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Drug deaths at their highest ever levels in Wales

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WELSH drug deaths are at their highest ever levels according to a new report by Public Health Wales, with deaths from drug poisoning having increased by 78 per cent over the last 10 years.

The report also highlights that drug deaths may be increasingly occurring in people using drugs on a recreational basis, with a rise in deaths involving cocaine, amphetamine and MDMA collectively accounting for 14 per cent of drug misuse deaths. These deaths tended to occur amongst younger people in their 20’s.

In a third of all drug deaths reviewed, ‘no known contact’ was reported between the deceased and any local health, social care or criminal justice services in the 12 months prior to death.

The report recommends action to influence the current legislative approach to drugs policy in the UK, as well as a medical amnesty policy to protect people seeking medical attention relating to drug poisonings.

Drug misuse deaths, a subset of drug poisoning deaths, have increased by 52 per cent over the last decade and by 12 per cent in the last year up from 185 deaths in 2017 to 208 in 2018 – with a current rate of 72 deaths per million population. Wales has the second highest rates of drug misuse deaths in England and Wales regions.

Josie Smith, Head of Substance Misuse in Public Health Wales, said:
“Drug markets have changed and expanded over the last few years, both in terms of availability, and range of drugs, and this trend is set to continue. One of the most distressing impacts of these changes is the rise in premature deaths.

“Across Wales there are effective interventions in place to reduce premature drug deaths including specialist substance misuse services and, for opioid deaths, the provision of Take-Home Naloxone. However, expansion of the Naloxone programme will be required to ensure widespread access to this life-saving intervention. In addition it is vital that the range of people using drugs are able to make better use of services that can support them, and reduce their risk of harm and premature death.

“Given the scale of problem drug use in Wales, it is likely that every member of the population will know someone affected by, or experiencing difficulties with drugs be they illegal or prescribed, but may be unaware. Evidence is clear that seeking support early on can prevent escalation of problem use and dependency, however, fear of stigmatisation and social exclusion may be barriers to this. Consideration needs to be given to how this can be overcome in Wales to prevent future tragic deaths.”

As in previous years, opioids including heroin were involved in the just over half of drug misuse deaths reported in 2018. Poly-drug use, the use of other drugs including benzodiazepines and cocaine, was reported in 49 per cent.

In addition, there has been a more than four-fold increase in the number of deaths involving cocaine over the last five years. In 2018, cocaine was recorded in 31 of deaths, representing 15 per cent of all drug misuse deaths.

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New Integrated Care Centre opens

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Services together in one place: The Cardigan Integrated Care Centre

CARDIGAN’s brand new Integrated Care Centre will open its doors to the public on Monday, December 9.
Hywel Dda University Health Board says the new Centre will bring joined-up care to local communities for the first time.
The opening of the centre follows hot on the heels of the launch of a similar initiative in Aberaeron. It represents a decisive change of direction in the way the Board delivers health and social care services to a largely rural area.
The new centre was developed with £23.8m of Welsh Government funding
The centre will provide a modern, fit for purpose healthcare service – including a GP practice, dental service, and pharmacy. It will also host a range of other clinics and services delivered by Hywel Dda, the third sector, local authority. and partner organisations.
Those services include:
• A nurse-led minor injuries walk-in service with telemedicine links to the emergency department
• Radiology and diagnostics
• Phlebotomy service
• Outpatient suite with consulting rooms and clinical treatment facilities for pre-assessment and outpatient consultations by visiting clinicians and social workers
• Disease-specific services for heart failure, motor neurone disease clinics, and Chronic Obstructive Pulmonary Disease services
• Enhanced telemedicine equipment in clinical areas, providing remote access to specialists from across the professions
• Rehabilitation services, providing opportunities for intensive and slow stream rehabilitation to restore function and improve independence, supported by therapists, nurses and social care staff within the Community Resource Team
• Mental health and learning disabilities services
• A base for the local Community Resource Team in south Ceredigion, including the Acute Response and District Nursing teams
Steve Moore, Chief Executive of Hywel Dda University Health Board, said: “This is an ambitious step forward for our health board, which embodies the strategy we agreed last year to shift our focus to community and primary care. It has taken many years of planning and there have been challenges along the way. We’ve had to work very hard to make sure that we’ve got it right the first time.
“In particular, the hard work and commitment from our staff, and the support of many stakeholders – particularly our local communities – has been a critical part of our journey. It is with these groups in mind that we begin delivering on our ambition of providing safe, sustainable, integrated care for our local population.”

