Connect with us
Advertisement
Advertisement

News

Health board statement on ’20-year journey’ in full

Published

on

THIS is the full statement from Chief Executive Steve Moore of  Hywel Dda University Health Board following the extraordinary meeting on Wednesday (Sept 26) at County Hall, Carmarthen:

 

HEALTH BOARD STATEMENT

Hywel Dda University Health Board will embark on an ambitious 20-year journey to transform the way we receive health care and support in Carmarthenshire, Ceredigion, Pembrokeshire and borders, it was decided at a public board meeting.

Twelve recommendations from clinicians (doctors, nurses and a range of healthcare professionals such as health scientists and therapists) were approved and can be read in full here https://bit.ly/2NJxft5.

Headline decisions included:

  • more investment will be made in the integration of social care with health and well-being across the seven localities (north and south Ceredigion, north and south Pembrokeshire, Taf/Tywi, Amman/Gwendraeth and Llanelli)
  • a hospital model, will be adopted and includes:
    • a business case to be made for a new hospital in the south of Hywel Dda (somewhere between Narberth and St Clears) to provide specialist urgent and emergency care services and planned care
    • hospital services to be retained and developed at Bronglais Hospital, Aberystwyth, in-line with the Mid Wales Joint Health & Social Care Committee recognising importance of hospital in delivery of services to populations of Ceredigion, Powys and South Gwynedd
    • acute medicine (hospital services that need medical input) to be retained at Prince Philip Hospital, Llanelli, following recent modernisation of services developed with the local community and serving a densely populated area
    • re-purposing Glangwili (Carmarthen) and Withybush (Haverfordwest) hospitals to support community health needs including overnight beds, day case procedures, out-patient and walk-in services such as minor injuries and much more

This follows one of the largest local NHS consultations in the UK (Hywel Dda Our Big NHS Change), which was held between April and July, and which saw a huge and passionate response from the local population. Responses included more than 5,400 questionnaires, 4,000 attendees at events and workshops, hundreds of written submissions, five petitions and extensive social media debate.

Board members considered all they heard from patients, staff, the general public and interested organisations, not just during the consultation, but also in the pre-consultation engagement and option development period.

They also considered recommendations made by Hywel Dda Community Health Council, the clinical viewpoint following consultation, and other matters including safety standards the NHS has to meet and the ability to provide services in the future.

Whilst some key decisions were made, the health board received really insightful feedback from people during the consultation and wants to investigate further, and demonstrate, some developments, including:

  • commitment to work with people and organisations to develop integrated networks (as opposed to hubs) which are unique to the needs of their community and to consider the geographical areas highlighted in the consultation as gaps in current provision
  • work with the community on an early model of the above in Pembrokeshire, focusing on the ability to provide more community based care 24/7 and to demonstrate how it could work and the impact it could have
  • work with local people to explore potential for a range of different types of beds within the local community – whether in existing community hospitals, at home or another setting review, test and challenge the model for acute medicine to be responsive to demand and changes in patient flows associated with the whole system change
  • work closely with Abertawe Bro Morgannwg University Health Board on services where patients could benefit from a regional approach
  • examine the opportunities a new hospital and community model could offer maternity and child health services to ensure doctor and midwifery led care, and care for children (paediatrics) and sick babies (neonatal) are maintained within the boundaries of the Hywel Dda area
  • align with the transformation work in mental health services to ensure mental health and learning disability assessment and treatment units are provided at the new urgent and planned care hospital
  • investigate the practicalities and impacts (through a feasibility study and options appraisal) of locations between Narberth and St Clears for the new hospital
  • work with people living and working in the areas furthest from a new hospital to provide additional support for emergency and urgent care (potential to look at things like placing paramedics within in a community as opposed to within a vehicle)
  • respond to public anxiety over the ability to manage emergency conditions that are time sensitive (e.g. ST Elevation Myocardial Infarction STEMI, stroke and sepsis) consider the opportunities a new hospital in the south would provide Bronglais Hospital
  • work closely with other organisations, including county councils and the third sector, to develop Glangwili and Withybush hospitals
  • develop a detailed plan to address concern heard in consultation regarding access, travel, transport and infrastructure, working with the Regional Transport Group, communities (including those with protected characteristics in response to the difficulties we heard about from people and the equality impact assessment) and Welsh Ambulance Services NHS Trust
  • formally state the Health Board’s support for building a case for provision of a 24/7 service to bring medics to the scene of an accident (e.g. the Emergency Medical Retrieval Transport Service, which operates 12 hours a day and CHANTS (Neonatal Retrieval Service))
  • develop a plan to maximise use of technology in health and care, backed up by secure IT so patient data is safe and joined up between services in the hospital and community
  • put in place a staff plan to deliver future models and provide opportunities for staff
  • work with education and university partners to train a workforce with the skills and expertise to work in the new service model, and drive research, innovation and evaluation into our service development
  • continue to talk the public, staff and interested organisation about all that we do, especially focusing on people with protected characteristics

