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GPs begin roll out of Oxford AstraZeneca COVID-19 vaccination programme

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Our over 80s population in Hywel Dda have started to receive vaccinations to protect them against COVID-19 as the first Oxford AstraZeneca vaccines have been delivered by GP practices in west Wales this week.

Mrs Margaret Stevens, aged 92, from Llanelli was delighted to be one of the first patients in the community to receive her vaccine as was Bury Port resident Mr Clifford Jones, aged 85.

To date, more than 10,000 vaccines have been delivered in the Hywel Dda area since December 2020 and from next week, 14 surgeries across Carmarthenshire, Ceredigion and Pembrokeshire will be providing the vaccine locally to people aged 80 and over.

Work is ongoing in conjunction with primary care colleagues, so that by mid-January many more GP practices across the three counties of Carmarthenshire, Ceredigion and Pembrokeshire will be calling patients in for the vaccine, as well as providing vaccination for more care home residents as well patients who are housebound.

The health board is also in discussion with colleagues in community pharmacy to explore the possibility of vaccinations being delivered by pharmacists and working on setting up more community based vaccination centres to support health board and primary care delivery in Aberystwyth, Llanelli and Haverfordwest, as more vaccine doses are provided. Announcements will be made when details are finalised and the sites will be phased in according to logistical arrangements.

Health and care staff will continue to also be called in for vaccination in the mass centres in Carmarthen and Cardigan.

Steve Moore, Chief Executive of Hywel Dda University Health Board said: “The situation in Wales is very serious at the moment. Cases of the virus are very high and there is a new, very transmissible strain of coronavirus in the UK, circulating in all parts of Wales. Whilst we are asking our communities to continue to protect themselves, their loved ones and the NHS by staying at home, there is also hope in the form of the vaccines.

“It is incredible that we have vaccinated 10,000 people in the Hywel Dda area already. I am grateful to all our staff and the partners we are working with in primary care, care homes and local authorities to make this happen.

“We would ask our communities to bear with us – it will take time to roll this out but we are assured that we will continue to receive greater volumes of the vaccine in the coming weeks. Please don’t phone your GP or hospital to find out when your vaccine will be, but be reassured that they will call you in at the appropriate time.

“But also please get ready to accept the vaccine when you are offered it. It will offer you great protection from the disease that has so drastically affected all our lives.”

Dr Sion James, Deputy Medical Director for Primary Care and Community Services, Hywel Dda University Health Board added: “This is an exciting time for primary care contractors to be part of a historical vaccination programme, working collaboratively with our colleagues in the health board.

“We’d like to assure those in the priority group we’re currently vaccinating in primary care (80 and over), that they will be contacted by their GP to arrange a vaccine appointment. Please don’t contact your GP or pharmacist.

“Thank you to everyone for their patience at this time.”

Eluned Morgan MS said: “It is a really important development that all 51 GP practices across Hywel Dda will deliver the vaccine when it becomes available with around 14 surgeries coming online from the 18th January, Supply of the Oxford vaccine is being managed through Public Health England.”

“I recognise people are keen to hear when they will be able to have their jab. GPs will be writing to people in the priority groups to call them for their vaccination. Please wait to be called to avoid placing the NHS under additional strain.”

“Alongside rollout at GP surgeries, Hywel Dda Health Board will continue with their Mass Vaccination Centres in Carmarthen and Cardigan. Vaccination centres are also due to open at Withybush and Bronglais hospitals when further doses of the Pfizer vaccination are made available in the coming weeks – expected to be Monday 18th January. Hywel Dda Health Board has also said that a vaccination centre will be open at Prince Philip Hospital from the 25th January.”

The Welsh Government confirmed today that lockdown restrictions will remain in place for a further three weeks and schools may remain closed until the February half term should infection rates not fall significantly.

Eluned Morgan continued: “It is really important that we all continue to adhere to the public health advice to prevent the spread of Coronavirus. The most important thing we can do right now is observe the stay at home message and when it is absolutely essential to leave home, we hand sanitize, maintain a minimum of 2 metres distance from others and use a face covering. The quicker we beat Coronavirus, the quicker we can get life back to normal.”

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Health

Pembrokeshire residents suffer severe health decline ‘due to landfill gases’

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A PEMBROKESHIRE couple, Mr Richard and Revd Patricia Rogers of Crud yr Awel, are experiencing severe health issues attributed to emissions from the Withyhedge Landfill, resulting in drastic lifestyle changes and severe symptoms.

Revd Rogers, who has managed asthma since childhood, reported a significant deterioration in her condition following exposure to landfill gases. Despite having controlled her asthma with minimal medication for years, she now requires intensive treatment including increased doses of Symbicort and Salbutamol Sulfate inhalers, alongside courses of steroids and antibiotics. Her symptoms have escalated to include extreme breathlessness, a hacking cough, frequent nosebleeds, continual headaches, and vertigo, culminating in a severe impact on her ability to perform daily tasks and care for her disabled daughter.

