Skip to main content

Mid Powys

Cluster Lead Fleur Thompson


The Cluster represents Primary Care delivery and have forged strong links to the community with support from PAVO who are actively involved with the Community Connectors and Virtual Ward initiatives.  Currently made up of 5 practices with a combined list size of approximately 29,500 patients. There are also 7 Pharmacists, 4 Optometry Practices and 5 Dental Practices in the Cluster.     

GP Practices in Mid Powys                                                                  

Builth Wells Medical Practice 
Knighton Medical Practice (Wylcwm Street) 
Llandrindod wells Medical Practice 
Presteigne Medical Practice 
Rhyader Medical Practice  

Individual Cluster Plans and Reports

Mid Powys IMTP 2020 - 2023 
Mid Powys Three year GP Network Action Plan 2017-2020    
Mid Powys Primary Care Cluster Yearbook November 2019                                                                                                             

What we are working on?

Working closely with Powys County Council and the 3rd sector organisations for achievable Social Care Outcomes for the identified gap.

Introduction of Health Care Professionals into practices to expand on the MDT model e.g. Physiotherapists.

Attendance at National Cluster Leads bi-monthly meeting to expand contacts and see what innovative ideas other clusters have to share.

Active Transformational Bid funding to extend pharmacy team and a possible in practice social worker for the cluster.

Delivery of transformational models for primary and community care, with clinical change programmes to tackle the ‘Big Four’ causes of ill health and disability in Powys.

Improving; Performance monitoring and reporting, Capacity for service planning & evaluation to support Cluster development, Access, Long term conditions management, Information Technology usage, Practice Sustainability, Language and accessibility standards, a skilled workforce, Strong leadership and improving Eye care, Dental Services & Medicines Management.

   What we have already done

Introductions of 3rd sector MIND Practitioners to support GP practices and community mental health services

Introduction of health board Silver cloud on line CBT system to support GP Practices and community mental health services

Introduction of 3rd sector community connectors, attached to each practice to support statutory service providers

Introduction of Cluster Pharmacist Team to support GP practices and community services

Evaluation of online GP consulting to improve GP Practice access

Development of community Dentistry Services to replace independent contractor capacity

Introduction of Physicians associates to support GPS

Introduction of telephone triage in some practices

Introduction of jayex Boards to all Practices, and ongoing support for software licensing.

Future Priorities 

Further work is required to develop the governance and assurance frameworks required to clarify accountability arrangements

Appropriate level representation from all partner organisations is a priority going forward

Limited capacity with partner organisations to plan and manage change

Organisational change and consistency of involvement

Converting short team funded developments into long term funded service changes

More direct influence into Executive Team

Assessment of Virtual ward


Invest in your Health


Cluster lead update 13/09/2021 Fleur is due to leave and has not yet been replaced.