Health
GPs to play key role in NHS transformation

GPs in Wales will have a vital role in tackling NHS waiting lists and improving patient care, Health Secretary Jeremy Miles will tell the Welsh Local Medical Committees Conference on Saturday (Mar 8).
He will say the coming year must focus on transforming healthcare delivery to ensure more treatment is available closer to home. As part of this shift, GPs will take a more active role in managing waiting lists and expanding diagnostic testing in communities to ease hospital pressures.

A new initiative aimed at improving continuity of care will begin by identifying the most vulnerable patients who would benefit from seeing the same health professional at each appointment. The approach is expected to improve outcomes for people with chronic conditions and support efforts to keep more patients well at home.
With more diagnostic and treatment services moving out of hospitals and into local settings, Miles will acknowledge that funding must follow. Health boards will be required to increase and declare primary care spending to support the shift.
GP RESPONSE
While the Welsh Government is keen to shift more responsibilities to primary care, GPs have expressed concerns about workload distribution and financial support.
In January, the BMA’s Welsh GP committee accepted a revised General Medical Services (GMS) contract, which included an additional £23 million in stabilisation payments, bringing total additional investment for 2024/25 to £52.1 million. The contract ensures fair pay for practice staff, including a 6% uplift for GP partners and salaried GPs.
Dr. Gareth Oelmann, chair of the BMA’s Welsh GP committee, said: “This settlement does not resolve every issue, but it provides a solid foundation for future negotiations.”

GPs in Wales are also set to vote on a proposal requiring partners to provide a minimum number of clinical sessions, aimed at ensuring consistent patient care across practices.
Health Secretary Jeremy Miles said: “It is vital we work together to address the pressures in our NHS by improving access to care and patient flow through the system.
“The role of GPs is fundamental to bringing the system back into balance. This is not about general medical services taking on more and more but about commissioning services in a way that makes primary care sustainable.
“GPs are at the heart of their communities. I want to work with them to develop a system that values their expertise, provides them with the right tools, and ensures patients receive the care they need closer to home.”
Health
NHS charity funds innovative surf therapy programme

FOLLOWING generous donations, Hywel Dda Health Charities – the official charity of Hywel Dda University Health Board – has funded a Tonic Surf Therapy programme worth £4,000. The funding paid for ten young people receiving support from mental health services to take part in the ten-session programme.
The Tonic Surf Therapy programme provides structured surf instruction and gives young people the opportunity to experience the joy and wellbeing that comes from engaging with the marine environment.
The sessions provide an effective way for Specialist Child and Adolescent Mental Health Service (sCAMHS) practitioners to engage with service users in a positive way and help prevent mental health issues from developing or continuing into adulthood.
Alastair Wakely, Service Delivery Manager (sCAMHS), said: “We are so grateful that kind donations from our local communities have funded the Tonic Surf Therapy sessions.
“The sessions are an effective intervention for young people with mental health problems, delivering positive outcomes including improvements in mood, a reduction in thoughts of self-harm and suicide, reduced social anxiety and improved self-esteem.
“The project has also allowed us to evaluate and explore the potential of surf therapy as an effective intervention for young people with mental health problems.”
Nicola Llewelyn, Head of Hywel Dda Health Charities, the official charity of Hywel Dda University Health Board, said: “It’s great to see really ambitious and creative programmes like this being delivered thanks to charitable donations.
“We are deeply grateful for the support of our local communities which allows us to offer services beyond what the NHS can normally provide in the three counties of Hywel Dda.”
For more details about the charity and how you can help support local NHS patients and staff, go to www.hywelddahealthcharities.org.uk
Health
Pembrokeshire ‘Pink Puffins’ race the Cleddau thanks to local vet’s vision

Anyone who has sailed with a yacht crew will know just how bonding that experience can be.
From the moment the boat is launched, the crew hauls away as one cohesive body, resulting in one of the strongest team ethics imaginable.
But if you’re female, then a degree of ‘gender division’ may rear its dampening head, quashing your confidence, your ability and your downright enjoyment of being at sea.
But now, thanks to the foresight of local vet Charlotte Hamilton and her iconic pink boat, ladies of all ages and all sailing abilities are being introduced to the joys of sailing whilst supporting two of the UK’s foremost breast cancer charities – Breast Cancer Now and Metup UK.

