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NHS increasing its focus on quality and safety

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THE NHS is taking significant steps towards ensuring better quality of care and improved measures of safety – that was the main message from NHS Wales Chief Executive David Sissling as he published his second annual report.
Achievements during 2012/13 include:
publication of new data on hospital mortality and hospital infection rates, helping to provide more transparent information to the public and drive up standards across the NHS;
all seven Welsh Local Health Boards and three Trusts now publishing Annual Quality Statements to report to the public on progress with the quality and standard of the services they provide;
a new dedicated website for patient safety providing information on how well each NHS Wales organisation is doing with implementing over 70 measures (safety solutions) designed to improve safety and quality of care; current data shows the NHS is doing well with 100 per cent compliance in many areas;
continuation of the 1000 Lives Plus quality programme, including introduction of a new system to alert staff if a patient’s health is deteriorating and prevent deaths from sepsis;
continued progress in reducing healthcare associated infections over the last year, including a 10 per cent reduction in C.difficile infections and19 per cent in MRSA infections;
continued improvements in reducing admissions related to coronary heart disease (-5.5 per cent), and diabetes (-3.5 per cent);
high satisfaction levels with NHS services – 84 per cent satisfaction with treatment in A&E departments and 92 per cent satisfaction with care by a GP
the fastest rate of improvement since 1993 across the UK for cancer survival rates; and
delivering financial balance.
In his second annual report, David Sissling described the year as being “defined by three issues”.
He said: “Firstly, our response here in Wales to the Francis report has meant an assessment of the safety and quality of our services and the introduction of measures in response.
“NHS Wales is the envy of much of the UK in terms of its focus on quality and safety. We are introducing more mechanisms to detect risks or problems before they occur, publishing more performance data to be more transparent to patients and drive improvement across the service, and also continuing to pioneer innovative programmes on raising quality of care.
“Secondly, throughout Wales our Health Boards have gone to public consultation regarding proposed changes in service delivery models. Some of the proposals represent a significant adjustment to much cherished local services, and that is why an effective and thorough process of engagement with our staff and the public has been so important. But one thing is clear and that is that changes have to be made to ensure our services are sustainable and able to respond to the many challenges faced by healthcare across Wales.
“Finally, the pressures experienced by the NHS in Wales during the winter period saw an unprecedented demand on our urgent and emergency care services and meant the re-direction of resources towards the increased demand. This in turn, of course, led to pressures on other parts of the service. We have been able to learn from these experiences and we are now planning for the rest of 2013 and the next three years.
“Reducing emergency and general hospital admissions is therefore a priority. The number of emergency and general admissions and readmissions has an effect on a hospital’s ability to deliver its non-urgent surgery, as resources are taken up in caring for the unplanned admissions. The trend during the previous years continued with fewer admissions related to coronary heart disease and diabetes, and fewer readmissions related to both coronary heart disease and chronic obstructive pulmonary disease.”
David Sissling added: “This has been a challenging year indeed, but I must pay tribute to all the hard work of NHS staff in the face of all that they have been required to do. Their dedication and commitment is exceptional and I am grateful to them and to the many volunteers whose invaluable contributions are often unseen.
“I want the NHS in Wales to be on an upward curve in terms of continual improvement in the services it delivers. There will be more challenges to come but if we continue to put our aim for first class patient care at the centre of our day-to-day plans, side by side with the committed and dedicated NHS workforce that we have in place, then we will get ever closer to the type of healthcare that we would all wish to see and experience here in Wales.”

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New 45-metre wind turbine set to be built near Fishguard

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A CALL to replace a Pembrokeshire community wind turbine which has raised more than £76,000 for local groups with a larger one has been backed despite a recommendation to refuse.

In an application before Pembrokeshire County Council’s planning committee meeting of January 14, Abergwaun Community Turbine Ltd, through agent Machynlleth-based Dulas Ltd sought permission for a larger turbine to replace the existing Abergwaun Community Turbine.

The proposed turbine, in a pasture field at Trebover Farm, to the south of Fishguard, would be 67m tall, the existing 2015 one being 45 metres.

In supporting statements, parent company Transition Bro Gwaun said: “The Community Climate Fund (CCF) is the mechanism by which Transition Bro Gwaun (TBG) is fulfilling our ambition of funding projects in Fishguard, Goodwick and across North Pembrokeshire, using income from the community wind turbine.

“The core themes for grants are climate change mitigation and adaptation, enhancement of biodiversity and improvements to community resilience through promotion of community engagement and resource sharing.”

Profit generated by sale of electricity from the turbine is split 50:50 between TBG and Parcy-Morfa Farms Ltd through the jointly-owned trading arm, Abergwaun Community Turbine, with community grants awarded through TBG’s Community Climate Fund, amounting to £76,036 to date.

2024 awards of £20,917 were made to six projects, including Theatr Gwaun, Parc Cerrig Growers, Caerhys Organic Community Agriculture, and Nevern Valley Veg.

The scheme was recommended for refusal on the grounds including “significant detrimental visual impact” on the area, “including areas of high sensitivity in the Pembrokeshire Coast National Park and in Fishguard,” on the Conservation Areas of Goodwick, Fishguard and Lower Town, Fishguard.

