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Improving the system of care

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systemofcare1A NEW agreement to improve the system of care and support for people in a mental health crisis has been signed by the Welsh Government, police forces, the NHS, councils and other agencies. The crisis care concordat commits the organisations which have signed up to work together to intervene early and, if possible, to reduce the likelihood of people posing a risk to themselves or others as a result of a mental health condition. A key part of this approach are new proposals to reduce the use of police custody for people suffering with mental health problems. People with suspected mental health issues who are detained under the Mental Health Act should be assessed within three hours and not be held in police custody for more than 12 hours.

All organisations which sign the concordat have made a commitment to find the most appropriate support needed for people in whatever situation and whichever service a person turns to, making sure that any intervention is carried out without any unnecessary or inappropriate placement; for example within police custody. Other commitments include: People under 18 who experience a mental health crisis should never be held in police custody unless in exceptional circumstances; Police vehicles will rarely be used to convey people in crisis, except the most violent of individuals and only in exceptional cases to transport people between NHS facilities; NHS transport or other health vehicles, but not necessarily an ambulance, should be commissioned to take people in a mental health crisis to hospital;

If a young person under 18 is detained under section 135 or 136 of the Mental Health Act and taken to a police station for assessment, a case review will be held within seven days to determine whether this could have been avoided in order to learn from that incident; Monitoring groups within health boards will review every section 135 and 136 detention within police custody to determine its appropriateness.

Health and Social Services Minister, Mark Drakeford said: “This new agreement is about providing the most appropriate care and support to those facing a mental health crisis, whatever the time, every day of the year. “It is about all those who have signed up working closely together so we avoid people being wrongly kept in a police cell and instead being given access to the right treatment for them.

I am delighted this deal has brought together so many organisations that have a vital role to play.” Jon Stratford, assistant chief constable, South Wales Police said: “Too many people end up in police cells when detained for their own or others’ safety under the Mental Health Act instead of receiving appropriate support and help. We welcome the development of the crisis care concordat.

“The signing of today’s agreement is an important step in improving how all agencies work together to protect vulnerable people.” Sara Moseley, director of Mind Cymru and chair of the Wales Alliance on Mental Health, said: “When you are in crisis you are at your most vulnerable. You may be experiencing delusions or hallucinations, you might be suicidal or self-harming, it can be very frightening – you need the right help urgently.

“A police cell is a completely inappropriate environment in which to receive that care and support. Mind has been campaigning for action on reducing the use of police cells for people in crisis for many years. Bringing together so many agencies including the police, the NHS and the third sector is a great achievement and shows how determined we are to create change.

“This is a crucial first step. There’s a lot more to do to make sure that anyone experiencing a mental health crisis gets the right care. We need to make sure that mental health services can cope with demand and get people the help they need early on to prevent them reaching crisis point in the first place. Great crisis care exists but we need to make sure it exists for anyone in Wales who needs it.”

Dyfed-Powys Police and Crime Commissioner Christopher Salmon said: “I welcome this Concordat. “I raised this issue with Welsh Government two years ago and I’m glad that Dyfed-Powys Police and Hywel Dda University Health Board have led the way.”

Explaining how Dyfed Powys Police had taken steps to anticipate the Concordat, Mr Salmon continued: “I’m delighted that – a year after we launched our Street Triage scheme to help those in mental distress during police incidents – the Concordat will recognise the importance of treating mental illness as a health issue, not a police one. “The work of all those involved in delivering our local service is to be applauded; a huge amount of effort and expertise has resulted in a great new project.”

Mr Salmon concluded: “In the past, many people have been locked in police cells when what they’ve really needed is health treatment. Across the Hywel Dda area – Carmarthenshire, Ceredigion and Pembrokeshire – they now get that treatment. “The Concordat has been a long time coming but will put clear responsibility on health services to treat mental health cases. The police will be there to help, not the other way round. It’s a great example of work between the police and the health board.”

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Health

Phone calls to reduce GP visits for 42% of patients this winter

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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.”

