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
RCN Wales appoints Nicola Williams as Executive Director
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.
Health
Decision pending on adult mental health referral pathway
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
Health
Parents urged to check children’s vaccinations after meningitis cases
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.

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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