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Young people in Wales being failed when moving from child to adult mental health services

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MENTAL HEALTH SERVICES are failing young people when they move from child to adult services, says a mental health charity.

Mind Cymru is calling for Welsh Government to make urgent changes to improve the system.

Nia Evans, Children and Young People Manager at Mind Cymru, said: “Young people have told us that their needs, thoughts, and feelings about moving to adult services are often unheard, or ignored.

“Welsh Government must support Local Health Boards to make sure this doesn’t happen, change the way services are run and make sure our young people are being heard and properly cared for.”

Mind Cymru has published a report, in ate the result of interviews with young people about their experiences of moving from Specialist Child and Adolescent Mental Health Services – (SCAMHS) to AMHS.

They highlighted five key areas where services are failing young people:
– Poor information offered to young people, particularly on their rights
– Inconsistent use and follow through of care and treatment plans
– High thresholds for SCAMHS and AMHS referrals to be accepted
– Feeling abandoned / cut off from SCAMHS
– Age still dominates decision making process for moving from SCAMHS to AMHS

Nia Evans said: “Any one of these issues could make the process of moving from children’s services to adult services difficult for our young people. But often, more than one is happening at any one time.”

“Our young people have a right to care and support from a mental health system that has been put in place to help them recover. Action must be taken immediately to make sure support systems are robust and doing the job they were designed to do.”

Mind Cymru is asking people to email their Member of the Senedd (MS) and amplify the voices of these young people whose experiences are often unheard, and use the #SortTheSwitch hashtag on social media.

The full report is available here, including what a good move from SCAMHS to AMHS would look like for young people, and where the current system could improve.

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Possible super-hospital plans released as Pembrokeshire site ruled out

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HYWEL Dda Health Board have reduced the number of potential sites for the new “super-hospital” in West Wales from five to three. 

The new site has been narrowed down to two possible locations in Whitland or one in St Clears.

According to the plans provided in Hywel Dda’s technical appraisal reports, all sites will include a main building divided into planned and urgent care, as well as a separate facility for mental health services. Parking, administrative facilities, and a helipad are also planned.

Site 12 in Whitland
Travel time analysis for population to site 12

The potential Narberth site is no longer being considered, meaning that the new hospital would be built outside of Pembrokeshire.

Hywel Dda presented the findings of a “transport infrastructure analysis,” stating that both sites had bus services that are “infrequent” and “short,” making shift work difficult.

Plan for ‘site C’ in Whitland
Travel time analysis for population to ‘site C’

For Whitland, it noted that there was an approximate 750m walking distance from the train station to the hospital site, with recommended walking distance of 400m, and that local roads do ‘not appear’ to suffer from significant congestion during a typical weekday. 

In St Clears, the report highlighted the impact a planned new railway station – expected to open in 2024 – could have on the town, saying it would be a ‘major boost’ to the area providing viable alternative car travel, with it being understood there is a commitment to increase the frequency of services at some stations along the west Wales line from two hourly to hourly.

Plans for ‘site 17’ in St Clears
Travel time analysis for population ‘site 17’ in St Clears

After it was announced that Narberth would not be the site of the new hospital, Hywel Dda University Health Board Chair, Maria Battle, assured the residents of Pembrokeshire that their concerns would be taken into account.

“Our programme business case to the Welsh Government is seeking the greatest investment west Wales will have ever seen,” said Ms Battle.

Ambulance times to Whitland, Bronglais Hospital and Morriston Hospital (Welsh Ambulance Service travel time analysis June 2022)
Ambulance times to St Clears, Bronglais Hospital and Morriston Hospital (Welsh Ambulance Service travel time analysis June 2022)

“We have listened to and continue to listen to the fears and voices of the public we serve and our staff who understand the frontline challenges of trying to deliver services across so many sites and spread so thinly.

“Recognising the fragility of our services and the risk this poses every day, we do not intend to make changes at Glangwili or Withybush hospitals before a new hospital is built. And afterwards, they will continue to provide valuable health services to our communities.”

