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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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Local Businesses help raise astonishing £10,000 for Cardio-Respiratory Ward at Bronglais Hospital

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THE ORGANISERS of the 2021 Aberystwyth Businesspersons’ Lunch have donated the £10,000 proceeds to the Cardio-Respiratory Ward at Bronglais Hospital.

Consultant Cardiologist Dr Donogh McKeogh; Aled and Rose Rowlands;

John Davies’ widow Ann; Frank Bridle; John’s daughter and son, Angharad

and Rhodri; and Iestyn Leyshon

The lunch last December was in memory of well-known local businessman, jeweller and musician John Davies, who had helped organise the annual lunch for many years but sadly passed away just a few months before.

“John was such a lovely man, a pillar of the town and so well thought of, that we decided it was fitting that the lunch should be in his memory and that the proceeds should go to the cardiac unit where he had been treated for so many years,” said Aled Rowlands, who organised the lunch along with Frank Bridle, Layla Mangan, Gary Pemberthy, Huw Bates and Iestyn Leyshon.

“It was a very successful day, with nearly 200 people enjoying a lunch, comedian, band, auction and raffle. It was a fitting tribute to John who was such a big part of the town.”

John Davies joined his parents’ business at T J Davies at the age of 16 where he worked for 64 years after leaving Llandaff Cathedral School. He passed away in August 2021, at the age of 80.

John’s wife Ann and children Angharad and Rhodri said: “We were delighted at the generous amount that was raised in his memory at the Businesspersons Christmas lunch.

“Charity work was important to John, through his membership of the Lions Club and it is fitting that the money raised went to a department where he personally received such care and attention from Dr McKeogh and his team.

“John will be remembered not only as a businessman but also as a keen and talented trumpeter, playing with Aberystwyth Town Band, Aber Jazz and Philomusica, to name but a few, as well as playing carols with the Town Band every Christmas Day around Bronglais Hospital wards and care homes in the town.”

Pictured at the cheque presentation at Bronglais Hospital are (from left) Consultant Cardiologist Dr Donogh McKeogh; Aled and Rose Rowlands; John Davies’ widow Ann; Frank Bridle; John’s daughter and son, Angharad and Rhodri; and Iestyn Leyshon.

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Wales stands firm in support for Ukraine

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IN THE latest update on the Ukraine crisis, Wales’s Minister for Social Justice Jane Hutt thanked all those households across Wales who have come forward to offer their homes to Ukrainians fleeing the War and encouraged more households to provide this vital support.

APPEAL FOR MORE HOST FAMILIES

The Minister for Social Justice said: “I’m delighted to say that over 5,650 people from Ukraine, sponsored by the Welsh Government and Welsh households, have already arrived in the UK.
“More than 8,200 visas have now been issued to people from Ukraine who have sponsors in Wales, so we expect the number of arrivals to continue to grow in the coming weeks.
“Thousands of Welsh households sponsored Ukrainians to arrive in Wales and committed to hosting them for at least six months.
“As we move into the autumn, we approach the end of that initial period.
“We hope hosts and Ukrainians will agree to extend many of those placements, but we need additional hosts to support those who cannot continue living where they are.
“To ensure a warm welcome to Wales, I’m inviting households across Wales to come forward and open their homes to welcome those seeking sanctuary.
“We’re immensely thankful to all those across Wales acting as hosts to Ukrainians, but more households must come forward.
“I completely understand that there are those who want to help but may not have the resources to do so, given the circumstances we’re all facing with the cost-of-living crisis.”

WALES WILL STEP UP TO THE PLATE

Jane Hutt continued: “What we all know, and has been proven countless times, is that the people of Wales are one of the most generous across the globe, and I’m sure we will step up to the plate once again.
“The idea of hosting can be daunting. That’s why we have funded Housing Justice Cymru to provide a Host Support service which includes expert and reliable information, training, advice, and guidance for people hosting, or those considering hosting, Ukrainians in Wales.
“More information on sessions and training can be found on the Housing Justice Cymru website. We also publish regularly updated guidance for hosts and sponsors at gov. wales/ukraine.
“We still need many more households to consider whether they could provide a home for those in need. This would normally be a commitment to hosting for 6 to 12 months.
“If anyone is considering this, we encourage them to register their interest at gov.wales/offerhome, and to attend one of the ‘Introduction to Hosting’ sessions, facilitated by Housing Justice Cymru. You won’t need to continue the process if you decide it is not for you.
“We have also partnered with Airbnb.org to ensure very short-term emergency placements can be provided to prevent homelessness.
“If you cannot host for more than 6 months but you could offer your property for up to 30 days at a time, you may also be able to contribute. Visit gov.wales/offerhome and follow the link to the Airbnb.org platform.”
Finally, the Minister stated: “We will continue to communicate with those who host Ukrainians, with updated guidance and information to support the valuable role you are undertaking.
“To all those that are already hosting and to those that are considering hosting, thank you, we owe you all a huge debt of gratitude.”

