Cardiff & Vale UHB employs over 14,500 staff and provides health and well-being services to a total population of around 475,000 across south Wales. It is one of the largest health organisations in Europe and was founded in 2009 from the merger of Cardiff & Vale NHS Trust, Cardiff Local Health Board and the Vale of Glamorgan Local Health Board. Head office is the University Hospital of Wales in Cardiff.
The UHB spends around £1.3 billion every year on providing a range of comprehensive services across 11 sites including 9 hospitals (3 major sites) including:
• Public Health: supporting communities with a range of public health and preventative health advice and guidance.
• Primary and community based services: GP Practices, Dental Surgeries, Pharmacies and Opticians and a host of community-led therapy services via community health teams.
• Mental Health: Community Mental Health teams and Hafan y Coed Mental Health Hospital.
• Acute services: through our 2 main University Hospitals and Children’s Hospital providing a broad range of medical and surgical treatments and interventions.
• Tertiary centre: serving a wider population across Wales and often the UK with specialist treatment and complex services such as neuro-surgery and cardiac services.
As a teaching Health Board, Cardiff & Vale UHB has close links to Cardiff University, which boasts a high profile teaching, research and development role within the UK and abroad. This is alongside other academic links with Cardiff Metropolitan University and the University of South Wales. The UHB oversees the training of medical students delivered at Cardiff University School of Medicine and the medical research and development facility. The Children’s Hospital of Wales (Noah’s Ark) is also based at the main site.
• Last year, the UHB:
• Had 135,000 A&E visits.
• Had 123,000 patients access out of hour’s services.
• Dispensed 10 million prescription items.
• Performed 46,000 operations in hospital theatres.
• Had almost 17,000 patients access mental health services.
• Cardiff & Vale’s largest hospital, University Hospital of Wales celebrates 45 years this year since being established.
Cardiff & Vale cares for one of the fastest growing and ageing populations in Wales and the UK. Between 2014 and 2034, it is projected that Cardiff alone will have a population increase of 26% (source: Cardiff Liveable City Report, 2015). Added to a population that is living longer, with increasingly complex needs, this places a significant challenge on health services. It is forecast that there will be more people aged over 65, more school age children and more working age people between the ages of 30-50.
The city region in particular has a long history of being open and inclusive, and is the most ethnically diverse local authority in Wales with just over 15% of its population originating from black and minority ethnic groups.
A combination of economic factors and lifestyle choices mean that Cardiff & Vale has some of the widest health inequalities in Wales and life expectancy differences between the most socially deprived and the most affluent can be as much as 22 years. This gap is caused by a range of complex factors, such as unhealthy behaviours which increase the risk of disease, particularly obesity, alcohol consumption, smoking and low levels of healthy eating and physical activity. There are significant ‘wider determinants’ of health such as housing, household income, levels of education and access to health and healthcare services that also contribute to inequality. The UHB is committed to reducing these gaps in health inequalities and are, through a range of health promotions and services, seeking to reduce them through behavioural change and increasing the accessibility of advice and services closer to people’s homes and relevant to their own needs.
Cardiff & Vale’s Mission
‘Caring for people, keeping people well’ – covering all services for those in the Cardiff & Vale area as well as providing specialist services to the wider population of south and mid Wales.
Cardiff & Vale’s Vision
‘Create a community where your healthy life chance does not depend on who you are or where you live.’
Cardiff & Vale’s Values
‘Kind and caring; Respectful; Trust and Integrity; Personal Responsibility’
The UHB’s Values were initially developed with staff several years ago, and the Health Board has recently undertaked a comprehensive project to refine them, define the behaviours associated with them, and to integrate the values into their workforce and performance processes. The UHB involved thousands of staff and patients in this process and are already beginning to see the positive impact in important areas, such as a raised awareness of the ‘Freedom to Speak Up’ mechanism.
Strategy – Shaping Our Future Wellbeing – 2015-2025
At the heart of this strategy is the desire to achieve ‘joined up care based on home first, avoiding harm, waste and variation, empowering people and delivering outcomes that matter to them’. Developed throughout 2014/15 and published in September 2015, the ambitious 10 year strategy, ‘Shaping our Future Wellbeing’, was developed using the principles of Prudent Healthcare, is clinically led and co-produced by the UHB’s partners and the community – developed with patients and for patients.
Just over one year into this strategy, the UHB has focused on a number of key areas and made significant progress in those, including reducing the number of people waiting for cancer treatments, reducing waiting times, reducing referral times, improving stroke interventions, improving waiting times for receiving diagnostic services such as MRI scans and x-rays and reducing delayed transfers of care for patients.