanley Hospital, St Asaph, Denbighshire, LL17 0RS Denbighshire LHB Chief Executive

Andrew Gunnion

Andrew Gunnion, Chief Executive, Flintshire LHB, Prewylfa, hendy Road, Mold, Flintshire, CH7 1PZ Flintshire LHB Chief Executive

Grace Lewis-Parry

Grace Lewis-Parry, Chief Executive, Gwynedd LHB, Eryldon, Ffordd Campbell, Caernarfon, Gwynedd, LL55 1HU Gwynedd LHB Chief Executive

Ted Wilson

Ted Wilson, Chief Executive, Merthyr Tydfil LHB, Units 2a & 4a, Pentrebach Business Centre, Triangle Business Park, Pentrebach, CF48 4TQ Merthyr Tydfil LHB Chief Executive

Allan Coffey

Allan Coffey, Chief Executive, Monmouthshire LHB, Chepstow Community Hospital, Chepstow, Monmouthshire, NP16 5YX Monmouthshire LHB Chief Executive

Paul Gilchrist

Paul Gilchrist, Chief Executive, Neath Port Talbot LHB, Suite A - Brittanic House, llandarcy, Neath, SA10 6JQ Neath Port Talbot LHB Chief Executive

Kate Watkins

Kate Watkins, Chief Executive, Newport LHB, Wentwood Wards, St Cadoc's Hospital, Caerleon, NP18 3XQ Newport LHB Chief Executive

Bernadine Rees

Bernadine Rees, Chief Executive, Pembrokeshire LHB, Merlins Court, Winch Lane, Haverfordwest, pembrokeshire, SA61 1SB Pembrokeshire LHB Chief Executive

Andy Williams

Andy Williams, Chief Executive, Powys LHB, Mansion House, Bronllys, Brecon, LD3 0LS Powys LHB Chief Executive

Mel Evans

Mel Evans, Chief Executive, Rhondda Cynon Taff LHB, Unit 3, Cefn Cied, Parc Nantgarw, CF15 7QQ Rhondda Cynon Taff LHB Chief Executive

Sue Heatherington

Sue heatherington, Chief Executive, Swansea LHB, Kidwelly House, charter Court, Phoenix Way, Swansea, SA7 9FS Swansea LHB Chief Executive

John Skinner

John Skinner, Chief Executive, Torfaen LHB, Block C Mamhilad House, Mamhilad Park, Pontypool, NP4 0YP Torfaen LHB Chief Executive

Abigail harris

Abigail Harris, Chief Executive, Vale of Glamorgan LHB, 2 Stanwell Road, Penarth, Vale of Glamorgan, CF64 2AA Vale of Glamorgan LHB Chief Executive

Geoff Lang

Geoff Lang, Chief Executive, Wrexham LHB, Wrexham Technology Park, Rhyd Broughton Lane, Wrexham, LL13 7YP Wrexham LHB Chief Executive

Directors of Social Services

Sue Ross

Sue Ross, Director of Social Services, Blaenau Gwent Social Services, Municipal Offices, Civic Centre, Ebbw Vale, Gwent, NP23 6XB Blaenau Gwent Social Services

Interim Director of Social Services

Tony Garthwaite

Tony Garthwaite, Director of Personal Services, Bridgend County Borough Council, Sunnyside, Bridgend, CF31 4AR Bridgend County Borough Council Director of personal services

Joe Howsam

Joe Howsam, Director of Social Services, Caerphilly Social Services, Hawtin Park, Gellihaf, Blackwood, NP2 2PZ

Caerphilly Social Services and Housing Directorate Director of Social Services

Bruce Mclernon

Bruce Mclernon, Director, Carmarthenshire County Council, Social Services Department, 3 Spilman Street, Carmarthen, SA31 1LE Carmarthenshire County Council Director

Parry Davies

Parry Davies, Director Ceredigion County Council, Min Aeron, Rhiw Goch, Aberaron, SA46 0DY Ceredigion County Council Director

Chris Davies

Chris Davies, Group Director Social Care and Health City and County of Cardiff, County Hall, Atlantic Wharf, Cardiff, CF51 5UW City and County of Cardiff

Group Director Social Care and Health

Hugh Gardner

Hugh Gardner, Dircetor, City and County of Swansea, County Hall, Oystermouth Road, Swansea, SA1 3SN City and County of Swansea Director

Bethan Jones

Bethan Jones, Director Conwy County Council, Social Services Department,Builders Street, llandudno, LL15 1AT Conwy County Borough Council Director

Sally Ellis

Sally Ellis, Director Personal Services Denbighshire County Council, Council Offices, Wynnstay Road, Ruthin, Denbighshire, LL15 1AT Denbighshire County Council Director Personal Services

Sue Lewis

Sue Lewis, Director Flintshire County Council, County Hall, Mold Flintshire, CH7 6NN Flintshire County Council Director

Nonn Williams

Nonn Williams, Director Gwynedd Council, Caernarfon Gwynedd, LL55 1SH Gwynedd Council Director

Byron Williams

Byron Williams, Director Isle Of Anglesey County Council, Llangefri, Angelesey, LL77 7TW Isle of Anglesey County Council Director

John Wreford

John Wreford, Director Merthyr County Borough Council, Ty Keir Hardie, Riverside Court, Merthyr Tydfil, CF47 8XE

Merthyr Tydfil County Borough Council Director

Colin Berg

Colin Berg, Social Services Department Monmouthshire County Coucnil, County Hall, Cwmbran, NP44 2XH Social Services Department Monmouthshire County Council

Colin Preece

Colin Preece, Director, Neath Port Talbot County Council, Civic Centre, Port Talbot, SA13 1PJ Neath Port Talbot County Council Director

Ellis Williams

Ellis Williams, Director Newport County Borough Council, Civic Centre, Newport Newport County Borough Council Director

John Skone

John Skone, Director Pembrokeshire County Council, County Hall, Cambria House, Haverdfordwest, SA61 1TP Pembrokeshire County Council Director

Phil Robson

Phil Robson, Dircetor Powys County Council, County Hall, Llandridnod Wells, Powys, LD1 5LG Powys County Council Director

John Wrangham

John Wrangham, Director Rhondda Cynon Taff County Borough Council, Cambrian Park, Clydach Vale, Tonypandy, CF40 2XX

Rhondda Cynon Taff County Borough Council Director

Gary Birch

Gary Birch, Director, Torfaen County Borough Council, 2nd Floor, County Hall, Cwmbran, NP44 2WN Torfaen County Borough Council Director

James Crawley

James Crawley, Director Vale of Glamorgan County Council, Social Services Department, Civic Offices, Holton Road Barry, CF63 4RU Vale of Glamorgan Council Director

Andrew Figiel

Andrew Figiel, Chief Social Services Director, Wrexham County Council, Crown Buildings Wrexham, LL11 1WP Wrexham County Borough Council Chief Social Services Oficer

Directors of Finance Trusts

Eifion Williams

Eifion Williams, Finance Director, Bro Morgannwg NHS Trust, Trust Headquarters, 71 Quarella Road, Bridgend, CF31 1YE Bro Morgannwg NHS Trust Finance Director

Paul Davies

Paul Davies, Finance Director, Cardiff and Vale NHS Trust, Heath Park, cardiff, CF14 4XW Cardiff and Vale NHS Trust Finance Director

David Eve

David Eve, Finance Director, Carmarthenshire NHS Trust, West Wales General Hospital, Carmarthen, Carmarthenshire, SA31 2AF Carmarthenshire NHS Trust Finance Director

Stephen Forster

Stephen Forster, Finance Director Ceredigion and Mid Wales NHS Trust, Bronglais General Hospital, Caradog Road, Aberystwyth, SY23 1ER

Ceredigion and Mid Wales NHS Trust Acting Finance Director

Nigel Morris

Nigel Morris, Finance Director Conwy and Denbighshire NHS Trust, HM Stanley Hospital, St Asaph, Clwyd, LL17 0WA

Conwy and Denbighshire NHS Trust Finance Director

Andrew Cottom

Andrew Cottom, Finance Director Gwent Healthcare NHS Trust, Grange House, Llanfrechfa Grange, Torfaen, NP44 8YN Gwent Healthcare NHS Trust Finance Director

Wayne Harris

Wayne Harris, Finance Director North East Wakes NHS Trust, Admin.Dept. PO Box 18, Wrexham, LL13 7ZH North East Wales NHS Trust Finance Director

Brian Hopkins

Brian Hopkins, Finance Director North Glamorgan NHS Trust, Prince Charles Hospital, Merthyr Tydfil, Mid Glamorgan, CF47 9DT Noth Glamorgan NHS Trust Finance Director

Kate Elis Williams

Kate Elis Williams, Finance Director North West Wales NHS Trust, Ysbyty Gwynedd, Penrhos Garnedd, Bangor, LL57 2PW North West Wales NHS Trust Finance Director

