The purpose of this Guide is to support the development of primary care clusters across Wales.
You can download the guide here : A guide to good practice
Governance can be defined as ensuring we are doing the right things, in the right way, for the right people, in a manner that upholds the values of our member organisations.
The Guide sets out the principles of good practice and is accompanied by:
The timing of this work has been important. Firstly, Directors of Primary Care wanted to avoid overwhelming clusters in their early days of development and to give clusters the space to develop at their own pace. Secondly, Directors wanted the arrangements to be informed by learning, recognising that clusters are at different states of maturity.
We began preparatory work for the Guide in 2017 and held a workshop in February 2018 to draw together governance arrangements for optimally functioning clusters. This document draws on this learning and good practice across primary Care in Wales to date.
Importantly the Guide is intended to be enabling, not overly prescriptive, and designed to support each cluster’s individual development journey. It is a working document and will be periodically updated to reflect further learning.
Nolan Principles
Definition of Primary Care Clusters
FAQ Guide for Primary Care Clusters
Managing Conflicts of Interest
Cluster Decision Making
Cluster Risk Management
Primary Care Cluster Accountability
Collaborative Continuum (Dotterwieich 2006)
Option Appraisal for Cluster Model
Cluster Leadership Team
Population Needs Assessments
Project Planning
NHS Finance (Wales) Act
Support for Cluster Financial Arrangements
Cluster Business Cases
Service Level Agreements
Cluster Hosting Arrangements
Professional Indemnity
Clinical Supervision and Mentorship
ICT and Information Systems
Primary Care Cluster Quality Assurance Mechanisms
Communication and Engagement
Cluster Communication and Engagement Principles
Cluster Communication and Engagement Strategy
Communication and Engagement Goals
Communication and Engagement Channels and Approaches
Communication and Engagement with Service Users, Carers and the Public
Communication and Engagement with Cluster Staff
Channels and Approaches for Wider Stakeholder Communication and Engagement
Defining What Success Looks Like – Communication and Engagement
Cluster Communication and Engagement Delivery Plans - OASIS
Components of Transformational Model for Primary and Community Care – Pack 2
Maturity Matrix for Clusters – Pack 3
Principles of Good Governance - The Health and Social Care Review – Pack 4
Example of Cluster Vision and Mission – Pack 5
Key elements to consider when forming a Cluster – Pack 6
Sample Cluster Options Appraisal – Pack 7
Sample Cluster Voting System – Pack 8
Sample Cluster Terms of Reference – Pack 11
Sample Terms of Reference for Cluster Leadership Group – Pack 12
Social Enterprise Toolkit for clusters - Pack 40
Integrated All-Wales Primary Care Needs Assessment – Pack 14
Sample Project Decision - Making Framework – Pack 10
Sample Project Prioritisation Framework – Pack 13
Sample Decision-Tracker – Pack 19
Project Proposal Document – Pack 28
Primary Care Development Project Template – Pack 29
Goal Directed Plan Template – Pack 30
Project Action Plan Template – Pack 31
Sample Highlight Report Templates – Pack 32
Integrated Impact Assessment – Pack 15
Equality Impact Assessment – Pack 16
Privacy Impact Assessment – Pack 17
Risk Management Guidance – Pack 9
Logic Models in Evaluation – Pack 27
Sample SBAR Template – Pack 18
Business Case Template - Pack 26
Resource Shift Framework – Pack 34
Primary Care Project Initiation & Business Case Development Process – Pack 35
FAQ Guide to Procurement - Pack 41
Sample Cluster Lead Role – Pack 20
Sample Cluster Practice Manager Role – Pack 21
Sample Cluster Support Manager – Pack 23
Sample Project Support Officer – Pack 24
Protocol for Staff Employed by Local Health Board working in GP Practices – Pack 36
Cluster Development - Knowledge, Skills and Training Survey – Pack 37
Data Sharing Agreement (DSA) – Pack 38
Sample Cluster Communication and Engagement Strategy – Pack 39
Audiology Advanced Practitioners Business Case
Audiology Advanced Practitioners Evaluation 2017
Care Home ANP innovation 2017/18
Procurement - FAQ guide for primary care cluster leads
Federation - North Ceredigion Federation innovation 2017/19
We would welcome any new contributions from your cluster to include in the resource pack or within the good practice examples to share across Wales. Please send any documents to PrimaryCare.One@wales.nhs.uk