Consultancy for Primary and Community Care Strategy Development for Hywel Dda University Local Health Board

Primary Care services within Hywel Dda UHB are delivered through a network of GP surgeries, community pharmacies, dental practices, optometrists, and community teams. These services are organised into seven Clusters that bring together a range of professionals to meet the needs of their communities. The aim is to provide accessible, coordinated care that supports people to stay well, manage long-term conditions, and access the right care at the right time. Primary Care teams work closely with social care, voluntary sector organisations, and other partners to deliver services that are responsive to local needs and focused on improving health outcomes.

The organisation is currently at a key stage in its strategic development, following a concerted programme of stakeholder engagement, a review of national and international best practice, and a review of current issues facing Primary Care and Community Services.

Following a mid-point review of the programme it has been determined that engaging external facilitation services will provide an impartial voice, enable engagement on improving culture and partnership working practices and augment HDUHB with the resources required to help lead the conversations necessary to improve culture and practice, partnership relationships and actionable cluster based action plans and lead to a quicker more positive transformational change process.

Scope of Requirement

Engagement Activities and Timelines:

Activity Timeline

Review of all key documents and identification of relevant examples January 2026

One-to-one interviews with key stakeholders (approx. 5 per cluster) January 2026

Series of action-oriented workshops with cross-organisational teams focusing on culture and practice January - February 2026

Strategic plan workshops with senior leadership February – March 2026

Stakeholder engagement workshops/focus groups March 2026

Draft and consult and deliver seven cluster based strategic plans April 2026

Target Audience:

HDUHB operational teams, Primary care Contractors, HDUHB leadership team, previously engaged stakeholders as appropriate.

Expected Outcomes:

• Seven Cluster-based Action plans that deliver the priorities and ideas developed to date.
• Improved culture and practice between Primary Care contractors, Community Service teams, and the Health Board’s Secondary Care services.
• A robust Governance plan to ensure the delivery of the seven Cluster-based action plans, including organisation/partnership structure and finance delegation plan, that aligns with the Health Board governance and structure.

Due to the niche expertise required and the need for historical knowledge about the

Health Board processes and policies, a decision has been made to publish a

Transparency Notice in order to direct award the contract the NAPC SERVICES LIMITED

due to absence of suitable alternative and the need for continuity in strategic facilitation in

NHS Wales.

NAPC possesses specialist, nationally recognised expertise in facilitating strategic, multiagency

partnerships across health systems. Their proven track record includes direct

engagement with Chief Executives from all seven Welsh Health Boards and national

bodies such as Public Health Wales, HEIW, DHCW, and NHS Wales Shared Services

Partnership. NAPC has played a pivotal role in shaping integrated neighbourhood care

models and strategic planning for the future of NHS Wales, to assist in developing a vision

and strategy for the next 10 years, having reflected on the challenges and potential

solutions for NHS Wales, so that it can transform to meet those challenges. NAPC has

also facilitated the Welsh CEO Forum and HEIW leadership workshops, expanding further

the knowledge and understanding of how they can drive the changes required to

guarantee consistency of approach.

Their deep-rooted involvement in system-level transformation across regions such as

Dorset, South Yorkshire, and North Central London, combined with their unique position

as trusted mediators and conveners of senior-level consensus, makes them uniquely

qualified. This specialist capability is not readily available in the market, justifying a direct

award under via Transparency notice under Procurement Act 2023 due to the absence of

suitable alternatives and the need for continuity in strategic facilitation in NHS Wales, so

that the Health Board's requirement can be delivered at pace