Health
Care homes are ‘damned if they do and damned if they don’t’ allow indoor visits
A SOCIAL CARE leader says many care homes are in an “impossible position” after indoor visits by family and friends were given the go-ahead.
Mary Wimbury, the chief executive of Care Forum Wales, praised the Welsh Government for their cautious approach to the issue.
However, expectations were sky high after the easing of the rules that means that residents may be allowed one designated indoor visitor.
Ms Wimbury stressed that while indoor visits were being permitted again, beyond exceptional circumstances, care homes would need to undertake a rigorous risk assessment before judging visits could safely take place
Many care homes were “terrified” amid concerns a vaccine-resistant variant of the virus could appear at a time when health experts are convinced a third wave of the disease is inevitable.
Another problem that had emerged was the wildly fluctuating rate of second doses of the vaccine being given to people aged over 80, many of whom lived in care homes.
She said: “whilst it is excellent news that we are now able to begin the process of reopening care homes to visitors, it will be a phased approach and it is imperative that we proceed with caution.
“It will not be like pressing a button and everybody returning immediately to the normality that existed before the pandemic struck.
“We are looking forward to welcoming some sort of normality in the weeks and months ahead.
“Quite rightly, the Welsh Government has said the decision about visiting will be left to individual care homes who will carry out careful risk assessments.
“As the Welsh Government have said, in many cases it will be about preparing for the reintroduction of visiting rather than it happening straight away.
“Infection and community transmission rates still vary in different parts of Wales and the Kent variant and other mutant strains are a real cause for concern.
“What we don’t know is how effective the vaccine is against some of the newer variants of Covid, particularly with what’s going on in Brazil.
“Health experts are warning that the new strain that’s causing such devastation in Brazil could sweep across the world. It’s absolutely raging.
“As the First Minister pointed out, we are facing an inevitable third wave of coronavirus and we have to take great care to protect our residents and our staff.
“Clearly, we want to get people back together again but we need to get more data on the vaccinations.
“The rate at which people aged over 80 in Wales – many of whom are in care homes – are receiving their second doses of vaccine fluctuates wildly, depending on where you are in Wales -from 0.1 per cent in Pembrokeshire to 48.4 per cent in Torfaen.
“In North Wales, the lowest percentage of second doses for the over 80s is in Wrexham which stands at 1.4 per cent while the highest is Conwy at 21.4 per cent.
“The vaccine roll-out in Wales has hitherto been a real success story so these new figures are baffling and a cause for concern.
“Whilst the first dose will provide a good degree of immunity, it is important that people are able to have the second jab to provide better protection, particularly in the case of people aged over 80 who are more likely to be frail and therefore more vulnerable.
“We will be contacting Public Health Wales to ask for an explanation and an assurance that, if these figures are correct, there are not these extreme fluctuations in future so that the distribution is fairer and more even across Wales.
“The other factor is that care homes that have recorded positive cases during the routine weekly testing will be flagged as red and the whole home will be closed down for 20 days.
“They are often false positive results but they can still close you down for 20 days. That means no visiting.
“Anyone that thinks we’re out of the woods needs to think again because the resumption of indoor visiting must be done extremely carefully.
“We’re all doing our utmost to bring back some normality but everybody needs to understand the fluidity of the situation.
“If you have a 50-bed care home that’s full and potentially 50 relatives coming in, the home will not know if they’ve been vaccinated or who they have been mixing with.
“Everyone understand that we have come through the most hideous 12 months since the pandemic was declared and there is now light at the end of that very dark tunnel.
“Care Forum Wales wants to see family members and care home residents united again but we would certainly support care homes in adopting a cautious approach. Some of these care homes are in an impossible situation because they are damned if they do and damned if they don’t.
“In fairness though, the Welsh Government has been far more sensible than their counterparts across the border and they deserve a great deal of credit for their understanding and cautious approach. You can’t press a button and it’s all happy days.”
Health
Phone calls to reduce GP visits for 42% of patients this winter
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.”
Health
Over 1500 patients in Wales blocked from leaving hospital
THE First Minister Eluned Morgan has been pressured on her government’s failure to clear hospital beds in Wales, leading to delays for people seeking urgent medical care.
