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Same Day Urgent Care at Cardigan Integrated Care Centre

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CARDIGAN’S Minor Injuries Unit (MIU) and Same Day Urgent Care service (SDUC) will once again open for walk-in appointments this weekend (22/23 January 2022) after providing care and treatment for nearly 30 patients who would otherwise have gone to A&E or their GP.

As part of a new trial to help relieve pressures on our hospital A&E departments, the nurse-led services – which are based in Cardigan Integrated Care Centre – opened for weekend walk-ins without prior appointment between 15 and 16 January, with our staff seeing and treating a number of patients over the two days.

The services are led by Advanced Nurse Practitioners who can assess, diagnose and treat walk-in patients who are then able to return home the same day, with a plan of care involving referrals to other services if necessary.

Our hospitals are currently dealing with unprecedented demand, which is leading to significant delays in care provision and long waits in A&E. If you have a condition which could be seen and treated at Cardigan’s Integrated Care Centre, we would strongly encourage you to attend as you can be seen more quickly, as well as helping to relieve pressure on the hospital system.

The type of conditions our Advanced Nurse Practitioners can see and treat include:

  • Chest Infections
  • Wound Infections
  • Urinary Tract Infections
  • Tonsillitis / sore throat
  • Ear Infections
  • Minor Chest/Hip/Pelvic/Back injuries – Patient must be able to mobilise
  • Minor Head Injury
  • Non-cardiac chest pain
  • Skin complaints including rashes, infections, and sunburn
  • Sprains, strains & soft tissue injuries
  • Hay fever, Mild allergic reactions
  • Minor injuries – cuts, wounds
  • Minor eye injuries, complaints and irritations requiring irrigation, and Chemical eye injury
  • Emergency contraception
  • Suspected fractures and injuries to knee, lower leg, ankle, and feet
  • Suspected fractures and injuries to arms
  • Animal, insect, or human bites
  • Minor burns & scalds
  • Removal of foreign bodies from eyes, ears, nose & skin

In patient feedback given to our nurses over the weekend of 15 and 16 January, all patients agreed or strongly agreed that staff had explained the service; that they were satisfied with their treatment plan, and that they had the opportunity to raise questions or concerns.

Patients also reported feeling more confident about managing their symptoms and being satisfied with the service to the point of recommending it to others. 

Sian Lewis, Clinical Lead Nurse for Ceredigion Community, said: “Our Advanced Nurses were really pleased to be able to see and treat so many patients last weekend – particularly given that many of them would have otherwise faced long waits in A&E for the type of conditions that our teams here are well equipped to deal with.

“Please give us a call, or come down to the Integrated Care Centre in Cardigan if you need care and you think we can help – you don’t need an appointment, we can provide a quick service and you can be on your way home on the same day with a care plan if you need it.”

Cardigan Integrated Care Centre is located at Rhodfa’r Felin, Cardigan SA43 1JX. If you would like to speak with a triage nurse at the centre first to discuss your condition, please call 01239 803 075. 

If you have a more urgent care need or in a medical emergency, please dial 999.

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Health

Those eligible for the Spring Covid-19 booster should get jabbed by end of June

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ALL those eligible for the Spring Covid-19 booster are being urged to take up their offer of the vaccine before the end of next month.

A deadline of 30 June has been introduced to ensure all those eligible for the spring booster will have a long-enough interval between this and the autumn 2022 booster, if they are also eligible.

An announcement by the Joint Committee on Vaccination and Immunisation (JCVI) about which groups will be eligible for the autumn booster is due to be published shortly.

The JCVI has advised that people over-75, older care home residents and all those aged 12 years and over who are immunosuppressed are eligible for the spring booster.

Those who are 75 on or before 30 June, can get their booster at any point up to the deadline.

Health Minister Eluned Morgan said: “It is important we continue our very high take up levels of the vaccine to help protect us against the risk of serious illness from Covid-19. I would urge everyone who is offered a spring booster vaccination takes up the invitation.”

If someone eligible for a spring booster has had a Covid infection recently, they will need to wait 28 days from the date they tested positive before they can be vaccinated. They will still be able to get vaccinated after 30 June as part of this campaign if they have to postpone their appointment.

