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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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Buckingham palace announces Prince Philip’s funeral arrangements

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PRINCE PHILIP’S royal ceremonial funeral will take place April 17 at Windsor Castle — a slimmed-down service amid the COVID-19 pandemic that will be entirely closed to the public.

Philip, also known as the Duke of Edinburgh, took part in planning his funeral and its focus on family was in accordance with his wishes. The 99-year-old duke, who died Friday, also took part in designing the modified Land Rover that will carry his coffin.

“Although the ceremonial arrangements are reduced, the occasion will still celebrate and recognize the duke’s life and his more than 70 years of service to the Queen, the UK and the Commonwealth,” a palace spokesman said Saturday while speaking on condition of anonymity in line with policy.

Prince Harry, Philip’s grandson who stepped away from royal duties last year and now lives in California, will attend the service along with other members of the royal family. His wife, the Duchess of Sussex, who is pregnant, has been advised by her doctor not to attend.

Palace officials said the ceremony would be conducted strictly in line with the British government’s COVID-19 guidelines, which restrict the number of people attending funerals to 30. They declined to say whether the royal family would be required to wear masks.

The palace appealed to the public not to gather in Windsor, and for those who wished to pay their respects to Philips to stay at home instead.

“While there is sadness that the public will not be able to physically be part of events to commemorate the life of the duke, the royal family asks that anyone wishing to express their condolences do so in the safest way possible and not by visiting Windsor or any other royal palaces to pay their respects,″ the palace spokesman said. “The family’s wish is very much that people continue to follow the guidelines to keep themselves and others safe.”

The announcement comes after military teams across the U.K. and on ships at sea fired 41-gun salutes Saturday to mark the death of Philip, honouring the former naval officer and husband of Queen Elizabeth II whom they considered one of their own.

Batteries in London, Edinburgh, Cardiff and Belfast — the capitals of the four nations that make up the United Kingdom — as well as other cities around the U.K. and the Mediterranean outpost of Gibraltar fired the volleys at one-minute intervals beginning at midday. Ships including the HMS Montrose, a frigate patrolling the Persian Gulf, offered their own salutes.

“The Duke of Edinburgh served among us during the Second World War, and he remained devoted to the Royal Navy and the Armed Forces as a whole,” Gen. Nick Carter, chief of the defence staff, said in a statement. “A life well-lived. His Royal Highness leaves us with a legacy of indomitable spirit, steadfastness and an unshakeable sense of duty.”

Members of the Commonwealth, a group of 54 countries headed by the monarch, were also invited to honour Philip. The Australian Defence Force began its salute at 5 p.m. local time outside Parliament House in Canberra, and New Zealand planned to offer its own tribute on Sunday.

Philip joined the Royal Navy as a cadet in 1939 and once had a promising military career. In 1941, he was honoured for his service during the battle of Cape Mattapan off the coast of Greece, when his control of searchlights aboard the HMS Valiant allowed the battleship to pinpoint enemy vessels in the dark. Philip rose to the rank of commander before he retired from active duty.

Two years after the war ended, Philip married Elizabeth at Westminster Abbey when she was 21 and he was 26. Philip’s naval career came to an abrupt end when King George VI died in 1952 and his wife became queen.

At the queen’s coronation in 1953, Philip swore to be his wife’s “liege man of life and limb” and settled into a life supporting the monarch. The couple had four children — Charles, the heir to the throne, Anne, Andrew and Edward.

Before he retired from official duties in 2017, the prince carried out more than 22,000 solo public engagements and supported over 780 organizations, including the Duke of Edinburgh’s Award for young people.

Members of the public continued to honour Philip’s life of service on Saturday, leaving flowers outside Buckingham Palace and Windsor Castle despite appeals from authorities and the royal family to refrain from gathering.

“I think everyone would like to pay their respects,” Maureen Field, 67, said outside Windsor Castle. “Because of the virus, a lot of people have to stay away. He didn’t want a big funeral. He wanted a very private time with his family to say their goodbyes. So, we’ve all got to respect that.”

