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New guidelines for hospital visiting during Coronavirus outbreak

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NEW revised NHS Wales hospital visiting guidance during the coronavirus outbreak will be published on Monday 30 November 2020. This supersedes previously published guidance.

The revised guidance sets out the baseline for visiting in Wales during the pandemic, but allows health boards, trusts and hospices to have more flexibility to depart from the guidance.

This flexibility is due to the changing picture of coronavirus transmission across Wales, with significant variations in community transmission across different parts of the country and differences in the rate of nosocomial transmission.

The new guidelines allow health care providers to asses local factors and work with local infection prevention and control teams and Public Health Wales when agreeing visiting arrangements.

Healthcare providers may depart from the guidance in response to:

  • rising levels of covid-19 transmission in their localities, including levels which result in a national lockdown and/or evidence of nosocomial transmission in a particular setting; or
  • falling levels of transmission in their local area.

In addition to allowing for this flexibility the revised guidance has been amended for maternity services after listening to feedback from women and families and consulting with Heads of Midwifery and Sonography/Radiography Services. Visiting in maternity services will now be based on a risk assessment approach by health boards. This will take into consideration local environmental factors such as room sizes, ability to socially distance and infection prevention and control risks in enabling partners to safely accompany pregnant women and new mothers. This risk assessed approach should be taken in collaboration with relevant health professionals, local infection prevention and control teams and Public Health Wales. All women will be supported to have at least one partner with them during active labour, birth and for the period immediately after the birth, except in an extremely limited number of circumstances.

The updated guidelines also recognise that some people may require an essential support assistant for specific additional support eg a support worker or interpreter. Essential support assistants will not to be classed as visitors, in some circumstances, where people receive care and support from a family member or partner, they may nominate this person as their essential support assistant.

Minister for Health and Social Services Vaughan Gething, said: “We recognise that the restrictions on visiting has a huge impact on patients, their families and loves ones. We have announced further changes to the guidelines today to provide health boards, trusts and hospices with flexibility to depart from the guidelines in response to local levels of Covid-19 transmission. It is important to remember that the virus has not gone away and the health, safety and wellbeing of patients, communities and NHS staff remains an absolute priority for both the Welsh Government and health care providers. Tough choices will still need to be made but we hope the revised guidelines will allow more flexibility for health care providers. ”

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Faulty Covid swabs may have led to ‘false positives’ in Wales

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A NUMBER of faulty Covid swabs may have led to false positive coronavirus test results, the Welsh Government has said.

Concerns have been raised over a “small proportion” of affected Covid-19 swabs which were used in hospital settings, health board-run community testing units, and Welsh Ambulance Service Trust mobile testing units.

The official statement reads: “As a result of the laboratory testing quality control measures in place and the diligence of Public Health Wales laboratory staff, we became aware on Friday 15 January 2021 of an issue affecting a small number of swabs used in sampling for Covid-19.

“These swabs are used to sample for Covid-19 in hospital settings, at health board-run community testing units and WAST-operated mobile testing units. These swabs are not used by the lighthouse labs and so tests undertaken through our regional and local testing sites are unaffected.

“As soon as this problem was discovered, all microbiology labs and testing centres in Wales were notified so that the affected swabs could be taken out of circulation.

“NHS Wales Shared Services Partnership is working with Public Health Wales, Local Health Boards, the manufacturer of the swabs COPAN and the UK supplier/distributor Thermo Fisher Scientific to identify and isolate the swabs potentially affected to prevent their on-going use.

“The affected swabs were shipped into Wales direct from the manufacturer COPAN between 18 November and 14 December 2020. NHS Wales Shared Services Partnership has isolated all relevant supplies as a precaution while further investigations are undertaken.

“Public Health Wales have advised that where these swabs have been used they pose little or no risk to public health. As a safeguard, further checks are being undertaken. The issue detected may have affected the accuracy of a small proportion of test results leading to false positives. However, based on what we currently know Public Health Wales is confident that this does not affect the overall epidemiological picture.

“The Covid-19 Test, Trace, Protect system continues to operate as normal and alternative swabs are being used.”

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Health

Pembrokeshire residents are exercising their way to happiness during Pandemic  

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PEMBROKESHIRE residents are turning to exercise to help them improve their mental health during the Covid19 Pandemic.

According to a YouGov survey carried out in December, a third of those living in mid and west Wales said exercise has helped sustain or improve their mental health since the start of the pandemic.

It comes as the Welsh Government is encouraging people to ‘help us, help you’ by practicing self-care and adopting small changes to help improve mental well-being, particularly at a time when levels of anxiety are higher than usual.

The traditional benefits of exercise have been to improve and maintain physical fitness but, more recently, the benefit of exercise to improve mental health has come to the fore. Exercise decreases the stress hormones such as cortisol and increases endorphins. Endorphins are the body’s natural ‘feel-good’ chemicals, and when they are released through exercise, your mood is boosted naturally.  As well endorphins, exercise also releases adrenaline, serotonin, and dopamine.  These chemicals work together to make you feel good.

