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Setting the Direction: Primary & Community Services Strategic Delivery Programme

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'Setting the Direction' recognises the commitment to delivering world-class integrated health care in Wales. This requires a change in the approach to developing both policy and service delivery models for primary and community care.

The report has made some recommendations building on the strengths and developments to date within the current system whilst at the same time directly tackling some of the existing challenges. The key underlying Principles for improvement include:

  • Universal population registration and open access to effectively organised services within the community
  • First contact with generalist physicians that deal with undifferentiated problems supported by an integrated community team
  • Localised primary care team-working serving discrete populations
  • Focus on prevention, early intervention and improving public health not just treatment
  • Co-ordinated care where generalists work closely with specialists and wider support in the community to prevent ill-health, reduce dependency and effectively treat illness
  • A highly skilled and integrated workforce
  • Health and social care working together across the entire patient journey ensuring that services are accessible and easily navigated
  • Robust information and communication systems to support effective decision-making and public engagement
  • Active involvement of citizens and their carers in decisions about their care and well-being.

To request a hard copy of the document please contact: CCMmailbox@wales.gsi.gov.uk