Connect with us
Advertisement
Advertisement

News

‘Once in a lifetime’ reorganisation planned by Health Board

Published

on

THE LOCAL Health Board is embarking on a ‘once in a lifetime’ reorganisational plan which is looking at all potential options to ‘change the status quo and focus on improving health’ of locals.

This will involve, a press release has revealed, transferring more hospital services into the community where appropriate.

This is part of a strategy that the Health Board is looking into, to help solve an acute recruitment problem which is putting a great deal of pressure on the way that the Heath Board operates – and is leading to an untenable level of use of costly temporary staff to plug gaps and services.

In the summer of 2017, the Health Board embarked in an engagement with the public called ‘The Big Conversation’ which involved public workshops and drop-ins being held across the three counties of Pembrokeshire, Carmarthenshire and Ceredigion.

The Health Board now says the it has independently analysed opinions of the general public and has been using that data to explore, challenge and test different scenarios.

It is yet to be seen what these changes will mean for end service users.

The Herald understands it is likely to mean hospital services being reduced or cut, and replaced with community alternatives.

The Health Board has said it will not make any changes, unless it can guarantee the safety of the people which it serves.

The Health Board has insisted that no preferred option for change has yet been determined, and nothing has been signed off or agreed at this stage.

Medical Director Dr Philip Kloer said: “This is a once in a lifetime opportunity for our health service and community to work together to design an NHS which is fit for our generation and beyond. It has been acknowledged for some time across the UK that healthcare services are challenged like never before and we need significant change. Indeed this has been recognised in the recently published ‘Parliamentary Review of Health & Social Care’ here in Wales.

“We need to develop more proactive, resilient and better resourced local community services to support and improve people’s health and wellbeing, and avoid deterioration where possible. This will involve closer working with our partners, particularly colleagues in social care. We are also looking at ways of providing the most modern clinical practice, using the latest digital, technological, and new scientific developments, in fit for purpose facilities to provide better patient outcomes and experience.

“A number of our services are fragile and dependent on significant numbers of temporary staff, which can lead to poorer quality care. For us specifically in Hywel Dda, the geography we cover is large, with many scattered communities that are getting older, needing more holistic health and social care treatment and support. Because of this, we need to better resource our community based care, which is where most of our patient contact is, and help people manage their health conditions. We also need to evolve traditional ways of working and provide a more proactive approach. This should give patients – young, older and frail and everyone in between – the services they need when the need it, so people do not have to wait too long.

“This will mean changing hospital-based care, as well as community care, and we appreciate the attachment local people and our own staff have for their local hospitals. They have been cared for in them, or work in them, and they also play an important role in our wider communities. The options may propose change to a local hospital; however this is about more than the buildings. This is about investing in our communities, attracting doctors, nurses and therapists by operating a modern healthcare system and keeping hospitals for those who really need hospital care.

“We will not put in place any change that isn’t safe for our patients and population. And we will look at all the impacts from ensuring services are safer with better patient outcomes, to considering the wider impact on people, including the most vulnerable.”

Dr Kloer added: “The potential options are evolving, with changes to them on almost a daily basis. Many will never even reach public consultation, for a variety of reasons including safety, accessibility and affordability, or will change significantly as they are tested against population needs and healthcare standards.

“We will be coming back to the public in the spring with fewer options that have been more rigorously tested and we will open and honest about what we think our preferred option is and why. We would not, and cannot, propose something that would not be safe for our population.

“We live in this community, use our NHS and work for our NHS and we want to work with our patients, staff, partners and public to ensure it is the best it can be.”

Meanwhile, Elin Jones, Ceredigion’s Assembly Member, has called for urgency in the implementation of electronic records for NHS patients in Wales, following the publication of a report by the Wales Audit Office, ‘Informatics systems in NHS Wales’.

The report outlines several of the opportunities that electronic patient records can bring to patients and health boards, as well as the current obstacles to achieving this goal.

Elin Jones, who has long-called for a paperless NHS has welcomed the report, saying: “This is an important step in the development of health services in Wales, which is long-overdue. It would make our NHS more sustainable and more flexible to every patient’s needs.

