Health

Welsh NHS crisis deepens

Published

3 years ago

March 31, 2022

WALES’s Health Minister Eluned Morgan has warned that the health and social care system in Wales is currently under ‘extraordinary pressure’.

Significant challenges caused by COVID outbreaks within hospitals limiting available bed capacity, high levels of COVID in the community, staff sickness absence and blockages in patient flow through hospitals leading to difficulties discharging patients have put the sector under strain.

These issues have been exacerbated by a recent increase in levels of demand.

People in Wales are being urged to ‘help us, help you’ by accessing the NHS 111 Wales website and its symptom checkers, helping to ensure they access the right care in the right place the first time.

This will help reduce avoidable delays to care and support more acutely ill people to be treated most appropriately.

It comes after the Aneurin Bevan University health board declared a business continuity incident yesterday, also known as a Black alert, in light of unprecedented pressures at its Grange University Hospital and other sites.

This is the highest level of escalation available and indicates the severe pressure being experienced by our health and care services.

Previous health minister Vaughan Gething rushed through the Grange’s opening before last May’s election despite understaffing and without all facilities for its operation being ready.

Hospital sites across Wales are under extraordinary pressure, which has affected the timely delivery of care.

This has resulted, at times, in lengthy ambulance patient handover delays, limits on ambulance capacity, increased waits for admission from emergency departments to a hospital bed and longer waits for discharge home once treatment has been completed.

Measures have already been taken across all health board areas to relieve pressure to ensure patients can continue to receive the care and treatment they need in a safe and timely manner.

To manage the situation in the Aneurin Bevan University Health Board area, where The Grange University Hospital is based, all non-essential activities have been cancelled, with clinical and non-clinical senior colleagues re-prioritising their workload accordingly to manage the position across the Gwent region.

Health Minister Eluned Morgan said: “The health and social care system in Wales is currently under extraordinary pressure, and we would strongly urge anyone seeking care to make sure they access the right care in the right place, whether that’s through ‘help us, help you’, access to the NHS Wales 111 website or urgent and emergency care.

“We have been open about the challenges that NHS Wales and 999 and Emergency Departments are under. This is not a unique situation in Wales; health services across the UK face similar challenges.

“Our priority is to ensure the safe and efficient delivery of healthcare services. Anyone with a serious or urgent need for hospital treatment and those who have ‘a life-threatening illness or serious injury’ should still attend the emergency department.

“Those who have a less urgent need or could access the treatment they need at an alternative setting can help reduce pressure by choosing the right service.
“The public can also help by supporting the timely discharge of their family members when they are ready to leave hospital.

“If you have a relative or loved one in hospital who is well enough to go home but is waiting to be discharged with home care and community health support, you MAY be able to help them to get home more quickly if you and your family are in a position to support them at home.”

THE LOCAL PICTURE

Emergency and unplanned care services in community and hospital settings are under unprecedented pressure across the Hywel Dda UHB area on Wednesday, March 30.

The Board’s Director of Operations, Andrew Carruthers, said: “We are dealing with a combination of high numbers of attendances, particularly in our Emergency Departments, and challenges in health professional staffing due to COVID-19.

“Our GP practices and hospitals are busy, and we still need to follow specific requirements for the safe treatment of those patients with COVID-19 and those without.

“We are working with our local authorities as there are difficulties in discharging some patients due to similar staffing challenges the social care sector faces. This means we have very few beds to accommodate patients who need admission.

“Our teams are helping patients by their clinical priority, but this does mean that in some cases, waits in our Emergency Departments are hours long and far more than what we would strive to deliver.

“If you need medical help, please think carefully about the services you choose.”

If you are unwell and unsure what to do, you can visit the online symptom checker or call NHS 111 if you are unsure what help you need.

Only attend an Emergency Department if you have a life-threatening illness or serious injury, such as:

• Severe breathing difficulties
• Severe pain or bleeding
• Chest pain or a suspected stroke
• Serious trauma injuries (e.g. from a car crash)

If you have a less serious injury, please visit a Minor Injury Unit. They can treat adults and children over 12-months of age with injuries such as

• Minor wounds
• Minor burns or scalds
• Insect bites
• Minor limb, head, or face injuries
• Foreign bodies in the nose or ear

Minor injury or walk-in services to serve Pembrokeshire are located at Cardigan Integrated Care Centre, Tenby Hospital, and main acute hospitals.