WESTMINSTER MUST BACK HOSTS
DURING COST-OF-LIVING CRISIS

Conservative MS Mark Isherwood raised how the cost-of-living crisis affects Ukrainian refugees.
Where families had taken in those fleeing Russian aggression, he noted a risk of sponsorships not continuing beyond six months because the hosts cannot afford the rise in fuel costs.
He asked the Minister what discussions she’d had with the UK Government about increasing the £350 contribution to households who’d taken in Ukrainian refugees.
The Minister agreed with Mark Isherwood that ending a specific ministerial post dealing with refugees was regrettable.
She noted a lack of information from the UK Government over the summer months and since Liz Truss replaced Boris Johnson as head of the Conservative Government.
Ms Hutt said: “We asked for an increase at least to £500, or up again, doubling to £700 per month. An urgent decision is needed regarding this as they reach the end of their six-month period.
“That period is underway, so we’re writing to all hosts to see if they will continue.”

UK GOVERNMENT URGED
TO PICK UP THE PHONE

The Minister thanked Mark Isherwood for introducing her to a charity offering support in North Wales, Link, and hoped that he and his colleagues would bring pressure to bear on their Westminster colleagues to ensure those in need from Ukraine and those in Wales helping them received support.
She added: “I look forward perhaps that we might have some telephone calls from the Prime Minister and other Ministers to us in Government. We must engage with them and follow this through.
“There is a huge job of work to be done here. We’re taking responsibility in the way I’ve outlined, funding our welcome centres and paying thank-you payments to hosts if they support a family who initially arrived in Wales under the Ukraine family scheme.
“That’s not happening in England. The commitment that we’re making is considerable.
“I hope everyone will join us today, saying that we need to press for those answers in terms of financial support.”

THE THREAT OF HOMELESSNESS

Sioned Williams of Plaid Cymru raised the spectre of Ukrainian refugees becoming homeless in Wales due to a lack of financial support and the end of existing hosting and housing placements.
The Minister praised the work of local authorities across Wales supporting refugees.
She said: “There are very imaginative programmes. That includes a whole range of issues like repurposing empty buildings.
“Local authorities are really coming up with a whole range of ways in which we can support people, perhaps, from a welcome centre, or a host family, into that intermediate accommodation, and then on to other longer-term accommodation.”
Pembrokeshire currently houses around 200 Ukrainian refugees, with the demand for assistance outstripping the availability of suitable accommodation.

NOT ONE PENNY FROM WESTMINSTER
TO SUPPORT FAMILIES FLEEING WAR

Responding to a question from Mabon ap Gwynfor about problems housing family groups, Jane Hutt hit out at the lack of support from the UK Government and how it’s u-turned on a commitment to help families.
“The UK Government has never given a penny towards the family scheme.
“The former Prime Minister, Boris Johnson, in one of his last PMQs, actually said that he thought the Ukraine family scheme should get the same funding and support as the Homes for Ukraine scheme. It’s never happened.
“We have provided thank-you payments to people who are hosting Ukrainian families. It’s all Welsh Government money; it’s not UK Government, because they don’t provide a penny. And also, the British Red Cross—£246,000—who are actually supporting Ukrainian families who are hosting family members under the Ukrainian family scheme.”
On Wednesday, September 28, Eluned Morgan, Wales’s Health Minister, announced the continuation of free healthcare in Wales to Ukrainian residents displaced by the ongoing conflict.
The exemption will continue to apply unless there’s a significant change in circumstances in Ukraine.

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Prince and Princess of Wales to visit Wales

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THE PRINCE and Princess of Wales have planned a trip to Wales to visit a variety of communities across the nation and learn about the work of key charitable organisations. 

The Prince and Princess have a deep affection for Wales, having made their first family home in Anglesey, and have thoroughly enjoyed their previous visits and the warmth and kindness shown by the Welsh people. 

Their Royal Highnesses are looking forward to spending more time in Wales over the next few years, they hope to strengthen their relationship with communities in all parts of Wales. 

During their first engagement, Their Royal Highnesses will visit the RNLI Holyhead Lifeboat Station, where they will meet crew, volunteers and some people who have been supported by their local unit.

Holyhead is one of the three oldest lifeboat stations on the Welsh coast and has a remarkable history of bravery, having received 70 awards for gallantry. 

Their Royal Highnesses will then take a short walk to the Holyhead Marine and Cafe Bar, where they will meet local people, including representatives of small businesses and organisations, including the Coastguard and Sea Cadets. 

In their second engagement, the Prince and Princess of Wales are expected to visit Swansea. 

Their Royal Highnesses will visit St Thomas Church, a re-developed church in Swansea which supports people in the local area and across the City and County of Swansea. 

Over the last two years the church has been transformed into a thriving community hub and is home to a vast array of services, including:

  • A foodbank which supports over 200 people per week
  • Swansea Baby Basics which distributes essential items for vulnerable mothers across the city, such as toiletries and clothes
  • Facilities for the homeless including food, showers and toilets
  • A not-for-profit cafe and community training kitchen
  • A surplus food distribution network which collects food from supermarkets at the end of each day and distributes it from the church to prevent food waste and to help end food poverty

As part of their visit, Their Royal Highnesses will meet those volunteering at the church across different initiatives including Baby Basics and the foodbank. Their Royal Highnesses will also spend some time meeting members of the public gathered outside the church. 

The Princess of Wales has previously worked with Baby Banks and the in summer of 2020 brought together 19 British brands and retailers to donate over 10,000 new items to more than 40 baby banks nationwide, operated by Baby Basics, Little Village and AberNecessities. 

Her Royal Highness has visited a number of baby banks across the UK, including in London, Sheffield and West Norfolk where she has spent time speaking with families about their experiences of using their local baby bank services, as well as helping unload donations. 

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