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Crime

Welsh shop workers face ‘surge in shoplifting linked violence and abuse’ says union

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A NEW survey by retail trade union Usdaw has revealed disturbing figures on the abuse, threats, and violence endured by Welsh shop workers, with incidents increasingly linked to shoplifting. Released during Respect for Shop Workers Week, which runs from November 11 to 17, the statistics highlight a troubling trend that is impacting thousands of retail employees.

Usdaw’s survey, based on responses from over 4,000 retail staff, shows that in the past year:

  • 69% experienced verbal abuse.
  • 45% were threatened by customers.
  • 17% were assaulted.

Usdaw General Secretary Paddy Lillis commented on the findings, saying: “Shop workers deserve far more respect than they receive. These reports from Welsh retail staff make grim reading. It is shocking to see over two-thirds of our members subjected to abuse, threats, and violence. Seven in ten of these incidents are related to theft, much of it tied to addiction and organised crime.”

Usdaw’s survey suggests that shoplifting is increasingly becoming a flashpoint for violence. Many shop workers report encountering hardened criminals who appear to steal goods “to order” or to fund addictions. According to the union, incidents are on the rise across Wales, with police-reported shoplifting up by 33% in the past year.

Usdaw member testimonies paint a vivid picture of the dangers faced on the shop floor:

  • One respondent described being “spat at, pushed against a wall, punched, and threatened with a knife.”
  • Another reported that, after refusing to sell alcohol, they were told to “F**k off” and threatened with a beating by a group of five.
  • Others spoke of being punched, spat on, and verbally abused, with threats that often left lasting emotional scars.

New measures on the horizon

Usdaw has been calling for greater legal protection for retail workers for years, and it appears these calls are finally being heard. The recent Crime and Policing Bill, announced in the King’s Speech, proposes to:

  • End the £200 threshold for prosecuting shoplifters, which has been a source of frustration for retailers.
  • Introduce town centre banning orders for repeat offenders.
  • Allocate funding for tackling organised shoplifting and increase police presence in shopping areas.

“We welcome these new measures and hope they will provide much-needed protection,” said Mr. Lillis. “After 14 years of neglect under successive Tory governments, we are encouraged by the steps the new Labour government is taking to address the retail crime epidemic.”

As Christmas approaches—a time when retail crime tends to peak—Usdaw is urging the public to “respect shop workers” and remain calm as stores become busier.

Usdaw, which represents around 360,000 members, primarily in retail, launched its Freedom From Fear Campaign to tackle the growing issue of violence against shop workers. The final results of the 2024 survey are expected in March 2025.

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Charity

Milford Haven RNLI celebrates heartfelt donation from Neyland Ladies Choir

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MILFORD HAVEN RNLI Fundraising Group received a generous donation of over £1,000 from Neyland Ladies Choir this October, marking a touching tribute to Mrs. Dorothy Beckett, one of the RNLI’s longest-standing supporters.

The Neyland Ladies Choir held a special concert at St. Mary’s Church on Waterloo Road, Hakin, to celebrate Dorothy Beckett’s 90th birthday. A lifelong supporter of the Royal National Lifeboat Institution (RNLI), Dorothy has played a crucial role in lifeboat fundraising in the Milford Haven area, dating back to the 1970s. She was instrumental in establishing the Hakin Point RNLI fundraising group, which has raised over £500,000 to support the RNLI’s lifesaving work.

The concert’s proceeds were presented in a moving ceremony at Bethesda Baptist Church in Neyland. Accepting the donation on behalf of the RNLI were Steve Lewis, Chairman of the fundraising group, and Thomas Kehoe, Deputy Coxswain of the Angle Lifeboat.

Adding to the evening’s celebrations, Alice Coleman, RNLI Community Manager, presented Dorothy with the Long Service Medal, recognizing her fifty years of dedication to the institution. This award, given by the RNLI, honors Dorothy’s unwavering commitment to saving lives at sea.

“Thank you, Neyland Ladies Choir and Dorothy Beckett,” said the RNLI in a heartfelt message to the community. “Your support and dedication mean the world to us.”

The Milford Haven RNLI Fundraising Group encourages supporters to share and spread the word, hoping that Dorothy’s legacy inspires continued community support.

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