Keith Jones

Keith Jones, Finance Director Pembrokeshire and Derwen NHS Trust, Withybush general Hospital, Fishguard Road, Pembrokeshire, SA61 2PZ

Pembrokeshire and Derwen NHS Trust Finance Director

David Lewis

David Lewis, Finance Director Pontypridd and Rhondda NHS Trust, Administration Building, Dewi Sant Hospital, Albert Road, Pontypridd, CF37 1LB

Pontypridd and Rhondda NHS Trust Finance Director

David Roberts

David Roberts, Finance Director Swansea NHS Trust, Central Clinic, Trinity Buildings, 21 Orchard Street, Swansea, SA1 5AT Swansea NHS Trust Finance Director

Alun Lloyd

Alun Lloyd, Finance Director Velindre NHS Trust, Trust Headquarters, 2 Charnwood Court, Parc Nantgarw, Cardiff, CF15 7QZ Velindre NHS Trust Finance Director

Mike Webb

Mike Webb, Finance Director Welsh Ambulance Service NHS Trust, HM Stanley Hospital, St Asaph, Clwyd, LL17 0WA

Welsh Ambulance Service NHS Trust Finance Director

Officer for Wales

Officer for Wales, Equal Opportunities Commission, Caerwys House, Windsor Lane, Cardiff, CF1 1LB Equal Opportunities Commission

J Osmond

J Osmond, Director Institute of Welsh Affairs, Ty Oldfield, Llantrisant Road, Cardiff, CF5 2YQ Institute of Welsh Affairs Director

J Morris

J Morris, Development Officer, National Association of Citizens Advice Beureaux, Ground Floor - Quebec House, 5-19 Cowbridge Road East, Canton, Cardiff

National association of Citizens Advice beureaux Development Officer

H G Jones

H G Jones, Chief Executive, Sports Council for Wales, Sophia gradens Cardiff, CF1 9SW Sports Council for Wales Chief Executive

L Llewellyn Unit 5, Betws Business Park, Ammanford, SA18 2ETWales Association of Community and Town Councils Director

hief Executive, Liberal Democrats, Bayview House, 102 Bute Street, Cardiff, CF1 6AD Liberal Democrats Wales Chief Executive

M Perry CBE

M Perry CBE, Director Conservative Party, Conservative Central Office for Wales, 4 Penlline Road, Whitchurch, Cardiff, CF14 2XS The Conserative Party Director

A Gale

A Gale, Secretary Wales Labour Party, Transport House, 1 Cathedral Road, Cardiff, CF1 9HA Wales Labour Party Secretary

Mr S Harris

Mr S Harris, Secretary Academy of Royal Colleges in Wales, PS Sharon Atkins, PHPD3, 4th Floor, Crown Buildings, cathays Park, Cardiff, CF10 3NQ

Academy of Royal Colleges in Wales Secretary

Secretary British Association of Occupational Therapists, College of Occupational Therapists, 6/8 Marshalsea Road, London, SE1 1HL

Critish Association of Occupational Therapists Secretary

Mr A Griffiths

Mr A Griffiths, Chair British Association of Teachers for the Deaf, 32 Ruskin Avenue, Rogerstone, Newport, NP1 0AA

British Association of Teachers for the Deaf Chair

Secretary Britsih Mediscal Association, BMA House, Tavistock Square, London, WC1H 9JP British Medical Association Secretary

Richard Lewis

Richard Lewis, British Medical Association Wales, 5th Floor, 2 Caspian Point, Caspian Way, Cardiff Bay, CF10 4DQ British Medical Association (Wales)

Secretary, Chartered Society of PhysioTherapy, 14 Bedford Row, London, WC1R 4ED

Chartered Society of Physiotherapy Secretary

Ms H Hortop

Ms H Hortop, Regional Scretary College of Occupational Therapists, Llandough Hospital, Therapy Management MRC, Penlan Road, CF64 2XX

College of Occupational Therapists Regional secretary

Mr S Hughes

Mr S Hughes, Secretary Community Practitioners and Health Visitors Association, C/O Garn Bach, Pont llyfni, Caernarfon, LL54 5EU

Community Practitioners and Health Visitors Association Secretary

Dr A Deardon

Dr A Deardon, Chair General Practitioners Committee Wales, 5th Floor, 2 Caspian Point, Caspian Way, Cardiff Bay, CF10 4DQ

General Practitioners Committee (Wales) Chair

Ms A West

Ms A West, Advisor RCN Direct, Royal College of Nursing, Copse Walk, Cardiff Gate, CF83 8XG RCN Direct Advisor

Eddie Saville

Eddie Saville, Industrial Relations Officer Society of Chiropodists and Podiatrists, 1 Fellmongers Path, Tower Bridge Road, London, SE1 3LY

Society Of Chiropodists and Podiatrists Industrial relations Officer

Cath o Brien

Cath O'Brien, Secretary The Royal Pharmaceutical Society of Great Britain, Welsh executive, Gloucester House, 14 Mount Stuart Square, Cardiff, CF10 5DP

The Royal Pharmaceutical Society of GB Secretary

k Jakeway

K Jakeway, Secretary Wales Green Party, PO Box 10, Mountain Ash, Mid Glamorgan, CF45 4YZ Wales Green Party Secretary

Steve Thomas

Steve Thoma, Director Welsh Local Government Association, Drake Walk, Cardiff, CF10 4LG

Welsh Local Government Association Director

Dr S Hunter

Dr S Hunter, Chairman All Wales Medical Directors Group, Gwent Healthcare Trust HQ, Llanfrechfa Grange Hospital, Llanfrechfa House, Cwmbran, NP44 8YN All wales Medical Directors Group Chairman

Dr S Pierrepoint

Dr S Pierrepoint, Chairman Bro Taf Local Medical Committee, The Blackthorns, Upper Church Village, Pontypridd, CF38 1EE Bro Taf Local Medical Committee Chairman

Secretary Audit Commission, 4th Floor Deri House, 2-4 Park Grove, Cardiff CF10 3PA Audit Commission Secretary

Dharmendra Kanani

Dharmendra Kanani, Chief Executive Commission for Racial Equality, 14th Floor, Capital Tower, greyfriars Road. Cardiff, CF1 1PL Commission for Racial Equality Chief Executive

Diane Roberts

Diane Roberts, Information Officer WCVA, Baltic House, Mount Stuart Square, Cardiff, CF10 5FH WCVA Information Officer

David Jenkins

David Jenkins, General Secretary Wales TUC, Transport House, 1 Cathedral Road, Cardiff, CF1 9HA Wales TUC General Secretary

Mike Ponton

Mike Ponton, Director Welsh NHS Confederation, Regus House, Falcon Drive, Cardiff Bay, Cardiff, CF10 4RU Welsh NHS Confederation Director

H Bowen ESQ

H Bowen ESQ, Head of Department, Faculty of Community Health Services, UWIC, Western Avenue, Cardiff CF5 2YB

Faculty of Community Health Services Head of Department

Secretary, School of Health Studies, University of Glamorgan, Treforest, mid Glamorgan. School of Health Studies Secretary

Alun Morgan

Alun Morgan, Head of Physiotherapy - WTAC, Whitchurch Hospital, Whitchurch, Cardiff, CF14 4XW

Welsh Therapies Advisory Committee Head of PhysioTherapy

Linda Theophilus

Linda Theophilus, Head of Physiotherapy -WTAC, Prince Charles Hospital, Merthyr Tydfil, Mid Glamorgan, CF47 9DT

Welsh Therapies Advisory Committee Head of PhysioTherapy

Helen Ward

Helen Ward, Head of Dietetics - WTAC, Room 9, Llanyravan House, Llanfrechfra Grange, Cwmbran, Torfaen WTAC Head of Dietetics

Alison Shakeshaft

Alison Shakeshaft, Chief Dietiacian - WTAC, Caerphilly District Miners' Hospital, St.Martins Road, Caerphilly, CF83 2WW WTAC Chief Dietician

Helen Hortop

Helen Hortop, Head of Occupational Therapy Services - WTAC, Cardiff and Vale NHS Trust, Llandough Hospital, Penlan Road, Cardiff, CF64 2XX WTAC

Head of Occupational Therapy Services

Sonya Booy

Sonya Booy, Team Manager Occupational Therapy - WTAC, Vale of Glamorgan Social Services, Yr Hen Coleg, College Fields Close, Barry, CF62 8LF WTAC

Team Manager, Occupational Therapy

Sue Dimmick

Sue Dimmick, Speech and Language Therapy Department, Memorial Hospital, Cardigan, Ceredigion, SA43 1DP WTAC Speech and Language Therapy Department

Ms Chris Smith

Speech and Language Therapy Department, Trethomas Health Centre, William Street, Trethomas, CF83 8FX WTAC

County Councillor for the Royal College of Speech and Language Therapists and chair of the Welsh Board

