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‘Once in a lifetime’ reorganisation planned by Health Board

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THE LOCAL Health Board is embarking on a ‘once in a lifetime’ reorganisational plan which is looking at all potential options to ‘change the status quo and focus on improving health’ of locals.

This will involve, a press release has revealed, transferring more hospital services into the community where appropriate.

This is part of a strategy that the Health Board is looking into, to help solve an acute recruitment problem which is putting a great deal of pressure on the way that the Heath Board operates – and is leading to an untenable level of use of costly temporary staff to plug gaps and services.

In the summer of 2017, the Health Board embarked in an engagement with the public called ‘The Big Conversation’ which involved public workshops and drop-ins being held across the three counties of Pembrokeshire, Carmarthenshire and Ceredigion.

The Health Board now says the it has independently analysed opinions of the general public and has been using that data to explore, challenge and test different scenarios.

It is yet to be seen what these changes will mean for end service users.

The Herald understands it is likely to mean hospital services being reduced or cut, and replaced with community alternatives.

The Health Board has said it will not make any changes, unless it can guarantee the safety of the people which it serves.

The Health Board has insisted that no preferred option for change has yet been determined, and nothing has been signed off or agreed at this stage.

Medical Director Dr Philip Kloer said: “This is a once in a lifetime opportunity for our health service and community to work together to design an NHS which is fit for our generation and beyond. It has been acknowledged for some time across the UK that healthcare services are challenged like never before and we need significant change. Indeed this has been recognised in the recently published ‘Parliamentary Review of Health & Social Care’ here in Wales.

“We need to develop more proactive, resilient and better resourced local community services to support and improve people’s health and wellbeing, and avoid deterioration where possible. This will involve closer working with our partners, particularly colleagues in social care. We are also looking at ways of providing the most modern clinical practice, using the latest digital, technological, and new scientific developments, in fit for purpose facilities to provide better patient outcomes and experience.

“A number of our services are fragile and dependent on significant numbers of temporary staff, which can lead to poorer quality care. For us specifically in Hywel Dda, the geography we cover is large, with many scattered communities that are getting older, needing more holistic health and social care treatment and support. Because of this, we need to better resource our community based care, which is where most of our patient contact is, and help people manage their health conditions. We also need to evolve traditional ways of working and provide a more proactive approach. This should give patients – young, older and frail and everyone in between – the services they need when the need it, so people do not have to wait too long.

“This will mean changing hospital-based care, as well as community care, and we appreciate the attachment local people and our own staff have for their local hospitals. They have been cared for in them, or work in them, and they also play an important role in our wider communities. The options may propose change to a local hospital; however this is about more than the buildings. This is about investing in our communities, attracting doctors, nurses and therapists by operating a modern healthcare system and keeping hospitals for those who really need hospital care.

“We will not put in place any change that isn’t safe for our patients and population. And we will look at all the impacts from ensuring services are safer with better patient outcomes, to considering the wider impact on people, including the most vulnerable.”

Dr Kloer added: “The potential options are evolving, with changes to them on almost a daily basis. Many will never even reach public consultation, for a variety of reasons including safety, accessibility and affordability, or will change significantly as they are tested against population needs and healthcare standards.

“We will be coming back to the public in the spring with fewer options that have been more rigorously tested and we will open and honest about what we think our preferred option is and why. We would not, and cannot, propose something that would not be safe for our population.

“We live in this community, use our NHS and work for our NHS and we want to work with our patients, staff, partners and public to ensure it is the best it can be.”

Meanwhile, Elin Jones, Ceredigion’s Assembly Member, has called for urgency in the implementation of electronic records for NHS patients in Wales, following the publication of a report by the Wales Audit Office, ‘Informatics systems in NHS Wales’.

The report outlines several of the opportunities that electronic patient records can bring to patients and health boards, as well as the current obstacles to achieving this goal.

Elin Jones, who has long-called for a paperless NHS has welcomed the report, saying: “This is an important step in the development of health services in Wales, which is long-overdue. It would make our NHS more sustainable and more flexible to every patient’s needs.

