A Value-based collaborative approach for patients in the later stages of conditions such as heart failure
Patient Empowerment 
Tailored Care 
Compassionate Approach 
Cross Boundary Care 
Co-Specialty 
Flexible Service Model
As part of the national Adopt and Spread Programme, four adoption sites started working on adopting and adapting this innovation for their context and the people they care for. This was initially Hywel Dda and Cwm Taf Morganwwg University Health Boards in March 2020, and Betsi Calwaladwr and Swansea Bay University Health Boards in early 2021. All four sites adapted the innovation, based on their unique factors such as workforce, the patient cohort they reached and the geographical coverage for the service.
Although all services are in varying degrees of infancy in terms of their implementation stage, there has been widespread enthusiasm throughout staff who have relished the opportunity ‘to do things differently’.
Out of the sites which have started collecting data, innovative collection using Patient-Reported Outcome Measures (PROMs) have been used to capture meaningful patient outcomes. All four adoption sites are planning to sustain their services and continue to work in a multidisciplinary team to support people in their later stages of heart failure.
Cost effective delivery of care
Improved patient experience