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‘Once in a lifetime’ reorganisation planned by Health Board

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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.”

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Everything you need to know about the current coronavirus restrictions in Wales

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THE GOVERNMENT guidelines in Wales are changing today (Apr 12).

There are major changes coming into force today across the country as the government coronavirus guidelines are starting to relax.

The changes affect household bubbles, non-essential retail, education and travel.

As of Monday, April 12, the following changes have come into force:

  • Six people from two different households (not counting children under 11) can meet and exercise outdoors and in private gardens
  • Households or support bubbles can holiday in self-contained accommodation – including hotels with en-suite facilities
  • All pupils and students can now return to school, college and other education
  • All shops and close-contact services can open
  • The ban on travelling in and out of Wales has ended
  • Driving lessons can resume and some driving tests (Remainder on April 22)

Non-essential retail are able to open up today for the first time since the country was put into a national lockdown with non-essential retail ordered to close in December of last year.

With infection rates falling and the national vaccine rollout success, the Welsh Government have set out a road map of restriction easing.

Unlike England, the hospitality industry in Wales will have to wait until April 26 to open their doors to customers, but only for those who can operate in an outdoor space such as beer gardens.

The current guidelines in force for Wales are as follows:

Meeting friends and family

From May 3:

  • Two families can once again form an “extended household” and meet indoors.

The following rules currently apply:

  • Six people from two different households (not counting children under 11) can meet up outdoors, including gardens.
  • If you are an adult living alone or you’re a single responsible adult in a household (a single parent, for instance), you can form a support bubble with one other household.
  • You can also end it and form another support bubble with a different household, as long as you leave a 10-day gap between.

Going to work

  • You must work from home if you can. The only exceptions will be critical workers and jobs where working from home is not possible.
  • Tradespeople can work in someone else’s private home, as long as it is managed in a safe way and both the worker and household members are well and have no symptoms of coronavirus.

Schools and nurseries

  • All pupils will return to face-to-face teaching at school from 12 April.
  • From that date all students can return to further education and training centres.
  • University campuses will be able to open for blended (face-to face and online) learning for all students.
  • Internal GCSE, A-level and AS-level assessments have been cancelled.

Leisure time

From April 26:

  • Outdoor attractions, including funfairs and theme parks, will be allowed to reopen.
  • Outdoor hospitality can resume, including at cafes, pubs and restaurants, but indoor hospitality will remain restricted.

From May 3:

  • Organised outdoor activities for up to 30 people can again take place.
  • Gyms, leisure centres and fitness facilities can reopen. This will include individual or one-to-one training but not exercise classes.

The following rules currently apply:

  • Self-contained holiday accommodation, including hotels with en-suite facilities and room service, can open to people from the same household or support bubble.
  • Outdoor sports facilities such as golf, tennis and basketball are open. A maximum of six people from two households can take part.
  • Organised outdoor sport for under-18s can now take place.
  • All gyms and leisure centres are closed.
  • Professional sports will continue but stadiums are closed to fans.
  • Bars, restaurants, cafes and pubs are closed – except for takeaway and delivery.
  • The outdoor areas of some historic places and gardens can reopen in a limited way.
  • Libraries and archives can reopen

Shopping

From April 12:

  • All shops can reopen.
  • All close contact services such as hairdressers or beauty salons can open, including mobile services.

The following rules currently apply:

  • Hairdressers and barbers are open for business – by appointment only.
  • Non-essential shops remain closed.
  • Garden centres are now open.
  • Alcohol cannot be sold in shops between 22:00 and 06:00 BST.
  • Face coverings must be worn by customers and staff.
  • Indoor shopping should be done alone, or with people in your household.

Other

From April 12:

  • You can travel anywhere in the UK or the Common Travel Area (Ireland, Isle of Man and the Channel Islands)
  • Outdoor canvassing for the Welsh elections can begin.
  • Driving lessons can resume and some driving tests (remainder on 22 April).

From April 26:

  • Weddings receptions can take place outdoors, but will be limited to 30 people.