Many community pharmacies can also provide walk-in, common ailment or triage and treat services without an appointment.

However, due to Covid infection, several community pharmacies in Pembrokeshire are already closed to the public, leaving patients with Hobson’s Choice of where to go.

Suppose you have an inpatient relative waiting for a formal care package. You may be able to offer support and care on a short term, temporary arrangement, or you might want to consider whether your loved one could be supported in a temporary residential or nursing care setting.

If you feel that this is an option you could consider, please speak to the ward manager or your social worker to explore further and see what support is available.

Health

Hywel Dda urges responsible use of ‘under pressure’ A&E service

Published

2 days ago

December 20, 2024

Tom Sinclair

HYWEL DDA University Health Board is appealing to the public to carefully consider how they access healthcare services as local A&E units, including Withybush Hospital in Haverfordwest, face increasing pressure.

A spokesperson said: “Our services are under pressure. Please help us to help you by choosing how you access our services carefully, ensuring that emergency departments (A&E) are reserved for urgent or life-threatening care needs.”

Unwell and unsure what to do?

If you’re unwell and uncertain about the best course of action, the Health Board recommends visiting the online symptom checker or calling NHS 111 Wales for advice.

When to attend A&E

Emergency Departments should only be used for life-threatening illnesses or serious injuries, such as:

Severe breathing difficulties
Severe pain or bleeding
Chest pain or suspected stroke
Serious trauma injuries (e.g., from a car crash)

Minor Injuries Units (MIUs)

For less serious injuries, MIUs offer treatment for:

Minor wounds, burns, or scalds
Insect bites
Minor limb, head, or face injuries
Foreign bodies in the nose or ear

MIUs are available at Cardigan Integrated Care Centre, Tenby Hospital, and main acute hospitals. Visit the Minor Injuries Unit page for opening hours and directions.

Urgent care, not an emergency

For urgent health needs that cannot wait but are not emergencies, call NHS 111 Wales for advice or access to out-of-hours GP services. This free service is available 24/7.

Mental health support

If you need urgent mental health support, call NHS 111 Wales and select option 2 to speak with a mental health professional. The number is free to call, even from a mobile with no credit.

Community care options

Community pharmacies offer walk-in services for common ailments such as sore throats, hay fever, and conjunctivitis. A full list of ailments and participating pharmacies can be found on the Common Ailments Service pages.

Helping reduce hospital stays

The Health Board emphasizes the importance of reducing hospital stays to ensure acute care is available for those who need it most. If a loved one is ready to be discharged, families are urged to collect them promptly to free up beds for other patients.

For more information on the inpatient experience, visit the Inpatient Information pages.

A thank you from the NHS

The Health Board expressed gratitude for the public’s cooperation: “Your support not only helps you and your loved ones but also eases the strain on NHS and social care services.”

For further updates, contact:
Hywel Dda University Health Board Media Office
Email: [email protected]

Health

More than 300 healthcare workers from Kerala take up NHS jobs in Wales

Published

2 days ago

December 20, 2024

Tom Sinclair

AN EMPLOYMENT agreement has exceeded its target for recruiting healthcare workers from India.

The Welsh Government outlined a commitment to recruit 250 qualified healthcare workers from India as part of a Memorandum of Understanding with the Kerala Government earlier this year.

The recruitment drive has outperformed that goal, with just over 300 healthcare workers taking up positions across all of Wales’ health boards and the Velindre University NHS Trust. Further recruitment is due to take place next year.

The commitment was made as part of Wales in India, a year-long series of events to improve economic, educational, artistic and sporting ties between the two nations.

Sharoon Kolickatharayil Nowshad, 24, had long held ambitions to move to Wales and work as a nurse, inspired by his uncle Siji Salimkutty who began working in the Welsh NHS in 2004.

Since arriving in Wales and beginning his job with Aneurin Bevan University Health Board, Sharoon said he has reunited with his family and appreciated the kindness shown by his new colleagues.

“I was really excited to work in the NHS” Sharoon said. “It’s always been my ambition to contribute to society, and now I get to do that here in Wales.

“Everything moved quickly once I saw the opportunity to apply, and I’m proud to work for the NHS. I tell my family and friends that it feels great to help people when they need it the most.

“When you work for the NHS, it’s not just a job or salary. It’s a great life. You feel proud knowing you’ve supported and helped others.

