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West Wales care homes on “war footing” because of Covid crisis

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Pendine Academy of Social Care. Mario Kreft MBE at the launch in Wrexham.

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.”

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Health

Hay fever warning – Tree pollen on the rise across Wales

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POLLEN experts are warning that the next few days could be significant for those who suffer from hay-fever.

“The first medium pollen counts of the season are forecast across Wales over the next 5 days,” says airborne allergens expert Max Wiseberg, “and many hay fever sufferers start to experience symptoms when the count reaches this level. The main culprit at this time is birch pollen, the pollen most tree pollen allergy sufferers are allergic to. So now is the time for hay fever sufferers to prepare for the season ahead.”

“Birch is arguably the most problematic tree of them all for hay fever sufferers,” continues Max. “In the same family as alder and hazel trees, the birch is the worst of the bunch for the 25% of UK hay fever sufferers who are allergic to tree pollen. The peak of the birch pollen season can run throughout April to mid May.”

“So now is the time to start preparing for the season ahead. If you are already starting to experience hay fever symptoms or want to avoid them being triggered, start to apply an allergen barrier balmsuch as HayMax, which works by trapping pollen before it enters the body and starts to work straight away. If you use antihistamines, many manufacturers recommend starting a month before your season starts, so if you haven’t started already, now is the time. And it’s the same with nasal sprays; they need several days to build up to their maximum protective effect and some makers advise starting using them one month before your hay fever season begins.”

“If your symptoms are particularly bad on a given day, or you find that nothing really works, or the remedy you use stops working, try combining products for a greater effect, in other words create your own ‘Hay Fever First Aid Kit’, a combination of products which can be complementary to one another. My recommendation would be an allergen barrier balm to trap the pollen, one (and only one) antihistamine to combat the overproduction of histamines, one (and only one) steroid nasal spray, as the nasal area is where the pollen enters and is most affected, plus one or more drug-free or natural products.”

“There are several practical things you can do to reduce the effects of pollen:

  • When you’re outdoors wear wraparound sunglasses to stop pollen getting in your eyes. Apply an allergen barrier balm to help prevent pollen getting up your nose. And wear a cap or other head cover and tie up long hair to stop pollen getting trapped in your hair,
  • When you return home, take off your shoes at the front or back door so you don’t bring pollen indoors with you, Washing your face, changing your clothes and having a shower will all help by removing pollen from your hair and body.
  • Keep pollen out of your home. Keep doors and windows closed. Dust and vacuum regularly, including fabrics and upholstery, to remove pollen. Damp dusting will help stop pollen being dispersed back into the air. If you have a pet, keep it well groomed and washed regularly, to remove pollen from its fur and keep it out of the room in which you sleep.”

“There is currently no cure for hay fever – they’ve been working on it for years – but until there is there are many products – both natural and conventional – and lifestyle changes you can try. Check out my website www. https://haymax.biz/hay-fever/ for more ideas. Good luck!”

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Health

RCN’s three urgent steps to rescue Welsh NHS sent to First Minister

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HELEN WHYLEY, Director of the Royal College of Nursing (RCN) Wales, has written to the First Minister calling for immediate action in three key areas to protect patients and secure the future of nursing in Wales.

The RCN first urges Vaughan Gething to deliver on promises in the Welsh government’s 2023/24 pay offer – prioritising patient safety by ensuring there are enough nursing staff to deliver safe and effective care. Second, the organisation warns him to responsibly introduce registered nursing associates to Wales. The letter ends by asking him to strategically invest in the education of nurses at all career stages, to meet future health care demands.

Promises in the 2023/24 pay offer included action on patients being cared for in inappropriate places (so-called “corridor care”), better access to flexible working, a 36-hour week, and more.

Helen Whyley said: “Now is the time for the First Minister to refresh his public commitment to safe and effective care. That would go a long way towards assuring nursing staff that his government will address the extreme pressures they are under.

“What’s critical is that the First Minister keeps nurses nursing in the NHS. That’s why he must make sure the Welsh government keeps every promise it made to our members last year to end industrial action. Those important promises could make a real difference to nurses and to their patients. That’s why our members accepted them in good faith – but half a year later, they have yet to feel a difference.

“New nursing roles are fantastic, but patients need to understand what that means for them – and, crucially, they need to be funded properly. Any risk to patient safety from registered nurses being inappropriately replaced is completely unacceptable. And this can’t become a distraction from getting the basics right, either. A national strategy for commissioning nursing education, all the way from student to advanced and consultant level, would be a fitting ambition for a new First Minister with a commitment to improving health.”

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Health

Brain Injury Group Donates £3,000 to local services

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THE SOUTH WEST WALES BRAIN INJURY GROUP (SWWBIG) has announced donations to two local health boards, giving £1,000 each to Neath Port Talbot Neuro Rehabilitation Unit and the Community Brain Injury Services at Swansea Bay and Hywel Dda University Health Boards.

This funding boost for the health boards comes from the profits earned at the SWWBIG conferences in 2022 and 2023, which were organised and sponsored by JCP Solicitors and co-sponsored by Fieldbay (part of the ivolve Care & Support group).  

The conferences, which have taken place annually since 2011, provide an opportunity for individuals and families affected by brain injury, as well as healthcare professionals, charities, students and researchers across South West Wales to come together and explore the critical stages of survival and recovery. 

The 2022 and 2023 conferences each welcomed around 200 attendees and raised £3,000 in excess funds. The committee, made up of healthcare workers and practitioners in the field of brain injury, voted to donate to the brain injury services in their local health boards, ensuring that the funds can be used to assist the brain injury community in South West Wales in the best way possible. 

Suzanna Charles, Chair of SWWBIG said: “The South West Wales Brain Injury Conferences are always a huge success, as we are able to facilitate important conversations for professionals working in the field and offer support.

“What is more, the conferences raise vital funds which will go towards providing ongoing rehabilitation for those affected by brain injury. We are proud to provide this additional funding which will have a direct, positive impact on brain injury survivors in our local area. 

“The journey through rehabilitation is different for everyone, and it is so important to have a supportive network of healthcare professionals and experts to guide patients while listening to their individual needs.”

The main objective of the South West Wales Brain Injury Group is to provide a forum for individuals with an interest in acquired brain injury, to educate and encourage development and dissemination of good practice. For more information on SWWBIG or to register your interest to attend the conference in 2024, please visit www.swwbig.co.uk.   

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