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Health board releases advice as staff absences start to impact on care provision

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The health board have today released a statement regarding staff absences due to Covid-19, and how to access care. We publish their press release, as requested, in full:

Our staff are working tirelessly each day in the face of unparalleled pressures and challenge. They continue to go above and beyond to prioritise the care and treatment of urgent and emergency patients. We are immensely proud of the collective effort that our whole workforce continues to make. Unfortunately, we can confirm that the current wave of Covid-19 infections is beginning to have a serious negative impact, with significantly higher than usual staff absences across hospitals, community services and primary care, including GP surgeries. This means you may have to wait longer than usual, but all services continue to prioritise according to clinical need. We are asking our communities, patients, visitors and members of the public to follow the guidance below:

  • Our community pharmacists can provide some walk-in care, and treatments for common ailments, find your nearest service here: https://hduhb.nhs.wales/healthcare/services-and-teams/pharmacy/; as well as our minor injury units: https://hduhb.nhs.wales/healthcare/hospitals-and-centres/minor-injuries-units/
  • If you have a serious, life threatening emergency please continue to call 999.
  • If it’s urgent (but not an emergency), visit the NHS111 Wales symptom checker, dial 111, or seek urgent care through your GP.
  • If you have a relative or loved one in hospital who is medically fit but is waiting to be discharged, you may be able to help us by providing short term care or considering interim placements in care homes.
  • Our vaccination programmes for both COVID-19 and flu continue at an unprecedented scale and remain a key part of our defence against these viruses.  All our mass vaccination centres are now offering drop-ins for COVID-19 first, second, third and booster vaccines for those eligible – please attend for yours if you have not already. For information on eligibility and opening times, visit https://hduhb.nhs.wales/healthcare/covid-19-information/covid-19-vaccination-programme/
  • Follow Welsh Government and local guidance.
  • Work from home whenever you can if appropriate.
  • Be vigilant with good hygiene practices to avoid spreading infection in our communities.
  • Good ventilation is important if indoors and remember outdoors is safer where possible.
  • Keep a safe distance.
  • Carry out LFD self-tests particularly before going into higher risk situations, such as spending time in crowded or enclosed spaces; visiting people who are at a higher risk of severe illness from COVID-19, or travelling to other areas of Wales or the UK.
  • Lateral flow self-test kits can be obtained by ordering online for home delivery https://www.gov.uk/order-coronavirus-rapid-lateral-flow-tests or by collecting locally from most community pharmacies: Check here for participating pharmacies near you https://maps.test-and-trace.nhs.uk/ Please remember to report your test results, negative or positive, on the UK Government portal here https://www.gov.uk/report-covid19-result/ If it’s positive, don’t go out. Self-isolate and arrange for a PCR test – book here https://gov.wales/get-tested-coronavirus-covid-19 or call 119NB we are aware there is national unprecedented demand for PCR and LFT tests. At times to support distribution and remain within the capacity at the laboratories, there may be temporary pauses in ordering and you may not be able to access the tests you need from gov.uk. The Government is advising you keep checking every few hours as more PCR and LFD tests become available every day.

If you need to come into our hospitals at any time, you must:

  • Carry out a lateral flow device (LFD) test at home and have a negative result from that test prior to travelling to the hospital.
  • Wear a mask before entering the hospital;
  • Ensure you maintain a two metres distance from others;
  • Wash your hands regularly;

If you need to visit someone in hospital, please remember this must be pre-booked with the charge nurse or ward sister. More information about hospital visiting is available on our website though please note this is subject to change at short notice.

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Health

Pembrokeshire residents suffer severe health decline ‘due to landfill gases’

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A PEMBROKESHIRE couple, Mr Richard and Revd Patricia Rogers of Crud yr Awel, are experiencing severe health issues attributed to emissions from the Withyhedge Landfill, resulting in drastic lifestyle changes and severe symptoms.

Revd Rogers, who has managed asthma since childhood, reported a significant deterioration in her condition following exposure to landfill gases. Despite having controlled her asthma with minimal medication for years, she now requires intensive treatment including increased doses of Symbicort and Salbutamol Sulfate inhalers, alongside courses of steroids and antibiotics. Her symptoms have escalated to include extreme breathlessness, a hacking cough, frequent nosebleeds, continual headaches, and vertigo, culminating in a severe impact on her ability to perform daily tasks and care for her disabled daughter.

The couple’s health is closely monitored through their doctor’s surgery, and they attend the asthma clinic regularly. However, feeling powerless to directly change the situation, they have taken a stand by cancelling their council tax payments, a decision they plan to maintain until the landfill issue is resolved.

Revd Rogers has also prepared a letter to the Coroner, outlining the severity of her health issues as potentially life-threatening due to the landfill’s impact. This dramatic step underlines the gravity of their situation and their desperation for a resolution.