Chief Executive Steve Moore said: “Today is a hugely momentous day as we confirm we will take a new direction to providing much more preventative and community based healthcare to our population. We’ve heard the concern people have with current healthcare provision and our ability to deliver this sea-change in the years to come but our clinicians have led this work and we believe what has been put before us today offers us the best chance to deal with the fragility our NHS faces and to provide the population with safe, effective care that meets their needs.”

Chair Bernardine Rees added: “We are really grateful to everyone who got involved in our consultation as it has given us really rich feedback. Our ambition is to continue that conversation and input so that we can grow services in our seven localities, using schemes we have already delivered, such as the front of house project at Prince Philip Hospital and Tenby walk-in, as the basis of what can be achieved.”

The next step will be for clinicians and staff to work with the public and other organisations to bring the additional detail together into a draft Health Strategy to put before public Health Board at the end of November.

Medical Director and Director of Clinical Strategy Dr Philip Kloer said: “We’re aware that some people, particularly those who live furthest from the new hospital zone between Narberth and St Clears may be anxious about these changes. They will not happen overnight and we are committed to working with those communities and our partners to demonstrate and test what additional provision can be made, particularly for time-sensitive emergency conditions.

“For example we are working with partners to build the case for the Emergency Medical Retrieval Team (doctors who are brought to the scene to treat and then transfer) and CHANTS (the Neonatal Retrieval Team) to be a 24-hour service, and also investigating the potential to place advanced paramedics in communities so they are available solely to that community.

“Another important factor in providing life-saving treatment is getting people quickly to the definitive hospital which will provide their care. At the moment, people in our coastal areas of Pembrokeshire have to travel to Glangwili for some treatment, which in the future, we will be able to offer at a more equitable location, for the south of Hywel Dda, in the new hospital zone.”

The new hospital will be dependent also on a full business case, which will be made to the Welsh Government.

Continue Reading

News

Welsh Deputy Minister visits New Farm Shop

Published

on

Pictured : Julie Morgan AM

A new farm and produce shop on the Scolton Manor estate outside Haverfordwest has been visited by a Welsh Government Minister.

Julie Morgan AM – Deputy Minister for Health and Social Care – called at the shop to see the Welsh Government’s Intermediate Care Fund (ICF) in action.

The shop provides work experience, training and supported employment opportunities in retail and customer service for people with learning disabilities, disabilities and autism.

It is an addition to Pembrokeshire County Council’s existing supported employment offer through Norman Industries, the Authority’s sheltered employment factory in Snowdrop Lane, Haverfordwest.

The shop is the result of partnership working involving Workways+ and Experience for Industry – both funded by the European Social Fund through Welsh Government – Norman Industries and the management and staff at the Council-run Scolton Manor attraction.

The shop, which opened just a few weeks ago, will be supplying the public with fresh produce from the walled gardens at Scolton Manor, local meats, produce, tea and coffee.

It also provides a retail outlet for some of the arts, crafts and products made at Norman Industries.

Over the coming months the shop will also be supplying chutneys made by participants and employees at the supported employment café in Milford leisure centre ‘Caffi Man Cwrdd’.

