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Health

‘Once in a lifetime bid’ for health and care investment in mid and west Wales

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HYWEL DDA University Health Board will discuss and agree the submission of an ambitious plan to improve health outcomes and well-being of our population.

A Programme Business Case (PBC) for the Welsh Government, will be discussed at the Health Board meeting at 9.30am on Thursday 27 January 2022, available to watch live here.

It’s a milestone in the Board’s journey to achieve its long-term strategy and improvement in population health – A Healthier Mid and West Wales, which followed extensive engagement and consultation in 2018.

It is also the means by which the Board will address long standing challenges, including fragile services, unsustainable workforce and financial challenges, and an aging hospital estate (some of the oldest hospital buildings in Wales).

The PBC offers hope following the pandemic, that health and care can shift from an illness service with a focus on hospital buildings and intervention, to a service that works across boundaries to prevent ill health or deterioration of health, providing help earlier, and wherever possible closer to home.

Steve Moore, Chief Executive of Hywel Dda UHB, said: “This is the first but important stage of producing a business case to Welsh Government to try to secure a scale of investment never seen before in this area of Wales.

“The COVID-19 pandemic has re-enforced the need for change, and we believe this is our once in a lifetime opportunity to improve the health outcomes and wellbeing of our population and create a healthier mid and west Wales and hope for the future.”

The PBC is the first stage of business planning to secure support from Welsh Government in order to proceed to far more detailed planning, analysis and recommendations on the detail of how to proceed.

Included at this stage is a prospectus of investment opportunities, which could be realised over the next decade, to fundamentally improve the way in which health and care services are provided, as well as the environments they are provided from. If supported, investment could exceed £1.3billion, which is a level never seen before in west Wales. This is a significant bid but reflects the enormity of the change and improvement being sought for the benefit of our communities.

Proposals within the plan include;

  • the enablement of closer integration and joint working between health and social care, spanning community, primary care (such as GPs, community pharmacists) and hospital services
  • investment in existing or new community hubs (such as integrated care centres) across Carmarthenshire, Ceredigion and Pembrokeshire to bring more care closer to home
  • a new Urgent and Planned Care Hospital, somewhere between Narberth and St Clears, providing a design separation between planned and urgent care that will protect the ability to deliver both types of care and reduce waiting times; and inclusive of mental health services
  • re-purposing or re-build of Withybush Hospital, Haverfordwest; and Glangwili Hospital, Carmarthen, inclusive of GP-led minor injury units, the ability to provide same-day care, and beds for patients who do not need to be in an acute setting but need support
  • improvements and modernisation of Bronglais Hospital, in Aberystwyth, and Prince Philip Hospital, in Llanelli. Bronglais Hospital will continue to provide acute emergency and planned care and Prince Philip Hospital will continue to provide a GP-led minor injuries unit as well as acute adult medical care, consultant-led overnight beds and diagnostic support

Changing the way services are delivered and improving the environments will improve patient outcomes, quality of care and patient experience. By bringing together some services onto fewer sites, such as trauma, emergency surgery and A&E, the health board will also be able to improve standards.

To properly appraise all options, as required by Welsh Government business case process, the next stage would look in more detail at how we re-purpose Glangwili and Withybush Hospitals. This would include options to use the current buildings and location, but also potential to re-build them on site.

Another fundamental aspect of the PBC is a focus on providing better conditions and opportunities for staff, to retain and attract the workforce needed. One of the board’s biggest challenges has been workforce shortages and over-reliance, and cost of, temporary staff.

The health board also wants to maximise the social benefit from the way it works and anticipates the proposed investment would bring significant economic benefits for our communities. For example, the procurement (purchasing) strategy is to increase the proportion of spending with local suppliers or providers that support job opportunities for more vulnerable citizens or local employment, training and apprenticeship opportunities.

The PBC recognises the need to create a digital infrastructure that will enable the health board to connect with patients and service users in all settings, creating a health system ‘without walls’. This would include innovations, such as wearables, more advanced electronic health records, and greater use of technology to simplify processes including admission and discharge.

It is through this transformation that the health board believes its buildings and infrastructure can support NHS Wales decarbonisation strategy.

