# Implementing Change in NHS Wales MHLD Nursing Practice
> Explore the strategic roadmap for Wales' Mental Health & Wellbeing Strategy 2025–2035, focusing on nursing leadership, workforce culture, and patient safety.

Tags: nhs-wales, nursing-leadership, mental-health-strategy, healthcare-management, patient-safety, workforce-development
## Supporting and Implementing Change within MHLD Nursing Practice
* Alignment with Wales' Mental Health & Wellbeing Strategy 2025–2035.
* Focus on Deputy Head of Nursing leadership roles.

## Four Vision Statements (2025-2035)
* VS1: Building Blocks for Good Mental Health (Prevention).
* VS2: Knowledge, Opportunities, Confidence (Empowerment).
* VS3: Connected System – Right Support, Wherever (Integrated pathways).
* VS4: Seamless, Person-Centred, Needs-Led (Care design).

## Service Directorate Inclusion
* Covers Learning Disabilities, Inpatient Rehab, Forensic Services, Veterans' Health, Perinatal Health, Eating Disorders, Early Intervention, and ABDAS.

## Leadership and Workforce Capability
* Leadership style: Visible, Credible, Evidence-Led, and Developmental.
* Priority 1 focus: Structured appraisals, safe staffing metrics, and a culture of psychological safety.
* Development as a safety intervention: Investing in staff directly leads to better patient outcomes and reduced mortality gaps.

## Quality and Patient Safety
* Priority 2: Closing the 15-20 year life expectancy gap through physical health monitoring (AHC, STOMP, STAMP).
* Implementation of Positive Behaviour Support (PBS) to reduce restrictive practice.

## Trauma-Informed and Equitable Care
* Priority 3: Combining person-centered planning with trauma history understanding and addressing inequalities.

## Integration and Partnership
* Priority 4: 'No Wrong Door' approach connecting MHLD nursing with Social Care, Primary Care, Third Sector, and Housing.

## Delivering the Model of Change
* Phase 1 (Months 1-3): Understand (Baseline audit).
* Phase 2 (Months 4-9): Build (Co-design and workforce plans).
* Phase 3 (Months 10-24): Embed (Scale and governance).
* Use of PDSA cycles and budget management (CIPs).
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