Mike Williams, 50, travelled from his home in Surrey, southwest of London, to Buckingham Palace to honour the prince.

“He’s a massive loss to the country and to the world, I think, so we wanted to come and pay respects,” Williams said. “I don’t know what it achieves, but it just felt like the right thing to do.”

(Associated Press, London – by James Brooks and Tom Rayner)

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Police: RNLI ‘most likely saved man’s life’ following tombstoning incident

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POLICE have issued an urgent warning following a tombstoning incident Tenby on Saturday evening (Apr 10).

A multi-agency operation was launched just after 6pm following reports of a man in difficulty after jumping from cliffs into the sea.

A spokesperson for Dyfed-Powys police told The Herald: “We were called to the beach opposite St Catherine’s Island at around 6.15pm today, where a man had got into difficulty after jumping off the cliff into the water.

“On the arrival of officers, RNLI were at the scene and were administering CPR to the 23-year-old who was unconscious and not breathing.

“Fortunately, he regained consciousness shortly after and was taken to hospital for assessment.

Inspector Gavin Howells added: “This incident highlights the serious danger posed by tombstoning or cliff jumping, and the potentially life-threatening consequences.

“We urge people not to take part in this sort of activity anywhere along our coastline, and not to put themselves or the emergency services at risk for a thrill.

“We would like to thank our colleagues at the RNLI for their swift response to this incident, and for their actions which most likely saved this man’s life.”

RNLI Tenby posted on Facebook the following: “The Georgina Taylor was launched after person seen in difficulty in water

“Tenby’s RNLI inshore lifeboat was launched at around 6.25pm on Saturday, following a report of somebody in difficulty in the sea off Castle Beach.

“The volunteer crew were quickly on scene and immediately saw the casualty, who had been pulled from the water and was on the rocks.

“The casualty was taken from the rocks and into the lifeboat, where Casualty Care was administered whilst the helmsman made best speed to the harbour.

“As the lifeboat was entering the harbour, an ambulance was arriving at the slipway.

“The crew then assisted the ambulance personnel in getting the casualty onto the stretcher and into the ambulance, before re-housing the lifeboat.

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Police and drugs advice service issue warning over ‘deadly batch’ of heroin

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POLICE have asked the media to issue a warning over a batch of heroin.

The drug circulating in west Wales, first detected in Llanelli, is particularly dangerous, it has been confirmed.

“We are warning drug users to take extra care following reports of a particularly harmful batch of heroin circulating in the Llanelli area” said a Dyfed-Powys Police spokesperson.

“We have reasons to believe some drugs being distributed and used in the Carmarthenshire area at present have been contaminated with other substances and could be extremely dangerous for anyone taking them.

“We would also appeal to drug users to seek medical attention immediately if they become unwell.

“Please share this information with anyone you believe could come into contact with these drugs.

”In an emergency or if you think someone’s life is at risk always dial 999.”

Earlier this week Barod, the drug and alcohol abuse service reported a dangerous and toxic heroin circulating in Pembroke Dock which a spokesperson described as being ‘potentially deadly’.

To comes as Public Health England issued a formal alert about the risks of heroin containing fentanyl or carfentanyl.

The warning reads: “There is significant evidence from a small number of post-mortem results of recent drug user deaths and from police seizures that some heroin may contain fentanyl or carfentanyl added by dealers.

“These are highly potent synthetic opioids and very small amounts can cause severe or even fatal toxicity.

“Those of you in contact with heroin users should be alert to the increased possibility of overdose arising from heroin cut with these synthetic opioids, be able to recognise possible symptoms of overdose and respond appropriately.”

The fentanyls are a group of synthetic opioids; some have legitimate uses while others are illicit drugs.

Fentanyl is about 100 times more potent than morphine and is a licensed medicine used to treat severe and terminal pain. Carfentanyl is 4,000 – 10,000 times more potent than morphine and principally used as an animal tranquilliser.

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