Professor Jon Bisson, Deputy Director of the National Centre for Mental Health (NCMH) and Director of Traumatic Stress Wales, said: “There are several important ways to help reduce the risk of developing mental health consequences due to the COVID-19 pandemic. Eating healthily, taking exercise on a regular basis, keeping regular sleeping patterns, establishing a good structure for our days, and engaging in relaxing activities are always important to promote health and wellbeing.

“I would like to stress that if you are experiencing a mental health crisis or feel the need for additional support, please do ask for help. Some of us will need more formal input and services remain available and are keen to provide this.”

With more than £700m invested annually, The Welsh Government spends more on mental health than on any other aspect of the NHS.

If you are concerned about your mental health and would like confidential help and advice then you can call the mental health listening and emotional support line which is open 24 hours a day, seven days a week on 0800132737. Alternatively, you can text ‘help’ to 81066.

One rural mental health charity, the DPJ Foundation, based in Pembrokeshire, is encouraging farmers and those living rurally across Wales to run during the month of January to help with their mental health.

Emma Picton-Jones, founder of the DPJ Foundation, helped create the @_run1000 challenge which is happening throughout January 2021. The challenge is between England, Ireland, Scotland, Wales and the rest of the world to see whose team could run 1000 miles first. All countries have now reached the 1000-mile mark and are now competing to see who can run the most miles throughout the month whilst raising awareness of the importance of rural mental health, and raising money for rural mental health charities including the DPJ Foundation.

Emma Picton-Jones said, “January can be quite a tough month for farmers and those of us living rurally and this year we have lockdown to contend with as well. We wanted to create something positive for everyone to take part in that gets them out and active. It is not too late to get involved – just find @_run1000 on social media and there’ll be a link for more details. It might be the only way Wales beat England if the six nations doesn’t go ahead!”

The DPJ Foundation was set up in July 2016 following the death of Daniel Picton-Jones. Daniel’s suicide rocked the community and his wife Emma realised very quickly a lack of support available for those suffering with poor mental health in rural communities. It was announced at Daniel’s funeral that a fund would be set up to provide support to those, like Daniel, who were suffering from poor mental health. It also became clear that the agricultural industry carried the highest rate of suicide, yet little was being done to help this.

Sarah Jones, a self-employed mother of two boys who lives in Carmarthenshire took up running less than a year ago and signed up to the @_run1000 challenge to help her mental health and keep her running motivation going during lockdown. She said, “Perhaps homeschooling has hit a groove, you’re comfortably working from home, you have time for you, and you feel supported and in control. For many of us, though, the opposite of all those things is true. Just as with the first lockdown, never has my running been more important. I go for a run to have a bit of time to myself to manage my thoughts and then the rest of my day feels a bit more manageable.”

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Social care leader’s frustration over anti-covid jab no-shows

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A SOCIAL care leader has vented her frustration about people not turning up for appointments for anti-covid jabs in the Hywel Dda Health Board Area.

Mary Wimbury, the chief executive of Care Forum Wales which represents nearly 500 independent providers, said it was particularly galling when many vulnerable care home residents are desperate to have them.

There has been a significant number of no-shows across Wales at a time when vaccine supplies are limited.

Another cause for concern was the number of so called Red Flag care homes – where at least one positive test has been registered.

In a number of cases residents in those homes were not being allowed to have the inoculation even when the initial test was a false positive and a subsequent test came back negative.

It was now, said Ms Wimbury, a race against time to get all 23,000 care home residents as well as the 12,000 staff in Wales vaccinated, with the Welsh Government promising that all of them will be given the jab before the end of January.

She said: “I really hope that the Welsh Government meet the target because every day that people are waiting for a vaccine is a day that they are in more danger.

“We’ve seen vaccination of care home staff and residents really ramp up in the last week and this week so I hope we can get there. We really need to get it done.

“I’m hearing that some homes are being told if they are ‘red’ none of their residents will be vaccinated.

“Being designated as red may just mean you have a member of staff who tests positive on the UK portal routine testing.

“That doesn’t necessarily mean that they are positive. We’re still seeing a lot of false positives.

“Vaccinations are being put off in those care homes and actually, those residents need the vaccination as much as everyone else.

“I’m hearing that some homes are being told if they are ‘red’ none of their residents will be vaccinated.

“Given that red is a status that can mean anything from one member of staff getting a portal positive – at a time when we are seeing lots of false positives to a serious outbreak, this does not seem to be right or in line with Public Health Wales guidance which states that the situation should be risk assessed:

“If a care home has only one case of Covid-19 infection in a resident or staff member, other residents and care home staff should, according to the guidance, be offered vaccination as long as they have not been deemed close contacts of the case requiring self-isolation.

“There’s a significant number of Red Flag care homes across Wales because community transmissions are very high, staff are coming in and out from the community as well as the false positives.

“Care homes are supposed to be being risk-assessed if they’re red and if it’s considered appropriate to do so, they should in most cases, still be vaccinated but that isn’t always happening on the ground.

“It’s very frustrating when you hear about missed appointments with people not turning up to be vaccinated at a time when staff and residents seriously want one.

“It’s especially disappointing when care homes are the top priority group and we are seeing other groups being vaccinated alongside them as well.

“I understand a cancellation hotline is now being set up so hopefully this will lead to fewer unused appointments.

“I don’t think you can underestimate how desperate care home residents and staff are for this vaccination.”

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