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Health

WG and BMA clash on GP standards

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AS THE growing crisis in West Wales’ GP services continues, the Welsh Government last week announced a new set of standards, which it claims will raise and improve the level of service for patients.

Recent National Survey results showed a decline in satisfaction with GP services from 90% being satisfied in 2016-17 to 86% in 2017-18 and 42% of participants found it difficult to make an appointment at their practice an increase from 38% in the previous year.

The Welsh Government says that ‘people in Wales should know what to expect when they need advice on their health and wellbeing, when they need to consult a GP or other healthcare professional and what other options are available to them’.

To support the above, the new standards are as follows:
• People receive a prompt response to their contact with a GP practice via telephone.
• Practices have the appropriate telephony systems in place to support the needs of people avoiding the need to call back multiple times and will check that they are handling calls in this way.
• People receive bilingual information on local and emergency services when contacting a practice.
• People are able to access information on how to get help and advice.
• People receive the right care at the right time in a joined-up way which is based on their needs.
• People can use a range of options to contact their GP practice.
• People are able to email a practice to request a non-urgent consultation or a callback.

The Welsh Government expects all GP practices in Wales, supported by their Local Health Boards, to meet these standards by March 2021. Financial support, which will be announced in due course, will be made available to GP practices to strive towards meeting these standards and ensuring patients across Wales know what to expect from their practice.

Vaughan Gething said: “I know GPs and their practice teams are under pressure to meet demand but I also know people’s expectations on GP access are not currently being met.

“Today’s announcement is not about putting additional pressure on our GP services, it is about them delivering a level of service patients in Wales should expect as a minimum. For many practices across Wales, the standards I’ve announced today will already be in place, but for others, this will be a journey of improvement. Over time I would like to see these standards developed further so that services are continually improving for the citizens of Wales.”

Responding to the Welsh Government’s announcement Dr Charlotte Jones, chair of the BMA’s Welsh GPs’ committee said: “GPs in Wales work extremely hard – often to the detriment of their own health – to ensure that patients are seen in a timely manner and this is reflected in the still very high satisfaction ratings.

“Whilst we accept, welcome and strive for better access for patients recognising the challenges patients face, the way to address this is to support GP practices to release capacity for patients who need their care. This can be achieved through improving recruitment of GPs, practice nurses and ensuring the wider multi-disciplinary primary and community care workforce are in place. It can be achieved through ensuring patients are empowered to self-care when appropriate. It can be achieved through resourcing supporting infrastructure for practices to take forward different ways of providing access; through properly supporting practices and enhancing the partnership model so that we have sustainable services available to patients.

“Imposing standards on an already overstretched workforce is not the best way to achieve the shared aim of improving access.

“We will continue to work with the Welsh Government to ensure that patients are seen in a way that is most suitable and appropriate for their need. This work needs to also include robust support for practices so that they have the resources they need to address the challenges they face on a day to day basis, where they are fire-fighting to meet ever increasing demand and thus enable them to have the capacity to develop their access arrangements for patients.”

 

Health

The growing popularity of overseas medical care

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With waiting lists ever increasing and appointments seemingly booked up forever, more and more people are seeking alternative methods to get the medical care they need. While going private is an option for some, for others, the costs are simply too high, treatments are not specialised enough, or waiting lists remain lengthy. This is why many people are starting to go abroad for their treatment needs. So, with that in mind, let’s explore why overseas medical care has grown in popularity. 

Shorter wait times 

In 2024, more than 500,000 Britons chose to get treated abroad to avoid lengthy wait times on the NHS, more than double compared to numbers reported in 2021. With waiting lists continuously on the rise, it’s becoming increasingly difficult for people to get the treatment they need when they need it. The result is more and more people heading overseas to receive the right medical care. 

Lower costs

The expense of going private in the UK versus going private abroad is significant. For example a hip replacement in the UK costs around £12,000 to £18,000 privately, but will cost around £1,600 to £5,000 in India. These reduced expenses make medical care more accessible to those on lower incomes, increasing the appeal of overseas medical care. 

Specialised treatments or experimental therapies

Some countries have dedicated more time and effort into certain health conditions than others. For example many people seek epilepsy treatment in Germany, thanks to the country’s reputation for advanced investment into the condition. 

Some tests, treatments, and experimental therapies aren’t available in the UK, causing people to venture further afield to make progress with their health. 

Easier access to information

Thanks to technology like the internet and social media, it’s now easier than ever to research practices, facilities, and treatment options in different countries. Those who are dubious about going abroad for medical treatment, can now get the reassurance they need to go ahead. 

And it’s not just the treatment itself, but the travel and accommodation, too. It’s never been easier to compare prices for airplane tickets, hotels, and transfers, making the entire process straightforward. 