Stuart Harmes

Stuart Harmes, Head of Podiatry, Conwy And Denbighshire NHS Trust, Royal Alexander Hospital, Marine Drive, Rhyl, LL18 3AS WTAC Head of Podiatry

Lance Reed

Lance Reed, Clinical Director, Podiatry Service Administrative Centre, Risca Health Centre, Cromwell Road, Risca, Newport, NP11 6YF WTAC Clinical Director

Caroline Oldham

Caroline Oldham, WTAC, Orthoptic Department, Royal Glamorgan Hospital, Ynysmaerdy, Llantrisant WTAC

Dr Sarah Shea

Dr Sarah Shea. WTAC, Orthoptic Department, Ysbyty Gwynedd, Penrhosgarnedd Road, Bangor, North Wales, LL57 2PW WTAC

Gill Stevens

Gill Stevens, WTAC, Head III Music Therapist, llanfrechfra Grange, Croes Y Chiliog, Cwmbran, Gwent, WTAC

Kevin Pearse

Kevin Pearse, WTAC, Cardiff and Vale NHS Trust, The Art Therapy Service, O.T.Dept., Whitchurch Hospital, Whitchurch, Cardiff, CF14 7XB WTAC

Phillipa Ford

Phillipa Ford, Chartered Society of PhysioTherapy, Transport House, 1 Cathedral Road, Cardiff, CF1 9HA

Chartered Society of Physiotherapy

Alison Stroud

Alison Stroud, Royal College of Speech and Language Therapists, Prince Charles Hospital, Merthyr Tydfil, Mid Glamorgan, CF47 9DT

Royal College of Speech and Language Therapists

Jan Williams

Jane William CEO, NLIAH North Wales, Croesnewydd Hall, Wrexham Technolohy Park, Wrexham, LL13, 7YP NLIAH CEO

Shaaron Pratt

Shaaron Pratt, Professional Adviser NLIAH North Wales, Croesnewydd Hall, Wrexham Technolohy Park, Wrexham, LL13, 7YP NLIAH Professional Adviser

Hilary Neagle

Hilary Neagle CEO, Health Professions Wales, 2nd Floor, Golate House, St. Mary St, Cardiff, South Glamorgan CF10 1DX Health Professions Wales CEO

Will Oliver

Will Oliver, Therapy Adviser Health Professions Wales, 2nd Floor, Golate House, St. Mary St, Cardiff, South Glamorgan CF10 1DX Health Professions Wales Therapy Adviser

Chief Executive Health Professions Council, 184, Kennington Park Rd, London, SE11 4BU Health Professions Council Chief Executive

Chief Executive, British Association of prosthetists and Orthotists, Abbeymill Business Centre, Seedhill Rd, Paisley, Renfrewshire PA1 1TJ

British Association of Prosthetists and Orthotists Chief Executive

Chief Executive, Society of Chiropodists and Podiatrists, 1, Felmongers Path, Tower Bridge Rd, London, SE1 3LY

Society Of Chiropodists and Podiatrists Chief Executive

Chief Executive, British Dietetic Association, Charles House, Great Charles St, Queensway, Birmingham, West Midlands B3 3HT British Dietetic Association Chief Executive

Chief Executive, British and Irish, Orthoptic Society, Tavistock House North, Tavistock Square, London, WC1H 9HX British and Irish Orthoptic Society Chief Executive

Chief Executive, Royal Colleges of Speech Language Therapists, 2, White Hart Yard, London, SE1 1NX

Royal College of Speech and Language Therapists Chief Executive

Head od Department of pHysiotherapy Education, School of Health Care and Sciences, Ty Dewi Sant, University Hospital of Wales, Heath Park Cardiff, CF14 4XW

Department of Physiotherapy Education, School of Health Care Sciences Head

Head of Department of Occupational Therapy Education, School of Healthcare and Sciences, Ty Dewi Sant, University Hospital of Wales, Heath Park Cardiff, CF14 4XW

Department of Ocupational Therapy Education, School of Healthcare Sciences Head

Head of Department of Dietetic Education, Cyncoed Campus, Cyncoed Road, Cardiff, South Glamorgan, CF23 6XD Department of Dietetic Education Head

Head of Department of Speech and Language Education, Cyncoed Campus, Cyncoed Road, Cardiff, South Glamorgan, CF23 6XD

Department of Speech and Language Education Head

Head of Podiatry Education, Cyncoed Campus, Cyncoed Road, Cardiff, South Glamorgan, CF23 6XD Department of Podiatry Education Head

Head of Welsh College of Music, Cardiff University, Cathays Park Cardiff, CF10 3ER Welsh College of Music Head

Mr David Seal

Mr David Seal, Chief Executive Wales Centre for Health, 14 Cathedral Road, Cardiff, CF11 9LJ Wales Centre for Health Acting Chief Executive

Chief Executive Amicus, 40, Bermondsey St, London, SE1 3UD Amicus Chief Executive

Chief Execuitve, UNISON, 3rd floor,Transport House,1, Cathedral Rd, Cardiff, South Glamorgan CF11 9SB UNISON Chief Executive

Chair Welsh Chartered Society of Physiotherapy, Ground Floor, 1, Cathedral Rd, Cardiff, South Glamorgan CF11 9SD

Welsh - Chartered Society of Physiotherapy Chair

Royal College of Speech and Language Therapists Chair

Chief Executive Royal Pharmaceutical Society of Great Britain, Gloucester House, 14, Mount Stuart Square, Cardiff, South Glamorgan CF10 5DP

Royal Pharmaceutical Society of Great Britain - Welsh Executive Chief Executive

Chief Executive The Royal College of Genral Practitioners in Wales, Regus House, Falcon Drive, Cardiff Bay, Cardiff, South Glamorgan CF10 4RU

The Royal College of General Practitioners in Wales Chief Executive

Ruth Crowder

British Association/College of occupational Therapists

Assembly Library

Parc CathaysCaerdyddCF10 3NQ

Cathays ParkCardiff

CF10 3NQ

Ffôn � Tel:02920825740Ffacs � Fax:02920825671

Ebost � Email:[email protected]

Distribution List Attached

December 2005

Dear colleague

THERAPIES FOR MODERNISATION: A THERAPY STRATEGY FOR WALES.

In September 2005, the Minister for Health and Social Services approvedconsultation on the final draft of the Therapy Strategy for Wales.

This originated from the Primary Care Action Plan for Wales (2002) which identifiedthe need to develop a separate therapy strategy for primary care. A follow upscoping study supported the need for not just a primary care therapy strategy, but afully integrated strategy for therapy services across all sectors in Wales. This is thefirst Strategy for Therapy Services in Wales which is intended as both an enablingstrategy and service remodelling guide. It supports the aim and objectives set out in‘Designed for Life’ and encompasses the whole spectrum of health and well-beingfrom prevention through early intervention, acute care, rehabilitation and long termcare. I am pleased to attach the consultation document and look forward to receiving yourcomments. To help this process a number of key questions have been outlined inthe attached proforma. Responses should be sent to Inga-Marie Bevan,CPCHSPD, Welsh Assembly Government, Cathays Park, Cardiff, CF10 3NQ by28th February 2006. All responses may be published in line with our normal policyon consultation.

Helen HowsonHead of Chronic Disease and Community Health Policy Community Primary Care Health Services Policy Division (CPCHSPD)

Therapies for Modernisation

Consultation Questionnaire

We have provided this questionnaire for you to respond to the consultation on this TherapyStrategy for Wales. The questionnaire contains general questions about the objectives andspecific questions about the Key Actions. You can find more detailed information about thecontent of this strategy in Therapies for Modernisation - A Source Document which can belocated at http://howis.wales.nhs.uk

Please respond before 28/02/06

-----------------------------------------------------------------------------------------------------------------------

Your DetailsIf you are responding on behalf of an organisation or group please give the name of theorganisation here and your contact details below.

Name of organisation or group ………………………………….

Contact Details

Name ………………………………….Address …………………………………

……………………..……..……Post Code …………………………………Tel …………………………………e-mail …………………………………

Your ResponseWhich chapters do you wish to comment on?

Chapter 1 - The Challenges ¨Chapter 2 - Using Proven Skills Better ¨Chapter 3 - Achieving Excellence ¨Chapter 4 - User Involvement at All ¨Chapter 5 - Getting the Right Therapy ¨Chapter 6 - Getting Equipment and Environments Right ¨Chapter 7 - Making it Happen ¨

Please answer the general questions on the next page and the specific questions for thechapters you have ticked. It will be helpful if you add comments and any specific changes oradditions you would like us to consider.

General Questions

1. Do you find the Strategy helpful in setting out the contribution that the Therapy Servicescan make to the Modernisation of Health and Social care in Wales?

