Changing the conversation: developing an alliancing approach to whole system transformation of health and care

Cardiff and Vale University Health Board

This project is under way, and will run until March 2020.

  • Run by Cardiff and Vale University Health Board, with support from Cardiff and Vale Regional Partnership Board.
  • Aiming to transform service delivery to meet the growing health and social care needs of the South Wales population.
  • Will use an ‘alliancing’ approach to activate a network of people from across health disciplines and partner organisations to design and implement a new whole-system model focused on community falls prevention.

The population in Cardiff and the Vale of Glamorgan is growing rapidly, and has shifting health needs including an ageing population and greater ethnic diversity than much of Wales. 

This project from Cardiff and Vale University Health Board plans to transform service delivery for this changing population with a ‘best for patient, best for system’ method. It will develop an innovative ‘alliancing’ approach to bring together varied staff from across health disciplines and different partner organisations; activating a network of people to identify and solve system-wide health and care problems through new models of care and ways of working. 

The project team will receive guidance from Canterbury District Health Board in New Zealand, which successfully developed the alliancing approach to navigate the challenges of rapid population growth and ageing. Crucial leadership support will be provided by Cardiff and Vale Regional Partnership Board, which brings together health care, local authorities, voluntary sector and independent providers, and carer representatives to enable whole-system change.

The project model will be developed with community falls prevention as the focus and test area, with the potential to spread to all clinical areas. Community design workshops involving patients and the public will be used to identify what services should be sustained, stopped or started, and inform the design and implementation of a new system for falls prevention. 

Plans for the measurement of this innovation will be updated as the alliance develops, and if successful it could be used to drive service development across the health and care system.

Contact information

For more information about this project, please contact Ruth Jordan, Head of Continuous Service Improvement, Cardiff and Vale University Health Board.

About this programme

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Innovating for Improvement

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