Health
West Wales care homes on “war footing” because of Covid crisis
CARE HOMES in West Wales are on a “war footing” because of desperate staff shortages caused by the skyrocketing Covid infection rate.
According to Mario Kreft MBE, the chair of Care Forum Wales, the sector is facing its worst ever crisis with reports that 75 percent of staff were off work in some homes, either because they had contracted Coronavirus or they were self-isolating.
The situation is so bad that as a last resort homes were introducing “firebreaks” to temporarily restrict visiting as the highly infectious Omicron variant tore across Wales.
Domiciliary care companies were also struggling badly and were often unable to provide the usual level of care.
Mr Kreft warned that the situation was only going to get worse before things got better.
So much so, that some care homes were likely to be forced to declare an NHS-style “critical incident” because they were unable to cope.
But he feared reinforcements might not be available because statutory organisations like local health boards and councils were also short of staff.
Mr Kreft said: “The scale of the challenge is one we have never faced before. It’s really, really tough out there.
“The First Minister reminded us in 2020 that the social care sector was in a fragile state before the pandemic because of its precarious finances and the shortage of staff.
“After two year of this, the pressures have been building up and now we’re facing a completely different challenge because the Omicron strain of Covid is so prevalent and so transmissible.
“As a result, we’re seeing problems we’ve not encountered before.
“Care Forum Wales members have been reporting being down by up to 75 per cent in terms of staffing shifts. We’re on a war footing.
“The social care workforce has been heroic right through this pandemic. It’s taken a pandemic for people to realise how essential these workers are – just in the same way as the NHS and other services.
“They are rising to the challenge but it’s incredibly difficult and it’s probably going to get much worse before it gets better.
“It’s quite possible that some care homes will have to call on the statutory services. There are plans in place and we have been working with Welsh Government and our colleagues in health boards and local government.
“We may have to declare what the NHS would call a critical incident and in that case the only place you can go is the statutory agencies.
“The trouble is that we all know they are suffering like everybody else at the moment so whether there would be people available to alleviate the crisis, I don’t know.
“What we are talking about is making sure that people are as comfortable and as safe as they can be.
“This also applies to our domiciliary care workers who are facing similar challenges, so the visits to people’s homes may not be as long or as often as they might have been until we get through this.
“Nobody understands the importance of care home visiting better than those that run and work in care homes. It’s essential to people’s wellbeing and we’ve had decades of open house visiting without any appointments.
“The last two years have been incredibly challenging and I think people need to understand that safe visiting currently also requires a staffing input which makes it even more difficult if you are short of staff and don’t have the capacity to ensure safe visiting.
“I don’t think there have been any situations where people haven’t been allowed to visit for people in very extreme circumstances.
“I think what we’ll see is firebreaks or temporary pauses in terms of visiting individual care homes.
“The responsibility is clearly with the registered manager and the organisation running each setting.
“All the registered providers have legal responsibilities towards their residents and they also have responsibility for the health and safety of their own staff.
“I think what we’ll see – and we’re starting to see it already – is that visiting will be restricted for a period of days or a week or so because quite simply there will not be the staff to ensure safe visiting.
“The other added complication is that care homes are now unable to secure insurance against Covid-related claims so they really cannot afford to take any risks.
“But as soon as we ensure safe visiting again, we will revert to that. That’s what people have been doing over Christmas and New Year. All I would ask from people is understanding because it is such a difficult time.”
in the same vein, Glyn Williams, director of a Holyhead care home, told ITV Wales that better PPE could be a potential solution to transmission in homes: “We could increase the PPE measures, we could increase the level of masks that we’re all wearing, from the flimsy FSMS to FFP3, perhaps that would cut down transmission.”
Care staff currently wear standard surgical masks in homes where aerosol-generating procedures are not present.
Back in September, Labour’s Health Minister, Baroness Morgan, was told by the Welsh Conservatives that her statement on PPE did not reflect healthcare worker experience.
