Cluster Governance 'A Guide to Good Practice'

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:

An online collection of Appendices, accessible through hyperlinks within the document
A Resource Pack providing a range of toolkits and templates developed locally around Wales, based on cluster learning. These are accessible through hyperlinks in the Guide and also via the list below entitled ‘Resource Pack’
A suggested cluster governance maturity matrix for cluster self-assessment

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.

Overview of Appendices

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

Resource Pack

Good Practice Examples

Examples of a Business Case:

Treatment Unit Business Case

Audiology Advanced Practitioners Business Case

Examples of an Evaluation:

Audiology Advanced Practitioners Evaluation 2017

Treatment Unit Evaluation

Mind in Vale Evaluation

Mind in Vale Therapies

Care Home ANP innovation 2017/18

Care Home ANP Evaluation

Example of business processes

Procurement - FAQ guide for primary care cluster leads

Example new models of working

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

Cluster Governance 'A Guide to Good Practice'

Overview of Appendices

Resource Pack

General Information

Cluster Development

Population Needs

Cluster Project Planning

Impact Assessments

Risk Assessments

Project Evaluation

Business Case Development

Workforce Development

Information Governance

Communication and Engagement

Good Practice Examples

Examples of a Business Case:

Examples of an Evaluation:

Example of business processes

Example new models of working