All those eligible for spring boosters will be invited by their health board or GP.

It is not too late for anyone who needs a primary dose (first, second or third) to be vaccinated.

Please check for local arrangements.

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Health

Young people in Wales being failed when moving from child to adult mental health services

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MENTAL HEALTH SERVICES are failing young people when they move from child to adult services, says a mental health charity.

Mind Cymru is calling for Welsh Government to make urgent changes to improve the system.

Nia Evans, Children and Young People Manager at Mind Cymru, said: “Young people have told us that their needs, thoughts, and feelings about moving to adult services are often unheard, or ignored.

“Often Welsh Government’s own guidance isn’t being followed, which is leaving young people without the support they are entitled to.”

“Welsh Government must support Local Health Boards to make sure this doesn’t happen, change the way services are run and make sure our young people are being heard and properly cared for.”

Mind Cymru has published a report, in ate the result of interviews with young people about their experiences of moving from Specialist Child and Adolescent Mental Health Services – (SCAMHS) to AMHS.

They highlighted five key areas where services are failing young people:
– Poor information offered to young people, particularly on their rights
– Inconsistent use and follow through of care and treatment plans
– High thresholds for SCAMHS and AMHS referrals to be accepted
– Feeling abandoned / cut off from SCAMHS
– Age still dominates decision making process for moving from SCAMHS to AMHS

Nia Evans said: “Any one of these issues could make the process of moving from children’s services to adult services difficult for our young people. But often, more than one is happening at any one time.”

“Our young people have a right to care and support from a mental health system that has been put in place to help them recover. Action must be taken immediately to make sure support systems are robust and doing the job they were designed to do.”

Mind Cymru is asking people to email their Member of the Senedd (MS) and amplify the voices of these young people whose experiences are often unheard, and use the #SortTheSwitch hashtag on social media.

The full report is available here, including what a good move from SCAMHS to AMHS would look like for young people, and where the current system could improve.

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COVID-19 spring booster vaccine programme begins in Hywel Dda UHB

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APPOINTMENTS for the COVID-19 spring booster vaccine have started for those who are eligible at Hywel Dda University Health Board’s mass vaccination centres and at most GP practices across Carmarthenshire, Ceredigion and Pembrokeshire.

COVID-19 is more serious in older people and those with a weakened immune system. For this reason, people aged 75 years and over, those in care homes and those aged 12 years and over with a weakened immune system (as defined in table 3 and 4 of the Green Book’s chapter 14a) are being offered a spring booster.

The spring booster will be offered up until the end of June and is advised to be given around six months (and not before three months) after the last dose of vaccine was received to get the best protection.

Bethan Lewis, Interim Assistant Director of Public Health at Hywel Dda UHB, said: “The health board and participating GP practices are in the process of contacting people eligible for a spring booster of the COVID-19 vaccine. Appointments are being scheduled in line with the latest JCVI advice and in accordance with age and clinical vulnerability.

“People will be invited to attend either a mass vaccination centre or their GP practice. If your practice is participating in the vaccine rollout, they will contact you when it is your turn, so we kindly ask people to not contact their GP about the COVID-19 vaccination.

“Mass vaccination centres across Carmarthenshire, Ceredigion and Pembrokeshire continue to accommodate drop-ins for everyone aged 12 and over to allow easy and flexible access to the vaccine due to increased cases of COVID in our community. Should someone eligible for a spring booster attend as a drop-in without an appointment, they won’t be turned away.”

If you have been given an appointment at a GP for your spring booster please keep to this to help minimise vaccine waste.

Bethan added: “Vaccination clinics for children aged 5 to 11 will continue while the spring booster is being rolled out. It is strictly by appointment only for this age group so please book an appointment by calling 0300 303 8322 before travelling to a vaccination centre.”

For more information about the spring booster programme in Hywel Dda UHB, including drop-in opening times, please visit hduhb.nhs.wales/covid19-vaccination or call 0300 303 8322 or complete this form https://forms.office.com/r/9kg96t6Chs 

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