Mr Moore added: “I understand the strength of feeling and passion for our NHS that our staff and public have and we want to continue to harness that and keep engaging with our communities as we build more detail around these plans.

“To enable a generational shift to a wellness system we need the whole package of prevention and early intervention, at all stages of life. That includes the backbone of strong and sustainable primary and community services; proper provision of rehabilitation and therapies; acute hospital services that are able to provide the standard of provision our communities deserve; and a supported workforce.”

Following a formal endorsement from the Welsh Government, the health board will then move to the next stage of individual outline and final business cases for elements of the programme. There will be a need for regular engagement, and possibly consultation on parts of the programme, with patients, public, staff, and partners.

In the meantime, the health board will continue with the process around site selection and preparation for the new urgent and planned care hospital. We are working with the Consultation Institute to ensure public involvement in the criteria and final scoring of options. We will share progress on this as more information is available. It is hoped a preferred site will be identified in the summer.

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Health

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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Health

Staff at Bronglais Hospital’s Chemotherapy Day Unit say thanks for the
support of the local communities

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The Bronglais Chemo Appeal has passed its £500,000 target in just 10 months! And the team at Bronglais Hospital’s Chemotherapy Day Unit is today sending a big thank you to fundraisers and supporters in local communities.

The Bronglais Chemo Appeal launched on 30th November 2021 with the aim of raising the remaining £500,000 needed to transform the current chemotherapy day unit at Bronglais General Hospital into a modern, fit-for-the-future facility.

Since its launch, our local communities have thoroughly embraced the Appeal, with fundraisers walking, cycling, golfing, gardening, holding a summer ball, and even staging an Elvis tribute event to raise money… and the list goes on!

Bridget Harpwood, Fundraising Officer for Hywel Dda Health Charities, said: “We’ve been genuinely blown away by the support from our local communities, it has entirely exceeded our expectations.

“What’s become clear is how passionate people are about their local NHS – and how creative they are when it comes to fundraising!”

Moondance Foundation provides boost

In addition to the funds raised locally, the Appeal has received a substantial donation from the Moondance Foundation.

Diane Briere de l’Isle Engelhardt, founder and chair of the Moondance Foundation, said: “We are delighted to have supported this Appeal to transform the chemotherapy day unit at Bronglais Hospital for the local community.”

Making a difference

Bettina Vance, Chemotherapy Clinical Nurse Specialist, said: “On behalf of staff at the unit and Bronglais Hospital, I’d like to say how grateful we are to everyone who has made the Appeal such a success.

“Your contribution, no matter how big or small, will make a huge difference to the experiences of patients, families and staff at the chemotherapy day unit. We are now looking forward to the next steps and turning our dream of providing a purpose-built unit for our patients into reality.”

Peter Skitt, Hywel Dda University Health Board’s County Director for Ceredigion and project director for the development of the new unit, said: “I would like to thank everyone who has supported the Appeal, including the Moondance Foundation, for recognising how important a new chemotherapy day unit is for Bronglais Hospital.

“The new unit will provide an improved experience for patients in a modern, fit-for-the-future facility that is tailored to their needs at different stages of cancer, offering more comfort, privacy and dignity.

“The technical design stage of the project has already begun, and we anticipate construction work starting in summer 2023. The target is for the new chemotherapy unit to go live in summer 2024.

“The total raised by the Bronglais Chemo Appeal stands today at £591,316. Every penny raised, including future donations, will go directly to the Appeal fund, with any surplus funds used to support those affected by cancer across mid Wales. With the current economic climate, we predict that construction costs will increase over the coming months. Therefore, to have exceeded the original target will be of great benefit to the project.”

