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Health

Care homes are ‘damned if they do and damned if they don’t’ allow indoor visits

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A SOCIAL CARE leader says many care homes are in an “impossible position” after indoor visits by family and friends were given the go-ahead.

Mary Wimbury, the chief executive of Care Forum Wales, praised the Welsh Government for their cautious approach to the issue.

However, expectations were sky high after the easing of the rules that means that residents may be allowed one designated indoor visitor.

Ms Wimbury stressed that while indoor visits were being permitted again, beyond exceptional circumstances, care homes would need to undertake a rigorous risk assessment before judging visits could safely take place

Many care homes were “terrified” amid concerns a vaccine-resistant variant of the virus could appear at a time when health experts are convinced a third wave of the disease is inevitable.

Another problem that had emerged was the wildly fluctuating rate of second doses of the vaccine being given to people aged over 80, many of whom lived in care homes.

She said: “whilst it is excellent news that we are now able to begin the process of reopening care homes to visitors, it will be a phased approach and it is imperative that we proceed with caution.

“It will not be like pressing a button and everybody returning immediately to the normality that existed before the pandemic struck.

“We are looking forward to welcoming some sort of normality in the weeks and months ahead.

“Quite rightly, the Welsh Government has said the decision about visiting will be left to individual care homes who will carry out careful risk assessments.

“As the Welsh Government  have said, in many cases it will be about preparing for the reintroduction of visiting rather than it happening straight away.

“Infection and community transmission rates still vary in different parts of Wales and the Kent variant and other mutant strains are a real cause for concern.

“What we don’t know is how effective the vaccine is against some of the newer variants of Covid, particularly with what’s going on in Brazil.

“Health experts are warning that the new strain that’s causing such devastation in Brazil could sweep across the world. It’s absolutely raging.

“As the First Minister pointed out, we are facing an inevitable third wave of coronavirus and we have to take great care to protect our residents and our staff.

“Clearly, we want to get people back together again but we need to get more data on the vaccinations.

“The rate at which people aged over 80 in Wales – many of whom are in care homes – are receiving their second doses of vaccine fluctuates wildly, depending on where you are in Wales -from 0.1 per cent in Pembrokeshire to 48.4 per cent in Torfaen.

“In North Wales, the lowest percentage of second doses for the over 80s is in Wrexham which stands at 1.4 per cent while the highest is Conwy at 21.4 per cent.

“The vaccine roll-out in Wales has hitherto been a real success story so these new figures are baffling and a cause for concern.

“Whilst the first dose will provide a good degree of immunity, it is important that people are able to have the second jab to provide better protection, particularly in the case of people aged over 80 who are more likely to be frail and therefore more vulnerable.

“We will be contacting Public Health Wales to ask for an explanation and an assurance that, if these figures are correct, there are not these extreme fluctuations in future so that the distribution is fairer and more even across Wales.

“The other factor is that care homes that have recorded positive cases during the routine weekly testing will be flagged as red and the whole home will be closed down for 20 days.

“They are often false positive results but they can still close you down for 20 days. That means no visiting.

“Anyone that thinks we’re out of the woods needs to think again because the resumption of indoor visiting must be done extremely carefully.

“We’re all doing our utmost to bring back some normality but everybody needs to understand the fluidity of the situation.

“If you have a 50-bed care home that’s full and potentially 50 relatives coming in, the home will not know if they’ve been vaccinated or who they have been mixing with.

“Everyone understand that we have come through the most hideous 12 months since the pandemic was declared and there is now light at the end of that very dark tunnel.

“Care Forum Wales wants to see family members and care home residents united again but we would certainly support care homes in adopting a cautious approach. Some of these care homes are in an impossible situation because they are damned if they do and damned if they don’t.

“In fairness though, the Welsh Government has been far more sensible than their counterparts across the border and they deserve a great deal of credit for their understanding and cautious approach. You can’t press a button and it’s all happy days.”

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Health

Tavernspite School the ‘healthiest of schools despite the pandemic’

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THE STAFF, governors, parents, and of course, the children of Tavernspite Community Primary School are delighted to gain the Welsh Network of Healthy School Schemes National Quality Award for an incredible 5th time after a recent and very rigorous assessment.

The school is already well known and highly regarded for its outstanding work in developing the health and wellbeing of all members of its school community. To achieve this prestigious recognition in the midst of a pandemic is all the more impressive. 

Health and Wellbeing at the school is led by teacher, Lauren Arthur, who has done an incredible job preparing for this re-assessment and raising the profile of the Healthy Schools scheme.

The assessor Mrs Lynne Perry, enjoyed a virtual tour and presentation by Year 3 pupils who took great pleasure in proudly showing Mrs Perry all the wonderful work the school has done to ensure its children are safe, happy with high levels of emotional and physical wellbeing.

In her report, Mrs Perry wrote, ‘Tavernspite School continues to be an outstanding health promoting school. The health promoting school ethos is evident across the whole school population and it runs seamlessly throughout everything that the school does. Tavernspite School continues to give high priority to promoting and enhancing the health and well-being of the whole school community.’