¨ yes ¨ no

Comments

2. Is the Strategy sufficiently comprehensive and applicable to all the Therapy Servicesincluded?

¨ yes ¨ no

Comments

3. Does the Strategy provide clear guidance for service planners, commissioners,employers, and the professions?¨ yes ¨ no

Comments

Questions on Chapter 1 - The ChallengesThe Strategic Context and Vision for Therapy Services

(Page 6)

1. Do you agree with the Therapy Services Vision for the Future?

¨ yes ¨ no

Comments

2. Do you agree with the Underpinning Values for the Therapy Services in Wales?

¨ yes ¨ no

Comments

3. Do you think the Ten Key Roles adequately reflect the range of existing and new rolesfor therapy professionals?

¨ yes ¨ no

Comments

4. Any further comments on the chapter?

Comments

Questions on Chapter 2 - Using Proven Skills BetterTherapy Services Meeting the Health and Social Care Agenda

(Page 8)

1. Do you agree with the objective of this chapter?

¨ yes ¨ no

Comments

2. Do you think the chapter adequately reflects the areas of health and social care where the Therapy Services can make a difference?

¨ yes ¨ no

Comments

3. Do you think the Key Actions are realistic and achievable?

¨ yes ¨ no

Comments


Comments

Questions on Chapter 3 - Achieving ExcellenceCreating Continuous Improvement in Therapy Services

(Page 12)


¨ yes ¨ no

Comments

2. Do you think the chapter reflects the objective and includes all key aspects of continuous improvement?

¨ yes ¨ no

Comments


¨ yes ¨ no

Comments


Comments

Questions on Chapter 4 - User Involvement at All LevelsPublic, Patient and Client Involvement in Therapy Services Planning and Delivery

(Page 15)


¨ yes ¨ no

Comments

2. Do you think the chapter includes the main areas of public, patient and client involvement?

¨ yes ¨ no

Comments


¨ yes ¨ no

Comments


Comments

Questions on Chapter 5 - Getting the Right Therapy StaffBuilding Capacity in the Therapy Services Workforce

(Page 16)


¨ yes ¨ no

Comments

2. Do you think the chapter covers the main areas of capacity building in the TherapyServices?

¨ yes ¨ no

Comments


¨ yes ¨ no

Comments


Comments

Questions on Chapter 6 - Getting Equipment and Environments RightStrengthening the Support Infrastructure

(Page 19)


¨ yes ¨ no

Comments

2. Do you think the chapter includes all the main infrastructure areas relevant to Therapy Services?

¨ yes ¨ no

Comments


¨ yes ¨ no

Comments


Comments

Questions on Chapter 7 - Making it HappenConclusion and Next Steps

(Page 21)

1. Do you think the conclusion in this chapter reflects the content of the strategy?

¨ yes ¨ no

Comments

2. Do you agree with the Key Actions identified to take the strategy forward?

¨ yes ¨ no

Comments


Comments


The contribution of Therapy Servicesto transforming the delivery of Health and Social Care in Wales

A Therapy Strategy for Wales

Consultation Document

‘Designed for Life’

Therapy Services Strategy for Wales

Status - Consultation Document – December 2005 2


The contribution of Therapy Servicesto transforming the delivery of Health and Social Care in Wales

A Strategy Document for Consultation

Further copies of this document can be obtained from the following web-sites:

http://www.cymru.gov.uk/subihealth/index.htm

http://www.wales.gov.uk/subihealth/index.htm

http://www.wales.gov.uk/healthplanonline/site-map-e.htm#keypubs

or by post from: -

Inga – Marie BevanCommunity, Primary Care and Health Services Policy DivisionNHS Department3rd Floor, East CoreWelsh Assembly GovernmentCathays ParkCardiffCF10 3NQ

Tel: 029 20825740Fax: 029 20821103



CONTENTS

FOREWORD …………………………………………..…………………… Page 4

INTRODUCTION ……………………………………………………….. Page 5

1 THE CHALLENGES ……………………………………………..……. Page 6The Strategic Context and Vision for Therapy Services

2 USING PROVEN SKILLS BETTER ……………..…………………… Page 8Therapy Services Meeting the Health and Social Care Agenda

3 ACHIEVING EXCELLENCE……………………………………………. Page 12Creating Continuous Improvement in Therapy Services

4 USER INVOLVEMENT AT ALL LEVELS ……………………………. Page 15Public, Patient and Client Involvement in Therapy Services Planningand Delivery

5 GETTING THE RIGHT THERAPY STAFF……………..………….…. Page 16Building Capacity in the Therapy Services Workforce

6 GETTING EQUIPMENT AND ENVIRONMENTS RIGHT…………... Page 19Strengthening the Support Infrastructure

7 MAKING IT HAPPEN ……………………………………………....…… Page 21Conclusion and Next Steps



FOREWORD

The Welsh Assembly Government has set out its 10 year vision for health and social care inWales in Designed for Life (2005). This builds on the Wanless Review (2003), which underlinedthe need for change in services provision and the need for a co-ordinated and sustained effort toimprove levels of health and well-being in Wales, supported by modernised health and socialcare services.

This Strategy, the first for Therapy Services in Wales, sets out a clear direction supporting thekey themes outlined in Designed for Life. It encompasses the whole spectrum of health andwell-being from prevention through early intervention, acute care, rehabilitation and long termcare.

The Strategy identifies a vision for the future of Therapy Services in Wales, the values thatunderpin their development, and ten key and emerging roles the professions can fulfil. Thisdocument is supported by a more detailed source document available on HOWIS and aCompendium of Innovation and Best Practice, which will ultimately be developed as aninteractive web site.

Therapy Services play a vital role in delivering health and social care in Wales and are integral tothe delivery of service modernisation, development and improvements. The skills, commitmentand imagination of therapy staff have already introduced service developments and goodpractice across Wales. This strategy confirms the direction of travel and provides additionalimpetus for continued change that, in the creation of world class, modern, and effective healthand social care in Wales, ensures the Therapy Services contributions are harnessed. The healthand social care communities in Wales will need to take on board the key actions in this strategyand jointly explore how they are to be fully realised.

In developing this strategy we have sought and received a wide range of views and commentsfrom across Wales. I would like to thank all those who have contributed to its development sofar.

We would now welcome your comments and feedback. Your input is essential and we areparticularly interested in your responses to the questions at the end of this document. Additionalcomments will of course be welcomed.

Thank you for your interest and contribution.

Dr Brian Gibbons AMMinister for Health and Social Care



INTRODUCTION

This is the first Therapy Services Strategy for Wales and comes at a point where radical change isneeded across the health and social care sector. It sets out the contribution that Therapy Services canmake to the modernisation of health and social care, and provides objectives and key actions affectingthese services across the whole spectrum.

The range of services that therapists and their teams provide can improve the health and well being,social, personal, educational, work and leisure activities of people of all ages. Working in a variety ofsettings, including community locations, hospitals, education establishments, and service usershomes therapy staff are able to straddle organisational boundaries and provide out-reach and in-reachservices to help ensure continuity of care and rapid access to interventions.

The Therapy Services included within this Strategy are:-

Physiotherapy, Occupational Therapy, Speech and Language Therapy, Podiatry, Dietetics,Orthoptics, Prosthetics, Orthotics, and the Art Drama and Music Therapies

They provide assessment, treatment, rehabilitation, and advisory services for individuals across theentire physical, social and psychological spectrum of prevention, illness, injury and disability.

There are more than 2,500 qualified therapists in Wales with each of the professions having its ownunique knowledge, skills and expertise, which enable them, working independently and inmultidisciplinary teams, to complement and support one another and the work of other professions.

This strategy has been compiled with the involvement of the Welsh Therapies Advisory Committee,one of the seven statutory health professional committees providing advice to the Welsh AssemblyGovernment. Workshops, focus groups and interviews held across Wales have drawn on the viewsand expertise of the therapy professionals and their support workers and have gathered informationfrom service users, carers, members of the public, and representatives of other professions, healthbodies, and organisations. A multi-professional, multi-agency reference group has also offered advice.

Therapy Services play a vital role in delivering health and social care in Wales and are integral to thedelivery of service modernisation, development and improvements

Further information on the issues covered in this strategy are provided in the more detailed ‘Therapiesfor Modernisation – A Source Document’ which can be located at http://howis.wales.nhs.uk. ACompendium of Innovation and Best Practice has also been developed to provide information onspecific service provision and developments and exemplars of good practice across Wales, the indexis shown as appendix 1.



