# data[].attributes.body
LHSW refresh - Stakeholder Mapping (padlet.com)

# data[].attributes.body
A reduction in:

● smoking and smoking related           health issues

● inequalities

● diseases like cardiovascular

diseases, diabetes and cancer.

An increase in:

● people using screening services

● healthy behaviours

● people using programmes

like National Exercise Referral
Scheme and Expert Patient
Programmes

# data[].attributes.body
A reduction in:

● ambulance trips to hospital

● people needing hospital

admission

An increase in:

● services offered in Health

and Well-being Centres

● more community teams

● people cared for at home

● people able to be

discharged to their home

● people discharged early

# data[].attributes.body
A reduction in:

● outpatient follow-up
appointments

● delayed care

● waiting times

● healthcare acquired infections

● re-admission rates

● mortality rates.

An increase in:

● tests provided in 8 weeks

● stroke services

● women starting labour outside a

consultant led unit

● services provided outside
hospital

● people recovering from a hip
fracture

● people discharged back home

● Patient Related Outcome
Measures
● Patient Related Experience
Measures

# data[].attributes.body
A reduction in:

● calls to the mental health and
dementia helplines per 100,000 of
the population

● number of people on GP
dementia registers

● out of area placements

● delayed transfers of care

● outpatient follow-up
appointments

● waiting times.

An increase in:

● mental health assessments
within 28 days

● advocacy support in hospitals

● services in health and well-being
centres

● feedback through the patient
experience survey

● patients discharged home
●number of staff taking up training

# data[].attributes.body
A reduction in:

● children overweight or obese at
age 4 - 5 years

● infant mortality

● low birthweight babies

● waiting times for support.

An increase in:

● breast feeding

● immunisation – vaccination rates

● services available to respond to
children in crisis

● services working together

● staff training

● partners working together to
improve outcomes for children
and families

# data[].attributes.body
Improve physical, emotional and mental health and well-being for all

Target our resources to people who have the greatest needs and reduce inequalities

Support children to have the best start in life

Work in partnership to support people – individuals, families, carers, communities – to achieve their own well-being

Improve the safety and quality of all services

Respect people and their dignity

Listen to people and learn from their experiences

# data[].attributes.body
The Primary Care Academy

Social prescribing across North Wales.

Cluster developments  - including support for mental health and well-being, advanced practitioners and pharmacists

Health and well-being centres such as Dolgellau Hospital

Major proposals such as the Royal Alexandra Hospital replacement.

Community Resource Teams are developing

Home First Bureaux to support care out of hospital.

The transformation fund programme has supported significant improvements.

# data[].attributes.body
We have completed a number of major projects: the redevelopment of Ysbyty Glan Clwyd, the SuRNICC, the launch of NHS 111

We have made many improvements, have not completed all the commitments in Living Healthier, Staying Well (such as for orthopaedics and urology.)

Waiting times have deteriorated during the pandemic. We are considering Diagnostic and Treatment Centres which will increase capacity

# data[].attributes.headline
How has the pandemic affected health and well-being

# data[].attributes.subject
How has the pandemic affected health and well-being

# data[].attributes.body
* There have been nearly 41,000 positive tests for Covid-19 in North Wales
* There have been nearly 1,500 admissions to hospital for people confirmed positive since the start of the pandemic
* We have now delivered more than 880,000 vaccinations across North Wales
* More than 370,000 people have had both 1st and 2nd doses of the Covid vaccination
* there has been a major impact on broader health and well-being, including mental health.  There are four dimensions of harm related to Covid:
- Harm from Covid itself
- Harm from overwhelmed NHS and social care system
- Harm from reduction in non-Covid activity
- Harm from wider societal actions and lockdown
* Around 43,500 have now been waiting over 52 weeks for planned care (outpatient, inpatient or daycase)
* We know we are likely to see significant increases in support needs for mental health and well-being, children's health, people experiencing symptoms of long Covid, and many others

We want to understand the impact that the pandemic has had on your health and well-being.

# data[].attributes.body
We have developed initiatives to support e.g.

healthy eating and lifestyle

mental health and well-being

suicide prevention

alcohol and smoking cessation

food poverty

there are also now innovative community support hubs being developed under the Protect programme.

Responding to Building A Healthier Wales

# data[].attributes.body
A reduction in:

● older people feeling lonely

● fractures, including hip fractures

● unscheduled admissions to
hospital for people at the end of
life.

An increase in:

● life satisfaction

● older people taking health
screening and immunisation
opportunities

● older people being able to have a
diet that promotes health

● older people being physically
active

● older people with homes that
meet their needs

● older people taking part in the
‘Falls pathway’ to help stop falls
and give treatments

# data[].attributes.body
Check in with our staff, patients, partners and public whether the principles are still valid

Review our strategic priorities to ensure they are consistent with “A Healthier Wales”

Address those elements of LHSW that proved challenging to implement e.g. an integrated system wide approach to healthcare and integrated care pathways

Test the strategy is still relevant in the context of the changed environment

Provide the framework for development of a Clinical Services Plan

# data[].attributes.body
•The health & social care system will work together

•We want to shift services out of hospital to communities, and more services which stop people getting ill

•We will get better at measuring what really matters to people

•We will make Wales a great place to work in health and social care, do more to support carers and volunteers, and invest in new technology

•To make our services work as a single system, we need everyone to work together

# data[].attributes.headline
Theme 1 - improving health and reducing health inequalities

# data[].attributes.subject
Theme 1 - improving health and reducing health inequalities

# data[].attributes.body
Acute care

# data[].attributes.body
Under each Post (information box) there is a space to 'Add Comment' - click on the link to write - then click the small arrow on the right to add

# data[].attributes.headline
Equality and human rights and our strategy

# data[].attributes.subject
Equality and human rights and our strategy

# data[].attributes.body
During the development of Living Healthier Staying Well, the promotion of equality and human rights was identified and agreed as an underpinning principle in our approach to delivering the 7goals. This means identifying and addressing barriers to accessing services, providing culturally appropriate services, making reasonable adjustments and working towards improved outcomes for people from protected characteristic groups and those with lived experience of stark inequalities. We are interested to learn more about your experiences of inclusive service delivery? Are there any service areas where you think we could have done this better?

Subsequently Covid-19 has further magnified inequalities for many people with protected characteristics and those who are socio-economically disadvantaged, in particular older people, people from ethnic minority backgrounds and some disabled people. It is now more important than ever that equality and socio-economic considerations are placed at the heart of our work and that we optimise opportunities for lived experience voices to influence our plans.

# data[].attributes.headline
Protecting Our Health: Our response in Wales to the first phase of Covid-19

# data[].attributes.subject
Protecting Our Health: Our response in Wales to the first phase of Covid-19

# data[].attributes.headline
How Coronavirus has affected equality and human rights 2020

# data[].attributes.subject
How Coronavirus has affected equality and human rights 2020

# data[].attributes.headline
Linc i Padlet Staff /              Link to Staff Padlet        

# data[].attributes.subject
Linc i Padlet Staff /              Link to Staff Padlet        

# data[].attributes.body
LHSW - Staff Padlet