What does the future of medical care look like?

It’s evident that for Brits, going overseas is becoming increasingly popular. As NHS wait times and private costs increase, the appeal of treatment overbroad will likely continue to rise. 

 

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Health

£2m hospital upgrade to ease A&E pressure at Carmarthen site

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MAJOR refurbishment work has begun at Hywel Dda University Health Board’s Glangwili Hospital after more than £2 million in funding was secured from the Welsh Government.

The £2.096m investment will be used to overhaul the hospital’s Same Day Emergency Care (SDEC) unit, creating extra consultation rooms, a redesigned reception, and a more comfortable environment for both patients and staff.

Health chiefs say the expanded unit will help reduce pressure on the hospital’s busy Emergency Department by allowing more people to be treated quickly without needing an overnight stay.

The project forms part of wider efforts to improve urgent and emergency care across the health board’s sites, including the Minor Injury Unit at Prince Philip Hospital.

Keith Jones, Director of Operational Planning and Performance for the health board, said the funding would increase capacity and speed up patient flow.

He said: “This investment will help us reduce pressure on the Emergency Department and provide a smoother, swifter experience for patients. We’re grateful to Welsh Government for the support.”

Services temporarily relocated

While the work takes place, several services have moved elsewhere on the hospital site.

The SDEC unit, Discharge Lounge and Medical Day Unit have relocated to Y Lolfa, formerly Padarn Ward.

The Cancer Information and Support Service and Cancer Psychological Support Service have also moved, although contact details remain unchanged.

Some clinics, including podiatry, neuro-rehabilitation and occupational therapy, will stay at the Priory Day Hospital, but patients may need to use different access routes.

Patients are being notified through appointment letters, and extra signage will be in place around the hospital. Staff are urging visitors to check their letters carefully or contact departments directly if unsure where to attend.

Cabinet Secretary for Health and Social Care Jeremy Miles said the upgrade would help tackle overcrowding and delays.

He said: “This investment will reduce waits, ease handover pressures and improve the overall experience for patients and staff when they need urgent or emergency care.”

Work is expected to continue over the coming months.

 

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Community

Work on new 26-home Pembrokeshire development gets underway

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CONSTRUCTION work has started on a Haverfordwest scheme to provide sheltered housing apartments for the over-55s.

The Tŷ Haverfordia affordable housing and reablement development of 26 sheltered housing apartments for the over-55s alongside a dedicated 12-bed reablement centre to support residents returning home from hospital at the former Haverfordia House site, delivered by Wynne Construction, forms part of Pembrokeshire County Council’s “continued commitment to increasing high‑quality, accessible housing and deliver effective modern health and social care support across Pembrokeshire”.

Initial works began on January 26 and include securing the site, setting up a small compound and contractor parking area, installing controlled access for site personnel, and positioning temporary office and welfare units.

To maintain safe access to nearby facilities, including the GP surgery and Haverfordwest Leisure Centre, pedestrian routes through the area will remain open.

In addition, a minimum number of public parking spaces, including disabled bays, have been kept with Pay & Display machines relocated to reduce inconvenience.

In keeping the minimum number of parking spaces as well as needing to accommodate essential contractor welfare facilities, a small section of Rifleman Field has had to be used during the duration of the development of the site.

This space will be securely fenced off, and the footprint minimised. Any areas of Rifleman Field affected by the works will be fully reinstated on completion and restored to a condition that is equal to or better than at present.

To ensure residents and stakeholders are kept informed and have the opportunity to engage with the development, Pembrokeshire Housing Services will be hosting a Community Engagement Drop-in Event on Thursday, February 19, 5-7pm, at The Green Room, Haverfordwest Leisure Centre.

Pembrokeshire County Council Cabinet Member for Housing, Cllr Michelle Bateman, said: “I am pleased that we have finally reached the stage of commencing on site and look forward to seeing the development progressing.

“We have been able to progress with the development after receiving much-needed Welsh Government grant assistance for both the reablement and housing parts of the development.”

Last year, Pembrokeshire County Council’s Cabinet, members approved awarding a fixed contract of £13,560,454.21 to C Wynne & Son for the Haverfordia House works.

In 2019, Cabinet backed the acquisition of the freehold of Haverfordia House, with the overall intention to deliver a new housing and wellbeing facility following its demolition.

A report for members at last year’s June meeting said: “As well as providing long-term residents with a sense of place and community, it will provide short-term reablement users with the facilities and in-house support which they need to relearn the skills required to keep them safe and independent when they return home.”

It said there was a need for one-bed properties, and a review of sheltered over 55 accommodation was undertaken in 2018-19 which identified that existing sheltered housing stock is “no longer fit for purpose”.

 

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