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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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£1 billion deal set to solve poor mobile coverage

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BEN LAKE MP has worked with cross-party MPs in recent months on a campaign calling for a Shared Rural Network to extend mobile rural coverage to hard-to-reach areas.

On Friday, 25 October, a £1bn plan between the UK’s four main mobile phone companies and the UK Government was unveiled with the aim of banishing these signal dead zones. The proposed deal – which includes EE, O2, Three and Vodafone – promises to get 4G coverage to 95% of the UK by 2025.

The new plans for all operators to share phone masts to improve UK coverage is a world first. It will mean EE, O2, Three and Vodafone will invest £530 million in a network of new and existing phone masts they would all share and which any mobile user can access, and which would be supported by £500 million investment from the UK Government.

72 cross party MPs, including Ben Lake, wrote to the then Secretary of State for Digital, Culture, Media and Sport, Jeremy Wright MP asking him to support a Shared Rural Network which would significantly improve rural coverage and enhance economic, educational and leisure opportunities in rural areas.

Mr Lake said “This is fantastic news. It will make a huge difference to so many people in my constituency where, in some areas, there is no mobile coverage at all. It will put an end to the frustration felt by thousands of people who currently feel cut off and mean people will get good mobile signal on the go wherever they live, work or travel and it will have a big impact on the local economy.

“I was glad to have the opportunity to meet with the Secretary of State to press the case for allowing newly constructed Home Office masts to be utilised as part of this new programme, something that would expedite progress in areas such as Ceredigion.”

The current Digital Secretary, Nicky Morgan said “We are determined to make sure no part of the country is left behind when it comes to mobile connectivity. We are closing in on a deal with the mobile network operators so those living in rural areas will be able to get the fast and reliable mobile coverage they need and deserve. Brokering an agreement for mast sharing between networks alongside new investment in mobile infrastructure will mean people get good 4G signal no matter where they are or which provider they’re with.”

A final agreement between UK Government and the mobile industry is expected early next year.

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Successful first year for the Childcare offer

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PARENTS of 400 Ceredigion children have taken advantage of the Childcare Offer in its first year. The scheme has been running in Ceredigion since September 2018 and has saved parents almost £850,000 in childcare costs so far.

The Childcare Offer for Wales is a Welsh Government funded scheme, which provides 3 and 4 year olds with a combination of 30 hours of Foundation Phase Nursery education and childcare. The offer is available to working parents of three and four year olds for up to 48 weeks of the year.

To be eligible, a child must be aged three or four and the parent or guardian must earn the equivalent of at least 16 hours at national living wage or national minimum wage; or receive specific caring benefits.

Catrin Miles is the Cabinet member responsible for Learning Services. She said, “It’s great to see that the Childcare Offer is having such an impact across Ceredigion in the first year. The Childcare Offer is not only a fantastic opportunity for parents, but it is also an opportunity to provide better sustainability for childcare providers.”

A dedicated team of staff has been developed within the Ceredigion County Council to administer the offer in the county and on behalf of Carmarthenshire, Powys and Pembrokeshire county councils. Ceredigion County Council is the delivery authority which processes all parent applications and deal with payments to childcare providers.

The cost of childcare can be a significant burden for working parents. A scheme like this has really made a difference to families’ financial situation. One parent who has taken advantage of the offer said, “It’s helped us quite a bit. There was a bit of work to do to set it up and find the paperwork, but once that was all done, it was really easy. All you have to do is take the child to the childcare setting each day and pick them up at the end of the day!”

“The Childcare Offer has meant that the money we’ve saved through the offer has enabled us to give our children other experiences.”

The application form for parents and carers to apply for the Childcare Offer is available on the Ceredigion County Council website: https://www.ceredigion.gov.uk/resident/children-young-people-services/childcare/childcare-offer-for-wales/childcare-offer-application-form/

Childcare Offer applications for children born between 1 September 2016 and 31 December 2016 can be submitted from 4 November 2019.
As part of the application process, parents/carers will need to provide the following evidence:

· Copy of child’s birth certificate
· Proof of address (latest Council Tax Bill or an utility bill dated within the last 3 months
· Last three months’ payslips for all applicants,
· Or, if self-employed a copy of your most recent self-assessment tax return form. Alternatively, if you are relatively new self-employed person provide proof of your Unique Tax Reference number from HMRC.

Parents or childcare providers in Ceredigion who require further information should contact the Ceredigion Childcare Unit on 01545 570881

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Environmentally friendly electric sweepers replace old diesel models

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CEREDIGION COUNTY COUNCIL has replaced old diesel street sweepers with new electric powered models.

The new electric sweepers replace diesel ones which have been in use for many years and had come to the end of their useful life. The new sweepers will mainly be used in Ceredigion’s town centres to help keep the streets clean. The electric sweepers will be better for the environment and will be cheaper to operate.

Councillor Dafydd Edwards, is the Cabinet Member responsible for Highways and Environmental Services together with Housing. He said: “These new sweepers will be of great benefit in supporting the efforts of our Street Cleaning Team to keep Ceredigion’s towns clean. As part of Caru Ceredigion everyone can play their part in this by dealing with their waste including litter, cigarette ends and dog waste responsibly and legally. This would be a huge help in keeping Ceredigion clean and ensuring it remains a great place to visit, live and work as well as maintaining the positive profile it deserves.”

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