Health
Health Board reflects on 2023/24 at annual meeting
THREE internationally educated nurses shared their personal stories about moving to west Wales as part of Hywel Dda University Health Board’s annual general meeting on 26 September 2024.
Sithara Kunjumol and Soniya Jose from Kerala, India, and Kandace Winter-Lawson, from Trinidad and Tobago, talked passionately about their experience of leaving their family and home country behind to pursue their NHS nursing career and expressed their gratitude for the warm welcome they had from Hywel Dda UHB and local communities.
Kandace, a registered nurse in the Accident and Emergency Department in Glangwili Hospital said: “Moving from the warmth of Trinidad and Tobago to the freezing cold of London in January was quite an experience, but this was countered by the warm welcome, care and support from the outstanding team in Hywel Dda.
“I’m grateful for the amazing opportunities I have been given to progress my career here, and to be able to support other international nursing colleagues. I hope to become an advanced nurse practitioner here one day. The greatest moment of my career so far was meeting HRH The King at Buckingham Palace in November 2023 and I am so grateful for this once in a lifetime opportunity.”
Soniya, a Junior Sister, who also works in Glangwili Hospital’s Accident and Emergency Department said: “I have been able to progress my career since joining Hywel Dda, including moving to a higher band role. I’m enjoying the opportunities to develop in the nursing profession and I’m proud to be able to provide greater support in A&E at Glangwili.”
Soniya’s sentiments were echoed by Sithara, a registered nurse in the hospital’s Merlin Ward who added: “I am grateful to my managers, trainers and my colleagues for helping me settle in and empowering me to grow my career here in Hywel Dda. I also very much enjoy training and supporting other international nurses and helping them to adapt here.”
The Health Board has welcomed 97 nurses and 6 doctors from the international community, alongside nurses from Wales and the rest of the UK. It continues to develop new approaches to recruitment and retention to strengthen its workforce for the future.
Neil Wooding, Chair of Hywel Dda University Health Board said: “It was incredibly moving to listen to Sithara, Soniya and Kandace sharing their experiences and I was very humbled to hear how much they feel welcomed and supported as part of our workforce family.
“On behalf of the Board, I wish them well in advancing their careers within the organisation and look forward to welcoming more staff from the international community in the future.”
During its annual general meeting, the Health Board also reflected on the past year, reviewing the organisation’s annual report, and its financial accounts. The report and presentations set out to staff, patients and the public the Health Board’s activities between 1 April 2023 and 31 March 2024, what has been challenging, and how it intends improve services for local people.
The main themes of the meeting also included how the Health Board is progressing against its strategic objectives, its ongoing recovery from the pandemic, new initiatives, and its performance against a number of measures, including planned care, diagnostics and therapies, urgent and emergency care, cancer, mental health, patient experience, infection control and workforce.
The support of patients, families and local communities for the health board’s charity, Hywel Dda Health Charities, was also recognised. Examples were provided of fundraising activities which contributed to £2.66million charitable income, and of the many services and activities above and beyond core NHS expenditure which were charitable funded.
Dr Wooding added: “This annual event gave us an opportunity to reflect on another busy year, but also to look ahead to 2024/25. While things are still very challenging for the NHS, we have a clear vision to help us recover from the impact of the pandemic, address our long-standing financial challenge, and build a health system resilient and sustainable for the future.
“We have significant service fragilities and, whilst the compassion and professionalism of our staff is to be cherished, we accept that the quality of care and patient experience is not always as we would wish. While we have made good progress in reducing the number of patients who are waiting for treatment, we know that it is difficult for people who are still waiting and we are deeply sorry for this.
“Thank you to everyone working in and with Hywel Dda University Health Board, whatever your role, for your dedication, professionalism, steadfastness and kindness as we care for our patients every day, often in very difficult circumstances. We are proud of our Hywel Dda family and privileged to serve our communities across Carmarthenshire, Ceredigion and Pembrokeshire now and in the year ahead.
Health
Phone calls to reduce GP visits for 42% of patients this winter
NEW research from the Royal Voluntary Service has shown that a simple phone call could significantly impact well-being, reducing GP visits by 42% among patients who receive regular telephone support.
The charity urges those feeling isolated this winter, particularly the elderly, to use telephone support services as a way to improve health and free up GP appointments, potentially reducing waiting times. It is estimated that if people experiencing loneliness in later life reduced their GP visits by just one appointment a year, this could free up 588,000 appointments annually.
As winter approaches, the Royal Voluntary Service reports that isolation can sharply increase, especially for adults over 75, with nearly half (47%) of people in this age group feeling lonelier in the colder months. Among those who live alone, one in six say they feel forgotten during winter, and 20% report having no one to turn to for emotional support.
In addition to loneliness, older generations face several winter worries, including increased heating costs, cited by 55% of respondents, and reduced ability to go out, which 29% said they dreaded as winter sets in.
To address these challenges, Royal Voluntary Service has launched the Stay Safe, Warm and Well campaign in partnership with Yakult. The campaign provides a guide for practical and emotional winter preparation, encouraging sign-ups for telephone support services and offering access to the Virtual Village Hall online community for events and activities. Practical advice on money-saving and energy-saving tips is also available through the guide.