At the January meeting, local member Cllr Jordan Ryan made a call for the scheme to be approved against officer recommendations: “I think it’s a good application, I think it’s good for Pembrokeshire; a single wind turbine isn’t going to affect people in the area too greatly.”

He was backed by Cllr Alistair Cameron, who said he supported the scheme due to “the need to tackle climate change and the economic benefit to the area,” adding: “We have to accept some visual consequences from that, that’s the reality we are in.”

Another in support was Cllr John T Davies, himself the owner of a windfarm scheme, who pointed out the existing turbine was granted on appeal, with any refusal of the latest scheme potentially being overturned by a planning inspector.

The committee’s unanimous backing of the proposal takes the form of a ‘minded to’ support, meaning the proposal will return after a ‘cooling-off’ period to a future meeting as it is against an officer recommendation, and, if supported a second time, will ultimately have to be decided by full council at a later date.

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Landslides close section of Pembrokeshire coastal path once again

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A SECTION of a south Pembrokeshire beach-side coastal path has been closed once again after a number of landslips in the last week.

The fall happened towards the western end of the Wisemans Bridge to Coppet Hall cycleway, between the Coppet Hall and Wisemans Bridge tunnels, and affects access between Wisemans Bridge and Coppet Hall beach.

The top path remains open.

Pembrokeshire County Council’s geotechnical advisor has recommended that the path be closed until a remedial solution can be implemented.

Previous works on the landslide-hit coast path. Picture: Gareth Davies Photography. (Image: Gareth Davies Photography)

A council spokesperson said: “Given that we are in the middle of winter, there are a number of triggers that could reactivate the partially failed sections of the rock mass, such as frost and heavy rain in the short term – and the likelihood of rock fall reaching the path is high.

“The Authority has engaged a specialist to assess the cliff face where a detailed survey of the slope will be undertaken to determine the nature and depth of the rock fall. This will allow the design of remedial works, which could include removal and regrade of the rock fall, plus the installation of a catch fence.

“A review into the rock fall and necessary remediation work, which is subject to affordability, will now be evaluated. This is likely to take a number of months.”

The coastal path, known as the Tramway, was previously closed after it experienced ‘substantial rock falls’ in late 2023 and early 2024

Last March Pembrokeshire County Council’s Cabinet backed works expected to cost some £600,000, with a hoped-for finish date of the start of the summer holidays.

Reopening was delayed until early August “as a consequence of additional works required, including the occurrence of another landslip along the path,” with additional remedial works needed.

During last year’s works, local councillor Chris Williams hit out at “selfish” path users putting others at risk by repeatedly cutting open safety barriers and fencing while the repair works were being undertaken.

Barriers and warning signs were put in place at the entrance to the ‘short tunnel’ – the first of the two which lead from Coppet Hall to Wisemans Bridge, along with fencing on the Wisemans side.

But because the signs have been ignored by some people, along with damage caused, a gate was put in place on the Coppet Hall side.

Fencing on the opposite side was also targeted, with a hole cut through.

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Education

New resource to support Welsh medium pupils

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EDUCATION researchers have published a special booklet to support pupils in Welsh medium schools from homes where the language is not spoken.

Entitled Partner, Promote and Provide, the booklet was co-created in workshops led by Aberystwyth University which brought together education partners from Ceredigion and Powys, with input from parents and pupils.

It builds on a series of research studies by the School of Education which began during the Covid-19 lockdowns in 2020 and which explored the impact of the pandemic on pupils along with the additional challenges facing Welsh-medium schools in extending support to children from non-Welsh-speaking homes.

Dr Siân Lloyd-Williams Director of Research at Aberystwyth University’s School of Education, said:

“Based on the studies we carried out between 2020 and 2024, it was clear we needed to continue the work so that we could evaluate, identify and measure the impact of our recommendations on supporting non-Welsh speaking families.

“We set out to organise a series of workshops, bringing together representatives from the local education authorities, teachers, parents and others to hear their experiences and gather evidence. As a result, we have co-created a special booklet that teachers can use to support pupils from non-Welsh-speaking homes who attend Welsh medium schools.”

Another member of the research team at Aberystwyth School of Education, Dr Rhodri Aled Evans, said:

“This is an example of effective and purposeful collaboration between academics and practitioners on the ground. We hope this booklet, together with the recommendations of our previous studies, will be a valuable resource for the education sector and beneficial for teachers, pupils and families alike.”

The Director of Education for Ceredigion County Council, Elen James, said:

“It has been extremely valuable to collaborate with the University’s researchers to create dedicated resources that offer practical help on how to further improve the experiences of Welsh-medium pupils from non-Welsh speaking homes. This work is important and an excellent starting point for further collaboration. We look forward to developing the project further in the future.”

The Partner, Promote and Provide booklet was launched at a training event for teachers held at the University on 16 January 2025 and can be downloaded from the University’s website as a PDF or hard copies can be sent on request.

Pictured: L to R: Susan Ferguson (Research Impact and Knowledge Officer, Aberystwyth University), Prysor Davies (Interim Head of the School of Education, Aberystwyth University), Dr Rhodri Evans (Lecturer in Education, Aberystwyth University), Rhiannon Salisbury (teacher), Alwyn Ward (Ceredigion County Council)

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