The couple’s health is closely monitored through their doctor’s surgery, and they attend the asthma clinic regularly. However, feeling powerless to directly change the situation, they have taken a stand by cancelling their council tax payments, a decision they plan to maintain until the landfill issue is resolved.

Revd Rogers has also prepared a letter to the Coroner, outlining the severity of her health issues as potentially life-threatening due to the landfill’s impact. This dramatic step underlines the gravity of their situation and their desperation for a resolution.

The Rogers’ story is not just a personal tragedy but a stark example of the broader environmental and health challenges faced by the community surrounding the Withyhedge Landfill.

They are calling for punitive measures against those responsible, including compensation for the financial impacts of their ordeal.

Their story has surfaced on the same day we reported that Natural Resources Wales is taking further enforcement action against the firm running the site.

NRW has issued site operators Resources Management UK Ltd (RML) with a further Regulation 36 Enforcement Notice which requires the operator to deliver a series of actions by specified deadlines to address ongoing smells from the landfill.

You can read more about the Enforcement Notice on the NRW website.

Outgoing Council Leader, Cllr David Simpson, said in a statement this week: “The smell from Withyhedge is having a major impact on residents and visitors. This situation has gone on too long and it is unacceptable.

“We now need to see RML act on the demands of the Notice and within the deadlines.

“The Council fully backs NRW’s stance that nothing is off the table in terms of further enforcement, including suspending the site’s environmental permit if appropriate, and we remain committed to working with NRW to ensure a long term solution to these issues.”

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Health

Paul Davies responds to St David’s Surgery news

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LOCAL Senedd Member Paul Davies has reacted to the news that St David’s surgery in North Pembrokeshire has decided to resign its General Medical Services Contract. It’s understood that for registered patients, care will continue to be provided until the end of October 2024 and patients are being advised to remain registered with the Practice while longer-term plans are developed. Patients will be invited to share their views as to how these services can continue to be delivered after the end of October.

Mr Davies said, “This is a very worrying announcement and patients in the local area will be understandably anxious about what this means for the future.”

“It’s vital that GP services can continue to be delivered in the area in the future and so Hywel Dda University Health Board must be open with patients of the Practice about their plans and address the community’s concerns. Every effort must be made to ensure that patients are able to access services in the long term.”

“I will of course, be raising this with the Welsh Government and urging the Health Minister to do everything in her power to support the Health Board and help ensure patients can access these vital services.”

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Health

Doctors to enter pay negotiations with the Welsh Government

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BMA CYMRU Wales has suspended forthcoming industrial action for Consultants and SAS doctors following a constructive meeting with the Welsh government to resolve its pay disputes.

As a result of sustained pressure, including three rounds of industrial action by junior doctors in Wales, the Welsh Government has made a significant proposal to form the basis of talks to end the pay disputes with all secondary care doctors including Consultants, SAS and Junior doctors.

Since the meeting last week, the committees representing doctors from all three branches of practice have voted to enter pay negotiations based on this proposal.

The planned 48-hour strike by Consultants and SAS doctors due to take place from 16 April will now be suspended.

Junior doctors have paused plans to announce more strike dates whilst they enter negotiations with the Welsh Government.

The Welsh junior doctors committee, Welsh SAS committee and Welsh consultants committee will now each engage in pay negotiations, with the aim of reaching deals which can be taken separately to their respective members.

Dr Oba Babs Osibodu and Dr Peter Fahey co-chairs of the BMA’s Welsh Junior doctors Committee said:

“This is a significant step forward. It is sad that we had to take industrial action to get here, but we are proud of members for demonstrating their resolve in pursuit of a fair deal for the profession.

“Whilst we are optimistic and hope to quickly resolve our dispute, we remain steadfast in achieving pay restoration. Until we reach a deal, nothing is off the table.

 “We will continue to work hard to reach an offer that is credible to put to members who will ultimately have the final say.”

Dr Stephen Kelly, chair of BMA Cymru Wales’ Consultants committee said:

“The Welsh Government’s recent efforts to reach an end to the pay dispute are encouraging and so we have called off our planned strike for now whilst we allow time and space for negotiations to take place.

“We’re hopeful that we can reach a deal that sufficiently addresses years of erosion to our pay to help retain senior doctors in Wales but remain ready to strike if we’re not able to do so during negotiations.”

Dr Ali Nazir, chair of BMA Cymru Wales’ SAS doctor committee said:

“As a committee, we felt that this latest development goes someway to understanding the strength of feeling of our members. We will work hard to reach a settlement that sufficiently meets the expectation of our colleagues who have faced real terms pay cuts of up to a third since 2008/9.”

In August last year, the BMA’s committees representing secondary care doctors in Wales voted to enter into separate trade disputes with the Welsh Government after being offered another below inflation pay uplift of just 5% for the 23/24 financial year. SAS doctors on some contracts were offered as little as 1.5%. This was the lowest pay offer any government in the UK offered and less than the DDRB, the pay review body for doctors and dentists, recommended last year.

As part of their disputes, SAS doctors, consultants and junior doctors carried out successful ballots for industrial action. Since then, junior doctors have taken part in 10 days of industrial action since January this year.

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