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.”
Police appeal for missing Aberystwyth man
DYFED-POWYS POLICE is concerned for the welfare of 43-year-old old Matthew Roberts, missing from Aberystwyth. He was last seen in Aberaeron on Tuesday (May 22).
Matthew is described as being around 6 ft 3 tall, slim, with shoulder length blonde hair. He is thought to be wearing either a red or a yellow and white coat, a hat, jeans, and carrying a large rucksack.
He has links to the Milford Haven, Cardigan, Aberaeron and Fishguard areas and is thought to be travelling on foot.
Anyone who has seen Matthew, or knows of his whereabouts, is urged to call 101. If you If you are Deaf, hard of hearing or speech impaired text the non-emergency number on 07811 311 908. Quote reference: DP-20180521-299”
Behave or Be Banned scheme returns to tackle disorder
Dyfed-Powys Police is working with licensees across the region to relaunch Behave or Be Banned (BOBB) – a scheme which sees people banned from pubs, clubs and bars for bad behaviour.
The scheme re-launches in time for the bank holiday weekend (May 25) and Neighbourhood Policing Teams (NPTs) across the force area are closely linked with businesses to reduce violence and disorder in pubs and clubs.
Chief Inspector Mark McSweeney said: “BOBB is an effective tool to help prevent, reduce and combat alcohol-related offences within communities.
“If anyone is arrested for a crime of violence, disorder or anti-social behaviour in licensed premises, or after leaving a licensed establishment in the Scheme, they will be banned from not just that licensed premises, but all licensed premises that display the Behave or Be Banned sign within the area.
“The message is simple – Behave or Be Banned! In addition, if someone is a persistent nuisance for a licensee but their behaviour doesn’t merit arrest, licensees can also put them forward to receive a ban from all licensed premises.”
Problem customers are banned not just from the one pub but all those in the area that have signed up. It also tackles underage drinking and the use and supply of drugs.
Mr McSweeney added: “BOBB works. It is not uncommon to see people being more concerned about whether they can get into a pub with their friends than they are about being arrested.
“Licensees will not tolerate anti-social behaviour in their premises and BOBB keeps such people out, making it safer and more enjoyable for everyone else.”
Dyfed-Powys Police’s summer campaign – #EnjoyDPP – encourages people to enjoy what the area has to offer, safely and with respect for others.
Proposed work on dangerous Dorglwyd Junction set to be delayed
ELIN JONES AM and Ben Lake MP have expressed their frustration following a recent statement from the Welsh Government noting that work on the A487 Dorglwyd junction from Comins Coch, would be delayed.
The junction has witnessed several crashes and close-calls over recent years, with local residents calling for the development of a roundabout or similar traffic-calming measures.
The Welsh Government announced in September 2016 that a feasibility study would be undertaken by the following Summer as to consider potential options to improve the junction.
However, a recent letter from Ken Skates AM, Welsh Government Cabinet Secretary for Economy and Transport to Elin Jones AM and Ben Lake MP noted: “We are aware of the issues at the junction and an improvement scheme has been within our upgrades programme for some time. Unfortunately, due to limited financial resources and competing priorities, it has progressed slowly.”
“We are currently reviewing the scope of a possible improvement and considering solutions which are affordable and minimise environmental impact. When we are in a position to present outline solutions, a workshop with local stakeholders will be held. This is likely to be in early 2019.”
Elin Jones AM said: “Whilst I do welcome such clarification from the Cabinet Secretary on the next steps for Dorglwyd junction, it is disappointing to read that no major works for the transformation will happen due to the expense of the project. It is positive however to see that a smaller scale improvement is now to be pursued, with consultation likely to be undertaken in early 2019.”
John Roberts, local Ceredigion County Councillor for Faenor ward, added: “I share both Elin Jones’ and Ben Lake’s disappointment at the response from Ken Skates AM. The original plan was to encapsulate a more global project including the Llanbadarn bypass therefore we need to be more realistic in our aspirations for Dorglwyd corner. Having discussed the project on site with both Elin Jones AM and Ben Lake MP last week we were of the opinion that a much smaller project which could solve the Dorglwyd issue was feasible and be much cheaper than the present scheme. We will wait for the consultation period in 2019.”
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