A role re-design model for co-producing health and social care roles

Tracy Walmsley, Senior Workforce Development Manager

Hywel Dda University Health Board

This Bevan Exemplar project introduced a model to involve patients, carers and staff in role redesign.


In healthcare, role re-design usually takes a top-down approach. Traditionally, the people who receive or give care and are therefore best placed to know what is needed, are not involved in designing work and addressing the challenges.

When working with the “Transforming Mental Health” Programme, an opportunity presented to work on an innovative model of role design.

This would enable a workforce model to draw in perspectives from carers and service users in health, social care and third sector agencies, building on the coproduced service model evolving through transformational pilot projects to support change and transformation.

The opportunity to engage in a dialogue on the “optimum care giver” with the identification of role, responsibility and competence requirements to generate positive experiences for carers, service users, health & social care professionals:


The aim of the project was to create a simple framework in workforce design, to improve:

With the long-term intention that the methodology become a fluid and embedded practice to:


Challenges included:


3 new role outlines were created; Navigator, Healthcare Assistant and Nurse in Community Mental Health Centre.

Outcomes to date include:

Next steps

Part of cohort Bevan Exemplar Projects 2018-19