The school received fantastic support from Mrs Liz Western, Senior Public Health Officer and Lead for Healthy Schools and Pre-schools, Pembrokeshire, to whom they are very grateful.

Head teacher Kevin Phelps said, ‘We were delighted to receive this award for the fifth time, particularly considering the experiences we have all been through these past twelve months. Health and wellbeing has never been so important and we are proud to be leading the way like this.’

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Health

New Covid vaccine arrives first in West Wales

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THE FIRST person in the UK to receive the Moderna vaccine against Covid-19 got their jab at 8:30 in the morning of Wednesday, April 7, at West Wales General Hospital.
The recipient was Elle Taylor, aged 24. Ms Taylor is an unpaid carer from Ammanford.
Speaking after receiving the vaccine, the 24-year-old, who works at a further education college, said: “I’m very excited and very happy.
“I’m an unpaid carer for my grandmother, so it is very important to me that I get it, so I can care for her properly and safely.
“My grandmother has had her first dose and she is going for her second dose on Saturday.”
Miss Taylor said she only found out on Tuesday evening that she was to be the first in the UK to receive the jab by Moderna, an American company.

HEALTH BOARD ‘DELIGHTED’

The Medicines and Healthcare Products Regulatory Agency (MHRA) authorised the Moderna vaccine as safe and effective in January 2021 following rigorous clinical trials.
Moderna is the third Covid-19 vaccine distributed in the UK.
Two other vaccines, the Pfizer vaccine and the Astra Zeneca vaccine, are already in use across the UK. 31 million people across the UK have received their first shot of one of those vaccines since the inoculation programme began in December last year.
Supplies arrived in Wales on Tuesday, April 6.
5,000 doses were delivered to vaccination centres in the Hywel Dda University Health Board area.
The Moderna vaccine is a two-dose vaccine given at an interval of between four and twelve weeks.
Ros Jervis, Director of Public Health for Hywel Dda University Health Board, added: “We’re delighted to be able to use the Moderna vaccine for deployment across west Wales.
“We will be using this new vaccine, alongside Oxford Astra-Zeneca, to continue the immunisation’s roll out to our communities in Carmarthenshire, Ceredigion and Pembrokeshire.
“We are incredibly lucky to have a third vaccine in Wales, with a long shelf life and the ability to be easily transported, to help deliver the vaccination programme to small clinics across our rural communities.”

THE MODERNA VACCINE EXPLAINED

The Moderna vaccine does not contain the virus to produce immunity.
It cannot give you COVID-19.
The injection stimulates the body’s natural defences (immune system). It works by making the body produce its own protection (antibodies) against the virus that causes the COVID-19 infection.
The vaccine delivers the ‘instructions’ that cells in the body can use to make antibodies to fight the virus that causes COVID-19.
As with any vaccine, Moderna may not fully protect all those who receive it. Those who get it may not be fully protected until two weeks after the vaccine’s second dose.
In trials, the vaccine was 94.1% effective in preventing Covid-19 infection in patients with no prior history of the disease. It was 100% effective in preventing patients from developing the severe Covid-19 symptoms that lead to hospitalisation.
Although the Moderna vaccine is the priciest of the vaccines yet rolled out, it has an advantage over the Pfizer vaccine. It can be stored in a regular fridge for up to fourteen days after its delivery to a vaccination centre.
It contains no ingredient derived from animals.

A KEY MILESTONE

Health Minister Vaughan Gething said: “This is another key milestone in our fight against the COVID-19 pandemic. The third vaccine for use in Wales significantly adds to our defences in the face of coronavirus. It will help to protect our most vulnerable.
“Every vaccine given to someone in Wales is a small victory against the virus, and we would encourage everyone to go for their vaccine when invited.
“If people cannot attend their appointment, we ask them to let the health board know via the contact details provided in their invitation as this vaccination slot can be offered to someone else rather than be wasted.
“Once you have been vaccinated, you should continue to follow guidance, staying two metres apart, washing your hands and wearing a face covering to protect those around you.
“I want to thank all those who have been working tirelessly to deliver the vaccine across Wales and help us meet our second milestone of offering a vaccine to all phase one priority groups. I also want to thank the 1.5 million people in Wales that have already come forward for their vaccine and done their bit in this national effort.”
Welsh Conservative deputy health spokesperson and candidate for Ceredigion and Mid and West Wales, Amanda Jenner, said: “The Conservative UK Government’s decision to go it alone has been fully vindicated with the phenomenal results of the British vaccination programme.
“The roll-out of the Moderna vaccine, administered by our outstanding NHS and volunteers, will boost our ability to protect Welsh people and restore our freedoms.”

