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Health

New 50-day challenge to improve hospital discharge and community care

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THE WELSH GOVERNMENT has this week (Nov 11) launched a 50-day challenge to help more people safely return home from hospital and to ease winter pressures on our health and care system.

Health boards and local authorities will work together to use a 10-point action plan to support more people who have experienced long delays in hospital, to return home.

The challenge is designed to ensure the NHS and local councils work together to share and learn from best practice to improve our system performance and ensure we have the right support available to help people stay well or recover at home, or in the community.

Under strain: Withybush Hospital, Haverfordwest (Photo: File)

All health boards and local authorities have accepted the 50-day Integrated Care Winter Challenge set by Ministers, which will run to the end of the year.

The challenge will also specifically target the people who have been waiting the longest to leave hospital.

The NHS in Wales – like the NHS in other parts of the UK – is experiencing persistently high levels of pathways of care delays (delayed discharges) which negatively impact on people’s long-term health and the “flow” through the wider health and care system.

Cabinet Secretary for Health and Social Care Jeremy Miles said: “It’s essential we support our health and care services over the winter so they can continue looking after the sickest and most vulnerable people.

“There is no place like home for people to recover from an illness or injury once they are ready to leave hospital. Equally there are a wide range of support services available in our communities that can help prevent people needing to go to hospital in the first place, helping them to stay well at home.

“The 50-Day Integrated Care Winter Challenge and the 10-point action plan will strengthen our health and social care system so that we can help more people to stay well at home and get more people home from hospital when they are ready to leave.

“I’m really pleased the NHS and local authorities have constructively embraced this challenge and have prepared to take immediate collective action to respond.”

Minister for Children and Social Care Dawn Bowden added: “Community-based care can improve outcomes, especially for older people and those with complex needs. We know people recover better at home than in a hospital, where unnecessary stays can affect their physical and mental wellbeing.

“There are many good examples where health and social care teams are working closely together to ensure people can be supported to stay well at home or move smoothly from hospital into the community where the right support is available to them.

“This 50-day challenge is about promoting best practice and making sure it is available and consistently applied across Wales.”

The 10-point action plan of best practice interventions includes steps to remove the blockages in the health and care system so people can be discharged home promptly.

This includes improving hospital discharge procedures; planning for discharge from the point of admission; ensuring there is proportionate and effective seven-day working to enable weekend discharges; undertaking more assessments in the community and providing community rehabilitation and reablement to help people recover fully.

Community health and social care services have a pivotal role to play in supporting people to remain well in the community. They assess what help people need, including access to rehabilitation, home adaptations or personal care in the community.

The 50-Day challenge is a key element of the Welsh Government’s winter resilience plans. The £146m Regional Integration Fund, the £11.95m Further Faster funds, and the £5m allied health professional funding are helping to build community capacity in the system.

The Health Secretary and the Minister recently met teams at the Integrated Discharge Service in the University Hospital of Wales in Cardiff, to learn more about their approach to getting people home safely and to discuss best practice.

Diane Walker, Head of Integrated Discharge Service at Cardiff and Vale University Health Board said: “We know it’s better for patients to leave hospital as soon as they’re ready to do so. When a patient spends longer than necessary in hospital, they are at a higher risk of losing their independence and deteriorating further.

“Recently, an elderly frail male was admitted to hospital due to an acute illness and increased needs. Following hospital-based assessments, it was agreed that his care would need to be provided by a care home.

“The process to find a suitable care home involved adult social care providing details about the patient to homes and waiting for a response. However, it proved difficult to find a home that could meet his needs. This resulted in his hospital discharge being delayed and an increased risk of deconditioning, catching a hospital acquired infection and risk of a fall. To prevent this, health and social care teams worked together to provide details about the patient, and a care home place was secured.

“As a result of this successful joint approach, it was agreed that all ‘pen picture’ details about patients will be completed by health and social care teams in the future.”

Health

Fundraising events raise over £4,000 for ICU

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VICKI COLES and Sophie Moncrieff have raised a fantastic £4,140 for the Intensive Care Unit (ICU) at Withybush Hospital in memory of Henry Coles, Vicki’s husband.

Vicki and Sophie, with the help of their family and friends, organised a number of charity events, a charity wax, a raffle and charity night at The Bull Inn in Prendergast.

Henry sadly passed away in March 2024 and Vicki wanted to raise money to say thank you for the amazing support he received at the ICU.

Vicki said: “The care Henry received, and the support given to us by the ITU staff, was amazing and we can’t thank them enough.

“I want to say a big thank you to everyone who has helped at this very difficult time. We look forward to doing another fundraiser for Henry’s birthday next year.”

Katie Hancock, Fundraising Officer said: “Thank you to Vicki and your family and friends for raising an amazing amount for the ICU at Withybush, it is a lovely tribute to Henry. We hope you take comfort in knowing the funds will make a big difference to the patients, families, and staff at the ICU at Withybush Hospital.

“The support of our local communities enables us to provide services over and above what the NHS can provide in the three counties of Hywel Dda and we are extremely grateful for every donation we receive.”

