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Case studies
The Pan-Gwent Frail Older Person’s Project is an encouraging example of service models View 

Oxfordshire Pooled Budgets
Oxfordshire County Council

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Home Safety and Technology in West Lothian
West Lothian Community Health and Care Partnership
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The Partnerships for Older People Projects Programme
Borough of Poole Council
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Training course on effective discharge practice
Cardiff and Vale NHS Trust
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Gwent NHS Trust, Monmouthshire Local Authority and LHB: Integrating Occupational Therapy Services
Gwent NHS Trust

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Developing a Section 33 agreement and pooled budget for the Monnow Vale facility in Monmouthshire
Monmouthshire County Council

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Better discharge planning and management would improve patient flow
Bro Morgannwg NHS Trust
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The Prevention of Admission to Hospital Scheme in Newport
Newport Local Health Board
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Stroke rehabilitation unit, Nevill Hall Hospital
Gwent Healthcare Trust
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Joint approaches to commissioning, Caerphilly
Caerphilly Local Health Board
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Engaging primary care practitioners, Caerphilly
Caerphilly Local Health Board
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Joint hospital discharge team – Caerphilly
Caerphilly Local Health Board
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Frail Elderly Model – Caerphilly
Caerphilly Local Health Board
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Reablement in Caerphilly
Caerphilly Local Health Board
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Establishment of the Advanced Clinical Assessment Team has helped reduce hospital admissions and delayed transfers of care in Torfaen
Gwent Healthcare Trust
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Falls prevention in Carmarthenshire
Carmarthenshire Local Health Board
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Intermediate care schemes
Carmarthenshire Local Health Board
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Knowsley Primary Care Trust’s ‘Choose Well’ initiative
Knowsley Primary Care Trust
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CELT
Cardiff and Vale NHS Trust
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Establishment of a Continuing Healthcare in-reach team (CHAT)
Cardiff and Vale NHS Trust
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Emergency Care Assessment Service in Cardiff
Cardiff and Vale NHS Trust
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Profiling individuals likely to become delayed if admitted to hospital in Carmarthenshire
Carmarthenshire Local Health Board 
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