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Community Care Collaborative

Health | Adult's | Wrexham, North Wales

A lack  of General Practitioners and other clinicians in Mid and North Wales led to three medical practices being forced to resign their contracts back to Betsi Cadwaladr University Health Board in 2017. To sustainably address this workforce crisis, Community Care Collaborative CIC (CCC) has developed an alternative model of primary care. With an integrated model that addresses both the health and social needs of an individual, CCC will be piloting the approach in the three medical practices in Wrexham, in addition to operating their existing Community Care Hub.  




  • Carry out profound, long-term transformation to existing services and operating procedures whilst delivering quality primary care services in the short-term 

  • Empower and educate employees and patients so that they champion and adopt the new model, changing attitudes towards traditional primary care models as best practice 

  • Embed technical solutions into the model 

Led by Dr Karen Sankey, Clinical Director of CCC, this goal has been achieved through the acquisition of a General Medical Services Contract (GMS) with the Betsi Cadwaladr University Health Board (BCUHB), who have commissioned CCC to provide an integrated, person-centred approach to primary care in Wrexham for the first time ever.  

The multi-agency approach here, with everyone available in one place to provide vital advice and support is exemplary. There are a number of complex reasons why people find themselves homeless and it is important they have the opportunity to access the right support at the right time – as they do here. I would like to thank all those involved in this project for their hard work and dedication.

Mark Drakeford
First Minister for Wales



In response to these challenges, Capacity has supported CCC by:  

  • Seconding a dedicated Project Manager to support the start-up and development of the organisation 

  • Providing finance and business planning support to assist in securing the General Medical Contract. 

In addition to project management, Capacity has, over the last 18 months, provided finance, HR and business planning support to ensure the successful development and future delivery of CCC CIC.  The first medical practice was  transferred in November 2019, with the other two practices in spring 2020. If successful, we will seek to replicate CCC’s service delivery model across North Wales. 




Dr Karen Sankey, Clinical Director of CCC, in partnership with Tanya Jones of the homelessness charity The Wallich and Dewi Richards of Betsi Cadwaladr University Health Board (BCUHB) Mental Health Service, established the Crisis Café in Ty Croeso in June 2017.  

Today the Crisis Café is known as the Community Care Hub and has 214 users (as of December 2019).  

Community Care Hub users

Services Used

Marketing & comms

Project Management

Business Planning

Impact Management

Community Engagement

Finance Management