For more details about the NHS charity and how you can help support local NHS patients and staff, go to www.hywelddahealthcharities.org.uk

Pictured above: Vicki Coles and Sophie Moncrieff with staff from the unit

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Health

Call for overhaul of ‘unsustainable’ GP funding model

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SENEDD members added their voices to a chorus of calls for fair funding for GPs after more than 21,000 people across Wales signed a petition.

Carolyn Thomas led a debate on the petition submitted by the British Medical Association (BMA) as part of the professional body’s “Save our Surgeries” campaign.

The Labour politician, who chairs the petitions committee, attended a meeting with GPs and told the Senedd their message was clear: the current funding model is unsustainable.

She said: “Over the last two decades, while the number of face-to-face appointments, digital contacts and phone calls has risen, the complexity of the work has been transformed, expenses have risen, and the cost of premises has leapt up.

“Yet the share of the health budget spent on GP services has shrunk..”

Ms Thomas, who represents North Wales added: “In some areas, recruitment and retention is the main worry but in others it’s the crumbling fabric of buildings. In others, it is the rapidly ageing population or a growing workload that isn’t matched by an equivalent rise in capacity.

“But underlying all of these is money to pay for the services that we all want to see.”

Sam Rowlands, the Conservatives’ shadow health secretary, said 8% of NHS Wales funding goes to GPs which is lower than levels from 2005/06.

Mr Rowlands pointed out that more than 100 surgeries have closed in the past 12 years.

Plaid Cymru’s Heledd Fychan criticised “huge underinvestment” over the past decade, telling the Senedd that Wales remains 500 GPs short of the OECD average.

She said: “There were 372 GP services in Wales at the end of June, which is 14 fewer than when the BMA launched the ‘Save Our Surgeries’ campaign. It is clear, therefore, that these consistent warnings about a shortage of provision … have fallen on deaf ears.”

Ms Fychan, who represents South Wales Central, raised concerns about big companies, often located outside Wales, stepping into the market for GP services.

She said: “In the Aneurin Bevan area, eHarleyStreet is a clear example of this. This continues with the damaging trend of profits being taken out of the health system into private pockets, and also makes the provision vulnerable.”

Her Plaid Cymru colleague Luke Fletcher raised a BMA survey that found nearly four out of five locum GPs cannot find work despite patient waiting times hitting record highs.

He said: “That’s in England but here in Wales the symptoms of the same crisis have been visible for a while, yet the data doesn’t seem to be available….

“Anecdotally, I’ve been told of locums in Wales looking to other fields. Some are considering jobs in retail and driving taxis. At a time when we’re crying out for GPs and we all accept that there’s a shortage of GPs – this situation is madness.”

Warning services are in chaos, the Conservatives’ Laura Anne Jones raised concerns about a survey showing 37% of Welsh GPs may leave the profession within five years.

Julie Morgan said she has heard the same story from surgeries in her constituency: “They’re struggling to maintain safe levels of service and worried about being able to continue.”

The former minister told the Senedd that Cardiff North is in the bottom 1% of funded practices in the UK due to the “outdated” Carr-Hill formula used to calculate funding.

Jenny Rathbone, a fellow Labour backbencher, highlighted the Deep End Cymru project, which aims to support 100 practices in the most deprived areas.

Jane Dodds, the Liberal Democrats’ leader in Wales, raised concerns about staff welfare and reiterated calls for a premium to recognise the significant challenges for GPs in rural areas.

Responding to the debate on November 6, Jeremy Miles said surgeries in Wales see an astonishing number of patients with around 1.5 million every month.

Wales’ health secretary stressed: “I want to reassure GPs that we have heard the messages about the huge demands and the pressure on staff welfare.”

Mr Miles said ministers have chosen to commit £1bn over this Senedd term to clear the backlog and reduce waiting times following the pandemic.

He told the Senedd: “By necessity, this means that a larger proportion of funding has gone to secondary care. Redressing this imbalance will be a priority for future funding decisions.

“And we are committed to the principle of providing more care closer to home.”

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Charity

NHS staff take on Parkrun for charity

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STAFF from the Frailty Unit at Withybush Hospital took part in the Haverfordwest Parkrun and raised a fantastic £1,478 for the unit.

The staff took part in the 5k Parkrun in August at the Haverfordwest cricket club, whilst others volunteered, sold refreshments and held a raffle.

Lisa Marshall, Senior Sister, said: “I am so proud of Estelle and the team for organising a successful fundraiser and helping to raise money for our unit.

“It was a great team building day and we all had lots of fun. We are as always grateful for the support and donations we receive, and we look forward to our next fundraiser!”

Katie Hancock, Pembrokeshire Fundraising Officer, said: “We’d like to say a big thank you and well done to Estelle, Lisa and the Frailty Unit team for completing their Parkrun fundraiser.

“Thank you so much for dedicating your time to once again raising funds for your amazing unit.

“The support of our local communities enables us to provide services over and above what the NHS can provide in the three counties of Hywel Dda and we are extremely grateful for every donation we receive.”

For more details about the NHS charity and how you can help support local NHS patients and staff, go to the Hywel Dda Charities website.

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