Evaluation consultancy services

Tender description

The Gwent Regional Partnership Board is leading an ambitious transformation programme, funded by Welsh Government, which will run from January 2019-December 2020. The aim of the transformation programme is to test new, integrated models of care targeted at specific populations. All programmes are being delivered across the Gwent region, through a partnership approach between health, social care and third sector. Part of the requirement of the transformation programme is that independent project evaluators will be appointed, to undertake a professional evaluation of the core projects in a timely fashion, providing evidence, which will inform decisions relating to wider adoption, considering particularly health and social care outcomes improvement, enhanced healthcare value and affordable service delivery. Integrated wellbeing networks are a unique approach to improving population wellbeing. The aim of the programme is to develop a whole system approach to prevention and early intervention that brings together a holistic range of well-being assets on a place-basis, enabling people to find support when they need it and strengthening community well-being and capacity to take action on things that support it. The programme aims to connect and align the well-being resources that already exist across organisations and communities in order to achieve optimal well-being outcomes for people. The programme will focus on four key elements: developing place based collaboration, linking community based hubs, developing people who deliver services and support and ensuring easy access to wellbeing information. The IWN programme will work closely with public service boards, and will also be closely linked, to the delivery of primary and community care, providing GP surgeries with enhanced wellbeing information to signpost and support patients. The ‘iceberg’ model aims to transform how health, education, social care and third sector partners work together and with our communities to meet the emotional wellbeing needs of children, young people and their families. We believe that the traditional ‘pyramidal’ structure of CAMHS provision, with its focus on clinic-based intervention and its location of the problem in the individual child, leaves an ‘iceberg’ of unmet need. To better meet these needs, we aim to reconfigure how services work together and with our communities, replacing the current ‘refer on’ culture with a culture in which ‘support in’ from those with specialist expertise is available to staff on the frontline so that they can ‘hold on’ and support our most vulnerable children. Breaking down traditional barriers and divisions, the model aims to integrate pathways for accessing support, making systems easy to navigate and ensuring that families get the right help, first time, and at the right time. The model focuses on early intervention and prevention, and on understanding and working with the contexts in which children’s emotional wellbeing needs arise. This includes understanding the impact of trauma and ACEs. Home First is the Gwent model to prevent unnecessary hospital admissions and achieve safe and timely discharge. Through our model of trusted assessors, the service provides bespoke wrap around support to liaise with the patient and their family to secure appropriate on-going care and support services, which will seek to help keep them safe and independent by receiving, more appropriate care in the community. The aim of this programme is to deliver a more seamless system of care, by implementing significant change and reform across the primary and community care system. Building on the delivery of the national primary care plan, the programme will aim provide the additional capacity and headspace to locate the new model of primary care at the heart of the integrated ‘locality’ model of health, care and wellbeing. The programme will look to deliver a seamless approach where early intervention, prevention and wellbeing support are effectively integrated through place based teams. It represents a whole system approach to health, social care and wellbeing support in order to achieve detectable changes in population health outcomes. The plan is to deliver a new transformational model around designated place-based systems of care and use the transformational approach to stimulate widespread adoption of the new model across areas in Gwent with the greatest sustainability challenges.