Royal Voluntary Service Ambassador Elaine Paige, who has herself made support calls for the charity, described the positive impact these calls can have. “A warm, friendly phone call can transform someone’s day. Some conversations leave you smiling long after the call ends—something we could all use, especially in winter. For those facing the season alone, there are amazing people ready to remind you that you’re not alone,” she said.
The charity’s support services match volunteers with individuals across the UK for friendly chats, reducing isolation and boosting mental health. Catherine Johnstone CBE, Chief Executive of Royal Voluntary Service, said: “The feedback that conversations with volunteers are helping people to visit their GP less is testament to the value of connection.”
Yakult Marketing Manager Reshma Patel added: “Our research with Royal Voluntary Service shows that one in four adults over 75 feel they’d benefit from practical and emotional support over winter. We are committed to helping people access the Stay Safe, Warm and Well guide to support their overall well-being.”
Health
Over 1500 patients in Wales blocked from leaving hospital
THE First Minister Eluned Morgan has been pressured on her government’s failure to clear hospital beds in Wales, leading to delays for people seeking urgent medical care.
According to a report from BBC Wales, there are currently 1,600 patients across Wales waiting to be discharged from hospital compared to England where there are currently 12,000.
However, when comparing population sizes, it’s revealed that Wales is performing worse than its closest neighbour, with 0.05% of the population of Wales stuck in hospital beds compared to 0.02% in England.
The Welsh Labour government have been criticised for their failure to clear out backlogs in the system,
The Liberal Democrats have now called on the Welsh Government to provide urgent social care funding to local authorities to help alleviate pressures on the NHS in Wales.
Speaking in the Siambr on Tuesday, The Leader of the Welsh Liberal Democrats Jane Dodds MS described how over twenty years of Welsh Labour government in Wales had let to a “desperate situation in our NHS, with services nearing breaking point.
Welsh Labours refusal to change their approach and fix a system clogged up by mismanagement is directly responsible for the current situation faced by thousands of patients.
Delays in discharging patients from hospitals are placing huge pressures on both staff and those awaiting care, but there is a way out of this mess and the answer lies in social care.
I have been told by numerous professionals working in healthcare that the first step towards fixing our NHS is made by providing local authorities with the funding to fix social care services within their respected areas.
By dedicating adequate investment into our social care services, we can make life easier for patients discharged from hospital while also lifting the strain on health services throughout Wales.”
Education
Concern over ‘highest-ever’ school bullying rates
RATES of bullying in Welsh schools have reached record levels, with more than one in three children and young people reporting being bullied, the Senedd heard.
Gareth Davies raised concerns about a 6% increase in bullying between 2021 and 2023, according to a survey of more than 130,000 pupils in 200 secondary schools.
The Conservatives’ shadow mental health minister told the Senedd: “These results are higher than ever previously reported in the survey, which is deeply troubling.”
He said the latest survey showed regression on “just about every metric of pupil wellbeing”, including growing social isolation and a rise in behavioural issues.
Mr Davies, who worked in the NHS in north Wales for more than a decade, pointed to a 2021 legal duty to have regard to the mental health of children and young people.
He said: “The mental health of pupils has declined and reports of bullying in schools have only increased, so the Welsh Government have failed in that duty, unfortunately.”
Plaid Cymru’s Cefin Campbell called for an update to 2019 anti-bullying guidance for school governing bodies following a commitment from the Welsh Government eight months ago.
The shadow education secretary focused on the impact of poverty, warning the high cost of school uniforms can cause stress and lead to bullying.
Mr Campbell, a former lecturer, expressed concerns about penalties, such as detention, for pupils over non-compliance with uniform policies.
Raising a report on “horrific” experiences of racism in Welsh schools, he said one pupil was told a classmate did not want to sit next to them due to the colour of their skin.
“That’s entirely unacceptable in our schools,” said Mr Campbell.
Labour’s Carolyn Thomas warned children’s mental health is at an all-time low, pointing to smartphones and social media as major contributing factors.
She said: “They can be used to bully, manipulate and control, sending young people into an isolated world of despair, not thinking they can get out of it or go to somebody for help.”
The North Wales politician highlighted a petition calling for a ban on phones in schools.
Rhys ab Owen, an independent who represents South Wales Central, stressed that bullying can impact people for decades to come after school.
“But it’s an issue that doesn’t affect learners equally,” he said. “In Cardiff, around a third of learners come from ethnically diverse backgrounds.
“And I was staggered to read a survey from 2020, which said that 61.5% of learners had expressed stereotypes over skin colour, religion and nationality.”
In a statement on November 12 to mark anti-bullying week, Lynne Neagle accepted that bullying continues to be an issue in Welsh schools.
Pledging to prioritise the problem, Wales’ education secretary said new statutory anti-bullying guidance will be published for consultation after Christmas.
Ms Neagle pointed to concerning trends, including 42% of girls scoring high or very high in a questionnaire on psychological problems compared with 27% of boys.
She told the Senedd: “I wouldn’t want to be a teenager growing up today.”
Ms Neagle stated the Welsh Government provided more than £800,000 this year for one of the biggest surveys of children and young people in the UK.
She said: “The link between bullying and mental health is well known. At its most extreme, young people have taken their own lives as a result of being bullied. This is a tragedy for the young life lost, for their family and friends and for whole communities.”
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