Health
Minister sets out vision for Wales’ mental health services
WALES’ new mental health minister set out plans to improve people’s mental health, pledging to focus on reducing waiting times for support and treatment.
Sarah Murphy, who took office in July, provided an update on the Welsh Government’s draft mental health, suicide and self-harm prevention strategies after public consultations closed.
In a statement to the Senedd on October 8, Ms Murphy said the all-age mental health strategy will ensure joined-up, person-centred and needs-led support.
She told Senedd members: “The key challenges for our NHS services include workforce, digital, data and the estate – and whilst I expect to see a focus on this in the final strategy, I have asked officials to progress work in these areas now.”
The mental health minister said the suicide and self-harm prevention strategy sets out the Welsh Government’s key priority of reducing rates.
Ms Murphy added that consultation responses raised the need to do more to identify and address factors that increase the risks of suicide.
“The feedback was also clear that self-harm needed greater prominence,” she said.
Ms Murphy told the chamber or Siambr: “Across both strategies, it is clear we need to do more to prevent, reduce and provide better support and treatment for substance use, including removing barriers for those with co-occurring mental health conditions.”
She stated the new strategies and delivery plans will be published early in 2025, shaping the direction of travel for the next decade.
Ms Murphy, who has represented Bridgend since 2021, said the ‘111 press 2’ service, which provides mental health support, received more than 100,000 calls in its first year.
In light of world mental health day’s theme of mental health in the workplace on October 10, she added that 3,500 people accessed the government’s in-work support service in 2023/24.
The Conservatives’ Gareth Davies said 15% of workers are estimated to have a mental health condition and it is the fifth most common reason for sickness absence.
The shadow mental health minister warned that the new strategies are “long overdue”.
He said: “We need assurances that there will be a focus on delivery. With previous mental health strategies we have not seen the results … with repeated failures in delivery.”
Mr Davies, who worked in the NHS for more than a decade, including in mental health, called for a focus on suicide “which is higher in Wales than other parts of the UK”.
The Vale of Clwyd Senedd member, an ambassador for Bipolar UK, warned that suicide happens at twice the rate in the most deprived areas compared to the least.
Mabon ap Gwynfor, Plaid Cymru’s shadow health secretary, described plans to close the minor injuries unit at Prince Philip Hospital in Llanelli at night as a damning indictment.
He raised comments from Jen Caton, chief executive of Llanelli Mind, warning the change will harm access to mental health support.
Mr ap Gwynfor said: “There is a great deal more to be done to ensure that the provision of mental health services is proportionate to the needs of our population.”
He told the Senedd the number of mental health beds decreased from more than 2,000 in 2010 to 1,271 this year, “which is the lowest-ever level of capacity”.
Mr ap Gwynfor, who represents Dwyfor Meirionnydd, called for the law on safe staffing levels in the health service to be extended to include mental health nurses.
James Evans raised concerns about a rise in body dysmorphia caused by digitally altered images on social media platforms such as Facebook, Instagram and TikTok.
The Tory MS for Brecon and Radnorshire said young people are increasingly seeking cosmetic surgery, which could damage their mental health in years to come.
Plaid Cymru’s Luke Fletcher warned of a “lost generation” when it comes to mental health, raising concerns about male suicide rates in his South Wales West region.
John Griffiths, who represents Newport East, highlighted plans for a new Welsh Government-funded health and wellbeing Centre in Ringland.
His Labour colleague Jenny Rathbone welcomed more co-production of services, saying: “It’s crucial we don’t just tell people, we actually have to find out what they need and want.”
Health
The growing popularity of overseas medical care
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.
Health
£2m hospital upgrade to ease A&E pressure at Carmarthen site
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.
Community
Work on new 26-home Pembrokeshire development gets underway
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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