What is it?

Porth Gofal focuses on responding to the requirements of the most vulnerable people and families in our community by improving the flow of information between agencies to ensure faster decisions and a more consistent, coordinated care and support.

Porth Gofal is a partnership between Ceredigion County Council, Hywel Dda University Health Board, and third sector organisations. This includes Prevention Support Officers alongside a Senior Social Worker, Occupational Therapist, Physiotherapist, Districts Nurses, links with the third sector and a dedicated input from Families and Children Services.

This integrated team of professionals closely consider every new referral that comes through to ensure the most appropriate response. Dedicated support is then be discussed with the individual and put in place to support their wellbeing.

Under the new model, the focus of assessments shifts from identifying problems and generating demand towards promoting the independence of residents.

How does it work?

Jac’s Story

Jac* is in his mid-40s and suffers from osteoarthritis causing pain in all his joints which means he has difficulty with moving, sitting or standing. He also has difficulty in doing every-day tasks like washing and dressing.

Porth Gofal received a referral from Jac’s GP because Jac had said that his main concern was bathing independently. The GP requested an assessment by an Occupational Therapist for adaptations to Jac’s home.

Following discussion from the Porth Gofal triage with Jac and his partner, a request was made to Community Occupational Therapists who work for Hywel Dda University Health Board to look at installing low level equipment and also suggest techniques that Jac can use to help him with different tasks.

Porth Gofal also contacted a District Nurse to assess Jac and provide pressure relief seating and mattress to relieve pain when he is sitting or lying down. If Jac requires further and larger adaptations after these interventions, the District Nurse or Occupational Therapist will contact the Council’s Social Care Team to discuss further steps.

* Name has been changed to protect anonymity