1 - THE CHALLENGES

The Strategic Context and Vision for Therapy Services

The vision set out in Improving Health in Wales recognised that better health would require bothmodernisation of services and far greater attention to health promotion and the prevention of illness.The Health and Social Care Review for Wales advised by Derek Wanless reinforced the need forradical change, underlining that the current patterns of service provision in Wales place aninsupportable burden on the acute sector. Health promotion and prevention must be strengthened; individuals and communities encouraged totake greater responsibility for their health and well-being; and people enabled to retain, or regain, theirability to live as independently as possible in the community. Health and social care must work together to provide more effective and integrated services thatreduce crises and the need for acute care and support, and that in the longer term decrease thedemand for expensive secondary and tertiary provision. The important role of informal carers and thevoluntary sector must also be recognised and supported. The Welsh Assembly Government has responded through Health Challenge Wales, which provides anew national focus to stimulate action towards a co-ordinated and sustained effort to improve levels ofhealth and well-being in Wales, and through Designed for Life, a 10-year vision and Action Plan totransform health. A complimentary Social Care and Social Services policy and direction document isalso under development. In the future improvements in rehabilitation, re-ablement and continuing care services will enablepeople to regain or retain their independence in their own environment. There will be greater use ofhigh technology, and an increasing focus on ambulatory care. The services people use mostfrequently, such as outpatients, diagnostic services, minor casualty, day case surgery, and thetherapies will be provided as locally as possible. Against this backdrop there is a huge opportunity to harness the skills, expertise and experience of thetherapy services. They are already tightly bound into national strategy development and planning andare well established in their ability to manage ill health, dysfunction, impairment and disability. The development of this strategy has identified a vision for the future of therapy services in Wales, thevalues that underpin their development, and a range of key and emerging roles that these professionscan fulfill. These form the bedrock of this strategy and provide a checklist for service commissioners. Chapters 2-6 set out the key objectives that will guide the transformation of the Therapy Services overthe next five years, together with the key actions that flow from them.

Therapy Services - The Vision for the Future

Therapy professionals and their colleagues will make an essential contribution tocreating a successful, modern, integrated and vibrant health and social care system inWales. Therapists will take on a wider range of roles and functions in health promotionand prevention, early intervention, hospital services, and rehabilitation. In partnershipwith others they will provide more accessible, expanded and equitable services acrossWales



Underpinning Values for Therapy Services in Wales

• Strong clinical and professional leadership supported by robust performance management

systems

• New ways of working developed, shared, and mainstreamed

• Equitable provision of services across Wales which reflect public and patient involvement

• Sustainable provision of adequate numbers of appropriately trained staff

• Services underpinned by efficient, modern, and safe systems and environments

Ten Key Roles for Therapy Professionals in Wales • Develop clinical specialist, extended scope practitioner, and consultant therapist roles, and

enhance the roles of support workers

• Provide a community and primary care focused first point of contact for assessment, treatment,and care, including unified assessment and care planning

• Diagnose, request diagnostic procedures, and prescribe

• Refer to other services and discharge from care

• Provide training and development, mentoring, teaching and education, for health careprofessionals, students, patients and carers

• Provide clinical and managerial leadership for services, teams, and projects

• Combine clinical reasoning and evaluative thinking with the best available research evidence in allareas of practice, and develop research capacity

• Play a central role in the promotion of health and well being, including prevention and earlyintervention, and in acute, rehabilitation, and long term care

• Contribute to strategic planning and policy development nationally and locally

• Extend and improve collaboration with other professions, services and agencies



2 - USING PROVEN SKILLS BETTER

Therapy Services meeting the Health and Social Care Agenda Objective To fully realise the benefits of Therapy Services at all levels to help create a balanced and innovativeworld class health and social care sector in Wales The scale of transformation needed across health and social care demands change across the wholespectrum. The Wanless Review identified four separate but interlocking areas where innovation,redesign, and development will improve health and well being.

• supporting healthy lifestyles and improving prevention• providing early intervention• improving the efficiency and effectiveness of hospital care• strengthening rehabilitation services and long term care

Like others, the Therapy Services are changing. In many parts of Wales therapists have developedadditional or extended functions that cut across traditional boundaries. In order to provide serviceusers with more convenient and efficient access to assessment and treatment, therapy staff havetaken responsibility for aspects of patient care previously managed by other health professionals. Manychanges have been introduced through local re-engineering, often driven by therapists and withinexisting resources. Others have been funded and developed in partnership with local commissionersor through Welsh Assembly Government schemes. Legislative change has also enabled sometherapy professionals to take responsibility for the supply and administration of a range of medicines.The extent of change however varies. Consequently, while the therapy professions’ contribution toimproving health and to solving existing imbalances in the health and social care sector is growing, ithas yet to be fully realised. Supporting Healthy Lifestyles and Improving Prevention The Wanless Review identified the need to ensure that the promotion of healthy lifestyles and theprevention of ill health are strengthened. Health Challenge Wales calls for a bold response from allsectors of the community. Opportunist health promotion and secondary prevention are integral to theclinical practice of therapists, with some services having a specific prevention focus. These should beexpanded and strengthened.

Practice Examples in Wales Healthy Eating and Childhood Obesity Management Dietitians training year 9 pupils as healthy food and nutrition facilitators, and working in partnership withpsychologist and leisure services to provide a family focused healthy lifestyle programmes Coronary Heart Disease Risk Factors Management Occupational Therapists, Physiotherapists, and Dietitians helping clients identify high risk factors forheart disease and ways of reducing these risks by improving their health and well-being Mental Health Services for New Mothers Art Therapists and Health Visitors working together to provide a therapeutic approach for women whoneed psychological support following childbirth



Providing Early Intervention Where problems do occur, early intervention can improve the rate of recovery, limit furtherdeterioration, avoid the development of chronic problems and maximise the ability of individuals to selfmanage. Through the provision of early assessment, treatment or advice, therapists can make amajor contribution to enhanced Primary Care and community services, affecting health and well-being,the management of acute problems and chronic disease, the promotion of independence and theprevention of inappropriate hospital admissions.

Practice Examples in Wales

Musculo-skeletal Triage & Treatment Reductions in waiting times and demand for GP appointments or orthopaedic referral, achievedthrough Physiotherapists providing telephone advice and self referral services, and Podiatrists,Physiotherapists and GPs working together to provide triage and treatment for non surgical patients. Intermediate Care Health and Social Care therapy and other staff working together providing rehabilitation at home,promoting independence and reducing need for hospital admission and social services support Older Persons Support Physiotherapists, Occupational Therapists and Podiatrists providing comprehensive Falls Preventionprogrammes to reduce the risk of falls, restoring confidence and independence in elderly andvulnerable adults in hospital, community and social care settings

Improving the Efficiency and Effectiveness of Hospital Care The effectiveness of in-patient care must be maximised both in acute hospitals and in smallercommunity and social care facilities. To streamline the acute patient pathway therapy skills must befully utilised within multi-disciplinary teams to improve the provision of assessment, treatment anddischarge planning, and to strengthen pre-admission and accelerated discharge schemes.

Practice Examples in Wales

Orthopaedic Care Pathways Improved clinical outcomes and reduced surgical cancellations achieved through Physiotherapists,Occupational Therapists and Nurses assessing and managing medical and social needs prior toadmission for surgery Seven-day Therapy Services Timely hospital discharge or transfer and continuity of care facilitated by Occupational Therapists andPhysiotherapists working weekends and extended days to provide discharge planning andrehabilitation across hospital, community and social care settings Managing Swallowing and Feeding Difficulties Speech and Language Therapists training Nurses to screen patients with swallowing difficulties, andDietitians providing nutritional assessments to ensure appropriate nutritional and feeding plans areimplemented early in the care pathway



Out-patient Departments and Accident and Emergency Units are also under considerable pressureand in need of modernisation. Extended roles and responsibilities for therapists have modified carepathways to ensure patients are seen by the most appropriate clinician. These changes have reduceddemand on medical staff, shortened waiting times, and reduced inappropriate admissions.

Practice Examples in Wales Emergency Medical Admissions Reductions in inappropriate hospital admissions achieved through Occupational Therapists andPhysiotherapists working in Accident and Emergency and Medical Assessment Units providing acuteassessment and supported discharge for patients who might otherwise require admission Accident and Emergency Waiting Times Physiotherapists working in Accident and Emergency Units reduce waiting times through acute minorinjuries being triaged to them for rapid assessment, diagnosis and treatment Out Patient Care Pathways Waiting times reduced, patient care streamlined, and medical staff supported, by the use of therapiststo triage referrals to the most appropriate clinician and to provide therapy led assessment and follow-up clinics. eg Orthoptists working with eye clinic referrals. Physiotherapists, Occupational Therapistsor Podiatrists working with Orthopaedics and Rheumatology consultants. Strengthening Rehabilitation Services and Long Term Care Effective rehabilitation helps people make the best possible recovery from illness or injury, and thosewith long-term conditions, to live fulfilling lives in the community. Through individualised assessmentand tailored programmes, therapists assist individuals to achieve optimal recovery, and or to maximiseindependence within the constraints of their condition. Where rehabilitation services have beenexpanded hospital stays and readmissions have been reduced.

