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Artificial pancreas offers lifeline to pregnant women with Type 1 diabetes

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Technology trialled at Hywel Dda transforms pregnancy experience

HYWEL DDA University Health Board has introduced pioneering new technology designed to improve the health and wellbeing of pregnant women living with Type 1 diabetes.

Women who are pregnant or planning a pregnancy are being offered an ‘artificial pancreas’ – a system combining an insulin pump, glucose sensor, and a mobile app running a sophisticated algorithm. This closed-loop system calculates and delivers precise doses of insulin before and during pregnancy.

Dr Lisa Forrest, Consultant Physician in Diabetes and General Medicine at Hywel Dda, said: “Women with Type 1 diabetes often face significant challenges managing glucose levels during pregnancy. Poor control can lead to serious complications for newborns, including premature birth, high birth weight, and the need for neonatal intensive care.

“However, improving blood glucose control before and during pregnancy greatly reduces the risk of adverse outcomes, such as birth defects, stillbirth and neonatal death.

“This technology can be truly transformative – helping women enjoy pregnancy with greater confidence and less stress.”

The diabetes team at Hywel Dda underwent training in July and November 2024 and is among the first in Wales to routinely offer this innovative technology to women with Type 1 diabetes during pregnancy.

In December 2024, eight women in the health board area who were either pregnant or preparing for pregnancy began using the Ypsopump insulin pump alongside the CAM APS FX hybrid closed-loop algorithm.

Dr Forrest added: “A 2023 study showed that women using this system spent significantly more time within their target glucose range. They also had fewer complications such as high blood pressure, gained less weight, and reported better sleep, lower stress, and more confidence in managing their diabetes.”

Michelle Jones, 36, from Milford Haven, is one of the first to benefit from the artificial pancreas system. Diagnosed with Type 1 diabetes at 19, Michelle had long been concerned about the risks pregnancy might pose.

“When I was in my twenties, doctors warned me how tightly my blood sugar would need to be controlled during pregnancy,” she said. “The risks to the baby – things like miscarriage, stillbirth, or birth defects – were frightening.”

Initially using insulin pens, Michelle struggled to keep her glucose in the desired range. “When I told the diabetes team I wanted to try for a baby, they monitored me closely but I just couldn’t get the results with the pens. They offered me the pump as a trial, and my levels improved drastically.”

“The artificial pancreas changed everything. It gives you confidence. If your levels aren’t in range, the system helps you get them back under control. It’s given me tighter, more consistent glucose management.”

Michelle also praised the remote monitoring features, which allow her team to track her levels through the app and reduce the need for travel.

“They can download all my data remotely,” she said. “I can have a phone appointment instead of travelling an hour to Glangwili Hospital. It’s made everything easier, and I hope other women get the same chance I’ve had.”

A national rollout of the technology began in October 2024, with the goal of offering it to all pregnant women with Type 1 diabetes by March 2027. It is also available to women planning a pregnancy.

Mark Henwood, Interim Medical Director at Hywel Dda, said: “I am incredibly proud of our diabetes team. Their work is making a real difference to women’s lives. This technology will help make pregnancy safer, less stressful, and more joyful for women with Type 1 diabetes.”

 

Health

RCN Wales appoints Nicola Williams as Executive Director

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NICOLA WILLIAMS will take up the role in April, bringing more than three decades of experience in nursing and senior leadership.

The Royal College of Nursing (RCN) has announced the appointment of Nicola Williams as its new Executive Director for Wales.

She joins the organisation from Velindre University NHS Trust, where she currently serves as Executive Director for Nursing, Allied Health Professionals and Health Care Scientists. With 38 years of experience in nursing and more than six years at executive board level, she is widely recognised across NHS Wales for her work in improving patient outcomes.

A highly experienced strategic leader, Williams has worked across a wide range of clinical and organisational settings. She has led major transformation programmes, strengthened national clinical leadership networks and championed innovation and evidence-based improvements in care. Her work has contributed to changes adopted across Wales and has been recognised with national awards.

Speaking about her appointment, Nicola Williams said: “I feel privileged to be appointed as Executive Director of RCN Wales. I’m a proud nurse, passionate about patient safety and improving care standards.

“Delivering the best care is only possible when nursing staff are supported to work in safe, inclusive environments. I will stand alongside members and their patients.

“Nursing staff are the backbone of health and care. I am determined to support our members across Wales, wherever they work, to meet the challenges ahead and shape the future of our profession.

“I look forward to meeting members across Wales and ensuring our work is informed by their experiences and expertise.”

In her new role, Williams will lead the RCN’s work in Wales and provide strategic leadership across key priority areas spanning the UK.

She succeeds Helen Whyley, who has held the position since February 2019 and will move into a new role as Director of Service Innovation at the RCN.

 

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Health

Decision pending on adult mental health referral pathway

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HYWEL DDA University Health Board will decide next week whether to make changes to the GP referral pathway for routine adult mental health services permanent.

The decision will be taken at a public Board meeting on Thursday (Mar 26).