“I have heard of many instances where patients have turned up to appointments in Llanelli, Swansea or Cardiff, only to find that their medical records have not arrived. These are people who have, in some cases, had to wait a long time for a specialist appointment, and have had to travel long distances, sometimes leaving very early in the morning or have arranged overnight accommodation in order to get to a 9 am appointment.

“Being turned away because their paper record has not arrived is a failure in the current system, and would be addressed directly by electronic records.

“The technology is available, it’s just a case of putting the funding in place.

“With the proper investment into the Welsh NHS by the Welsh Government, electronic patient records can help the NHS to deliver better outcomes for patients and to make more efficient and effective use of scarce financial and human resources.”

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Mark Drakeford says: ‘Thank you Wales for going red’

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LABOUR is staying in power in Wales after matching its best-ever Senedd election result. It won exactly half of the 60 seats in the Welsh Parliament with all results now declared

Labour has 30 seats, with the Conservatives on 16, Plaid Cymru on 13 and the Liberal Democrats one.
Mark Drakeford thanked Wales for “going red” and has vowed to be “radical” and “ambitious” in government, as Labour looks to solidify its leadership in Wales.

Labour’s Vaughan Gething, health minister in the Welsh government, told the media that the party didn’t “have to look at a formal coalition” because they had done so well.

“We do, however, have to talk to other groups within the Senedd,” he said.

Mr Gething said Labour had a “strong mandate to govern” with 30 of the Senedd’s 60 seats.

The Wales Green Party failed to win a seat in the Senedd elections but they say they recorded their highest-ever result in Wales. Leader Anthony Slaughter said the “results demonstrate the appetite for change” across Wales.

A very happy Mark Drakeford on Saturday, May 8 (Photo Welsh Labour/Twitter)

Amelia Womack, deputy leader of the Green Party, said: “We seem to be getting votes from all of the parties and support on that regional list as people increase their knowledge of the voting system.”

Adam Price, who held Carmarthen East and Dinefwr with a reduced majority, said he would not stand down as Plaid Cymru leader.

Despite no gains, Mr Price said the party had increased its share of the vote and its stance on independence had been a “net positive”.

“I’m not walking away from anything, because this is the moment when Wales needs leadership,” he said.

“This is a historic challenge, because of the way that the politics is moving in this island, but it’s also a historic opportunity for us.

On the campaign trail, Plaid leader Adam Price (Pic Plaid Cymru)

“We can move our nation forward and I’m looking forward to playing my part, it’s not something that anyone can do on their own.

“I have a role to play, we all have a role to play and that’s what’s exciting about politics at the moment. Wales is on the move Wales is on the march. I’m going to be part of that.”

Later, on social media, Adam Price said: ” I extend my congratulations to Mark Drakeford on securing a mandate to lead the next government. Although disappointed not to be returning more Members to the Senedd, I am proud that we ran a positive campaign based on a transformational programme.

“Our Senedd group will bring renewed energy and fresh ideas and I look forward to working with all my colleagues as we continue to build the case for independence. We will be a constructive but forensic opposition as we enter a crucial period of pandemic recovery.

“However, the sixth Senedd will be poorer without one of Wales’s most remarkable politicians. No one has given more to the party or to her community than Leanne Wood – an inspiring role model for so many.

“Leanne’s commitment to the Rhondda is unparalleled and I know she will continue to make an important contribution to the future of our nation and the pursuit of social justice which always has and always will drive her politics.

“Westminster’s attack on devolution is only just beginning and Wales needs a plan – that plan must focus on taking our own future into our own hands so we can build a nation that is fair and free.

TORYS CLAIM BEST RESULT EVER

The Welsh Conservatives say that they have secured the party’s best ever result in a Senedd election, winning 16 seats in the Welsh Parliament.

In a statement to the press the party said: “Today’s final election results have seen the Welsh Conservatives secure two regional list seats in both South Wales Central and South Wales East.

“Welsh Conservatives polled 289,802 votes (share up 5.0) across 40 constituencies – 26.1% of the vote – winning eight seats including gains in both the Vale of Clwyd and Brecon and Radnorshire.

“On the five regional lists, Welsh Conservatives secured 278,560 votes (share up 6.3), winning eight seats. The result will see the Senedd return its first ever female from a BAME background, with Welsh Conservatives’ Natasha Asghar making history with election in South Wales East.