“The NHS has given us a great opportunity and we should always work sincerely because we love our jobs. There are lots of opportunities to advance your career, your colleagues always support you and there’s a great support network.”

Sharoon said he hopes to continue his career in the Welsh NHS by progressing to become an Advanced Nurse Practitioner.

He added: “People in Wales are so kind, they always make time for us, whether that’s at work or at home.

“I would encourage anyone thinking of coming to Wales not to hesitate and to apply, it’s the best decision I’ve made.”

Dr Devangana Bora has taken up a position as a Senior Clinical Fellow in Oncology at Velindre NHS Trust. Born in Guwahati, a large city in the Northeast Indian state of Assam, Dr Bora has worked as an Oncologist since 2019.

“I was really nervous for the interview. When I got there they told me it was in three stages and I became more nervous,” Dr Bora said.

“After the interview, I was offered the job and I was so happy. I thought they were joking. I was so excited to take this next step in my career and move to Wales.

“The weather is cold here but the people are so warm. I have received nothing but support from my colleagues and generally the people in Wales are so friendly and helpful.”

Dr Bora said her sister is currently studying Medicine at university and has been inspired to move to Wales once she completes her studies.

Jeremy Miles, Cabinet Secretary for Health and Social Care, said: “Alongside continued investment in training healthcare staff in Wales, international recruitment has always been one of the ways we can help address NHS workforce vacancies.

“India and Kerala in particular has a fantastic record in training doctors and nurses. We are grateful for the commitment to delivering high-quality care our new NHS recruits have shown.

“The contribution of these healthcare workers is already being felt across our NHS and it’s wonderful to see them settling into happy lives in Wales.”

Wales in India was launched on St David’s Day, March 1, by the then First Minister Mark Drakeford and Minister for Health and Social Services Eluned Morgan, beginning a year of events and cultural engagements to strengthen links between the two nations.

One of the biggest impacts on policymaking in India drew inspiration from Wales’ innovative Well-being of Future Generations Act. Through partnership working, the Maharashtra Legislative Assembly introduced its own draft law called the Maharashtra Future Generations Welfare Bill in July.

Welsh Government, the British Council and Wales Arts International also made commitments to further cultural collaborations between Wales and India by investing in arts projects through a dedicated culture fund. With the support of these organisations, as well as the Deputy High Commission in Kolkata, Wales was recently a partner country for Hornbill, one of India’s largest music festivals, which saw Mari Mathias and Gareth Bonello perform on the main stage with Indian musicians Seyievinuo Chuzho and Benedict Hynniewta.

In February 2025, 10 young women, chosen from 140 applicants, will travel to Kolkata to complete humanitarian work as part of a joint project with Urdd Gobaith Cymru and Her Future Coalition. The volunteers will provide support to vulnerable girls including survivors of trafficking and other forms of gender-based violence. Sport and art workshops for children will also be run by the group.

Health

Hoax calls reach three-year high, says Welsh Ambulance Service

Published

4 days ago

December 18, 2024

Tom Sinclair

THE WELSH AMBULANCE SERVICE has seen a staggering 37% rise in hoax calls over the past three years, wasting valuable time and resources, a new investigation reveals.

Data from Medical Negligence Assist highlights that over 700 hours—equivalent to nearly 29 full days—of ambulance crew time has been lost responding to malicious calls since 2021.

During this period, WAS crews attended 463 face-to-face incidents later identified as deliberate hoaxes, severely straining emergency services already under pressure.

Rise in hoax calls over three years

2021/22: 334 hoax calls; 84 face-to-face responses.
2022/23: 373 hoax calls; 85 face-to-face responses.
2023/24: 457 hoax calls; 163 face-to-face responses.

The upward trend continues, with provisional figures for 2024/25 (April 1 to October 31) already recording 345 hoax calls and 131 face-to-face responses.

Strain across Wales

The geographic impact is widespread, with hoax calls reported in all areas of Wales. WAS officials warn that such incidents divert resources from genuine emergencies, potentially putting lives at risk.

A call to action

The 701 hours spent on hoax calls between 2021 and 2024 represent a critical drain on ambulance availability. A WAS spokesperson said: “Every minute wasted on a hoax call is a minute lost to someone in real need. These actions have serious, life-threatening consequences.”

“The Welsh Ambulance Service is urging the public to recognize the harm caused by hoax calls and act responsibly.

“For information or to report suspicious activity, contact the Welsh Ambulance Service through their official channels.”