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NHS Wales

Rehabilitation Model​ Planning and Implementation

NHS Wales – Rehabilitation Model​ Planning and Implementation
Client Cardiff and Vale University Health Board NHS Wales
Region UK
Sector Public Sector, Health and Not For Profit
Offering Organisation Change & Implementation

The Challenge

  • Cardiff and Vale University Health Board’s rehabilitation services aim to empower patients living in Cardiff and the Vale of Glamorgan to take responsibility for their health and wellbeing, with the skills and knowledge to manage their ongoing rehabilitation needs.​
  • The client faced the challenge of aligning multiple projects and a variety of stakeholders in determining the future of rehabilitation for the region, especially in light of the coronavirus pandemic.​
  • Q5 were brought in to help design a delivery approach for the implementation of the rehabilitation model, aiming to bring rehabilitation closer to home in a community setting through one programme of work.

Our Approach

  • We interviewed over 20 key stakeholders and facilitated several workshops over the 8-week project to both gather information and to develop potential solutions to the challenges they were facing in a collaborative way.​
  • We engaged with a wide variety of stakeholders across therapies, psychology and dietetics to gather multiple viewpoints from both physical and mental health services, and maintained an inclusive delivery approach throughout the project’s duration.​
  • We took both a strategic lens and an operational lens, enabling discussions over the future of rehabilitation at an executive and clinical level. 

Key Outcomes

  • Designed a new rehabilitation programme with a steering board and 7 initial workstreams, as well as the necessary governance structures, programme roles and terms of reference.
  • Aligned and enabled key stakeholders to start the initial development of a long-term conditions service in the community as part of a wider 90-day implementation plan for the programme.
  • Produced guidance and direction for an 18-month long-term plan, including improving rehabilitation’s digital capabilities and workforce planning considerations.
Case studies

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NHS Wales – Shaping our Future Clinical Services Scoping

The Shaping our Future Clinical Services programme aimed to coordinate and support the redesign of clinical pathways across Cardiff and Vale UHB.​ The first phase of the programme focused on defining the vision, aims and scope, the high-level clinical strategy, the redesign methodology, and programme structure.

NHS Wales – Future Immunisation Service Operating Model Design​

Following the success of the Covid Mass Vaccination Programme, Cardiff and Vale University Health Board (CAV UHB) were looking to build on the capabilities and lessons learned from the Mass Vaccination Programme to develop a new operating model for all immunisation services offered by CAV UHB, including the Health Board’s partners. Q5 were asked to assist with the creation of new governance structures and design the resulting transformation programme of work.
NHS Wales – Eye Care Digitalisation

Ophthalmology and Optometry Services in Wales have been paper-based since their inception. In 2018, Cardiff and Vale Health Board began the roll-out of OpenEyes and OpenERS, to digitalise all Primary and Secondary Eye Care. They are now rolling out across the nation to deliver a vision of shared care between community optometrists and hospitals.

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