Two years ago Charlotte lost one of her closest friends to breast cancer, following a ten-year battle after she was diagnosed with the disease when she was just 23. In 2022, Charlotte’s mother was diagnosed with breast cancer; thankfully has made a complete recovery.
“Because of what I’ve witnessed, with my mother and with Connie, who was my best friend from college, breast cancer is something that’s very close to me,” Charlotte told The Pembrokeshire Herald from her home in Neyland.
“Connie was only 23 when she was diagnosed, but by then, the cancer had gone to her liver as they initially thought it was hormonal. She fought it for ten years and always wanted to visit Pembrokeshire, but sadly she died two weeks before she was due to come and visit.”
As a result, the pink boat is being sailed in memory of Connie, while the women who are learning to sail her are called ‘The Pink Puffins’.
Charlotte, who is a vet with the Fenton Vets practise in Haverfordwest, was given the boat some 18 months ago by her husband, Lloyd.

“Lloyd is a keen sailor who regularly races on the Cleddau, but I’d never really taken part,” she explains. “So the idea was for me to start building my sailing confidence. Last summer I took the boat out with two other women and we enjoyed it so much it got us thinking about starting to race. If the men can do it, so can we.”
The boat is an Achilles 24 cruise-racer, capable of reaching decent speeds and covering good distances.
“She’s capable of crossing the Atlantic, although The Pink Puffins are perfectly content to stick with the Cleddau for the time being,” laughed Charlotte.
“Since launching her a few weeks ago, we now have around 40 women who are starting to sail her,. We train every Sunday at Neyland and we took part in our very first race last Wednesday.
“Ok, we didn’t win, but being able to take part was fantastic and that’s the whole purpose of The Pink Puffins. It’s about having fun, and the women taking part can do as much or as little as they like. A lot of women have never set foot on a sailing boat before, and because it tends to be such a male-orientated thing, the thought of learning to sail can be a bit intimidating. So if somebody wants to come out with us just to watch, that’s perfectly fine. And if they want to get involved with sailing her a little later on, then that’s great.”
The interest that is already being shown and the rise in numbers means that additional racing sessions will be introduced later this season on Sundays.
Everyone attending the training sessions and the races is asked to make a donation which will be shared between Breast Cancer Now and Metup UK, however individuals can give as much or as little as they choose. If anyone is interested in finding out more about The Pink Puffins can email Charlotte on sailpinkpuffins@hotmail.com

Health
Ambulance delays linked to patient deaths, as local tragedy highlights crisis

PARAMEDICS across the UK are warning that patients are dying because ambulances are unable to offload them into overcrowded A&E departments — a situation tragically echoed in the death of a Pembrokeshire mother whose ambulance never arrived.
Charlotte Burston, 40, from Llanteg, began experiencing severe chest pains on Christmas Day 2023. Her teenage daughter called 999 twice, but was told it would be an hour and a half before help could arrive.
No ambulance was dispatched in time, not because of a lack of willingness, but because so many vehicles were already stuck in hospital bays, unable to hand over patients due to chronic delays and lack of space inside emergency departments.
With no other option, Charlotte’s stepfather drove her towards Withybush Hospital. She suffered a heart attack on the way and later died at Morriston Hospital on New Year’s Eve.
An expert report presented at a recent pre-inquest hearing concluded that had ambulance staff been present at her home, she would “on the balance of probabilities” have survived.
The case comes as a new report by Unison highlights the scale of the crisis facing ambulance services. A survey of almost 600 ambulance workers found that two-thirds had witnessed patients deteriorate during prolonged waits outside hospitals, and one in 20 had seen patients die in their care due to delays in handover.
More than half of respondents reported delays of over six hours, and one in seven had waited 12 hours or more outside emergency departments.
Unison General Secretary Christina McAnea said: “Ambulance workers want the best for their patients. But this is no longer the reality. Ambulances and hospital corridors have become makeshift treatment rooms. The pressure on the NHS is unsustainable.”
Unison is calling for urgent action to increase staffing levels across ambulance, hospital and community services, improve GP access, and expand social care capacity to free up hospital beds.
Pembrokeshire Coroner Mark Layton, who is overseeing the Burston inquest, said that had the 999 call been prioritised properly, paramedics would have been sent and the tragic outcome may have been avoided.
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