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Health Board takes actions to protect healthcare for the most critically ill

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HEALTH and care services across West Wales are responding to the impacts of the Omicron variant of COVID-19 in order to provide emergency and urgent care for patients in the safest way possible during the coming weeks.

Hywel Dda University Health Board is taking a number of actions today, and appealing for the continued support of our staff and communities to keep Hywel Dda safe as we face this new phase of the pandemic.

Actions are being taken in a planned way due to the high demand we are seeing for non-COVID care during this time of the year, together with high incidence of COVID-19 in our area, like the rest of the UK.

This is starting to result in higher numbers of COVID admissions and incidences in our hospitals and communities.  

It is also having a direct impact on our staffing levels across primary care, community and hospital services.  We currently estimate that at least 10 per cent of our workforce is absent for both COVID and non-COVID related reasons.  This figure is higher in some teams and we expect it to rise in the coming weeks. We need to plan how we deliver the most critical clinical services with the staff we have available. 

Actions being taken include:

  • The health board is providing and reminding staff of the services available to them internally to support them at this difficult time. It is standing down some less urgent work in order to redeploy staff where possible.
  • To maintain delivery of the most urgent cancer surgery in the short term, this will be undertaken for the Hywel Dda population from Prince Philip Hospital, in Llanelli, with the exception of Head and Neck urgent cancer surgery, which will continue at Glangwili General Hospital, in Carmarthen.. Our clinicians believe that concentrating the majority of our urgent care resources onto one site during the next few weeks is the best way to protect the delivery of this potentially life-saving surgery. This position will be continually reviewed and we will seek to re-establish urgent cancer surgery at our other main hospitals as soon as we can do so safely. We ask patients and families to support us and travel for their surgery. If you have no means to travel for your surgery, then please contact us on our COVID enquiries line on  0300 303 8322 or email [email protected] 
  • Outpatient & therapy appointments and clinics will be prioritised for the most urgent patients over the next few weeks. With the exception of a small number of emergency cases and some children’s appointments, we will reschedule outpatient appointments next week.  Patients will be re-booked according to clinical urgency in subsequent weeks. Unless you are contacted directly by the health board, please attend any appointment as scheduled. If anyone has concerns about the delay in their outpatient appointment, as a result of this short term measure, they can contact the health board on 0300 303 8322 or email [email protected] 

Director of Operations Andrew Carruthers said: “The whole of the UK is facing challenge from Omicron and the indirect impact on staffing. This is affecting us in Hywel Dda UHB across all our services whether in the community, primary care or hospitals, but to different degrees and is a very fluid situation. To ensure the delivery of care for the most critically unwell, and to ensure we protect the ability of our staff to provide this care, we have put in place actions that will provide some extra capacity. We apologise to anyone affected adversely by these actions and it remains our ambition, always, to re-establish our planned care services as soon as we are able to, knowing the impact this has on people’s lives.”

Director of Nursing, Quality and Patient Experience Mandy Rayani added: “We are so grateful to our staff who continue to work in difficult circumstances, always driven by the desire to provide the best care possible to our population. We are asking our staff to be vigilant about the behaviours we know reduce transmission of COVID-19 at work and at home; and our public can also play a significant role in supporting the NHS and each other by also adhering to these principles. Unfortunately we are seeing more abuse targeted at our staff and we will not tolerate this. Health and care staff – from the clinicians to the support teams and call handlers in primary, community and hospital teams – provide a service to help our patients and communities and they should never be the victims of abuse, physical or verbal. Please help us to help you.”

Steps you can take to protect more lives, our NHS and each other include:

  • Get your full course of vaccination https://hduhb.nhs.wales/healthcare/covid-19-information/covid-19-vaccination-programme/
  • Follow Welsh Government guidance on self-isolation and testing, including carrying out regular LFDs (health and care staff have specific and different guidance internally)
  • Wear face coverings, or if asked in a health setting, a surgical face mask
  • Keep a 2meter distance from others when you can
  • Wash hands regularly and be ready to be asked by a healthcare professional to wash hands or sanitise whether in hospital or your own home
  • Do not accompany people to hospital, GP surgery, or another setting unless they are vulnerable and need your assistance
  • Please be aware that your GP surgery may offer you appointments in different ways where appropriate, such as over the telephone or online. Please allow extra time when ordering prescriptions during this busy time. Community pharmacies are also extremely busy so you may need to wait longer than usual.
  • Pre-arrange hospital visiting with the ward sister and be understanding if it is not possible at this time due to safety

The health board continues to work closely with others including the Welsh Ambulance Service NHS Trust, local authorities and other partners to work together in these challenging times.

If you or a loved one is unwell, remember:

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.

Crime

Youths failed to stop, then crashed into Milford Haven home

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POLICE in Milford Haven have arrested two male youths following a fail-to-stop incident that ended with their car crashing into a residential property on Hamilton Terrace.

The incident occurred at 10:50pm on Friday (Dec 27). According to officers, a black Mercedes failed to stop on North Road before speeding along The Rath and turning back onto Hamilton Terrace. As the car continued down the road, it was met by a second police vehicle approaching from the opposite direction.

In an attempt to avoid the oncoming police car and another pursuing from behind, the vehicle tried to drive up Francis Street against the one-way system. However, it failed to make the turn and crashed into a residential property.

The occupants then fled on foot, with one officer pursuing on foot and another driving against the one-way system towards The Trafalgar Public House.