“I have heard of many instances where patients have turned up to appointments in Llanelli, Swansea or Cardiff, only to find that their medical records have not arrived. These are people who have, in some cases, had to wait a long time for a specialist appointment, and have had to travel long distances, sometimes leaving very early in the morning or have arranged overnight accommodation in order to get to a 9 am appointment.

“Being turned away because their paper record has not arrived is a failure in the current system, and would be addressed directly by electronic records.

“The technology is available, it’s just a case of putting the funding in place.

“With the proper investment into the Welsh NHS by the Welsh Government, electronic patient records can help the NHS to deliver better outcomes for patients and to make more efficient and effective use of scarce financial and human resources.”

News

Two week national ‘Firebreak Lockdown’ announced for Wales from 6pm on Friday

Published

on

MARK DRAKEFORD, The First Minister of Wales has announced a two week ‘fire break’ lockdown from Friday October 23 at 18:00 HRS, to last until Monday November 9 at 00:01 HRS

Mr Drakeford said: “This firebreak is the shortest we can make it. It must be sharp and deep in order to have the impact we need it to have on the virus.”

All non essential businesses, including tourism businesses will be told to close.

Businesses have been told that they will be given £1000 each automatically to help with the economic impact of the shutdown.

Mr Drakeford added that children will be the priority and that childcare facilities will open as normal. Primary schools will open after half term.

Secondary schools will be closed for a week after half term to help control the virus.

Universities will offer a mixture of face-to-face learning and learning via video link. Students must stay at their university accommodation during the lockdown.

Responding to the Welsh Government’s announcement of a Wales-wide lockdown, Paul Davies MS, the Leader of the Opposition in the Welsh Parliament, has called the lockdown “not-proportionate” and is calling on the Welsh Government to be “open and transparent” on the evidence to support a lockdown and if the First Minister is committing Wales to rolling Wales-wide lockdowns every month.

Paul Davies MS said: “Sadly, the First Minster has failed to get public support for this second Wales-wide lockdown, failing to be open and transparent about the evidence to justify this lockdown and what his actions will entail for the future.

“The Welsh Government also has to be honest that this road they are taking us down is committing Wales to rolling Wales-wide lockdowns. This is not a two-week break to solve the pandemic, it is likely that we will see regular lockdowns across the rest of the year. The Welsh Government must be clear what actions they are taking during the lockdown to prevent further Wales-wide lockdowns which will have a significant impact on people’s lives and livelihoods.

“However, the main concern is that this national lockdown is not proportionate. The impact on businesses in areas such as Powys, Pembrokeshire and Ceredigion, who have the lowest rate of Covid-19 cases in Wales, will be severe at a time when they are desperately struggling to recover from the pandemic so far this year.

“The First Minister needs to urgently come to the Welsh Parliament and answer these questions, to face effective scrutiny by elected representatives and not run his government by media.”

Preseli Pembrokeshire MP, Stephen Crabb told The Herald: “The evidence to support an all-Wales lockdown is weak and I am sceptical that this so-called ‘fire-break’ will tackle the situation in those parts of Wales where infection rates have been out of control. The key issue for Welsh Government to address is what will be done differently after the firebreak ends in those parts of Wales where infection rates have spiralled out of control. Otherwise the whole of Wales risks being dragged back into a series of rolling lockdowns.

“As we saw earlier in the year, lockdowns come with huge costs in terms of harm to the economy and to people’s emotional and mental wellbeing. With the Welsh Government asking UK Government to fund this lockdown, I hope that as many businesses as possible get support they need quickly. Pembrokeshire’s hospitality businesses will be hit particularly hard by these latest restrictions and I will be fighting hard again to see that they are protected as the lockdown kicks in.”

Continue Reading

News

Drakeford to make decision on ‘fire-break’ lockdown in Wales by Monday

Published

on

WALES is facing a national lockdown lasting at least two weeks in plans described as a “fire-break” by the first minister.

He said a decision was likely to be made on Monday, while talks continue with health officials, scientific advisors and councils over the weekend.
“Doing nothing is not an option,” he said.

Responding to the speculation First Minister, Mark Drakeford, is set to announce a ‘circuit-breaker’ lockdown in Wales, Welsh Conservative health spokesperson, Andrew RT Davies MS said: “I implore the First Minister to think again before heading down this path.