Board members will consider a proposal to formalise changes already introduced in Ceredigion and, if approved, roll out the revised pathway across Pembrokeshire and Carmarthenshire.

Since March 2025, adults in Ceredigion seeking routine mental health support have been advised by their GP to contact the NHS 111 Wales ‘Press 2’ service, rather than being referred directly to the county’s Community Mental Health Team.

The temporary change was introduced in response to ongoing staffing shortages. Health Board officials say the approach has helped maintain timely access to face-to-face assessments for those who need them, while directing initial contact through a single access point.

The 111 ‘Press 2’ service provides telephone assessments by local wellbeing practitioners, supervised by registered mental health nurses, offering advice, support and onward referrals where required.

At its November 2025 meeting, the Board agreed to extend the temporary pathway until the end of March 2026. A nine-week engagement exercise followed, running from December 8 to February 9, to gather feedback from patients, professionals and stakeholders on the potential long-term impact.

Andrew Carruthers, Chief Operating Officer at Hywel Dda University Health Board, said: “I would like to thank everyone who took the time to share their views and experiences.

“I would also like to thank West Wales Action for Mental Health for supporting engagement with patients, including those with lived experience, alongside GPs, primary care teams, mental health staff and third sector partners.

“Our priority is to ensure mental health services remain accessible, fair and sustainable. The temporary changes in Ceredigion have shown some positive benefits, and the feedback we have received from across the three counties will play an important role in shaping the Board’s decision.”

The Board will review all evidence and feedback before making a final decision on the future of the adult mental health referral pathway.

GPs will continue to refer patients with urgent or complex needs directly to community mental health teams where appropriate, and have access to a dedicated NHS 111 professional line for additional clinical advice.

Further details, including the full Board papers, are available here:
https://biphdd.gig.cymru/amdanom-ni/eich-bwrdd-iechyd/cyfarfodydd-y-bwrdd-2026/agenda-a-phapuraur-bwrdd-26-mawrth-2026/

The meeting will be streamed live from 9:30am on Thursday (Mar 26) via:
www.youtube.com/hywelddahealthboard1

 

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Health

Parents urged to check children’s vaccinations after meningitis cases

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Local pharmacy reports MenB vaccine shortage amid rising concern

PARENTS and carers across west Wales are being urged to check their children’s vaccination status following recent meningitis cases in the UK.

The warning comes as a local pharmacy has confirmed a shortage of the Meningitis B (MenB) vaccine, highlighting growing pressure on supplies.

Mendus Pharmacy said it currently has no availability of the vaccine due to what it described as a nationwide supply issue.

Mendus Pharmacy: No availability of the vaccine

In a statement, the pharmacy said: “We would like to inform our patients that, due to ongoing supply issues, we currently have no availability of the Meningitis B vaccine.

“Unfortunately, this is a nationwide shortage and all stock is currently unavailable.

“We understand this may be particularly concerning given the recent outbreak reported in Kent, and we completely appreciate the importance of timely vaccination.”

The pharmacy confirmed it is operating a waiting list and will contact patients once supplies return.

Health officials say keeping vaccinations up to date remains one of the most effective ways to prevent serious illness and reduce pressure on NHS services.

Dr Ardiana Gjini, Executive Director of Public Health at Hywel Dda University Health Board, urged parents to act.

She said: “Vaccination is one of the most effective ways we can protect children and young people from serious illness.

“Ensuring your child is fully vaccinated not only safeguards their health but also helps prevent the spread of infections within our communities.

“I strongly encourage all parents and carers to check their child’s vaccination status. If you are concerned that your child may have missed routine vaccinations, please speak to your GP.”

Meningococcal disease is a serious and potentially life-threatening infection that can lead to meningitis or septicaemia. While many people recover, some are left with long-term physical, neurological or psychological complications. Around one in ten cases can be fatal.

Although the disease can affect anyone, babies, young children, teenagers and young adults are at greatest risk.

In Wales, vaccines protecting against meningococcal strains A, B, C, W and Y are offered as part of the NHS immunisation programme. Infants receive the MenB vaccine, while teenagers are offered the MenACWY vaccine.

Latest figures from the Health Board show that uptake among 16-year-olds for the MenACWY vaccine stands at 76.4%, meaning a significant number of young people remain unprotected as they approach adulthood.

For younger children, uptake of the MenB vaccine is higher but still below the recommended 95% target. Around 92.8% of infants are vaccinated by their first birthday, rising slightly to 91.8% by their second.

Health officials say these figures reflect strong engagement from families and primary care teams but stress that continued vigilance is needed.

Families are being advised to check their child’s vaccination record with their GP or by contacting the Health Board directly. Parents should also ensure babies receive their scheduled MenB doses and that teenagers receive their MenACWY and 3-in-1 booster vaccines, which are currently being delivered in schools.

Parents are also urged to remain alert to the symptoms of meningitis and septicaemia and to seek urgent medical advice if they have concerns.

Further information on symptoms is available via NHS 111 Wales.

 

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