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Ceredigion success at Welsh Indoor Rowing Championships

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THERE was success for Ceredigion at the Welsh Indoor Rowing Championships bringing home nine medals.

Held on Friday and Saturday, 22 and 23 November at the Channel View Leisure Centre in Cardiff, this was the 20th anniversary of the event. The aim in Ceredigion is to grow indoor rowing and to promote the local Sea Rowing Clubs.

On the Friday, 14 children from Aberaeron Comprehensive School and Ysgol Bro Teifi, Llandysul took part in the school event. Some had competed last year for the first time, while others were rowing in the competition for the first time. The standard was exceptionally high, with schools from both Wales and England, with 9 records being broken within the 20 races that were held on the day.

Three medals were won in the school event. Beri Tomkins, Ysgol Bro Teifi; Finley Tarling and Dylan Gwynne Jones, Ysgol Gyfun Aberaeron each won a gold medal. 10 of the children achieved their own personal best times with Beri and Finley even broke national records.

On the Saturday, the club races were held where two junior medals and four senior medals were won. Dylan Gwynne Jones won a gold medal for 4min row under 16. Beri Tomkins won a gold medal with a new personal best of 543 metres rowed in two minutes. Beri now holds four records – year 6 school and Welsh record; and year 7 school and Welsh record.

In the adult event, Leo O’Connor won a bronze medal for 60+years 500m; Hannah Lodder won two gold medals for Ladies 40+ years 500m and Ladies 40+years 2km; and Sam Owen won silver medal for Ladies 40+years 2km.

There are weekly Indoor Rowing sessions held at Ysgol Bro Teifi, Llandysul; Aberaeron Comprehensive School; and Bro Pedr School, Lampeter. These sessions are supported by CRIW which are the indoor rowing group within Ceredigion. CRIW also run sessions on a Monday evening at Aberaeron Leisure Centre.

Rhidian Harries, Active Young People Officer, said, “The Young Rowers from Ceredigion have done fantastically well at this national competition. The event was very well organised, and many English schools that are recognised as rowing schools attended. However, the children from Ceredigion showed that they could compete against anyone. It’s a great credit for them and also for CRIW, who have been working tirelessly to grow the sport in the area. Their support and enthusiasm has been crucial, and they should take great pleasure in the success and the performances of these young rowers.”

CRIW will be running their own Indoor Rowing Competition at Teifi Leisure Centre, Cardigan on Saturday, 28 March 2020. Search them on Facebook for more information.

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Magistrates uphold council decision not to renew dog-breeding licence

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ON MONDAY 18 November 2019, Rhydian Jones of Waun Lluest, Gorrig, Llandysul appeared before Aberystwyth Magistrates at an appeal hearing objecting to the decision not to renew his Dog Breeding Licence.

Ceredigion County Council took the decision under the Animal Welfare (Breeding of Dogs) (Wales) Regulations 2014, because of breaches in licence conditions identified during unannounced inspections of the premises. The breaches included the lack of supervision, enrichment and socialisation given to the dogs. Breaches also included the unsatisfactory cleaning of premises and the absence of dog breeding records. There was also a failure to make improvements requested of Mr Jones previously.

Health and Welfare Reports provided during the hearing detailed health problems with the dogs which included lice and mange.

Mr Jones disputed the findings and decision of the council throughout the appeal hearing. His defence referred to the considerable amount of improvements that had been completed.

The court concluded that the council had provided full and clear grounds for not renewing the Dog Breeding Licence, stating that the council was both reasonable and proportionate in their actions. The court accepted that the establishment was unsatisfactory in many respects whilst acknowledging that significant improvements had been made. It took into consideration the history of non-compliance at Waun Lluest, the testimony given by the appellant and the lack of confidence in him as a licensee. The court concluded that the recent improvements made by Mr Jones were unlikely to be sustained and found in favour of the council. The appeal was dismissed. Mr Jones was ordered to pay £500 costs.

Alun Williams is the council’s Corporate Lead Officer responsible for Policy and Performance. He said, “We are delighted that Magistrates found in our favour. A decision not to renew a licence is not taken lightly and officers and council solicitors had to build a robust case to present to the court. We will continue to make unannounced inspection visits to all licensed dog breeders in the county, the great majority of which operate well within regulations and the conditions of their licence. We will also pursue those individuals who breed dogs without a licence. Anyone with information on such activities should contact the council on 01545 570 881.”

Mr Jones previously held a licence to breed 26 adult dogs. His establishment had recently featured in a BBC Wales investigative documentary, although the council had decided not to renew the licence many months before broadcast.

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