Practice Examples in Wales Intermediate Care Beds in Residential Homes Reduced delayed discharges or transfers of care achieved through Physiotherapists, OccupationalTherapists and Nurses providing ‘step down’ rehabilitation in a protected environment for patients withthe potential to achieve sufficient independence to return home Community Re-ablement Early hospital discharge achieved through Social Services and Healthcare Physiotherapists,Occupational Therapists, Nurses and Home Carers, working together to provide intensive support toenable service users to safely achieve independence in their own home and reduce their need forlonger term care Pulmonary and Cardiac Rehabilitation Independence and quality of life improved, and hospital re admission rates reduced, through patientfocused multidisciplinary rehabilitation and community support programmes



USING PROVEN SKILLS BETTER

Therapy Strategy Key Actions

• Regional Networks in partnership with Local Authorities must ensure that thecontribution of Therapy Services, including the 10 key roles, are integrated intotheir action plans as required in Designed for Life, and the forthcoming SocialCare and Social Services policy.

• The Welsh Assembly Government will consider with the Welsh TherapiesAdvisory Committee and the National Leadership and Innovations Agency forHealthcare, how best to evaluate, develop and share the Compendium ofInnovation and Best Practice in Therapy Services

• Health and social care communities should ensure that where the value ofnew and innovative ways of working with Therapy Services are proven, theyare mainstreamed into local provision

• The Service Development Support Team in the National Leadership andInnovations Agency for Healthcare must ensure that the contribution ofTherapy Services is evidenced in the modernisation assessments of Trustsas required in Designed for Life

By March 2007

March 2006

Continuous

Process

March 2007



3 - ACHIEVING EXCELLENCE

Creating Continuous Improvement in Therapy Services Objective To ensure accountability and continuous improvement arrangements are developed within open andtransparent governance structures Developing and changing the roles and responsibilities of therapists and their support staff must bebased on the best available evidence and advice, and underpinned by clinical and corporategovernance and management structures that enable consistent monitoring, evaluation and review. Strong professional leadership and high professional standards are required to provide well co-ordinated safe and effective services. Where these are in place robust clinical governance, reducedprofessional isolation, strong professional links, decreased duplication of effort, and improvedrecruitment and retention are evident. Professional Advisory Structures The therapy advisory structures in Wales enable stakeholders to capture the expert knowledge of theprofessions to assist in strategic and operational planning, and the development and delivery ofTherapy Services. The Welsh Therapies Advisory Committee (WTAC) with membership from the uni-professional NHStherapy management committees and the professional bodies in Wales contributes to national policydevelopment across education, health and social care. WTACs minutes and Forward WorkProgramme are published on the website of the Office of the Chief Medical Officer. Three Regional WTAC Sub Committees provide advice and support to commissioners at a local level,linking national policy with operational service development and delivery. They are also a source ofsupport for the Regional Networks and Therapy Members of the Local Health Boards in Wales. Performance Management The introduction of the Diagnostic and Therapies Waiting Times Project in 2002 represented the firstcomponent of a Performance Management Structure for Therapy Services, enabling comprehensivereporting of waiting times and facilitating benchmarking across Wales. NHS Trusts are required todevelop action plans to reduce waiting times where applicable, and further developments will identifymeans of capturing standardised demand and activity data. Organisational Structures Most public sector therapy staff work for the NHS. However, Local Authorities also employ a significantnumber of Occupational Therapists and their support workers in Social Services departments, and asmaller number of Speech and Language Therapists in schools. Where possible, there needs to be flexibility in employment practices across organisational boundariesand parity in accountability and governance structures that foster innovation. This could be achieved



through the use of service models such as alignment with a single employer, joint budgets, jointlyfunded posts, and managed clinical networks. For those Therapy Services that are contracted in from the private sector, notably Orthotics andProsthetics, integration into arrangements for service and professional development, clinicalgovernance and professional advisory structures also need to be addressed. Accountability Registered therapists have a personal and professional duty to work within a scope of practice inwhich they have established, maintained and developed their knowledge, skills and ability to worksafely and competently. Accountability is shared by the individual clinician and the employer and issupported by performance reviews and personal development plans. Changing and extended roles, and greater autonomy in clinical practice, require more comprehensivegovernance structures. National guidance and advice will offer the basis for local organisations todevelop equitable protocols, policies, procedures, and risk management systems across Wales.These will include guidance on direct practitioner referral to diagnostic imaging and testing and theintroduction of systems for the supply and administration of medicines by therapists. Continuing Professional Development The continuing professional development of therapy staff should not only encompass explicit clinicaltraining needs, but must also broaden professional competencies including the core skills ofcommunication, education, team-work, shared learning across professional boundaries, clinical audit,reflective practice and leadership. Performance reviews will identify individual needs that can be met by a range of methods from in-service training, through mentorship and clinical supervision, to higher degree studies. Formalleadership and management development programmes, such as the Clinical Leadership and ChangeProgramme for therapy professions in Wales, are also essential for senior clinicians and managers.Personal Development Plans should be designed to meet the competency requirements of theservice, and to empower and motivate individuals to pursue not only personal clinical excellence butalso to reinforce the contribution of each individual to the therapy modernisation agenda. Therapists and their employers will need to keep abreast of the requirements of ProfessionalRegulation that, as it is strengthened, will include a requirement to provide evidence of continuingprofessional development in order to maintain registration. Research and Evidence Based Practice A sound evidence base to clinical practice and an evaluative culture routinely embedded into theworkplace are critical to supporting and improving safe and effective service delivery. While there is anevidence base to verify the contribution of therapy staff to improving health and well being, researchand development in these services needs to be strengthened further. The research and developmentcapability and capacity of therapy staff must be enhanced at all levels from policy development, toimplementation and evaluation. It must encompass and value a range of research methods, andsupport the establishment of sustainable uni and multi professional research communities,environments and networks.



ACHIEVING EXCELLENCE


• The Welsh Therapies Advisory Committee, in partnership with the NationalLeadership and Innovations Agency for Healthcare, and Education Providers, willensure that programmes are developed and delivered for the continued growth ofhigh calibre clinical and professional managers and leaders in the health, socialcare and education sectors

• The Welsh Assembly Government will continue to develop a nationalPerformance Management Structure which builds upon the Diagnostic andTherapies Waiting Times Project, which is broadened to encompass social careand education

• The Welsh Assembly Government will identify models for using therapyprofessionals as Supplementary Prescribers, and will support appropriate trainingand development programmes

• Commissioners and employers must ensure that therapy staff have access to theresources required to meet their regulatory requirement to undertake continuingprofessional development and life long learning

• The Welsh Therapies Advisory Committee will foster strong links with the UKResearch Forum for Allied Health Professions, National Leadership andInnovations Agency for Healthcare and the Wales Office of Research andDevelopment, to ensure Therapy Services in Wales are engaged in Researchand Development on a national basis

• The Welsh Assembly Government will publish guidance on non-medicalpractitioner referral to diagnostic imaging and testing

By

March 2006

March 2007

March 2007

March 2007

March 2006

March 2006



4 - USER INVOLVEMENT AT ALL LEVELS

Public, Patient and Client Involvement in Therapy Services Planning and Delivery

Objective To ensure Therapy Services are structured and developed around the needs of service users and actively engage and empower users and the public in the planning and delivery of services

The provision of effective, balanced, flexible, user friendly and accessible services requires co-ordination and collaboration between all sectors. The experiences of patients and clients can providevaluable information about services and their availability, and should be central to service planning anddelivery, from the strategic level to individual service user’s care. Integrated Care Pathways are evidence-based tools that guide and track the expected journey ofservice users through health and social care interventions. They aim to ensure that care is managedefficiently and consistently, with deviations from the journey being easily highlighted and quicklymanaged. Expert Patient Programmes and other self-management schemes facilitate partnerships betweenpeople living with long-term conditions and their health and social care professionals. Within suchprogrammes they develop the confidence, motivation, knowledge and skills to become active partners,and to take effective control over life with a chronic illness. Therapists' expertise, together with their understanding and relationships with their patients and clientscould be a powerful catalyst for the development of Expert Patient Programmes and Integrated CarePathways. Their introduction as part of mainstream services would augment the rehabilitationprocess, reduce pressure on scarce resources, enabling therapists skills to be focused on the morecomplex aspects of care.

