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University Hospital of Wales THE Cardiff and Vale University Health Board (UHB) believes it needs to change the way a number of its clinical services are delivered. Like other regions around the UK, the Health Board faces a number of challenges, including meeting the needs of a growing and ageing population, staff shortages and outdated hospital facilities. Cardiff and Vale UHB provides healthcare services and specialist services to people in Cardiff and the Vale, South Wales, the whole of Wales and the wider UK. The Health Board is also a major teaching and research organisation. As one of the largest and most complex healthcare systems in the UK, it faces unique challenges in the way it develops its services, staff and ambitions for the future.