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

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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.

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Alec Don resigns as Chief Executive of Port Authority

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MILFORD HAVEN PORT AUTHORITY has confirmed that Alec Don, Chief Executive, is ‘stepping down’ from the role.

The Port said that with the support of a great team Alec has set a vision for the business, securing planning consents for the development of Milford Waterfront and establishing Pembroke Dock Marine as a core component of the Swansea Bay City Deal.

In a statement the Port said: “The business has been shepherded through some challenging times, with the closure of Murco, but it has a strong balance sheet and is now more than ready to proceed with a phase of substantial investment and growth.”

Commenting on the resignation Chris Martin, Chairman of the Port, said: “Alec is a person of the highest integrity and is one of the Port’s and the region’s greatest advocates.  We have in front of us a fantastic opportunity to develop the Port’s position in some exciting new markets and this change gives us the opportunity to refresh and develop our skill sets to take the organisation forward into the next phase of its development.  For his part Alec has himself expressed the wish to seek new and fresh challenges.  I personally have greatly enjoyed working with him and we all wish him well for the future.”

Alec Don said in an official statement: “It has been nothing but a privilege and honour to work for the Port of Milford Haven and I most genuinely wish the Board and all colleagues at the Port every success going forward.  For my part I feel more than ready for a new challenge and look forward to the future with relish.”

The Port said they would not comment further on the development.

Alec Don has been the Chief Executive of the Port since 2010.

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Mount Estate: Man arrested after gas explosion threat

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Armed police: In the Mount Estate (pic. Herald)

ARMED POLICE have arrested a man on the Mount Estate in Milford Haven this afternoon (Oct 16) after responding to reports of a man who is threatening to set a fire using the gas supply in his flat.

The windows of the first floor flat, in Birch Mead, were smashed and a man was shouting to officers below threatening to cause an explosion.

Threatening: To cause an explosion (pic. Herald)

A Herald reporter at the scene had counted at least a dozen Dyfed-Powys Police vehicles, including vans and undercover cars.

Nearby residents have been evacuated and a cordon has been set up.

Emergency services: Gathered by the flat (pic. Herald)

Police asked residents and a Herald reporter at the scene to move back further after the arrival of the armed officers.

Mid & West Wales Fire and Rescue, as well as specialists from the gas board, are also at the scene.

Watching: Locals were evacuated (pic. Herald)

A large crowd has gathered by the cordon.

MORE TO FOLLOW.

Armed officers: Locals were asked to move back upon their arrival (pic. Herald)

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Work goes on for NRW in aftermath of storm

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AFTER a weekend of heavy rain and floods which hit South West Wales particularly hard, the clear up has begun.

For Natural Resources Wales officers this means inspecting flood defences and other assets to assess and repair any damage caused by the high river levels and volumes of water.

Jeremy Parr, NRW Head of Flood and Incident Risk Management said:

“Our sympathies go out to anybody impacted by these floods and Storm Callum, it is an unwelcome reminder of the damage that severe weather can do.

“While some communities were significantly affected, for many the flood defences did their job and reduced the worst of the impacts.

The weekend storm caused 80 properties to flood across south west Wales and led to major disruption of businesses and transport across the whole of the country.

The River Teifi at Llandysul reached its highest level since records began in 1971 and the Towey above Carmarthen was at its highest since 1987.

NRW officers were on duty around the clock ensuring defence structures were sound, operating flood gates, erecting temporary defences and clearing trash screens.

In Abergwili, in the Tywi Valley, the flood gates were closed and prevented flooding despite the water level rising to within 180mm of the top of the gate, just short of the evacuation trigger of 150mm.

More people than ever visited NRW’s website to check the latest flood warning information. Before and during Storm Callum NRW’s flood pages received more than half a million-page views, while warning and informing messages on social media reached over 110,000 people.

Jeremy added: “After any major flooding event there are lessons to be learned and Storm Callum is no exception, so we will review what took place and how we responded to identify where improvements can be made.

“As is usual after any flood event, we now have our people out and about checking our defences for any damage, and to ensure they can continue to help protect people and property.”

“We won’t just look at the flood defence network, but also at our incident response and our warning and informing before, during and after the incident.

“While there were significant impacts in some areas, the initial indications are that these elements worked well.

“We will be working with our partners in local government and the emergency services to ensure we continue where possible to reduce the impacts of incidents like this.”

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