The Parliamentary Review of Health and Social Care in Wales provides an inspiring vision of future directions in service provision, with proposals which are likely to be studied more widely. Dr Ruth Hussey the former Chief Medical Officer for Wales, worked with nine international experts to produce the “A Revolution from Within: Transforming Health and Care in Wales” report on how the NHS and social care should work together “seamlessly” to better cater for people’s needs and deliver care closer to home.
“ …there is too much focus on narrow hospital targets rather than looking at the bigger picture”.
Section headings in the final report include:
- Recommendation 1: One Seamless System for Wales.
- Recommendation 2: The Quadruple Aim for All.
- Recommendation 3: Bold New Models of Seamless Care – national principles local delivery.
- Recommendation 4: Put the People in Control.
- Recommendation 5: A Great Place to Work.
- Recommendation 6: A Health and Care System that’s always learning.
- Recommendation 7: Harness Innovation, and Accelerate Technology and Infrastructure Developments.
- Recommendation 8: Align System Design to achieve results.
- Recommendation 9: Capacity to Transform, Dynamic Leadership, Unprecedented Cooperation.
- Recommendation 10: Accountability, Progress and Pace.
Clarke, O. (2018). Revolution in health and social care urged in Wales. Wales: BBC Health News / BBC Wales News, January 16th 2018.
This relates to:
Parliamentary Review of Health and Social Care in Wales (2018). A Revolution from Within: Transforming Health and Care in Wales. Final Report. Wales: Welsh Government, January 2018.
There was an earlier, and longer, interim report:
Clarke, O. (2017). Faster changes to Wales’ health and care system urged. Wales: BBC Health News / BBC Wales News, July 11th 2017.
This relates to:
Parliamentary Review of Health and Social Care in Wales. Interim Report. Wales: Welsh Government, July 2017.
Further background on the Welsh context:
Clarke, O. (2017). Q&A: Social care and Wales. Wales: BBC Health News / BBC Wales News, May 26th 2017.
The Board of Community Health Councils (CHCs) has reported on the impact of long waiting times for treatment on patient experience:
Clarke, O. (2018). Long hospital waits can be ‘devastating’ – watchdog. London: BBC Health News / BBC Wales News, May 10th 2018.
Possibly of anecdotal interest:
Hospital staff lack dementia training, widow says. London: BBC Health News / BBC Wales News, April 23rd 2018.
Carer Support in Wales
The Social Care Institute for Excellence (SCIE) has produced a report on preventative support for adult carers in Wales, which was commissioned by Social Care Wales in 2017.
Preventative support for adult carers in Wales: rapid review. London: Social Care Institute for Excellence (SCIE), March 2018.
Dementia Research Priorities in Wales
Action areas identified in the WHO “Global Action Plan on the Public Health Response to Dementia 2017–2025” were picked-up in a national research and development briefing for Wales:
- Dementia as a public health priority.
- Dementia awareness and friendliness.
- Dementia risk reduction.
- Dementia diagnosis, treatment, care and support.
- Support for dementia carers.
- Information systems for dementia.
- Dementia research and innovation.
Hedd Jones, C. (2018). Global and national perspective on dementia. Cardiff: Bangor University / National Assembly for Wales, February 2018.
Brain Scans for Earlier Dementia Diagnosis?
Concerning the potential uses of PET scans in screening for dementia:
Dementia: Cancer scanner ‘could help early diagnoses’. London: BBC Health News / BBC Wales News, February 22nd 2020.
Structural MRI Scans (At Least) for Diagnosis – Not so Simple
Lombardi, G. Crescioli, G. [and] Cavedo, E. [et al] (2020). Structural magnetic resonance imaging for the early diagnosis of dementia due to Alzheimer’s disease in people with mild cognitive impairment. Cochrane Database of Systematic Reviews. March 2nd 2020; Vol.3: CD009628.
There is also an Executive Summary.