VACCINE SUPPLIES

Starting from the middle of last year, the UK Government secured a deliberate oversupply of vaccine to ensure continuity of supply.
As part of that strategy, the Department of Health placed provisional orders – pending approval by the medicines’ regulator – of seven different vaccines in different stages of development.
The UK has ordered 40 million doses of Pfizer’s vaccine, 100 million doses of the Oxford vaccine, and 17 million doses from Moderna.
A further four vaccines are either in clinical trials or awaiting MHRA approval:  Novavax (60 million doses, Janssen (30 million doses), Valneva (60 million doses),  GlaskoSmithKline (60 million doses).
The number of Covid-19 vaccine doses on order is enough to fully inoculate the UK’s entire population twice.

BOARD STATEMENT ON VACCINATION PROGRAMME
194,057 people in our three counties have now received their first dose of the vaccine, and 47,087 people are fully vaccinated having received both doses.
We will have offered a first dose of the vaccine to all those in priority groups 5-9 by Sunday 18 April.
To ensure no one is left behind, this week the health board has launched an appeal asking people in groups 1 to 9 who have not been contacted to get in touch to arrange their first vaccine dose.
If one or more of the following applies to you and you have not received your first vaccine appointment, please contact the health board on 0300 303 8322 or by email COVIDenquiries.hdd@wales.nhs.uk by Friday 16 April:

  • are aged 50 or over
  • are aged 16 to 64 and have underlying health conditions that put you at increased risk of COVID-19 mortality
  • work in a care home or in health and social care in Carmarthenshire, Ceredigion or Pembrokeshire
  • are the primary unpaid carer of an elderly or disabled adult who is at increased risk of COVID-19 mortality, or a child with severe neuro-disabilities
Please be patient if you haven’t been contacted about your vaccine yet and we politely ask that you do not contact the health board or your GP to ask about your vaccine. You will be contacted when it is your turn.

THE SECOND DOSE

Second doses are essential for longer-term protection, so it’s important that everyone comes forward for their full course when called.
When you will be contacted for your second vaccine dose depends on which vaccine you have received.
We are asking anyone who received the Pfizer vaccine and has not received a second vaccine appointment yet, to get in touch as soon as possible on 0300 303 8322. Please note our phone lines get very busy at times and you may have to wait for the call to be answered. You can also contact us by emailing your name and contact phone number to COVIDenquiries.hdd@wales.nhs.uk
The health board aims to complete all second Pfizer vaccine doses by week commencing Monday 12 April.
To check which vaccine you received, look at the card given to you when you received your first vaccine. It will say if you received either the Pfizer BioNtech vaccine or the Oxford AstraZeneca vaccine.
If you received a first vaccine dose of the Oxford AstraZeneca vaccine, we politely ask that you do not contact your GP practice or health board at this time to ask about a second vaccine appointment. You will be contacted when it is your turn for a second dose – we are calling those who received a Pfizer first dose at this time.
Care home residents, people aged over 80 and all other priority groups who have received the Oxford AstraZeneca vaccine at the GP surgery will be contacted between 11 to 12 weeks following their first vaccine with an appointment time.
Confidence is building around the effectiveness of the vaccines.

Emerging evidence is clear on the impact of the vaccine in preventing severe disease and hospitalisation. That is now playing out in admissions to our hospitals, and thankfully, numbers of deaths from coronavirus being reported.
UK and EU regulators have also been very clear about the safety of the vaccines. The benefits of vaccination far outweigh any possible risks.
All three vaccines are safe and effective.

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Health

Police and drugs advice service issue warning over ‘deadly batch’ of heroin

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POLICE have asked the media to issue a warning over a batch of heroin.

The drug circulating in west Wales, first detected in Llanelli, is particularly dangerous, it has been confirmed.

“We are warning drug users to take extra care following reports of a particularly harmful batch of heroin circulating in the Llanelli area” said a Dyfed-Powys Police spokesperson.

“We have reasons to believe some drugs being distributed and used in the Carmarthenshire area at present have been contaminated with other substances and could be extremely dangerous for anyone taking them.

“We would also appeal to drug users to seek medical attention immediately if they become unwell.

“Please share this information with anyone you believe could come into contact with these drugs.

”In an emergency or if you think someone’s life is at risk always dial 999.”

Earlier this week Barod, the drug and alcohol abuse service reported a dangerous and toxic heroin circulating in Pembroke Dock which a spokesperson described as being ‘potentially deadly’.

To comes as Public Health England issued a formal alert about the risks of heroin containing fentanyl or carfentanyl.

The warning reads: “There is significant evidence from a small number of post-mortem results of recent drug user deaths and from police seizures that some heroin may contain fentanyl or carfentanyl added by dealers.

“These are highly potent synthetic opioids and very small amounts can cause severe or even fatal toxicity.

“Those of you in contact with heroin users should be alert to the increased possibility of overdose arising from heroin cut with these synthetic opioids, be able to recognise possible symptoms of overdose and respond appropriately.”

The fentanyls are a group of synthetic opioids; some have legitimate uses while others are illicit drugs.

Fentanyl is about 100 times more potent than morphine and is a licensed medicine used to treat severe and terminal pain. Carfentanyl is 4,000 – 10,000 times more potent than morphine and principally used as an animal tranquilliser.

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