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Health

Calls for access to diabetes psychology across Wales to end ‘unfair postcode lottery’ 

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TO MARK Diabetes Week (June 13-19), Diabetes UK Cymru is launching a campaign to highlight the inequalities faced by many living with diabetes when accessing psychology services.

In some areas, people living with diabetes do not have access to psychological support and they either have to wait years or are referred to services that are not specialised in diabetes. 

The charity is proposing that a new model of support is to be made available to everyone living with diabetes in Wales. And so is endorsing “From Missing to Mainstream” – A Values-Based Action Plan for Diabetes Psychology in Wales” by Consultant Clinical Psychologist (Betsi Cadwaladr University Health Board) and Diabetes UK Clinical Champion, Dr Rose Stewart.

Diabetes UK Cymru is hosting a Senedd event to launch this report and campaign with the Deputy Minister for Mental Health and Wellbeing, Lynne Neagle MSsponsored by the Shadow Minister for Mental Health, Wellbeing and Mid Wales, James Evans MS at the Norwegian Church in Cardiff on June 15 at 8.30 am.

Dr Rose Stewart said: “Managing diabetes is relentless, demanding, and complex. People living with diabetes have higher levels of psychological issues such as anxiety and depression as well as diabetes-related disordered eating (diabulimia), diabetes distress, and burnout. We are proposing that diabetes psychology should become mainstream, embedded in routine care, accessible and flexible so that people living with diabetes feel supported in managing their condition wherever they live.”  

 Poet and rapper, Duke Al Durham, a supporter of the charity will talk about his experience of living with type 1 diabetes and mental health issues, including OCD, and read his poem “Burn Out” at the Senedd event.  

Young mum with type 1 diabetes resorts to paying for private psychotherapy  

Ebony Hussey, 30, from Caldicot lives with type 1 diabetes and has suffered loss of sight in one eye, as a complication of her condition. This and other struggles associated with diabetes, juggling two young children, and work affected her mental health. She has resorted to paying for private therapy since she’s unable to get access to a psychologist on the NHS.  

 “Diabetes is overwhelming and exhausting. I also suffered further complications due to my condition as some people do even when they are young. That’s why I decided to get CBT therapy privately. I was never offered any psychological help. It’s all focused on stats: if your blood sugar levels are good, then you are left to get on with it”, she explained.  

Diabetes UK Cymru’s National Director, Rachel Burr said: “Psychological support has been missing from diabetes services for too long to the detriment of those living with diabetes, their families, and the care teams who support them, and the COVID19 pandemic only made matters worse. Diabetes is serious, affecting 1 in 13 people in Wales and the demands of living with diabetes can be extremely tough. It impacts every aspect of a person’s life. Access to psychological support in Wales is either non-existent, patchy, disjointed, underfunded, understaffed, or a postcode lottery. That has to change.”  

From Missing to Mainstream: addressing the growing demand for diabetes psychology  

The need for psychological services was recognised in the Welsh Government’s most recent Diabetes Delivery Plan (2016 to 2021), which estimated that 41% of people living with diabetes in Wales are believed to have poor psychological wellbeing.  

The “From Missing to Mainstream” campaign builds on the “Too often missing. Making emotional and psychological routine in diabetes care” report published in 2019.  

 Of those surveyed then who had felt they needed specialist care from a mental health professional, 7 in 10 couldn’t access it.  

  Under the Diabetes Delivery Plan, Local Health Boards were required to ensure that sufficient psychological input into the management of all patients is. But at present NHS Wales sets itself no measurable targets on the delivery of psychological support to those with long-term conditions, with a huge variance in service delivery across the nation. Furthermore, many of the services that provide psychological support are already at breaking point and in desperate need of more resources. We are waiting on the publication of robust Quality Statements with accompanying action plans to set out the expectations for delivery of psychological support for diabetes. These cannot come soon enough. 

Diabetes UK Cymru aims to relaunch this campaign and gather further data on the impact of the lack of psychological support on people living with diabetes.  

Dr Rose Stewart’s report was commissioned by the All Wales Diabetes Implementation Group, which brings together diabetes specialist doctors and nurses, NHS managers, third sector, and other stakeholders in consultation with patients.

 To register and to find out more about the event go to: From Missing to Mainstream; Diabetes Psychology in Wales Tickets, Wed 15 Jun 2022 at 08:30 | Eventbrite  

Health

Charitable donations fund ECG machines worth £14,000 for Withybush Hospital

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THANKS to generous donations, Hywel Dda Health Charities – the official charity of Hywel Dda University Health Board – has purchased two new Electrocardiogram (ECG) machines worth over £14,000 for the Emergency Department at Withybush Hospital.

Chest pain is a very common presentation at the Emergency Department which sees between 100 and 130 patients a day. ECG machines provide key information on a patient’s heart by measuring rhythm and electrical activity.

The additional ECG machines will help ensure that patients presenting with chest pain receive an assessment as quickly as possible.

Senior Nurse Manager Josephine Dyer said: “We are so grateful that generous donations from our local community have enabled us to purchase the two ECG machines for the Emergency Department.

“High numbers of patients present with chest pain and require an ECG, so we hope that having the additional machines will reduce waiting times and offer an improved patient experience.”

Nicola Llewelyn, Head of Hywel Dda Health Charities, said: “We are deeply thankful for the generous support from our local communities which allows us to offer services beyond what the NHS can provide in the three counties of Hywel Dda. Every donation we receive is greatly appreciated!”

