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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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Pembrokeshire residents aged 75 to 79 years to receive their first COVID vaccine

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LETTERS will arrive in the coming days inviting Pembrokeshire residents aged 75 to 79 years to receive their first COVID vaccine at a mass vaccination centre, Hywel Dda University Health Board (UHB) has announced.

The letter will provide an appointment time at one of the following mass vaccination centres: Haverfordwest – Pembrokeshire Archives, Prendergast; and Tenby – Tenby Leisure Centre.

These mass vaccination centres will provide a safe environment, space to maintain social distancing while allowing more people to be vaccinated as efficiently and as quickly as possible.

It is vital that you make every effort to attend your appointment.

You will need to delay your vaccination if you have had a positive coronavirus test within 28 days of this appointment or if you are unwell with a fever, have a new continuous cough or a loss of, or change in, your normal sense of taste or smell.

Please let us know if you cannot attend or need to delay your appointment as soon as possible by calling the number provided in your appointment letter. This will mean we can give your appointment to someone else and save NHS resources.

Steve Moore, Chief Executive of Hywel Dda UHB, said: “Until now we have been using our mass vaccination centres to vaccinate our front-line staff in health, social care and care homes. With over 85% of front-line health workers having had their first dose, and seeing rapid progress with care home staff and social care staff, we are now moving onto the next phase of our delivery plan.

“The opening of our mass vaccination centres to the public will allow us to offer more people a vaccine as soon as supplies are available to us. If you have received an invitation it is because you are in a priority group and at greater risk of complications if you catch COVID-19.

“Vaccines are safe, effective and save lives and the COVID vaccine offers our community hope. By receiving your vaccine, you will continue to play your small but incredibly important part in protecting yourself, the most vulnerable in our communities and our local NHS. Thank you.”

When you attend your appointment please bring with you:

Your appointment letter

Some ID such as your passport, driving license or utility bill in your name
A face mask (if you don’t have one, you will be given one)
People aged 80 years and over will continue to be invited by their GP practice to receive the vaccine, all of which have now received a supply of vaccines. The health board has also commissioned GP practices to vaccinate housebound patients and residents in our care homes.

Hywel Dda UHB is working to offer a vaccine to everyone in priority groups 1 to 4 by mid-February. People over 70 years of age and everyone who is clinically extremely vulnerable as part of priority group 4 will be invited next to receive a vaccine. The health board will provide further information at the earliest opportunity.

Please do not attend any vaccination venue without an appointment and do not contact your GP, pharmacy or health board to ask when you will be invited. People are being invited to receive the vaccine in order of priority and we thank you for your patience.

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A4076 reopens following accident where everyone ‘miraculously walked away’

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THERE was a road traffic accident in icy and snowy conditions on the A4076 Dredgemans Hill on Sunday afternoon.

Emergency services were called to the scene at around 1.30pm to an accident involving a number of vehicles.

A number of readers sent photos in to the Herald.

The road re-opened at 3pm after a brief closure.

A witness said: “It was a miracle but we have all walked away from this.”

MORE TO FOLLOW

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Welsh Conservatives appoint new Senedd Leader

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IT HAS been announced that Andrew RT Davies MS has been appointed as the new Leader of the Welsh Conservative Group in the Welsh Parliament.

Leader of the Welsh Conservatives in the Senedd, Andrew RT Davies MS said: “Becoming leader of the Welsh Conservatives in the Senedd once again is a great honour and privilege, and I’m pleased to enjoy the unanimous support of my colleagues to take us forward after a difficult few days for us all.

“On behalf of the Group I want to pay tribute to Paul Davies for his service as leader. Paul is not only a colleague but a trusted friend, who has served his constituents and party with distinction, and will continue to do so.

“There is urgent work in front of all of us and our immediate focus will be continuing to hold the Labour administration in the Senedd to account on vital issues such as the vaccine rollout, and fighting May’s election alongside our excellent slate of candidates and dedicated volunteers.

“We are in a moment like no other, and the COVID-19 pandemic has sadly only served to shine a spotlight on the challenges in people’s everyday lives; challenges that have been made all the harder by twenty of Welsh Labour Government failure.

“From our fragile economy to ever increasing NHS waiting lists, people in Wales have been badly let down by successive Labour administrations. Let me be clear; devolution isn’t the issue, it is the socialists in the Labour Party, and Wales deserves better.

“In just over 100 days, the Welsh public will head to the ballot box to decide on the future they want for our country and in the coming weeks and months the Welsh Conservatives will put forward a positive plan to get Wales moving again and build back our country better than ever.

“This will be in tough election during a tough time for our country and whereas other parties want to use this period to divide and separate, we’ll seek to unite our country and deliver a strong voice for Wales, in a strong United Kingdom.”

Chairman of the Welsh Conservative Group in the Senedd, Janet Finch-Saunders MS said: “Following a meeting of the Welsh Conservative Group in the Senedd this morning, I’m pleased to confirm that Andrew RT Davies has been endorsed unanimously as our new leader in the Senedd.

“As Chairman of the Group, I want to say thank you to Paul Davies for his immense efforts in the post since 2018. Paul played a key role in our record-breaking General Election in 2019, whilst setting the groundwork ahead of May’s Senedd election.

“Our attention now turns to May and taking the fight to the Labour Party.”

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