According to a report from BBC Wales, there are currently 1,600 patients across Wales waiting to be discharged from hospital compared to England where there are currently 12,000.
However, when comparing population sizes, it’s revealed that Wales is performing worse than its closest neighbour, with 0.05% of the population of Wales stuck in hospital beds compared to 0.02% in England.
The Welsh Labour government have been criticised for their failure to clear out backlogs in the system,
The Liberal Democrats have now called on the Welsh Government to provide urgent social care funding to local authorities to help alleviate pressures on the NHS in Wales.
Speaking in the Siambr on Tuesday, The Leader of the Welsh Liberal Democrats Jane Dodds MS described how over twenty years of Welsh Labour government in Wales had let to a “desperate situation in our NHS, with services nearing breaking point.
Welsh Labours refusal to change their approach and fix a system clogged up by mismanagement is directly responsible for the current situation faced by thousands of patients.
Delays in discharging patients from hospitals are placing huge pressures on both staff and those awaiting care, but there is a way out of this mess and the answer lies in social care.
I have been told by numerous professionals working in healthcare that the first step towards fixing our NHS is made by providing local authorities with the funding to fix social care services within their respected areas.
By dedicating adequate investment into our social care services, we can make life easier for patients discharged from hospital while also lifting the strain on health services throughout Wales.”
Education
Concern over ‘highest-ever’ school bullying rates
RATES of bullying in Welsh schools have reached record levels, with more than one in three children and young people reporting being bullied, the Senedd heard.
Gareth Davies raised concerns about a 6% increase in bullying between 2021 and 2023, according to a survey of more than 130,000 pupils in 200 secondary schools.
The Conservatives’ shadow mental health minister told the Senedd: “These results are higher than ever previously reported in the survey, which is deeply troubling.”
He said the latest survey showed regression on “just about every metric of pupil wellbeing”, including growing social isolation and a rise in behavioural issues.
Mr Davies, who worked in the NHS in north Wales for more than a decade, pointed to a 2021 legal duty to have regard to the mental health of children and young people.
He said: “The mental health of pupils has declined and reports of bullying in schools have only increased, so the Welsh Government have failed in that duty, unfortunately.”
Plaid Cymru’s Cefin Campbell called for an update to 2019 anti-bullying guidance for school governing bodies following a commitment from the Welsh Government eight months ago.
The shadow education secretary focused on the impact of poverty, warning the high cost of school uniforms can cause stress and lead to bullying.
Mr Campbell, a former lecturer, expressed concerns about penalties, such as detention, for pupils over non-compliance with uniform policies.
Raising a report on “horrific” experiences of racism in Welsh schools, he said one pupil was told a classmate did not want to sit next to them due to the colour of their skin.
“That’s entirely unacceptable in our schools,” said Mr Campbell.
Labour’s Carolyn Thomas warned children’s mental health is at an all-time low, pointing to smartphones and social media as major contributing factors.
She said: “They can be used to bully, manipulate and control, sending young people into an isolated world of despair, not thinking they can get out of it or go to somebody for help.”
The North Wales politician highlighted a petition calling for a ban on phones in schools.
Rhys ab Owen, an independent who represents South Wales Central, stressed that bullying can impact people for decades to come after school.
“But it’s an issue that doesn’t affect learners equally,” he said. “In Cardiff, around a third of learners come from ethnically diverse backgrounds.
“And I was staggered to read a survey from 2020, which said that 61.5% of learners had expressed stereotypes over skin colour, religion and nationality.”
In a statement on November 12 to mark anti-bullying week, Lynne Neagle accepted that bullying continues to be an issue in Welsh schools.
Pledging to prioritise the problem, Wales’ education secretary said new statutory anti-bullying guidance will be published for consultation after Christmas.
Ms Neagle pointed to concerning trends, including 42% of girls scoring high or very high in a questionnaire on psychological problems compared with 27% of boys.
She told the Senedd: “I wouldn’t want to be a teenager growing up today.”
Ms Neagle stated the Welsh Government provided more than £800,000 this year for one of the biggest surveys of children and young people in the UK.
She said: “The link between bullying and mental health is well known. At its most extreme, young people have taken their own lives as a result of being bullied. This is a tragedy for the young life lost, for their family and friends and for whole communities.”
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