Health
High level of COVID-19 cases is impacting health service provision locally
HYWEL DDA Health Board has said that the high number of COVID-19 cases locally is a concern and is impacting on our public services across the Hywel Dda area. This is despite While the link between coronavirus infections and serious illness is weakening.
Public bodies have been making efforts this week to reassure that multi-agency partners are continually working together across the region to protect our communities, local public services and the NHS.
There have been 300 new coronavirus cases recorded in the Hywel Dda health board area according to the latest figures. Public Health Wales (PHW) data shows there were 199 new cases in Carmarthenshire, 63 in Pembrokeshire and 38 in Ceredigion since the last report.
The total number of cases across the three counties now stands at 26,930 – 16,620 in Carmarthenshire, 6,742 in Pembrokeshire and 3,568 in Ceredigion. One new COVID-19 related death has been recorded in the Hywel Dda area since the last report, with the total reaching 503 throughout the pandemic.
In total 2,618 new cases of coronavirus have been reported across Wales on Friday (Sept 17), bringing the national total to 320,099 cases.
Steve Moore, health board Chief Executive reported that there are 66 people in our hospitals with confirmed COVID, ten of these are in Intensive Care. He stated that about half of those in ICU have been vaccinated and added that the clinical view is that patients respond more quickly and favourably if they are vaccinated. All COVID deaths in the past few weeks have been of unvaccinated people.
Infection rates are coming down slightly but are still very high, with 506 cases per 100,000 people in Carmarthenshire (the 2nd highest level in Wales) and 293 cases per 100,000 in Pembrokeshire. There is a test positivity rate of 16% across the HB area. It is thought that cases peaked on 6th September, though the full impact of schools going back may not yet have been seen.
Hywel Dda University Health Board, Public Health Wales and Carmarthenshire, Ceredigion and Pembrokeshire local authorities together regularly monitor, review and agree actions needed to respond and manage the ongoing pandemic. This is co-ordinated through the Hywel Dda Regional Incident Management Team, established at the beginning of the pandemic, and continues to be further supported by county specific teams.
The Health Board put out a statement on Friday (Sept 17), saying: “Communicating regularly with our public across the region has been a key focus in our response to the pandemic. Currently, this has involved Community Development Outreach workers engaging with minority ethnic groups within the community”; and supporting youth services and groups in messaging to young people about how to keep safe and encourage vaccination.
“Local public sector leaders have come together to acknowledge the sacrifices people have made to keep our communities safe and to appeal to the public for support during the coming days and weeks.
Maria Battle, Chair of Hywel Dda UHB, continued: “The future does bring a degree of uncertainty, such as the roll out of the flu vaccine alongside COVID-19 booster jabs. What is certain however is the commitment of the health board and our partners to be as prepared as possible. The health board’s comprehensive recovery plan outlines, first and foremost, how we recover from the pandemic: how we support our staff to recover after what has been an exhausting year and a half, and how we lay the foundations to recover our services and support our communities.”
Temporary Chief Constable of Dyfed-Powys Police, Claire Parmenter, said: “With the uncertainties we face locally at the moment, we want everyone living, working and visiting this area to keep each other as safe as possible, so please remember the protective behaviours that will help ensure this for us all.
“We want it to be as easy as possible for people to get in touch when they need us. So save your time and report online – as you can now report non-emergency crimes and incidents online quickly and easily on our website
“This includes reports of domestic abuse, crimes, antisocial behaviour, road traffic incidents and collisions, and more. The online reporting isn’t replacing 101. But it’s important to promote the availability of our online services to those who would prefer to use this option, and it does mean we can answer calls from those who cannot contact us online quicker.
“We continue to work with our partners in a coordinated approach to serve in the best interests of our communities at this challenging time.”
Cllr Emlyn Dole, Leader of Carmarthenshire County Council, said: “Carmarthenshire currently has a very high number of COVID-19 cases and is one of the worst affected areas of Wales at the moment. This is putting huge pressure on our services and the NHS.
“This virus does not discriminate – it is affecting people young and old. I would appeal to anyone who has not yet had the vaccine to go and get it as soon as possible. We should also remain vigilant when socialising and follow the measures in place to protect us.”
Councillor Ellen ap Gwynn, Leader of Ceredigion County Council, said “Although Wales is now in Alert Level 0, COVID-19 is still spreading in our communities. We must all continue to consider how we keep each other safe and reduce the risk of spreading the coronavirus. It remains good practice to maintain social distancing and to limit our contacts as much as possible.