Welsh Conservative Senedd leader, Andrew RT Davies with Joel Williams on election day (Pic RT Davies/Twitter)

Commenting, Welsh Conservative Senedd leader, Andrew RT Davies said: “Firstly, I’d like to say a huge thank you to our outstanding set of Welsh Conservative candidates, activists and staff who’ve worked incredibly hard throughout this campaign and secured the party’s best ever Senedd result.

“The team has gone above and beyond and deserve great credit for the positive campaign we’ve run right across Wales, and I am thrilled to see Natasha Asghar make history in South Wales East by becoming the first female from a BAME background to be elected to the Senedd.

Newly elected Conservative member of Senedd, Sam Kurtz, talking to BBC reporter Aled Scourfield (Pic J Coles/Herald)

“As a party we are also delighted to have secured constituency seats in the Vale of Clwyd and Brecon and Radnorshire, and increased seats on the regional lists, resulting in our highest ever representation in the Senedd with 16 members.

“It’s been an unconventional campaign and it’s clear incumbency and continuity has played a significant part. To that end, I would like to offer my sincere congratulations to Mark Drakeford and Welsh Labour on a successful campaign.

“The election has been fought in good spirit by political parties in Wales and I would like to pay a final word of thanks to the many officials across the country who’ve allowed this election to take place in a safe and effective manner.”

IMPACT OF PANDEMIC

Ian Price, director of CBI Wales, congratulated Labour. He said: “This is a critical time for the Welsh economy and the new parliament must have a laser-like focus on rebuilding from the devastating impact of the pandemic,” he said.
“That means all parties pulling together and working with business to protect jobs, rebuild livelihoods and create a fair and sustainable recovery that addresses the longstanding structural challenges our economy faces.”

Royal Town Planning Institute, largest professional body for town planners in the UK and Europe, commented on the election result saying: “The Welsh Labour Manifesto meets many of the issues raised by the RTPI, including tackling climate action, investing in public transport and active travel, and the delivery of quality affordable homes, including a focus on strengthening Welsh language communities.

“The manifesto commits to strengthening the autonomy and effectiveness of local government to make them more successful in delivering services. We have highlighted the need to invest in planning services to enable the delivery of Welsh Labour’s priorities.”

LABOUR “RESILIENT”

Speaking to the BBC, political commentator Prof Roger Awan-Scully said: “I think it’s been an astonishingly resilient performance by the Welsh Labour Party, amidst disasters for Labour elsewhere in the UK.

“The Conservatives are also performing strongly, but not quite bringing it home in terms of the number of constituency victories that they might have expected.

“For Plaid Cymru I think this has to be said to be a deeply disappointing election.”

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Conservatives hold on to Carmarthen West and South Pembrokeshire seat

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THE CONSERVATIVES have held on to their Carmarthen West and South Pembrokeshire seat despite Labour closing the gap.

Sam Kurtz will take over the seat from the outgoing Angela Burns who held a majority of 3,400 at the last election.

This time, the gap was just 936 to Labour’s Hassan Riaz who picked up 10,304 votes.

Plaid Cymru’s Cefin Campbell picked up 6,615 votes.

The turnout in Carmarthen West and South Pembrokeshire was slightly up to 52.12% from 51.2% in 2016.

However, with a larger electorate thanks to votes for 16/17-year-olds, the number of votes cast went up by almost 3,000.

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Paul Davies re-elected as Conservatives hold Preseli Pembrokeshire

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PAUL DAVIES has been re-elected to represent the Preseli Pembrokeshire constituency.

He won with 12,295 votes, while there were 10,895 votes for Labour’s Jackie Jones.

Plaid Cymru candidate Cris Tomos gained just over 6,000 votes and there were also 1,239 for Reform UK candidate Alan Dennison.

There were over 3000 more votes cast in 2016, down largely in part to the fact that 16 and 17 year olds were able to vote in this election.

Both the Conservatives and Labour received more votes than before while the gap to Labour closed to just 1,400.

After being elected, Paul Davies said he would continue to ‘fight for Pembrokeshire’ and thanked those who had been involved in his campaign.

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