“The decision to lockdown Wales once again will have devastating consequences – from an economic and public health perspective – and should be the last resort.

“Only yesterday, the former director of communicable diseases at Public Health Wales, Dr Roland Salmon, said a circuit-breaker is likely to fail and the Welsh Labour Government should listen carefully to his warning.

“Earlier this week, Welsh Conservatives called for the urgent resumption of shielding in Wales with a substantial package of support to ensure the financial, physical and mental well-being of those most at risk is protected.

“This should be the immediate action taken by ministers along with prioritising PPE and testing in the problem areas in Wales such as hospitals, care home, universities and meat factories.

“It’s not too late for the Labour Government to reconsider and choose a different approach in Wales.”

Mr Drakeford warned that 2,500 people were now being infected with coronavirus every day in Wales, with critical care units in hospitals full.

“A successful fire-break would re-set the virus at a lower level,” he added.

Together with a new national set of rules for the whole of Wales after the fire-break period we would have slowed the virus down enough to get us through to Christmas.”
Plaid Cymru has been calling on Mr Drakeford to introduce the circuit-breaker without delay, while Labour at Westminster says a similar approach should be adopted in England.

Continue Reading

News

Ceredigion pub to be issued with a closure notice

Published

on

A Ceredigion premises has been closed down over breach of coronavirus regulations.

A closure notice has been served on Ffostrasol Arms in Ffostrasol, Llandysul by Public Protection Officers due to continuing non-compliance with the Coronavirus Regulations. An Improvement notice had previously been served on the premises, but it was established that further contraventions of the regulations had been identified and in order to protect the public, a decision was made to close the premises. The Ffostrasol Arms will remain closed until they can demonstrate that they have made improvements and meet the requirements of the Coronavirus Regulations.

Ceredigion County Council, supported by Dyfed-Powys Police, continue to step up their enforcement of businesses that are failing to keep their customers safe and to ensure that Covid-19 cases do not increase in the County.

There is growing evidence across the country that where there are insufficient controls in pubs, clubs and bars, that these premises increase the risk of Covid-19 spreading in the community. The Council will issue further closure notices where necessary to ensure compliance with the Regulations. The Council will act decisively if any business is found guilty of breaking Covid-19 Regulations. In the interest of public safety, all businesses need to ensure that they are compliant with the Regulations at all times.

Improvement notices are also being served on premises advising them to take action or face similar consequences. However, the Council is pleased to see how many businesses are operating well to provide a safe environment for their customers. Many of those visited in recent weeks have made further improvements following the advice of the council’s public protection team.

During the compliance visits, officers are checking that businesses are complying with the Health Protection (Coronavirus Restrictions)(No.2) (Wales) Regulations 2020, and have the power to close, force improvements of review the premises licence or club premises certificate.

All pubs and clubs must ensure that:

· A Test, Trace, Protect system is in place to accurately record all visits to the premises so that customers can be easily contacted in the event of a positive case linked to the venue. This includes customers’ name and telephone number.

· Social distancing of 2 metres is maintained, with adequate signage, distance between tables and seating, and procedures for managing walkways and toilet areas.

· All premises must provide table service only i.e. no ordering at the bar.

· All food and drink must be consumed at tables.

· Customers are not drinking and standing at the bar.

· Customers are not drinking alcohol whilst standing, unless they are standing at a tall table – in all other instances they must be seated.

· There is no live music, and that recorded music is only played at a low background level.

· Hospitality businesses, including pubs, cafes, restaurants and casinos, to close at 10pm.

Ffostrasol Arms Premises Closure Notice came into force on 15 October 2020 at 16:40. The notice can be seen on the Coronavirus web page, under Improvement and Closure Notices: www.ceredigion.gov.uk/coronavirus

Information for businesses is available on the Council’s website: http://www.ceredigion.gov.uk/business/covid-19-supporting-ceredigion-s-economy/

Any business who is unsure of their responsibilities is urged to check the Welsh Government website: https://gov.wales/taking-all-reasonable-measures-minimise-risk-exposure-coronavirus-workplaces-and-premises-open

Any business that requires further information or guidance can contact the council’s Licensing Team at 01545 570881 or clic@ceredigion.gov.uk

Continue Reading

Popular This Week