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.”
Charity
Local St John Ambulance cadets confirmed national first aid champions
ST JOHN AMBULANCE is proud to share that three local St John Ambulance cadets have been crowned National First Aid champions after competing against eight other cadet teams representing counties across Wales.
The team, comprising Emily Williams (Yr 10, Ysgol Bro Gwaun), Ruby Collins (Yr 10, Ysgol Henri Tudor), and Gemma Tilbury (Yr 11, Ysgol Henri Tudor) represented the whole of Dyfed, and demonstrated exceptional skill, teamwork, and composure throughout three demanding rounds.
The competition consisted of a first aid knowledge quiz and exam, followed by a practical skills challenge assessing communication, teamwork, and the ability to perform under pressure—an area in which they excelled. The final round featured a complex, theatrically produced first aid scenario. Here, the team showed remarkable calm and professionalism as they stabilised a casualty with a severe compound bleed involving a large object lodged in the wound. They also managed distressed and aggressive members of the public, and successfully resuscitated an unresponsive, non-breathing casualty using CPR and a defibrillator—all completed in record time.
In Pembrokeshire, cadets train every Monday evening during term time from 5:45–7:15pm, with sessions focussing on practical, hands-on learning of real-life first aid skills, including CPR, defibrillator use, treatment of severe wounds, allergic reactions, choking, strains and sprains, head injuries, heart attacks, hypothermia, and much more. Training is engaging and interactive, often involving active, game-based learning, ensuring there is rarely a dull moment.
Cadets also have the opportunity to support a wide range of events delivered by St John Ambulance Cymru. Working alongside adult volunteers and healthcare professionals, they engage with the public at events of all sizes, applying their skills in real-world, and sometimes life-saving, situations.
Beyond events, cadets are encouraged to share their knowledge within the community, helping to lead first aid demonstrations and inspire others. Previous outreach has included sessions with Scouts, Cubs, Brownies, and Girlguiding groups, as well as senior community organisations such as the Pembroke Lions and specialist charities like Pembrokeshire People First. On a larger scale, cadets played a key role in organising and delivering “Defibruary,” where they helped lead a team of St John first aiders to train over 950 students at Henri Tudor in a single day in February 2026.
If you are interested in volunteering, opportunities are available for cadets aged 11–16 and adults aged 16+. We are always keen to welcome new members and are happy to discuss opportunities for adults to support the cadet programme as youth leaders.
To find out more visit https://www.sjacymru.org.uk/volunteer
Charity
Paul Sartori receives generous support from the James Tudor Foundation
Paul Sartori Hospice at Home is celebrating a major support package from The James Tudor Foundation thanks to an unrestricted grant to help fund the charity’s vital end-of-life care services throughout the county.
The £46,364 grant award ill be paid over three years.
Commenting on the windfall, the new Chief Executive Officer, Laura Hugman, said, “At a time where funding and funding partnerships are challenging, we’re very grateful to The James Tudor Foundation in helping us achieve our aims and passion for supporting and bringing reassurance to the local families who need us.”
Paul Sartori Hospice at Home provides an holistic approach to end-of-life care, which encompasses home nursing, equipment loan, complementary therapies, bereavement and counselling support, physiotherapy, future care planning, and training. The team provides thousands of hours of day and night respite care each year, ensuring that patients can receive the support they need, complementing the statutory provision within the comfort of their own homes.
Judith Williams, Grant Development Officer at Paul Sartori Hospice at Home, expressed the charity’s gratitude: “We’re incredibly thankful to The James Tudor Foundation for their continued generosity. Their support helps us maintain our nursing service, which is a lifeline for many families facing end-of-life care challenges.”
Paul Sartori Hospice at Home offers a comprehensive range of services to individuals with life-limiting illnesses, ensuring they can be cared for at home with dignity, independence, and comfort.
Health
FOI raises fresh questions over plan to close Pontyates GP surgery
Health board accused of misleading claims over recruitment as pressure mounts ahead of final decision
A FREEDOM of Information disclosure has raised serious questions over plans to close Meddygfa’r Sarn in Pontyates, with claims the health board failed to properly attempt to recruit permanent doctors before recommending its shutdown.
The row centres on Hywel Dda University Health Board, which is due to make a final decision on the surgery’s future later this month.
An FOI response reveals that while the board cited a “lack of recruitment interest” in its January report, there is limited evidence of any recent, targeted recruitment campaign specifically aimed at the Pontyates practice.
Instead, the board confirmed that salaried GP roles were advertised in 2020 across its wider portfolio of managed practices — rather than as a focused effort to fill posts at Meddygfa’r Sarn itself. Those vacancies did not result in successful appointments.
‘No real attempt’
Independent Senedd candidate Carl Peters-Bond, who is also a patient at the surgery, has strongly criticised the health board, accusing it of presenting a misleading picture to justify closure.
He said: “They cited a lack of recruitment interest as justification for closing this surgery — but they never actually ran a proper recruitment campaign for it.
“Sending out general adverts years ago is not the same as making a serious, targeted effort to keep a vital community service alive.”
He also raised concerns about the consultation process, claiming it focused on the impact of closure rather than asking whether closure should happen at all.
Fully reliant on locums
The FOI confirms that Meddygfa’r Sarn currently has no salaried GPs and is entirely dependent on locum doctors.
While the health board says this model is unsustainable in the long term, the same disclosure shows several other managed practices across the region also rely heavily on locum staff — some to a significant degree.
Cost data included in the response suggests Meddygfa’r Sarn is not the most expensive practice per patient within the health board’s area.
Alternative options unclear
Another key issue raised by campaigners is the apparent lack of explored alternatives.
The FOI response indicates that the health board does not hold information on alternative local solutions, including potential relocation or different service models within the Pontyates area.
Campaigners argue this suggests closure was considered before all options had been properly examined.
A 52-page independent report submitted as part of the consultation process states that dispersing patients to other surgeries should only be considered as a last resort, after full recruitment efforts and capacity assessments have been carried out.
Health board position
Hywel Dda University Health Board maintains that the surgery, which serves around 4,350 patients, has faced long-standing recruitment difficulties and increasing reliance on temporary staff.
It says a Vacant Practice Panel concluded that dispersing patients to neighbouring surgeries would provide a more sustainable long-term solution.
The board has also acknowledged that transport and access concerns are likely to be a major issue for patients if the closure goes ahead, with a full Equality Impact Assessment expected to be considered before a final decision.
Decision later this month
The future of Meddygfa’r Sarn will be decided at a meeting of Hywel Dda University Health Board on Wednesday (May 28) at Yr Egin in Carmarthen.
With local anger growing and new questions emerging from the FOI disclosure, pressure is mounting on board members to reconsider the proposal.
Campaigners say the case now hinges on a simple question: whether enough was done to save the surgery before moving to close it.
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