It came after Dr David Bailey, Chairman of the British Medical Association Cymru, told the Western Mail on 15 September that one of the reasons NHS Wales is currently under such immense pressure is “inadequate personal protection equipment”.
Dr Bailey continued: “Some doubly vaccinated healthcare workers are still having to isolate due to treating vulnerable patients and not having sufficient equipment such as higher-grade respiratory masks to stop the spread of the virus.”
Commenting, Welsh Conservative and Shadow Social Services Minister Gareth Davies MS said: “If we have care bosses saying we must choose between lockdown and better PPE, then I have no doubt everyone would choose the Labour Government providing adequate equipment to hard-working care staff rather than closing down and damaging all of society and the economy once again.
“It is sadly not the first instance where the Labour Government in Cardiff Bay have been told that current PPE supplies were not enough: a survey of doctors in May 2020 found that 67% of doctors in Wales did not feel fully protected from Covid-19 in the workplace.
“Since then, only last summer, we had the British Medical Association say that one of the reasons NHS Wales has recently experienced such immense pressure is inadequate PPE, yet we gave supplies away to other countries rather than save up to look after our own.
“We are regularly told by the Labour Government that they are handling the pandemic well, but surely, nearly two years since coronavirus struck the UK, adequate PPE should not be an issue for service providers, but an integrated part of the supply chain and a matter of course.”
Health
Wales most aware of alcohol addiction, but experts warn summer habits carry danger
MORE people in Wales recognise alcohol as addictive than anywhere else in Britain, new research has found, but health experts are warning that awareness alone may not be enough to prevent harmful drinking habits.
The findings come ahead of the busy summer period, when pubs, beer gardens, festivals, barbecues and outdoor events often lead to increased alcohol consumption.
According to YouGov data, 86% of people in Wales describe alcohol as addictive — the highest figure recorded across Britain and above the national average of 78%.
Only 14% of Welsh respondents said alcohol was either “not very addictive” or “not addictive at all”.
By comparison, London recorded the lowest level of awareness, with 69% of respondents recognising alcohol as addictive.
Health professionals say the results show that while many people understand the risks, regular drinking can still become habitual, particularly during periods of increased socialising.
Official figures suggest adults consume an average of 10.7 litres of pure alcohol per person each year, equivalent to around 21 UK units per week. That is around nine pints of beer or seven large glasses of wine, and is significantly above the recommended maximum of 14 units a week.
Nearly one in five adults are also said to drink at hazardous levels or above, with men more than twice as likely as women to fall into that category.
Dr Karen Faulkner, Associate Medical Director at Panthera Clinic, said alcohol occupied a “unique place” in British culture because it was both legal and socially encouraged.
She said: “What’s particularly interesting is that most people understand alcohol can be addictive, yet many still underestimate how easily regular drinking can become habitual. Dependence often develops gradually and doesn’t always fit the stereotypes people associate with addiction.
“During the summer months, drinking can become even more normalised through holidays, beer gardens, barbecues, festivals and sporting events.
“The challenge isn’t necessarily a lack of awareness about alcohol’s risks. It’s recognising when a socially accepted habit has crossed the line into something that’s beginning to have a negative impact on your health, wellbeing or daily life.”
Dr Faulkner said people wanting to cut back should consider planning alcohol-free days, alternating alcoholic drinks with water or soft drinks, setting limits before social events, and keeping track of their weekly intake.
She also urged people to watch for signs that alcohol may be becoming more important than intended, including finding it difficult to relax, socialise or enjoy an event without drinking.
Panthera Clinic has launched a free online Alcohol Health Calculator to help people assess how their drinking habits may be affecting their health and wellbeing.
Dr Faulkner added that low and no-alcohol alternatives had become more widely available, making it easier for people to reduce their intake while still taking part in social occasions.
Health
Welsh Government refuses to halt Withybush and Bronglais service review
Health Minister tells Paul Davies MS that decisions remain a matter for Hywel Dda University Health Board
THE WELSH GOVERNMENT has declined to intervene in controversial plans affecting services at Withybush and Bronglais hospitals, prompting fresh criticism from local Senedd Member Paul Davies.
