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Improving the system of care

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officer1A NEW agreement to improve the system of care and support for people in a mental health crisis has been signed by the Welsh Government, police forces, the NHS, councils and other agencies. The crisis care concordat commits the organisations which have signed up to work together to intervene early and, if possible, to reduce the likelihood of people posing a risk to themselves or others as a result of a mental health condition. A key part of this approach are new proposals to reduce the use of police custody for people suffering with mental health problems. People with suspected mental health issues who are detained under the Mental Health Act should be assessed within three hours and not be held in police custody for more than 12 hours.

All organisations which sign the concordat have made a commitment to find the most appropriate support needed for people in whatever situation and whichever service a person turns to, making sure that any intervention is carried out without any unnecessary or inappropriate placement; for example within police custody. Other commitments include: People under 18 who experience a mental health crisis should never be held in police custody unless in exceptional circumstances; Police vehicles will rarely be used to convey people in crisis, except the most violent of individuals and only in exceptional cases to transport people between NHS facilities; NHS transport or other health vehicles, but not necessarily an ambulance, should be commissioned to take people in a mental health crisis to hospital; If a young person under 18 is detained under section 135 or 136 of the Mental Health Act and taken to a police station for assessment, a case review will be held within seven days to determine whether this could have been avoided in order to learn from that incident; Monitoring groups within health boards will review every section 135 and 136 detention within police custody to determine its appropriateness.

Health and Social Services Minister, Mark Drakeford said: “This new agreement is about providing the most appropriate care and support to those facing a mental health crisis, whatever the time, every day of the year. “It is about all those who have signed up working closely together so we avoid people being wrongly kept in a police cell and instead being given access to the right treatment for them. I am delighted this deal has brought together so many organisations that have a vital role to play.” Jon Stratford, assistant chief constable, South Wales Police said: “Too many people end up in police cells when detained for their own or others’ safety under the Mental Health Act instead of receiving appropriate support and help. We welcome the development of the crisis care concordat. “The signing of today’s agreement is an important step in improving how all agencies work together to protect vulnerable people.” Sara Moseley, director of Mind Cymru and chair of the Wales Alliance on Mental Health, said: “When you are in crisis you are at your most vulnerable. You may be experiencing delusions or hallucinations, you might be suicidal or self-harming, it can be very frightening – you need the right help urgently.

“A police cell is a completely inappropriate environment in which to receive that care and support. Mind has been campaigning for action on reducing the use of police cells for people in crisis for many years. Bringing together so many agencies including the police, the NHS and the third sector is a great achievement and shows how determined we are to create change. “This is a crucial first step. There’s a lot more to do to make sure that anyone experiencing a mental health crisis gets the right care. We need to make sure that mental health services can cope with demand and get people the help they need early on to prevent them reaching crisis point in the first place. Great crisis care exists but we need to make sure it exists for anyone in Wales who needs it.” Dyfed-Powys Police and Crime Commissioner Christopher Salmon said: “I welcome this Concordat. “I raised this issue with Welsh Government two years ago and I’m glad that Dyfed-Powys Police and Hywel Dda University Health Board have led the way.”

Explaining how Dyfed Powys Police had taken steps to anticipate the Concordat, Mr Salmon continued: “I’m delighted that – a year after we launched our Street Triage scheme to help those in mental distress during police incidents – the Concordat will recognise the importance of treating mental illness as a health issue, not a police one. “The work of all those involved in delivering our local service is to be applauded; a huge amount of effort and expertise has resulted in a great new project.” Mr Salmon concluded: “In the past, many people have been locked in police cells when what they’ve really needed is health treatment. Across the Hywel Dda area – Carmarthenshire, Ceredigion and Pembrokeshire – they now get that treatment. “The Concordat has been a long time coming but will put clear responsibility on health services to treat mental health cases. The police will be there to help, not the other way round. It’s a great example of work between the police and the health board.”

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New Quay RNLI crew members pass out as ILB helms

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NEW QUAY RNLI crew members Huw Williams and Dylan Price recently passed out as inshore lifeboat helms.

They were put through their paces by an RNLI Assessor on Monday (Aug 13) with a written exam ashore and a practical assessment afloat on the D class inshore lifeboat.

Roger Couch, Lifeboat Operation Manager of New Quay RNLI said: “As well as responding to emergencies our volunteer crew members spend a lot of time training in order to maintain their knowledge and skills.

“Both crew members have worked very hard over the past 12 months to complete all the training units needed and have now passed the final stage.

“Our lifeboats are on call 24 hours a day, 7 days a week, all year round and having seven qualified helms for our inshore lifeboat provides us with additional flexibility.”

Huw Williams added:“Dylan and I would like to thank all the crew here at New Quay lifeboat station for their help over the last 12 months. We could not have done it without their support.”

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Schools succeed in A-Level results

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A-LEVEL examination results published yesterday(16 August) by the WJEC indicate that high standards are being achieved in Ceredigion schools.

Councillor Catrin Miles, Cabinet member with responsibility for Learning Services said: “Our sincere congratulations are extended to Ceredigion sixth form students who, once again have excelled in their A Levels. Thank you to all school staff, Governors and parents who have supported our young people to fulfil their potential.

“Their successes are a testament to our pupils’ efforts and hard work, in addition to the quality of education provided by teachers in Ceredigion. We are proud of the well-deserved achievements of our young people and wish them well in the future.”

Nearly 27% of Ceredigion entries achieved A* – A grades and 77% of entries achieved A*- C grades. A pass rate of 98% was achieved by Ceredigion students.

  Ceredigion Wales

 

Grade A* – A 26.8% 26.3%
Grade A* – B 56.7% n/a
Grade A* – C 77.1% n/a
Grade A* – E 97.8% 97.4%

Compared with last year, 6% more of Ceredigion entries achieved A*-A grades. The number of entries that have achieved A*-A, and A*-E in Ceredigion is higher than the Welsh average.

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Man assaulted nurses while being restrained

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A PRE-SENTENCE report will be prepared on a Ceredigion man who assaulted two nurses and destroyed an extractor fan.

Lewis Hill, aged 24, of Brynhoffnant, appeared before Haverfordwest Magistrates Court on Tuesday (Aug 14) to plead guilty to the three charges.

Prosecuting, Mr Vaughan Pritchard-Jones told the Court: “At 11pm in the evening on January 30, the defendant was on the roof of Bronglais Hospital threatening to jump off. Police and medical personnel attended and were able to talk him down.

“He was taken to the Cwm Seren ward in St Davids Park, Carmarthen, where they arrived at 1:03am the following morning. During the course of being assessed he became aggressive and had to be restrained by staff. He kicked out at the first nurse and was then put on the floor.

“Whilst on the floor he was throwing his head back and forth and the staff nurse, who was concerned for him, tried to hold his head but he continued to throw his head and because of the force he was using he trapped her finger onto the floor.

“The charge did originally read as common assault but the nurse went to get her finger x-rayed which revealed the fracture.

“After that incident he got free and he started damaging an extractor fan which he completely destroyed.
“I am not sure why the case has taken so long to come here but at the time of the offence he was on a suspended prison sentence, the period for which has now elapsed.”

Defending, Mrs Katie Hanson added: “He is extremely sorry for his actions on that night. He was on the roof of Bronglais Hospital trying to commit suicide. There are serious mental health issues but he accepts he was struggling on the floor but he did not intentionally hurt anyone and he apologises for his actions.”

Magistrates ordered that a pre-sentence report be prepared and Hill was released on unconditional bail and must return to court on Wednesday, August 29 for sentencing.

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