The following rules currently apply:

  • Weddings and civil partnerships can take place at licensed venues, but receptions are not allowed.
  • Care home residents can receive one designated visitor.
  • You can travel anywhere within Wales.
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Ceredigion dog breeder fined for failing to comply with dog breeding licence

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A CROWN COURT has upheld a conviction that the dogs under the care of Mr. Jones were kept in overcrowded conditions in contravention of the minimum space standards required by the license conditions.

Other convictions were overturned.

On 27 November 2020, and 22December 2020, the Crown Court heard an appeal by Mr. Dorian Wyn Jones, of Dorwan Kennels, Penrheol, Talsarn, relating to convictions for failing to comply with dog breeding licence conditions. 

Mr. Dorian Wyn Jones had previously been convicted at Aberystwyth Magistrates Court of running a licenced dog breeding establishment far in access of the number allowed on his licence and that the dogs in his care were kept in overcrowded conditions.

The Court heard evidence that Mr Dorian Wyn Jones had been granted a licence for 33 dogs. However, during a visit undertaken by Ceredigion County Council’s Public Protection Officers on the 07 August 2019, they found 91 dogs at the premises excluding puppies, in breach of his license. The dogs were kept in pens of a size that were inadequate for the number of dogs kept within them.

On 9 February 2021, Dorian Jones was fined £1000 for the overcrowding offence, and ordered to pay legal costs amounting to £2500. 

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Prince Philip, The Duke of Edinburgh, dies aged 99

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The Duke of Edinburgh, the Queen’s ‘strength and stay’ for 73 years, has died aged 99.

Prince Philip’s health had been slowly deteriorating for some time. He announced he was stepping down from royal engagements in May 2017, joking that he could no longer stand up. He made a final official public appearance later that year during a Royal Marines parade on the forecourt of Buckingham Palace.

Since then, he was rarely seen in public, spending most of his time on the Queen’s Sandringham estate in Norfolk, though moving to be with her at Windsor Castle during the lockdown periods throughout the Covid-19 pandemic and where the couple quietly celebrated their 73rd wedding anniversary in November 2020. He also celebrated his 99th birthday in lockdown at Windsor Castle.

The duke spent four nights at King Edward VII hospital in London before Christmas 2019 for observation and treatment in relation to a “pre-existing condition”.

Despite having hip surgery in April 2018, he attended the wedding of Prince Harry and Meghan Markle a month later and was seen sitting beside the Queen at a polo match at Windsor Great Park in June. He and the Queen missed Prince Louis of Cambridge’s christening in July 2018, but he was seen attending Crathie Kirk near Balmoral in August, and driving his Land Rover in the surrounding Scottish countryside in September.

It is expected that flags on landmark buildings in Britain will be lowered to half-mast as a period of mourning is announced.

The First Minister of Wales, Mark Drakeford has expressed his sadness on the news of the death of His Royal Highness The Duke of Edinburgh and offered condolences to Her Majesty Queen Elizabeth II and the Royal family on behalf of the Welsh Government.

He said: “It is with sadness that we mourn the death of His Royal Highness The Duke of Edinburgh. Throughout his long and distinguished life, he served the crown with selfless devotion and generosity of spirit.

We offer our sincere condolences to Her Majesty Queen Elizabeth II, his children and their families on this sad occasion.

He will be missed by the many organisations that he supported as Patron or President over many decades of service”.Andrew RT Davies, the Leader of the Welsh Conservatives in the Senedd, has led tributes to Prince Philip, Duke of Edinburgh, whose death was announced today.

In light of the sad news from Buckingham Palace, campaigning has been paused with immediate effect.

Mr Davies said: “This is a very sad day for the United Kingdom.
“The Duke of Edinburgh led a remarkable life, excelled himself with his career in the Royal Navy, was the strength and stay to Her Majesty The Queen, and has left a legacy to the nation through the Duke of Edinburgh Award.

“Dutiful, devoted, and diligent, his like will never be seen again, and Welsh Conservatives offer their deepest condolences to The Queen, and the rest of the Royal Family.”

Adam Price, leader of Plaid Cymru said: “On behalf of Plaid Cymru, I send my condolences to Her Majesty the Queen and her family. Many young people in Wales will have benefited from the Duke of Edinburgh’s award scheme, a reflection of many decades of his public service. Thoughts are with the Royal Family at this time.”

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