In a letter dated June 19, Health and Care Cabinet Secretary Mabon ap Gwynfor said responsibility for planning and delivering NHS services rests with local health boards and confirmed that Hywel Dda University Health Board should continue its consultation process on proposed service changes.
The response follows concerns raised by Mr Davies on behalf of constituents in Pembrokeshire and Ceredigion over the future configuration of clinical services, including stroke care.
While acknowledging strong public concern about access to healthcare in rural communities, the Minister stopped short of offering any commitment to block or reverse the Health Board’s proposals.
Instead, he stressed that any changes must be supported by robust evidence, maintain patient safety and demonstrate improved outcomes.
The Minister wrote: “Responsibility for planning and delivering health services rests with local health boards, including decisions about how services are organised.”
He added that proposals must improve outcomes for patients, maintain safe and equitable access to care and be supported by thorough impact assessments.
Paul Davies MS described the response as disappointing.
Posting the letter on social media, he said: “This letter tells me that the Welsh Government is not going to stand in the way of the Health Board’s plans.”
He added that he would raise the issue in the Senedd chamber next week and continue pressing ministers to intervene.
The exchange comes as Hywel Dda University Health Board continues a public consultation on proposed changes to stroke services across west Wales.
The consultation, which opened on May 28, is due to run until July 26.
In his response, the Minister stated that anyone suffering a stroke should receive treatment “as quickly as possible in the most appropriate setting” and said the current model of stroke care in Wales must evolve if national standards are to be achieved.
The comments are likely to fuel concern among campaigners opposed to the proposed changes, who fear services could become increasingly centralised and further away from rural communities in Pembrokeshire and Ceredigion.


Health
Medicine shortages now ‘most severe on record’, health leaders warn
PATIENTS are facing some of the worst medicine shortages ever seen in the UK, with pharmacists warning the situation now poses a serious risk to safety.
The National Pharmacy Association said shortages affecting commonly used medicines are becoming more frequent, lasting longer, and causing increasing disruption for patients, GP surgeries and pharmacies.
The warning comes as Serious Shortage Protocols for Creon, used by people with pancreatic cancer and cystic fibrosis to help digest food, have been in place since May 2024 and have now been extended until July 10, 2026.
HRT treatment Estradot has also been under a Serious Shortage Protocol since December 2024, with the current extension also running until July 10.
Patients travelling between pharmacies
A survey by the National Pharmacy Association found that 98 per cent of pharmacies had encountered patients who had visited several pharmacies in one day to find a prescription.
It also found that 96 per cent of pharmacies believed the current situation posed a serious risk to patient safety, while 89 per cent said they had been unable to dispense a medicine at least once a day because of supply problems.
Some pharmacy teams have also faced anger and abuse from patients unable to obtain medication.
Olivier Picard, Chair of the National Pharmacy Association, said: “Medicine shortages are becoming more frequent, lasting longer and causing increasing disruption for patients.
“These shortages are some of most severe the UK has experienced.
“It is deeply distressing to find patients who have travelled from pharmacy to pharmacy to find the medicines they need without success.”
Calls for urgent taskforce
The NPA is calling on the government to convene an emergency taskforce involving manufacturers, wholesalers, clinicians and pharmacists.
It also wants changes to rules which currently stop pharmacists from making simple substitutions, such as changing a tablet to a capsule or a cream to an ointment, even where a safe alternative is available.
Professor Victoria Tzortziou Brown, President of the Royal College of GPs, said medicine shortages were frustrating for patients, GPs and pharmacists, and added pressure to already stretched services.
She said the College supported pharmacists being able to make limited changes to prescriptions where a medicine is unavailable and a safe alternative exists.
She added: “The most important thing is that patients are able to access the medication they need safely and without delay.”
The Cystic Fibrosis Trust and Pancreatic Cancer UK have also raised concerns about the impact of shortages of pancreatic enzyme replacement therapy, including Creon, on people who rely on the medication to digest food, maintain weight and stay well enough for treatment.
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