USER INVOLVEMENT AT ALL LEVELS


• Local Authorities, Local Health Boards, and NHS Trusts should engage

service users, their advocates and the voluntary sector in the development,delivery, review and quality assurance of Therapy Services

• Therapy Services must demonstrate that systems are in place to ensurethat individual service users are fully engaged in the planning and delivery oftheir own care, and are empowered to self-manage where possible

• Therapy Services must engage in the development of Expert PatientProgrammes to ensure where possible the skills and knowledge of serviceusers are harnessed and utilised to augment service delivery

• Therapy Services must engage in the development of Integrated CarePathways, and ensure where appropriate the knowledge and experiencesof service users are harnessed and utilised in their development

By

Continuous Process

March 2007

March 2008

March 2008



5 - GETTING THE RIGHT THERAPY STAFF

Building Capacity in the Therapy Services Workforce Objective To plan the education and development of the therapy workforce to ensure a well balanced mix of staff,suitable in number, skilled and motivated to deliver services as part of a modern, integrated health andsocial care system The Wanless Review confirmed the need to have sufficient numbers of staff, who were ‘highlymotivated, properly skilled, appropriately rewarded, and have a sense of fairness and security inemployment’. As services are redesigned the transformation in the workforce will present manychallenges and opportunities, and will require the continued support, commitment and contribution ofstaff at all levels. The Therapy Services are already changing. There are a growing number of clinical specialists,extended scope practitioners, and consultant therapists, as well as a greater variety of skilledadministrative and clinical support worker roles. Recruitment and retention of staff forms the bedrockfor service delivery and development with these new roles offering the opportunity to secure highcalibre staff. The challenge for service leaders is to manage change while sustaining traditional coreservices at a local level, and nationally to take a strategic view to ensure that across all the specialitiesand agencies the right number and mix of staff are developed and in place to meet service needs. Workforce Planning The NHS Workforce Plans in Wales over recent years have identified a steady increase in thenumbers of therapy staff in post, and a need to increase the numbers still further over the next fiveyears. A significant increase in commissioned training places, both in Wales and elsewhere, offers apossibly unrepeatable opportunity to swell the numbers employed and use them effectively torefashion services. While Workforce Planning arrangements continue to be developed for the NHS and social services inWales, they do not yet explicitly cover the workforce requirements of local education authorities, highereducation institutions or the independent sector. These factors, together with considerable variations inthe total staffing numbers between and within the Therapy Services across Wales, indicate a need fora more detailed analysis both of the present level of Therapy Services and of future needs as a basisfor better planning of services and training. Pre-Registration Training The Welsh Assembly Government commissions honours degree courses in Dietetics, Podiatry,Speech and Language Therapy, Occupational Therapy and Physiotherapy, but does not currentlydirectly commission training programmes for Art Therapy, Drama Therapy, Music Therapy, Orthoptics,Orthotics and Prosthetics. While the professions are a popular career choice for both school leaversand mature students, restricted capacity within the current academic providers and a shortage ofclinical practice placements and supervisors in Wales present a considerable challenge. TheAssembly is working with education and service providers to consider solutions, including new trainingcentres, in-service and part-time training, and accelerated courses for graduate entry students.



Recruitment Retention and Return to Practice

Modernisation and development of services requires long-term sustainable programmes to recruit andretain therapy staff. National and locally developed Human Resource strategies have enabled TherapyServices to use flexible and creative approaches to retaining and re-shaping the workforce. Theseinclude redesign of jobs, skill mix reviews, part-time working, term-time working, other flexibleemployment arrangements, and return to practice programmes. The small size of some professionsmay however restrict the use of such approaches. Other options that have been adopted include the use of locum staff and overseas recruitment.Engaging locums can be problematic with difficulties in securing the right level of expertise andexperience, differentials in pay between locum and directly employed staff destabilising therapydepartments. They may also prove prohibitive for limited therapy budgets with resultant inequities inservice provision. Registration with the Health Professions Council, a statutory requirement fortherapists working in the NHS, is not automatically available to all overseas trained therapists.Registration can be achieved by some, through the successful completion of an approved period ofadaptation. The Welsh Assembly Government is currently exploring a standardised approach to themanagement and delivery of adaptation programmes.

The Development of Support Workers Competent, well-educated support workers who complement professionals in their changing roles willbe a vital component in the future development of Health and Social Services. However a recent studyidentified that across Wales a wide variety of models exist in relation to numbers, skill mix, trainingopportunities, and expected level of competency of these staff. These findings, together with thosefrom other initiatives will inform the development of an All-Wales Structure for support worker trainingand education, including systems for accreditation of in-service training and knowledge andcompetence acquired in post. It is also anticipated that the recently agreed joint National Occupational Standards for Health andSocial Care will lead to the development of new National Vocational Qualifications that will underpincareer pathways for support staff.

GETTING THE RIGHT THERAPY STAFF


• The Welsh Assembly Government will work with the therapy professions

and others to identify and periodically review core activities and servicesthat should be available everywhere in Wales

• National and local Workforce Planning arrangements must cover the fullrange of Therapy Services across health and social care agencies, localeducation authorities, higher education institutes and the independentsectors

• Health and social care organisations in Wales should show evidence ofworking together with their Therapy Services to minimise variations inemployment practices and maximise recruitment, retention and return topractice opportunities in line with the All Wales strategy

By

March 2007

March 2008

March 2008



cont.

• The Welsh Assembly Government will work with education and serviceproviders to ensure that education provision and capacity meet the needs ofmodernised health and social care services

• The Welsh Assembly Government will work with the National Leadershipand Innovations Agency for Healthcare to identify the education and trainingrequirements for health care support workers

March 2009

March 2006



6 - GETTING EQUIPMENT AND ENVIRONMENTS RIGHT

Strengthening the Support Infrastructure

Objective

To ensure Therapy Services have access to information and communication technology facilities andequipment, that enables the delivery of a high quality integrated service across disciplines, settingsand organisational boundaries

Much of the health and social care estate in Wales is in need of replacement or reconfiguration.Improvements in the physical infrastructure, together with the introduction of new clinical andinformation technologies are underpinning modernisation of services.

Many facilities are too small, in the wrong location, or are not fit for purpose. The level of provision ofinformation technology and support for Therapy Services in Wales varies considerably. Technologicaladvances in therapeutic equipment are increasing, with new equipment becoming available that hasthe potential to improve the quality, effectiveness and efficiency of therapy interventions. However theplanning and provision of such advances is often ad hoc across Wales.

For service users the supply of aids and equipment for personal use is often complex. It may involve arange of providers within and outside Wales, variations in local health and social care policies, lack ofclarity regarding responsibility for funding of equipment and delays in provision, re-provision andmaintenance.

Identifying solutions to the challenges presented by estates, equipment, information technology, andthe provision of aids and equipment is critical to the delivery of all aspects of this Therapy Strategy.

Estates

Services are provided in a variety of care settings, including GP surgeries, hospitals, educationalestablishments, and in the community. Many locations are old or inadequate with space at a premiumand frequently shared with other disciplines. The steady migration of therapy practice from secondaryto primary and community care will add to the pressure to provide an adequate infrastructure tosupport effective service delivery. It is therefore essential that the requirements of Therapy Servicesare considered when facilities are planned or modified.

Therapy Equipment

The equipment used by Therapy Services varies considerably from the simple and inexpensive, totechnologically advanced high cost items with innovation and technical solutions becoming moreaccessible. Planned preventative maintenance and replacement programmes, together with robustappraisal of new technological requirements are therefore essential. These must take account of thelimits imposed by capital replacement financial criteria and should encompass the set up costs andrevenue implications of service developments across all sectors.



Joint Provision of Equipment

Timely and appropriate provision of the personal aids and equipment needed by individual serviceusers can influence their quality of life and contribute to the avoidance of inappropriate admissions anddelayed discharges. Personal equipment should be maintained, reviewed, and replaced in a co-ordinated manner to ensure safety and maximise effectiveness. This is of particular importance forchildren and young people who are at risk if their changing equipment needs are not re-assessed andmet.

Partner organisations must work collaboratively to map need, develop robust protocols and training,agree shared accountability for aids and equipment services, and ensure more effective utilisation ofresources.

Information Technology

The effective and efficient delivery of health and social services is dependent on sharing clinical andmanagement information across professional and organisational boundaries, and the collection andcollation of data to enable monitoring, reporting and auditing of activities. Therapy Services, as withmany others, currently lack technological infrastructures, and are dependent on paper or simpleelectronic information systems. As Informing Healthcare and Informing Social Care projects are rolledout, a major challenge will be to ensure the introduction of effective Information Technology systemssuch as integrated electronic patient records, Telecare and Telemedicine across the whole spectrumof health and social care. This needs to also include those services that have no pre-existing (legacy)systems to replace.

