Foreword

ARCH was formed because we believe a joined up, regional approach is the only way we will be able to deliver meaningful change to improve the health, wealth, and wellbeing of South West Wales.

ARCH is a unique proposition, built on an ethos of collaboration - working together to find a regional solution to tackle enduring societal and economic challenges.

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ARCH is a unique proposition, built on an ethos of collaboration - working together to find a regional solution to tackle enduring societal and economic challenges. It is helping our region tackle 21st Century health
challenges, while in a way that stays true to the founding principles of the NHS.

Over the past 18 months, we have put our words into action, developed robust partnership arrangements, compelling plans, and got on with delivering those projects within our control, including ensuring ARCH is one strand of the proposed £1.3billion City Deal bid for the Swansea Bay City Region. Over the next three years, we commit to delivering the plans set out within this document. The case for doing so is clear.

Too many people in our region die younger than in other parts of the UK. The life expectancy between our communities varies considerably. Cardiovascular and respiratory illnesses mean people become ill at a younger age, and live with their illness longer. We have an ageing population, often with complex and interrelated needs. Incomes are lower and there is a stubborn productivity gap between the region and the rest of the UK.

We also face significant service challenges. Too many people are treated in hospitals when their needs could be better met elsewhere; care is not joined up between teams and is not always of a consistent quality. We spend too much money dealing with the symptoms rather than causes of ill health and our health service faces unprecedented financial challenges, requiring us to fundamentally rethink our clinical models of care and structures.

The actions we have taken and are proposing respond directly to these challenges; balancing the need to make urgent improvements to our core business and performance at the same time as transforming our service models.


Download a summary of the Portfolio Delivery Plan here

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