The Rogers’ story is not just a personal tragedy but a stark example of the broader environmental and health challenges faced by the community surrounding the Withyhedge Landfill.

They are calling for punitive measures against those responsible, including compensation for the financial impacts of their ordeal.

Their story has surfaced on the same day we reported that Natural Resources Wales is taking further enforcement action against the firm running the site.

NRW has issued site operators Resources Management UK Ltd (RML) with a further Regulation 36 Enforcement Notice which requires the operator to deliver a series of actions by specified deadlines to address ongoing smells from the landfill.

You can read more about the Enforcement Notice on the NRW website.

Outgoing Council Leader, Cllr David Simpson, said in a statement this week: “The smell from Withyhedge is having a major impact on residents and visitors. This situation has gone on too long and it is unacceptable.

“We now need to see RML act on the demands of the Notice and within the deadlines.

“The Council fully backs NRW’s stance that nothing is off the table in terms of further enforcement, including suspending the site’s environmental permit if appropriate, and we remain committed to working with NRW to ensure a long term solution to these issues.”

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Health

Paul Davies responds to St David’s Surgery news

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LOCAL Senedd Member Paul Davies has reacted to the news that St David’s surgery in North Pembrokeshire has decided to resign its General Medical Services Contract. It’s understood that for registered patients, care will continue to be provided until the end of October 2024 and patients are being advised to remain registered with the Practice while longer-term plans are developed. Patients will be invited to share their views as to how these services can continue to be delivered after the end of October.

Mr Davies said, “This is a very worrying announcement and patients in the local area will be understandably anxious about what this means for the future.”

“It’s vital that GP services can continue to be delivered in the area in the future and so Hywel Dda University Health Board must be open with patients of the Practice about their plans and address the community’s concerns. Every effort must be made to ensure that patients are able to access services in the long term.”

“I will of course, be raising this with the Welsh Government and urging the Health Minister to do everything in her power to support the Health Board and help ensure patients can access these vital services.”

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Health

Doctors to enter pay negotiations with the Welsh Government

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BMA CYMRU Wales has suspended forthcoming industrial action for Consultants and SAS doctors following a constructive meeting with the Welsh government to resolve its pay disputes.

As a result of sustained pressure, including three rounds of industrial action by junior doctors in Wales, the Welsh Government has made a significant proposal to form the basis of talks to end the pay disputes with all secondary care doctors including Consultants, SAS and Junior doctors.

Since the meeting last week, the committees representing doctors from all three branches of practice have voted to enter pay negotiations based on this proposal.

The planned 48-hour strike by Consultants and SAS doctors due to take place from 16 April will now be suspended.

Junior doctors have paused plans to announce more strike dates whilst they enter negotiations with the Welsh Government.

The Welsh junior doctors committee, Welsh SAS committee and Welsh consultants committee will now each engage in pay negotiations, with the aim of reaching deals which can be taken separately to their respective members.

Dr Oba Babs Osibodu and Dr Peter Fahey co-chairs of the BMA’s Welsh Junior doctors Committee said:

“This is a significant step forward. It is sad that we had to take industrial action to get here, but we are proud of members for demonstrating their resolve in pursuit of a fair deal for the profession.

“Whilst we are optimistic and hope to quickly resolve our dispute, we remain steadfast in achieving pay restoration. Until we reach a deal, nothing is off the table.

 “We will continue to work hard to reach an offer that is credible to put to members who will ultimately have the final say.”

Dr Stephen Kelly, chair of BMA Cymru Wales’ Consultants committee said:

“The Welsh Government’s recent efforts to reach an end to the pay dispute are encouraging and so we have called off our planned strike for now whilst we allow time and space for negotiations to take place.

“We’re hopeful that we can reach a deal that sufficiently addresses years of erosion to our pay to help retain senior doctors in Wales but remain ready to strike if we’re not able to do so during negotiations.”

Dr Ali Nazir, chair of BMA Cymru Wales’ SAS doctor committee said:

“As a committee, we felt that this latest development goes someway to understanding the strength of feeling of our members. We will work hard to reach a settlement that sufficiently meets the expectation of our colleagues who have faced real terms pay cuts of up to a third since 2008/9.”

In August last year, the BMA’s committees representing secondary care doctors in Wales voted to enter into separate trade disputes with the Welsh Government after being offered another below inflation pay uplift of just 5% for the 23/24 financial year. SAS doctors on some contracts were offered as little as 1.5%. This was the lowest pay offer any government in the UK offered and less than the DDRB, the pay review body for doctors and dentists, recommended last year.

As part of their disputes, SAS doctors, consultants and junior doctors carried out successful ballots for industrial action. Since then, junior doctors have taken part in 10 days of industrial action since January this year.

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