The property sustained damage to a wall, and the vehicle was left undrivable and is now being recovered. Fortunately, no injuries were reported during the incident.

The police were seen searching the crashed vehicle, and took several paper bags full of potential evidence from the scene.

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Community

Milford Haven mum gives birth to triplets amid medical emergency

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PREGNANCY is often a challenging experience, but for Ellie Davies from Milford Haven, it became even more stressful when she found herself facing a 140-mile round trip away from home during labour.

Ellie was initially admitted to Carmarthen’s Glangwili Hospital with pre-eclampsia, a condition causing dangerously high blood pressure. However, due to a lack of available neonatal intensive care unit (NICU) beds, staff arranged her transfer to Singleton Hospital in Swansea, nearly 30 miles away. Thankfully, accommodation was also provided onsite for her fiancé, Craig Butland.

RENAL FAILURE COMPLICATIONS
Ellie explained: “I had pre-eclampsia and was taken to Glangwili. My blood pressure was going up and down, and they had to ring around hospitals with a NICU to see if they had any spare beds – Singleton was the only one with space.”

On November 12, Ellie was transferred to Swansea, where she remained on the antenatal ward. However, her condition worsened. “On Sunday 17, my kidneys became affected by the pre-eclampsia, and I was going into renal failure,” she said.

In the early hours of Monday, November 18, Ellie underwent an emergency C-section, delivering triplets Mia, Isla, and Elsie two months prematurely.

BRIEF FIRST MEETING
“I only met Isla, the middle triplet, for around two minutes before she was taken to neonatal to be with her sisters,” Ellie shared.

Mia was born weighing 2lb 9oz, Isla at 2lb 10oz, and Elsie at 2lb 8oz. All three girls initially required breathing support and spent nine days in the NICU. Now, over three pounds each, they are receiving care at Glangwili’s special care unit and are reportedly “doing really well.”

SUPPORT FROM NHS STAFF
Reflecting on their experience, Ellie praised the hospital staff: “The midwives Louise and Emily were amazing, answering every question we had and supporting us through everything. Dr Sree Nittur, who was there during the delivery, followed up daily. The neonatal nurses were absolutely fantastic, and we can’t thank them enough for their care and dedication.”

A PLACE TO STAY
For Craig, the availability of accommodation at Cwtsh Clos, a row of five houses on the Singleton Hospital site, was a significant relief. Without it, he would have faced daily commutes between Milford Haven and Swansea.

“Craig spent a week in Cwtsh Clos, and I joined him for the final night,” Ellie said. “It was a huge help having Craig so close. It’s one problem you don’t have to think about, and it gives you a space to gather your thoughts.”

The couple is now supporting Swansea Bay Health Charity’s Cwtsh Clos appeal, which aims to raise £160,000 to refurbish the homes for future families in similar situations.

‘TRIPLETS ARE A RARITY’
Lisa Harris, interim matron for neonatal services, said: “We are delighted to hear the girls are doing well. Cwtsh Clos allows parents to stay close to their babies, which is so important during such critical times.”

NICU consultant Kate Burke added: “Triplets are a rarity for us. We serve families across south central and south west Wales, and often, we’re the unit they turn to when pregnancies are more complicated. It’s wonderful to see families like Ellie and Craig’s returning home with their babies healthy and thriving.”

The family recently celebrated their first Christmas together with Mia, Isla, and Elsie, expressing heartfelt gratitude to all who supported them through their journey.

Support the Cwtsh Clos Appeal: Donations can be made via the Swansea Bay Health Charity website.

(Pic: Swansea Bay University Health Board)

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News

Christmas Eve sign-off for Pembrokeshire over-55s housing scheme

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THE FINAL sign-off for a scheme to build 24 affordable homes for the over-55s at the “eyesore” site of the former Motor World building in Milford Haven has been given the go-ahead.

W B Griffiths & Sons Ltd, on behalf of Pembrokeshire County Council, in an application before the council’s November planning committee, was given approval for the construction of a new residential redevelopment of 24 affordable apartments for over-55s at 70A-80A Charles Street.

It is planned to build 21 one-bed apartments and three two-bed apartments, along with associated works.

How the building looked before it was demolished

The former Motor World site, previously described as an “eyesore,” was cleared in 2018 to enable redevelopment, with planning permission granted on the site for the development of 15 affordable apartments for over-55s in 2020 but the previous contractor was put into administration under what was described as, ‘significant financial stress’.

The application, submitted through agent DPP Planning, followed a public consultation earlier this year.

At the November meeting, approval was proposed by Cllr Alistair Cameron, seconded by committee chair Cllr Simon Hancock, who said: “We need to achieve regeneration of our town centres by repopulating them, and they will be much more sustainable in the future.”

He was supported by Cllr Mark Carter, who said: “I like developments like these; I think this is the way forward for communities, we’ve got a site here that as far back as I’ve been a councillor has attracted questions about when it will be built.”

A sticking point for the application was it was subject to a Welsh Government Holding Direction where planning permission could not be fully granted until an awaited vehicle Swept Path Analysis has been approved demonstrating that a turning area can be provided within the site for the largest type of vehicle that would serve it.

Members backed delegated authority for the council’s head of planning to approve the application following resolution of the issue.

The application was formally conditionally approved by planning officers on December 24, a Welsh Government response saying it “as highway authority for the A4076 trunk road does not issue a direction in respect of this application”.

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