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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.

News

Too many children in Wales living in poverty – Lib Dems want action

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THIS week in the Senedd, the Welsh Liberal Democrats renewed their demands for the implementation of child poverty targets.

According to a report from the Bevan foundation, 29% of children living in Wales are currently experiencing poverty (an estimated 190,000 children).

The same report highlighted that the largest percentage of children living in poverty are from working households or in couple households.

The Welsh Lib Dems are now renewing calls for the Welsh Government to create a set of targets for reducing child poverty, which the party argues will allow for more accountability.

The party has previously called for the implementation of targets, citing recommendations from the Calling Time on Child Poverty Report published in November last year.

Commenting, the Leader of the Welsh Liberal Democrats Jane Dodds MS said: “The latest statistics on childhood poverty in Wales paints a very distressing image of families across the country struggling to make ends meet.

Over the course of the last six years, the proportion of children in poverty has skyrocketed. Fuelled by worsening economic conditions and a complete lack of action from both governments in Westminster and Cardiff Bay.

We cannot act complacent about these figures nor accept the clear lack of progress in fighting child poverty, behind each statistic is a child that the state has failed.

It remains painfully clear that the Welsh Government is failing to make any meaningful progress in this fight, which is why they must follow through with the implementation of clear set targets that will allow for further accountability.

We as a party have continuously called for the creation of these targets and we will not be silenced. For the sake of future generations we urge the Welsh Government to listen.”

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Crime

Welsh constabulary areas record another increase in shoplifting

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RETAIL trade union Usdaw is deeply concerned by today’s police recorded crime statistics showing that in 2023 there were significant increases in shoplifting across all constabulary areas in Wales. In the whole of England and Wales there has been a persistent upward trend since the pandemic, which continued with a 37% increase and has now risen to the highest level in 20 years.

The Office for National Statistics released figures showing a 39% increase in shoplifting incidents across Wales and by constabulary area as follows:

  • Dyfed-Powys +11%
  • Gwent +47%
  • North Wales +23%
  • South Wales +51% 

Usdaw’s 2023 annual survey of over 5,500 shopworkers found that 60% had suffered incidents of violence, threats and abuse that were triggered by shoplifting and armed robbery.

Paddy Lillis, Usdaw General Secretary says: “Shoplifting is not a victimless crime, theft from shops has long been a major flashpoint for violence and abuse against shopworkers. Having to deal with repeated and persistent shoplifters can cause issues beyond the theft itself like anxiety, fear and in some cases physical harm to retail workers. This 39% increase in shoplifting across Wales is further evidence that we are facing an epidemic of retail crime, which is hugely concerning.

“Our members have reported that they are often faced with hardened career criminals in the stores and we know that retail workers are much more likely to be abused by those who are stealing to sell goods on. Our latest survey results show that 7 in 10 retail workers suffered abuse from customers, with far too many experiencing threats and violence. 60% of respondents said theft from shops and armed robbery were triggers for these incidents.

“The scale of assaults, abuse and threats towards shopworkers and extent of the retail crime epidemic has been a disgrace for many years. This has been made worse by police cuts and a failure to legislate to protect retail staff. Usdaw has long called for action that includes a standalone offence for assaulting a shopworker and that has been vehemently opposed by this Government and their Conservative MPs on many occasions.

“Recently the Government performed a long overdue U-turn after many years of sustained campaigning by Usdaw and others. Our members have had to wait too long for their voices to be heard and common sense to prevail. We will have to see the detail of what Ministers are proposing and we are clear that it must be at least what we won in Scotland three years ago. It also cannot fall short of Labour’s commitments to 13,000 more uniformed officers, patrols on high streets, banning repeat offenders and ending the perverse £200 threshold for prosecuting shoplifters.

“The dither and delay by this Government on this issue over many years, has led to thousands of shopworkers needlessly suffering physical and mental injury. Today’s stats should ensure that their promise to legislate is done speedily. We hope that whatever the Government is proposing will be substantial and effective in giving shopworkers, key workers in every community, the respect that they have long deserved and regrettably too often do not receive.”

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Business

Paramount’s key role in transformation of McArthurGlen Designer Outlet

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FAST-growing Welsh company Paramount is relishing the challenge of creating an “irresistible dining destination” after winning the contract to play a key role in the multi-million transformation of the McArthurGlen Designer Outlet Bridgend.

The Cardiff-based design, build, fit-out and refurbishment specialist will spearhead the re-development project of the shopping centre after being handed responsibility for revamping its popular food court over the summer.

In the coming months, the development will see the Food Court transformed into three modern, and bright restaurants, welcoming new food and beverage brands to the centre and creating more than 100 new job opportunities for the local community.

Paramount’s Construction Director, Paul Thomas, said: “The team behind the scenes at McArthurGlen Designer Outlet Bridgend have fantastic plans for the future and we’re delighted to have been entrusted with the mission to help turn their exciting vision into a reality.

“Paramount prides itself on creating places where people want to be, and my team are relishing the opportunity to help create what will be an irresistible dining destination. It’s certain to be a complex project, but we have the expertise and local knowledge to deliver outstanding results in close collaboration with our project partners.”

The owners of the shopping centre, which has been attracting local people and visitors for more than 25 years, have promised a “substantial investment to redevelop the Food Court area and replace it with new and exciting restaurants”. 

Now the Paramount team is ready to lay the groundwork by removing some existing structures around the Food Court and will then introduce a series of new features as part of the overall facelift. These include new glazed entrance doors within glazed curtain walling shopfront, render and a new entrance lobby with new stairs and lifts.

The work to completely develop the Food Court in the shopping centre starts this week, and is expected to be completed in late autumn. As a result, customer favourites including Nando’s, McDonald’s and Chopsticks will be closed while work is under way.

Patrick Finney, Head of European Construction, McArthurGlen Group, said: “After celebrating our 25th anniversary last year, we’re extremely pleased to welcome Paramount on board in this important step of revitalising the Food Court area. 

“These are exciting times for everyone at one of South Wales’ best-loved retail complexes and we know Paramount will work closely with us to create a truly special place for diners and shoppers of all ages.”

Paramount, whose turnover reached £45 million in 2023, employs 60 people who own a majority shareholding of the business – 51 per cent – following completion of an Employee Ownership Trust  (EOT) scheme in 2021, a deal which marked a major milestone for Paramount after a period of sustained growth. 

The company is well known across Wales and England where it has created high-quality inspirational space for a number of leading companies. These include the multi-million-pound redevelopment of Hodge House and Fusion Point One in central Cardiff, and the fit out of Par 59 bars in South Wales and South West. 

Over the next few months, Paramount’s construction team will also be completing on a multi-million-pound social housing development in Porthcawl, Mid-Glamorgan with Valleys to Coast.

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