GETTING EQUIPMENT AND ENVIRONMENTS RIGHT


• Service planners must show evidence of routinely engaging with Therapy

Services when planning or modifying services, estates and facilities

• Therapy Services and service commissioners must show evidence thatsystems are in place to identify equipment and resource requirements fornew service developments and existing services, including those whichfall below the capital asset replacement threshold

• Informing Health Care and Informing Social Care must ensure thatTherapy Services are actively engaged in planning and implementation toensure that systems and training reflect the roles of the Therapy Servicesin health and social care

• The Welsh Assembly Government will work with the Welsh TherapiesAdvisory Committee to develop a comprehensive robust communicationsstructure to ensure wide engagement of therapists in strategy and servicedevelopment across Wales

• Trusts, Local Health Boards and Local Authorities must support theimplementation of interagency equipment services at local, regional andnational levels as identified in Designed for Life

By

March 2007 & annually

March 2007 & annually

on going

March 2008

March 2008



7 - MAKING IT HAPPENConclusion and Next Steps

The skill, commitment and imagination of therapy staff in the frontline of service provision has ensuredthat there is already considerable evidence of good practice in Wales. In recent years TherapyServices have responded to the changing needs of health and social care, and have achievedsignificant success in developing many aspects of their services. This strategy has identified that by strengthening the Therapy Services, their essential contribution canbe fully realised. They must be used to support the creation of a world class, modern, expanded, andeffective health and social care service in Wales that aims to prevent problems wherever possible anddeal effectively with those that arise. The strategy sets out important objectives and key actions acrossthe whole spectrum, and provides a platform from which future service provision should be developedacross Wales. Some of this agenda is challenging, but the potential benefits are considerable. If these are to berealised, the Government, commissioners, providers, professionals, and the public must seize theopportunities and work together to ensure that Wales secures the powerful contribution of the TherapyServices.

MAKING IT HAPPEN


• The Welsh Assembly Government and Welsh Therapies Advisory

Committee will agree arrangements to monitor and evaluate theimplementation of the Strategy

• The Welsh Therapies Advisory Committee will support the implementationof the Therapy Strategy through its Forward Work Programme and ensureeffective communication of progress across Wales

• The Welsh Assembly Government will identify and agree the role of itsRegional Offices and others, ensuring that implementation delivers theexpected benefits

• The Welsh Assembly Government will review and revise this strategy inline with the planning cycles identified in Designed for Life

By

March 2006

On going

March 2006

2009

Therapy Strategy for Wales Compendium of Innovation and Best Practice

Legend:

A Healthy Lifestyles

B Early Intervention

C Inpatients

D Outpatients

E Rehabilitation and Long Term CareF Composite

Category Project Title TrustA Coronary Heart Disease Dietetic Service to CHD Swansea X X

A Coronary Heart Disease Heart Ely C&V X X X

A Obesity Management Pharmacy Led Weigh-In Clinic Gwent X X X

A Patient Empowerment Podiatry Gwent X X X X

A Obesity Management Fit4Fun Gwent X X X X X

A Coronary Heart Disease Healthy Hearts Gwent X X X

A Health Eating Get Cooking Gwent X X X

A Health Eating Food for Thought C&V X X X X

A Health Eating Food and Nutrition Course C&V X X X X

A Health Eating Food and Health Strategy C&V X X X X X X

A Health Eating Sure Start Nutrition Project C&V X X X X

A Fitness for Health Tai Chi for Arthritis Gwent X X

A Mental Health Healthy Living Group NEW X X X X

A Fitness for Health Walking Group NEW X X X

A Mental Health Art Therapy Group P&D X X X X X

A Obesity Management Group Obesity Clinic C&D X X

B Falls Prevention Falls Exercise Class Gwent X X X X

B Early Diagnosis Multi Professional Triage and Treatment Gwent X X X X X

B Early Diagnosis Physio Direct Telephone Service Bro Mor X X X

B Respiratory Care Assessment of COPD C&V X X X

F Intermediate Care Elderly Care Assessment Team C&D X X X X X X

B Intermediate Care Multi Agency ResponseTeam C&D X X X X X

B Intermediate Care Interagency SLT service C&D X X X X

B Child Development The Graduated Response Swansea X X X X

Prim

ary Care

Secondary C

areS

ocial Care

Education

Higher E

ducation InstitutionsV

oluntary Sector

North W

alesM

id Wales

South W

alesA

rts TherapiesD

ieteticsO

ccupational Therapy

Prosthetics

Speech &

Language Therapy

Working w

ith other professions

Podiatry

Physiotherapy

Orthoptics

Orthotocs


F Intermediate Care Elderly Care Assessment Service C&V X X X X X

B Early Diagnosis Emergency Unit Physiotherapy Service C&V X X

B Falls Prevention Falls Prevention Programme C&V X X X X

B Diabetic Care Diabetic Foot Assessment Gwent X X X

B Early Diagnosis A&E Therapy Service C&V X X X

F Respiratory Care Community Resp. Resource Unit C&V X X

F Intermediate Care Tuag Adref NWW X X X X X

F Intermediate Care Community Reablement Gwent X X X X X

B Early Diagnosis Therapy Assessment Team, P&R X X X

B Early Diagnosis Acute Knee, MRI Review Clinic C&V X X

B Early Diagnosis Emergency Physiotherapy Practitioner Swansea X X

B Early Diagnosis Self referral for Physiotherapy NWW X X X

B Coronary Heart Disease HeartLink Project (HLP) C&V X X X X X

B Child Development Ponseti Treatment Gwent X X X

B Intermediate Care Local OT protocols S. Serv. X X

B Early Assessment A&E Triage service C&D X X X

B Intermediate Care Community Ass. Partnership C&D X X X X X X X X

C 7 day services Orthopaedic Ward Rehabilitation Assistants C&V X X X X X X X

C Intermediate Care The Acute Response Team C&V X X X X X

C Health Eating Nutrition Support Team C&D X X X X

C Respiratory Care TIRE in Cystic Fibrosis C&V X X X

C Respiratory Care TIRE Respiratory Muscle Assess't Training C&V X X X

C Respiratory Care Tracheostomy Skills Training C&V X X X X

C Health Eating Nutritional Support Team C&D X X X X

C Diabetic Care Intensive education for Type 1 Diabetes Gwent X X X X

C 7 day services 7/7 Orthopaedic Service Gwent X X X

C Respiratory Care NIPPV Respiratory Service Gwent X X X

C Early Assessment Early Pre admission Clinics EPACs Gwent X X X X

C Early Assessment Medical Emergency Admisions Unit C&V X X X X

C Early Assessment ALERT Critical care trigger system Gwent X X X

C Intermediate Care Integrated OT post Gwent X X X

C Patient Information Going Away for Treatment? Ceredigion X X X

C Intermediate Care Local OT protocols S. Serv. X X

D Waiting times Orthoptist Glaucoma Specialist - Bro Mor X X

D Waiting times Physiotherapy Practitioners in Orthopaedics C&D X X X

D Early Assessment Occupational Therapy Practitioners C&D X X X


D Burns Outreach Service Swansea X X X

D Child Development Integrated Care Pathway for DCD Swansea X X X

D Early Diagnosis Package of Care Model in Podiatry Bro Mor X X

D Waiting times Orthotic Care Pathway Redesign Carmarthen X X

D Waiting times Swallowing Screening by Nurses Gwent X X X

D Waiting times Physiotherapy Led Ankylosing Spondylitis Gwent X X X

D Waiting times Physiotherapy led Hand Clinics Swansea X X X

D Waiting times Integrated Approach to Orthopaedic W/Ls Carmarthen X X X X

D Waiting times TOMATO clinics Gwent X X X

D Waiting times Multiprofessional Treatment team C&V X X X X X X

D Waiting times Acupuncture Service to Pain Clinic Gwent X X X

D Diabetic Care Intensive Education for Type 1 Diabetes Gwent X X X X

D Diabetic Care Education Group for Diabetes Gwent X X X X

E Patient Empowerment Conversation Groups C&V X X X

E Intermediate Care Traumatic Brain Injury Service Swansea X X

E Patient Empowerment Conversation groups C&V X X X

E Respiratory Care Pulmonary Rehabilitation C&V X X

E Respiratory Care TIRE in CF and COPD C&V X X

E Early Assessment Open Access MS Clinic C&D X X

E Early Assessment Shoulder Service Swansea X X

E Cancer Care Lymphoedema Education Swansea X X X

E Early Assessment MS Specialist team Swansea X X X X X

E Intermediate Care Pull Don't Push Patients NWW X X

E Intermediate Care Community Brain Injury Team C&V (Host) X X X X X X

E Cancer Care Y Filltir/Home Ground Project Ceredigion X X X

E Intermediate Care Community OT for the Elderly NEW X

E Child Development Paediatric Dysphagia C&D X X X

E Child Development SLT for children with specific language imp't C&D X X X

E Child Development SLT for children with Autism C&D X X X

E Child Development SLT Mainstream Support Service X X X

E Intermediate Care Local OT Assessment Protocols S. Serv. X X

E Intermediate Care Stroke Outreach Service C&V X X X X

E Intermediate Care Re-Ablement Team C&V X X X X X X X

E Intermediate Care Intermediate Care Beds within a residential P&D X X X X X

E Cancer Care Art Therapy in Palliative Care NWW X X X

E Intermediate Care Joint Working SLT and Social Care C&D X X X


E Coronary Heart Disease Cardiac Rehabilitation Programme C&D X X X X X X

E Respiratory Care Pulmonary Rehabilitation C&D X X X X X X

therapy strategy distribution list name contact …

Documents