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Community

Gweinidog yn agor Canolfan Addysg Iechyd newydd Aberystwyth

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Gweinidog yn agor Canolfan Addysg Iechyd newydd ym Mhrifysgol Aberystwyth
Bydd Gweinidog Iechyd Cymru yn agor canolfan newydd gwerth £1.7 miliwn i hyfforddi staff y gwasanaeth iechyd ym Mhrifysgol Aberystwyth heddiw (dydd Gwener 30 Medi).
Mae’r Brifysgol wedi creu ystafelloedd ymarfer clinigol ansawdd uchel, yn ei Chanolfan Addysg Gofal Iechyd newydd, sydd gyferbyn ag Ysbyty Bronglais yn Aberystwyth. Cafodd y datblygiad gwerth £1.7 miliwn ei gefnogi gyda grant o £500,000 gan Lywodraeth Cymru.
Rhan ganolog o’r safle newydd yw Uned Sgiliau Clinigol gydag ardaloedd efelychu ansawdd uchel sy’n adlewyrchu taith y claf o’r cartref a gwasanaethau cymunedol i asesu, gofal wedi’ i gynllunio a gofal acíwt.
Mae’r offer addysgu newydd yn cynnwys dyfeisiadau realiti rhithwir ar gyfer profi heneiddio a modelau dynol sy’n efelychu ystod eang o gyflyrau iechyd.
Dechreuodd y garfan gyntaf o fyfyrwyr nyrsio ar eu hastudiaethau yn y Ganolfan ym Mhrifysgol Aberystwyth ddechrau mis Medi.
Disgwylir y bydd y datblygiadau newydd yn hwb mawr i ymdrechion i gadw a recriwtio staff i’r gwasanaeth iechyd, yn enwedig yn y Canolbarth.
Dywedodd y Gweinidog Iechyd Eluned Morgan AS: “Rwy’n falch iawn o agor y ganolfan newydd hon ym Mhrifysgol Aberystwyth. Mae’n gydweithrediad ardderchog rhwng y byrddau iechyd a’r Brifysgol a bydd yn hwb o ran recriwtio nyrsys yn yr ardal yma.
“Rwyf hefyd yn falch iawn y bydd myfyrwyr yn cael y cyfle i astudio drwy gyfrwng y Gymraeg, a fydd yn helpu i gyflawni ein cynlluniau i gynyddu’r defnydd o’r Gymraeg yn y gwasanaeth iechyd, fel y nodir yn ein strategaeth Mwy na Geiriau.”
Datblygwyd addysg nyrsio ym Mhrifysgol Aberystwyth gyda chefnogaeth nifer o bartneriaid, gan gynnwys byrddau iechyd Hywel Dda, Betsi Cadwaladr a Phowys yn ogystal â defnyddwyr gwasanaethau a gofalwyr.
Fe ddyfarnodd Addysg a Gwella Iechyd Cymru gytundeb i Brifysgol Aberystwyth hyfforddi nyrsys ar gyfer oedolion ac iechyd meddwl sydd wedi ei ariannu gan Lywodraeth Cymru.
Caiff y myfyrwyr sy’n astudio ar gyfer y graddau newydd a gychwynnodd eleni y cyfle i ddilyn hyd at hanner eu cwrs drwy gyfrwng y Gymraeg.
Ychwanegodd yr Is-Ganghellor yr Athro Elizabeth Treasure:
“Anrhydedd fawr yw cael y Gweinidog yn ymweld i agor y Ganolfan, sydd yn fuddsoddiad arwyddocaol iawn i’r Canolbarth. Rwy’n ffyddiog bydd hyn yn hwb o ran recriwtio a chadw staff yn lleol ac yn rhanbarthol. A, thrwy gynnig llawer iawn o’r hyfforddiant drwy gyfrwng y Gymraeg, bydd yn fuddiol i’r ddarpariaeth iaith yn ein gwasanaeth iechyd yn ogystal.”
“Rydym yn ddiolchgar iawn i Lywodraeth Cymru am gefnogi’r prosiect. Hoffwn i ddiolch hefyd i’r holl bartneriaid sydd wedi cyflawni hyn, gan gynnwys y Byrddau Iechyd lleol, Cyngor Sir Ceredigion ac Addysg a Gwella Iechyd Cymru“
“Dros y blynyddoedd i ddod, ac wrth weithio gyda phartneriaid, rydym yn awyddus i gyfrannu mwyfwy at gwrdd ag anghenion hyfforddi ein gwasanaeth iechyd. Rwy’n siŵr bydd y Ganolfan newydd yn adnodd pwysig yn hyn o beth. Dyma ni heddiw yn gosod sylfeini ar gyfer twf darpariaeth addysg gofal iechyd yma yn Aberystwyth ar gyfer y dyfodol.”

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