“We urge all Ceredigion residents aged 16 and above to ensure that they take up the offer of both doses of the COVID-19 vaccination. It’s easy to go and get the vaccine with walk-in clinics available. Having both doses will not only protect you, but also your family, friends and colleagues. We also look forward to 12-15 year-olds becoming protected through vaccination.”
David Simpson, Leader of Pembrokeshire County Council, said: “It has been easy to think we are through the worst of this pandemic, but the recent weeks have been a reminder how we must all continue to tackle this issue collectively. These past 18 months have been very tough and lockdown restrictions have changed our lives.
“In the past few weeks we have experienced a high volume of visitors to the county which can at times add additional pressures on our services.
“I cannot emphasise enough that this pandemic has not ended. Covid-19 has not gone away and we must all continue to work together and redouble our efforts, particularly as we head into autumn and winter.
“Please continue to socially distance where possible, wear face coverings where required, continue regular handwashing and choose outdoor activities or meet people outdoors over indoors.
“If you have COVID-19 symptoms, get tested. Don’t risk spreading this virus. These are simple actions that we can all take to help. They really do make a difference.
“Our front-line teams are working hard to support our communities and ensure we deliver key services. I would ask for your support to help us to keep Pembrokeshire open and welcoming to all.”
Over half a million doses of vaccine have been delivered in total with 91% of the eligible population having had at least a single dose.
A 3rd dose is soon to be offered to a well-defined group of immunocompromised people. The single dose vaccine for 12-15 year olds will be given out at Mass Vaccination Centres (MVCs) during evenings and weekends starting in early October.
From 27th September booster doses will be given with GPs delivering them to care homes, and the MVCs will be used for everyone else. GPs will be concentrating on administering flu vaccines.
Cases of RSV which can be serious in children under 5 are expected to peak in late October/early November and the HB has been asked to prepare for a 50% increase in cases.
What local Heath Board is doing?
Vaccination – Hywel Dda University Health Board, Public Health Wales and Carmarthenshire, Ceredigion and Pembrokeshire local authorities together regularly monitor, review and agree actions needed to respond and manage the ongoing pandemic. This is co-ordinated through the Hywel Dda Regional Incident Management Team, established at the beginning of the pandemic, and continues to be further supported by county specific teams.
Health care – Board says it has taken steps to ensure it can care for those most critically ill in our hospitals by postponing some operations temporarily and realigning our workforce; has further limited visiting in areas affected by COVID-19.
Supporting communities – through the local county incident management teams (IMTs), local authorities are providing guidance and support to schools following the recent return of pupils.
Health
Pressure remains high across NHS in Wales say NHS Confederation
A WELSH NHS Confederation spokesperson has highlighted the immense pressure currently facing health and social care services in Wales due to a combination of factors, including winter viruses, staff sickness, cold weather, and an influx of severely ill patients.
Significant Challenges Across Services
Rising cases of flu and respiratory illnesses are significantly impacting NHS services, including GPs, urgent, and emergency care. Hospitals are opening surge bed capacity where possible and temporarily increasing staffing levels in community services to cope with demand. Many health boards have reinstated stricter infection prevention measures, such as mask-wearing in hospitals, and are asking unwell visitors to stay home to protect patients and staff.
High Levels of Escalation and Delays
Hospitals across Wales are operating at critical levels, resulting in long waits for care, including ambulance handover delays. Health boards are grappling with the difficult decision to postpone non-urgent treatments and surgeries, further straining efforts to reduce waiting lists. High levels of community infections, including flu, COVID-19, RSV, and norovirus, are exacerbating the situation by causing bed closures and ward cleaning to prevent the spread of illnesses. One health board, for example, has approximately 100 beds closed due to flu.
Discharge Delays Impacting Patient Flow
A persistent issue is the significant number of medically fit patients remaining in hospitals while awaiting care and support at home. This bottleneck affects the flow of patients through the system. Health boards are working closely with local authorities to expedite discharges and free up beds for those requiring hospital care.
Appeal to the Public
Healthcare staff are working tirelessly under incredibly challenging conditions. The Welsh NHS Confederation has urged the public to treat health and care staff with respect and to take steps to help alleviate pressure on the NHS:
- Take precautions in icy weather to prevent falls, particularly among the elderly.
- Ensure prescription medicines and first aid supplies are stocked.
- Check on vulnerable loved ones and practice good hand hygiene.