The Deputy Minister was welcomed by County Councillor Tessa Hodgson, the Authority’s Cabinet Member for Social Services.

The farm shop has been partially resourced and staffed through some of the £400,000 ICF money allocated to expand supported employment opportunities regionally.

Continue Reading

News

Haverfordwest: Police promise extra patrols for GCSE results night

Published

on

THERE will be an increased police presence in Haverfordwest tonight, in response to an anticipated influx of young people who will be celebrating their GCSE results.

Parents are being asked to go over their child’s plan for the evening, before they head out. Sergeant Haydon Mathias is overseeing the operation.

He said: “It’s a big day for teenagers, and we understand they want to celebrate after all of their hard work.

“We’ll be there to make sure they do that safely, and without disrupting others.

“This is usually a busy night for us, and historically we have seen crime and anti-social behaviour rise. You’ll notice my team out and about from early this evening to stop that happening. They’ll be seizing alcohol from anyone they suspect is under the age of 18, and dealing with any other issues that arise.

“We’re asking parents to take the reins and discuss plans before your child goes out. Make sure you know where they’re celebrating, who they’re with, and how they’re getting home. It’s useful to make sure your child’s phone is fully charged, in case of an emergency.

“I encourage anyone with concerns to come and speak to an officer or Police Community Support Officer around the town, or contact Dyfed-Powys Police.”

Continue Reading

News

Llangwm Church Donation Box Stolen

Published

on

St Jerome’s Church: Second theft in a year!

 

A DONATION box has been stolen from a village church, the second theft from the historic building in a year.

The donation box at St Jerome’s Church, Llangwm, is believed to have been taken in the last few weeks.

The box is usually kept next to the Talking Tapestry of Langum, a project which tells the story of the village’s origin with the invasion of the Flemish in the 12th century and its later history.

Pamela Hunt of Heritage Llangwm said: “This theft is the second from St. Jerome’s in a year.

“If anyone has seen or knows anything, then please let the police know.

“If they feel unable to do that, but would like to contact us at St Jerome’s Church, then email info@heritagellangwm.org.uk

“We will treat your contact in the strictest confidence.”

Continue Reading
News5 hours ago

Haverfordwest: Police promise extra patrols for GCSE results night

THERE will be an increased police presence in Haverfordwest tonight, in response to an anticipated influx of young people who...

News1 day ago

Woman and partner fled Mount blaze through window

A WOMAN and her partner had to jump out of the window of their flat, to escape the blaze that...

News1 day ago

£1500 worth of nail guns stolen in Haverfordwest

DYFED-POWYS POLICE are appealing for information on a theft that occurred in Haverfordwest, in which three nail guns were stolen....

News1 day ago

Arrest and court for pair accused of Mount flats fire

TWO people were arrested after a fire was started at a block of flats at the Mount Estate, Milford Haven....

News3 days ago

Plans to re-open night club put forward

THE FORMER Chequers nightclub in Penally could be granted a new license if plans are given the go-ahead. Now under...

News3 days ago

Casualty airlifted from Monkstone beach

A casualty was airlifted to hospital after becoming ill on the way to Monkstone beach on Saturday evening, August 17....

News6 days ago

Dale Road: Several have minor injuries after two vehicle accident

EMERGENCY SERVICES are attending a two-vehicle road traffic accident on the B4327 Dale Road. Two fire crews from Haverfordwest as...

News6 days ago

Tenby: Hotel goes into administration as new owner’s business empire collapses

A POPULAR Pembrokeshire hotel has gone into administration. The Fourcroft Hotel in Tenby how faces an uncertain future. It’s parent...

News6 days ago

Woman rescued from Caldey after suspected arm fracture

A WOMAN, suffering a suspected fractured arm after a fall on Caldey, was taken to hospital on Thursday, August 15....

News1 week ago

Pembrokeshire high streets shortlisted for UK awards

TWO Pembrokeshire high streets have been shortlisted to win up to £15,000 in this year’s Great British High Street Awards....

Popular This Week