For more details about the charity and how you can help support local NHS patients and staff, go to www.hywelddahealthcharities.org.uk

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Health

UK fertility rates falling: Welsh counties among worst-hit, new data shows

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Two-thirds predict family sizes will shrink even further by 2040

NEW figures released by Fertility Family reveal that parts of Wales have seen some of the steepest declines in fertility rates across the UK, with the Isle of Anglesey recording a drop of more than 44% over the past 15 years.

The Beyond the Birth Rate report combines official birth statistics with survey data to explore why fewer people are choosing to have children – and why they’re waiting longer when they do.

Wales’ top ten fertility declines

The study identified the ten Welsh areas most affected by declining birth rates. The Isle of Anglesey tops the list with a fall of 44.21%, followed by Wrexham, Caerphilly and Merthyr Tydfil – all of which have seen declines of more than 27%.

RankAreaFertility rate decline
1Isle of Anglesey-44.21%
2Wrexham-31.01%
3Caerphilly-27.74%
4Merthyr Tydfil-27.53%
5Powys-26.17%
6Conwy-25.45%
7Pembrokeshire-24.46%
8Denbighshire-24.35%
9Cardiff-23.54%
10Blaenau Gwent-23.18%

Newport recorded the smallest decline in Wales, with a drop of just 8.6%.

How does the rest of the UK compare?

London has mirrored Wales’ dramatic decline, with boroughs such as Southwark also showing a 44.21% drop in fertility rates. However, some parts of England have been less affected.

Colchester has seen the smallest national drop, at just -3.95%, while other areas such as Runnymede (-5.19%), Lancaster (-6.04%), and Gravesham (-7.07%) have remained relatively stable.

Financial pressure tops list of reasons

The report suggests that the primary driver behind shrinking family sizes is economic hardship.

  • 40% of people said financial stability was the key reason for delaying children.
  • 23% described starting a family as simply unaffordable.
  • 60% of respondents believe this financial strain is a major factor behind the rising age of first-time mothers.

Why are people waiting longer?

In addition to economic challenges, lifestyle and societal shifts are also playing a major role:

  • 47% cited career ambitions and workplace pressures.
  • 44% blamed difficulties in finding the right partner.
  • 34% pointed to the housing crisis and lack of affordable homes.

These factors are leading to more people having children later in life – a decision which often reduces fertility and the total number of children they may have.

Smaller families likely the future

Over the past 15 years, the UK’s overall fertility rate has declined by 26.9%. That means for every two women of childbearing age, one fewer child is being born.

Looking ahead, 67% of people surveyed expect family sizes to shrink even further in the next 10 to 20 years.

The study also revealed:

  • 40.7% believe more single parents will have children independently.
  • 20.5% expect an increase in adoption and surrogacy.
  • 14.9% foresee co-parenting arrangements becoming more common.
  • A striking 47% said they believe more people will choose not to have children at all.

With both economic and social factors contributing to the trend, the report paints a clear picture: the traditional family model in the UK is evolving – and quickly.

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Health

NHS performance in Wales ‘a mixed bag’ as latest figures released

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THE NUMBER of Welsh NHS patients waiting more than two years for treatment has fallen by 26%, according to data released by the Welsh Government on Thursday, April 17.

However, waiting times for ambulances have increased, while A&E performance continues to be under severe pressure.

The latest NHS statistics for Wales revealed that the NHS treatment waiting list remains at 793,946 pathways. 

 Two-year waits are 15,005 in Wales, compared with only 161 in England. The Labour Health Minister, now First Minister, Eluned Morgan, promised to eliminate these waits by March 2023 and again by March 2024 but failed to meet these targets. The target remains a long way off from being met.

The Welsh Government’s Cabinet Secretary for Health and Social Care, Jeremy Miles, said: “I am very happy to see a significant fall in the longest waits and the overall size of the waiting list falling for the third month in a row.

“This shows what can be achieved when health boards focus on delivering services, including faster treatment and increased NHS capacity, by embracing new ways of working.

“Those efforts have been supported by our £50m additional investment.

“We still have more work to do to reach our ambitious targets, but it is encouraging to see waiting times consistently falling.

“Two-year waits have fallen to their lowest levels since June 2021 and were more than 26% lower compared to the previous month.”

However, the NHS in England has already eliminated two-year waits. At the same time, a significant number of specialisms in Wales, including orthopaedic care, are excluded from the waiting time data.

Jeremy Miles continued: “The number of pathways waiting more than a year for their first outpatient appointment has fallen for a third consecutive month and is nearly 28% lower than the peak in August 2022.

“The number of patient pathways waiting 36 weeks and the average time waiting for treatment were both lower than the previous month.

“Performance improved against the 62-day cancer target in February, increasing to more than 60%, whilst 1,800 people started cancer treatment and 13,000 people were told the good news they did not have cancer.

“A significant improvement was achieved in March in reducing the total number of delayed hospital discharges, with a drop of 114 delays over the previous month. This was the lowest delay figure over the past year and the overall second lowest since reporting began two years ago.”

However, despite the Welsh Government blowing its own trumpet, performance still lags far behind the already poor performance of the Welsh NHS against targets preceding the Covid pandemic.

James Evans MS, Welsh Conservative Shadow Cabinet Secretary for Health and Social Care, said: “Labour Ministers will try to claim success today, but these statistics are worse than a mixed bag.

“The reduction in two-year waits is welcome, but the fact that they still exist at all, when they haven’t for so many months in England, coupled with worsening ambulance response times, is a testament to Labour’s failure to meet their targets.

“The Welsh Conservatives want to see improvements across the board and we can only achieve that by removing restrictions to cross-border, cross-community and cross-sector capacity sharing and by, flnally, enacting a long-term workforce plan.”

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