- Seek vaccinations for flu, COVID-19, and RSV to protect against severe illness.
- Use NHS 111 online for advice and minor ailments, and visit pharmacies or Minor Injury Units where appropriate.
“Staff are doing everything they can to provide care in these extremely difficult circumstances,” the spokesperson said. “We all have a role in ensuring NHS resources are available for those who need them most.”
For more information, visit the NHS 111 website or contact your local pharmacy for support with minor health concerns.
Health
Local nurse awarded by The Queen’s Nursing Institute
MEGAN WARE, a Learning Disability Children’s Community Nurse in Hywel Dda University Health Board, was recently awarded the ‘Dame Elizabeth Fradd Memorial Prize for Outstanding Achievement’ by the Queen’s Nursing Institute.
This prestigious award was presented to Megan in recognition of her hard work and achievements across Carmarthenshire, Ceredigion, and Pembrokeshire.
Megan was nominated by one of her lecturers in the University of South Wales. There were many reasons that helped influence her nomination for this award. She has enthusiastically embraced the opportunity to gain experience, develop and achieve. She helped with teaching year one community children’s nursing students in the Specialist Practitioner Qualification (SPQ), sharing her own learning from her clinical practice.
Her innovation and encouragement have inspired others to feel confident within their future specialist practice and she has excelled clinically, achieving all the elements of the course to a high standard.
Megan said: “I have always been passionate about making a positive difference to people’s lives and I feel so privileged to be in the position I am as a nurse working with children with learning disabilities and complex needs. I was completely shocked to have won this award but feel proud at the fact that I have been recognised for my work and efforts in completing the course.”
Megan is also the first learning disability nurse in Wales working within a community children’s nursing team to complete her SPQ in children’s community nursing. The course prepares nurses to become a specialist practitioner following the Nursing and Midwifery Council’s standards of proficiency for community nursing specialist practice qualifications. The skills taught involve health education and health promotion, how to improve quality in healthcare settings, leadership, and management and more.
Sharon Daniel, Interim Executive Director of Nursing, Quality and Patient Experience at the health board praised Megan’s achievement, saying: “I am proud of Megan for obtaining this award and for being the first learning disability nurse to study for the Specialist Practitioner Qualification in Wales. It is testament to all her hard work and commitment to extending her knowledge as a nurse working with and benefiting children in our community.”
Megan plans on finishing her dissertation and completing her Masters degree, which will help further her career.
This annual award is for the most outstanding student in the Specialist Practice Qualification in community children’s nursing across universities in Wales, England, and Northern Ireland. The Dame Elizabeth Fradd Memorial Prize was established in 2024 to honour the legacy of Dame Elizabeth Fradd, a Fellow of the Queen’s Nursing Institute and a distinguished children’s nurse.
Health
Pressures remain high despite the end of ambulance ‘critical incident’
AMBULANCE service pressures remain high despite the end of a 48-hour critical incident declared by the Welsh Ambulance Service.
The incident, triggered by overwhelming demand and a backlog of 340 emergency calls on Monday, was formally stood down after significant strain on resources.
Judith Bryce, assistant director of operations, said: “While the critical incident is behind us, significant pressures remain, and it’s really important that the public play their part to protect our precious resources for those who need them most.”
Ambulance chiefs have urged the public to use the service responsibly, advising people to only dial 999 in life-threatening emergencies and consider alternatives such as NHS 111 Wales symptom checkers, pharmacists, minor injuries units, or GPs.
“For anyone under the weather after New Year’s Eve celebrations, consider what you can do at home to self-care, including for common ailments like coughs, sore throats, and diarrhoea,” Ms Bryce added.
She also warned the public to take extra care while yellow weather warnings for heavy rain and high winds remain in place, highlighting the risk of accidents on the road and injuries from slips, trips, and falls.
The pressures extended beyond the ambulance service, with health boards including Cwm Taf Morgannwg, Hywel Dda, Aneurin Bevan, and Cardiff and Vale reporting increased demand. These boards introduced mask-wearing measures last week due to rising flu cases.
Jason Killens, chief executive of the ambulance service, described the critical situation as “very rare” and stressed the importance of using emergency services wisely.
This is not the first time a critical incident has been declared during winter pressures. In December 2020, south Wales experienced a similar crisis, while an extraordinary incident was declared in 2023 after an ambulance waited over 28 hours outside a hospital.
The Welsh government acknowledged the ongoing pressures on urgent and emergency care services and urged the public to carefully consider their options before seeking care.
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