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Health

Fourty-five nurses recruited from overseas to fill urgent vacancies at local hospitals

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HYWEL DDA Health Board says it has recruited 45 international nurses and plans to increase this number significantly over the coming months.

International nurses have been part of the NHS since its inception in 1948 and continue to play a vital role. Hywel Dda UHB aims at recruiting 100 international nurses this year through the centrally delivered programme with NHS Wales Shared Services Partnership, local health boards and the Welsh Government.

The newly recruited nurses are part of a wider project to enhance and expand the health board’s nursing workforce which will help deliver the best possible care to patients.

The first cohort of 11 nurses arrived in May. The nurses have taken their objective structured clinical examination (OSCE) and are based in Glangwili and Prince Philip hospitals

The second cohort of nurses arrived in June. The group of 19 nurses have also taken their OSCE and are based across Glangwili, Prince Philip and Bronglais hospitals.

The third cohort of nurses arrived in July and are currently undergoing OSCE training in preparation for their examination. The 15 nurses are spread across Glangwili, Prince Philip, Withybush and Bronglais hospitals.

Judith Avan from Nigeria, who works at Bronglais Hospital said: “Living in Wales has been lovely, people are so welcoming, and the weather has been so lovely. I look forward to developing in my career and specialise in respiratory therapy.”

Nabitha Kabeer from India, who works in Glangwili Hospital said: “I’m excited about working with NHS Wales. I look forward to enjoying the beauty of Wales and developing in my career. I want to specialise in Infection control or operating theatre nursing or forensic nursing.”

Oyebola Opemipo Tikolo from Nigeria, who works in Glangwili Hospital said: “It has been a nice experience on and off the ward, the people are friendly and helpful. I am looking forward to developing in my career by taking more courses, I also look forward to bringing my family over and settling down here. I intend to specialise in midwifery as I have experience in midwifery from my country.”

The UHBs approach to attracting and retaining its employees is to be a value-based organisation.

Director of Workforce and OD Lisa Gostling said: “We continuously work together to be the best we can be as we strive to develop and deliver excellent services, putting people at the heart of everything we do. We want to attract a diverse workforce and are delighted to welcome the newly recruited nurses to the Hywel Dda family.”

If you wish to be kept informed about jobs in Hywel Dda UHB, please follow SwyddiHywelDdaJobs on Facebook or Twitter.

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Health

Avian flu hits Grassholm seabird colony

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BIRDS on Grassholm are at risk following an outbreak of avian flu.

The disease’s presence in Grassholm’s large wild bird population was confirmed on Wednesday, August 3.

Avian influenza is a highly contagious viral disease.

It affects many species of birds’ respiratory, digestive, or nervous systems.

Some strains of Avian influenza can spread easily and quickly between birds and have a high death rate.

Migratory seabirds and waterfowl are known carriers of avian flu.

The highly pathogenic H5N1 strain originated in the intensive poultry industry in Asia and has since spread into wild bird populations worldwide.

Up until now, the disease had not reached Grassholm.

Sadly, this is no longer the case.

Following a spate of suspicious deaths during a recent RSPB surveillance visit, DEFRA testing confirmed the disease’s presence.

The outbreak is in its early stages, and RSPB are keeping Grassholm under close surveillance and will update the public as and when there is more to tell.

Very rarely infected birds can pass the disease onto humans.

Grassholm is known for its huge colony of northern gannets; the island has been owned since 1947 by the Royal Society for the Protection of Birds and is one of its oldest reserves.

A National Nature Reserve, Grassholm is the world’s third most important site for gannets.

It serves as a breeding site for 36,000 pairs of gannets and supports around 10 per cent of the world population.

A severe outbreak at a major breeding site would be disastrous, as would the potential for the disease’s spread along the Pembrokeshire coast and the neighbouring islands of Skokholm and Skomer.

At present, the outbreak is small but has the potential to escalate.

You may come across dead or dying gannets (or other seabirds) washed in on beaches around Pembrokeshire.

DO NOT touch these birds, keep dogs away from them, and report to DEFRA on 03459 33 55 77.

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