Candidate Information Contents Section 1 – Welcome and Foreword 3 Section 2 – The NHS in Wales 5 Section 3 – Purpose, vision, aims and values 7 Section 4 – How we are structured and overview of services 9 Section 5 – Strategic change, challenges and planning 14 Section 6 – Working in partnership with Universities 18 Section 7 – A very special and unique place to live and work 25 Chairman’s Foreword Dear Candidate ABMU Health Board is ambitious - we aim to create a new model of a 21st century health economy, based on our core values of Caring for Each Other, Working Together and Always Improving. We want an Executive Director who shares our values and has ambition, drive and determination to help us create that. In Wales, NHS policy is the responsibility of the Welsh Government and health policy has diverged significantly from that operating in England where a market-driven system, increasingly based on competition, has developed. In Wales the emphasis is on collaboration not competition. Unlike in England, the seven Health Boards in Wales Andrew Davies, Chairman deliver an integrated service and are responsible for both commissioning and planning all levels of citizen-centred healthcare services, as well as delivering them. In practice, this means that ABMU Health Board is delivering - and developing - services which range from primary and community health care, mental health, and responsibility for public health, through to highly specialised tertiary services. We are doing this in close partnership with our local authority, third sector and university partners. As a University Health Board, our relationship with our universities is vital to us and developing the ‘U’ in ABMU is a strategic priority, especially through Swansea University's Medical School and College of Human & Health Science, and the renowned Institute of Life Science: this collaboration ranges from medical nurse, and paramedic education and training, clinical research and its practical applications, the SAIL health informatics database through to engineering (especially the Centre for Nano-Health) and sport science. Many of our staff are actively involved in health- related research and many of our patients are involved in clinical trials. The area we serve is a great place to work and live: with wonderful countryside, great beaches (including the beautiful Gower Peninsula,) mountains and forests, excellent schools, colleges and universities through to premiership football with the Swans and world-leading rugby with the Ospreys. We are also very close to Cardiff, one of the fastest growing cities in Europe, home of the iconic Welsh National Opera, the Wales Millennium Centre and many other attractions. The quality of life is second to none. We look forward to receiving your application. Yours sincerely Andrew Davies Chairman Chief Executive’s Welcome Dear Candidate Thank you for your interest in this Executive Director role at Abertawe Bro Morgannwg University Health Board (ABMU). This is an organisation I am proud to lead as we are an organisation with important values which means we strive to provide the very best care to our patients and citizens. University Health Boards in Wales, such as ABMU, are well placed to plan, develop and Paul Roberts, Chief Executive deliver excellent integrated healthcare across primary, secondary, tertiary and community sectors, alongside partners in other sectors. Prior to coming to Wales I was a Chief Executive in England for nearly 20 years. As a relatively recent import I have been impressed with the strong commitment in Wales to improve the health of local communities through public services, partnership and integration. Whilst we face many similar challenges to the NHS elsewhere in the UK, ABMU is determined to build on the significant potential that already exists in our organisation. We have the ambition and drive to deliver an exciting vision for the future, one in which we are creating a truly integrated healthcare system, designed to meet the needs and priorities of our wide ranging and diverse population and with an ambition to be comparable with the very best international standards of healthcare delivery. As a University Health Board, we recognise that research and development is also key to delivering excellence in care. We work closely with our local universities, such as Swansea University and the Institute of Life Science in particular, to drive this forward. As an example of our ambition for our services we have developed a vibrant partnership between ABMU Health Board, Hywel Dda University Health Board and Swansea University called A Regional Collaboration for Health (ARCH) to work together to deliver our strategic NHS and academic aims for South West Wales. As an Executive Director you will have a unique opportunity to improve the lives of the people we serve and, in turn, significantly contribute to the future of the Health Board and Wales. I hope that you share the excitement of what we can achieve in ABMU Health Board. Once again thank you for your interest and I look forward to receiving your application Yours sincerely Paul Roberts Chief Executive The NHS in Wales The most important role for the NHS in Wales is to improve health and reduce inequalities. The health of the people of Wales continues to improve. Significant progress has been made against the big killers of cancer and heart disease in the past 20 years. Male premature deaths from heart disease have reduced by 60 per cent since 1991. There has been considerable success in concerted efforts against smoking, alcohol and substance misuse and risk behaviours. This has resulted in year on year improvement in health outcomes as a nation. The recent Nuffield Report comparing the health systems in the UK provides a good overview – please click on this link to view the report in full: http://www.nuffieldtrust.org.uk/compare-UK-health. Despite this progress, we are not satisfied and there remains a commitment and aspiration to work together to further reduce the impact of poor health decisions. There are however considerable challenges in levelling up the health status for the whole population. Traditional stubborn pockets of deprivation exist, largely in the South Wales Valleys, but also in dispersed communities across the country. It is the stated aim of the Welsh Government to tackle the inequalities that exist in Wales by pursuing a health economy policy approach, supported by coordinated and determined research and intelligence. The NHS in Wales has made a conscious decision to do things in a way that meets the needs of the Welsh community. It is more integrated and more community orientated than many other parts of the UK NHS. In 2009 the NHS in Wales was reconfigured with the formation of seven Health Boards taking responsibility for the planning and delivery of all services in their areas – from primary to tertiary care. The reforms put into place are designed to guard jealously Bevan’s legacy of a health service which is free at the point of delivery on the basis of need but to do so recognising the huge pace of change in health care, the rapidly changing nature and scale of demand, and the overriding desire to deliver a citizen focused service. Underpinning the NHS in Wales is: . A desire to re-establish the key and close links between health service planning and delivery and the specialist public health function. The delivery of a high quality all-Wales public health service focused on improvement of the health of the people in Wales and working seamlessly with the reconfigured National Health Service. Recognition that in a country of three million people it is possible to use a planning-based approach to the design and delivery of services. An absolute imperative to move services closer to people and by doing so rebalance the priorities afforded to acute, primary and community based care. The establishment of new accountabilities between health service organisations, the people who lead and work in them and the people they serve. The imperative of high quality performance and the need to manage that performance effectively and rigorously. The achievement of Prudent Healthcare which fits the needs and circumstances of patients and actively avoids wasteful care that is not to the patient’s benefit. The absolute requirement to build a health service which is sustainable into the future and supports the well-being of future generations. ABMU Health Board ABMU Health Board is one of the largest NHS organisations in the UK, advancing clinical excellence and driving forward clinical research. The Health Board is responsible for the health of over 500,000 people. We have a budget of over £1 billion, and employ over 16,000 staff. As a Health Board in Wales, we provide integrated care for our patients. We deliver tertiary, acute, intermediate, mental health, community and primary care services to people in Swansea, Bridgend, Neath Port Talbot, and beyond. In addition, the Health Board provides a large range of regional and sub- regional services, including Cardiac Surgery, Forensic Mental Health and Learning Disability Services. Our Welsh Centre for Burns and Plastic Surgery is also responsible for patients in the South West of England. We are research-driven, working in close partnership with universities and the Institute of Life Science in Swansea (ILS). ILS is Wales’ premier purpose- built medical research facility. It is a collaboration, between Swansea University and the Welsh Government, together with ABMU, IBM and industry and business partners. (See www.swansea.ac.uk/ils for more information.) “We are passionate about delivering excellence in clinical services and taking early action to promote and protect health and independence.” “Our ‘Changing for the Better’ programme will transform clinical models and develop and implement a sustainable long term clinical and service strategy.” Our purpose, vision, aims, clinical strategy and values The Health Board has engaged with staff, partners and stakeholders on its’ purpose, vision, aims and objectives to develop a shared strategic direction.