Health
Rapid response service helps prevent unnecessary ambulance callouts and hospital admissions
AN INNOVATIVE project which is helping patients in west Wales to receive the care they need as close to home, Delta Wellbeing’s, now has a rapid response team. The company says that this is helping to prevent unnecessary ambulance callouts and hospital admissions across the area by attending non-medical emergencies and supporting people in their own homes.
During February, the team, according to their own figures, attended a total of 407 callouts, with an average arrival time of 31 minutes, and only 6% needing to be escalated to emergency medical services.
A large majority of calls are for non-injurious falls, and the team aim to improve the experience and outcome of those who have fallen by working to reduce the time it takes to get to the client, to assess and support them at home, and to try and prevent future falls.
The service has helped to reduce the number of emergency ambulance callouts, enabling them to attend more life-threatening calls. It has also allowed the majority of clients, who are generally vulnerable or older, to stay at home, reducing hospital admissions.
The team is part of Delta Wellbeing’s CONNECT project, which is transforming the way social care is being delivered across Carmarthenshire, Ceredigion and Pembrokeshire, through a new model of self-help and pro-active care, helping people remain independent for longer at home and reducing demand on long-term or acute care.
The service includes bespoke TEC equipment, wellbeing assessment, pro-active wellbeing calls, access to the 24/7 response team and pro-active support pathways, all of which, support residents to maintain independence and remain safe at home.
Carmarthenshire County Council’s Cabinet Member for Health and Social Care Cllr Jane Tremlett told The Pembrokeshire Herald: “The response service responds to calls within 45 minutes for non-medical emergencies, avoiding inappropriate hospital admission and use of ambulances, and ensuring clients who suffer a fall at home are not impacted significantly by lying on the floor for a long length of time.
“Research shows that the impact of falling is considerable, with a negative effect on independence and quality of life. Someone left lying on the floor for more than one hour is more likely to suffer serious injuries and be admitted to hospital, and subsequently moved into long-term care.
“Being able to attend site within one hour and lift clients off the floor not only provides them with the best outcomes but can also have a significant impact on reducing and, in some cases, stopping the need for ongoing support and care.”
Since January 2020, the rapid response team has attended more than 11,391 call outs; of which 37% were for non-injurious falls, 27% were for a ‘no response’ following an alarm activation, and 28% were for other assistance or welfare check. Figures show only 713 of those, or 6%, needed to be escalated to emergency medical services.
CONNECT is funded by the Welsh Government’s Transformation Fund through the West Wales Care Partnership and provides an enhanced wrap-around lifeline and telecare service shaping the future of health and social care across west Wales. A total of 5,703 residents have signed up for the service since it was launched.
Rhian Matthews, Integrated System Director for Hywel Dda University Health Board and Carmarthenshire County Council, said: “The older adult population tell us that what’s important to them is that they remain as well and independent as they possibly can for as long as they possible can and within their own home and communities.
“Through Delta CONNECT we are able to keep checking in on our vulnerable and older population to make sure they are keeping well and independent as they possibly can be, and when they are struggling Delta CONNECT is able to provide a timely response to their needs which allows us to put support in place before things become any worse. This helps us to avoid a hospital admission and protects their independence and reduces the reliance on social care support.
“And if someone falls at home or they need any type of assistance, Delta’s rapid response team works closely with the Welsh Ambulance Service, and make sure they are only taken to hospital when it is absolutely necessary for them to do so. If someone is taken to hospital by an ambulance and we believe that individual could go home with a little bit of wrap-around care from Delta CONNECT and the rapid responders, then we do that to support them and their families.”
Delta Wellbeing is a Local Authority Trading Company, owned by Carmarthenshire County Council, which provides assistive technology and proactive monitoring to support older and vulnerable people to live more independently.
Health
RCN Wales appoints Nicola Williams as Executive Director
NICOLA WILLIAMS will take up the role in April, bringing more than three decades of experience in nursing and senior leadership.
The Royal College of Nursing (RCN) has announced the appointment of Nicola Williams as its new Executive Director for Wales.
She joins the organisation from Velindre University NHS Trust, where she currently serves as Executive Director for Nursing, Allied Health Professionals and Health Care Scientists. With 38 years of experience in nursing and more than six years at executive board level, she is widely recognised across NHS Wales for her work in improving patient outcomes.
A highly experienced strategic leader, Williams has worked across a wide range of clinical and organisational settings. She has led major transformation programmes, strengthened national clinical leadership networks and championed innovation and evidence-based improvements in care. Her work has contributed to changes adopted across Wales and has been recognised with national awards.
Speaking about her appointment, Nicola Williams said: “I feel privileged to be appointed as Executive Director of RCN Wales. I’m a proud nurse, passionate about patient safety and improving care standards.
“Delivering the best care is only possible when nursing staff are supported to work in safe, inclusive environments. I will stand alongside members and their patients.
“Nursing staff are the backbone of health and care. I am determined to support our members across Wales, wherever they work, to meet the challenges ahead and shape the future of our profession.
“I look forward to meeting members across Wales and ensuring our work is informed by their experiences and expertise.”
In her new role, Williams will lead the RCN’s work in Wales and provide strategic leadership across key priority areas spanning the UK.
She succeeds Helen Whyley, who has held the position since February 2019 and will move into a new role as Director of Service Innovation at the RCN.
Health
Decision pending on adult mental health referral pathway
HYWEL DDA University Health Board will decide next week whether to make changes to the GP referral pathway for routine adult mental health services permanent.
The decision will be taken at a public Board meeting on Thursday (Mar 26).
Board members will consider a proposal to formalise changes already introduced in Ceredigion and, if approved, roll out the revised pathway across Pembrokeshire and Carmarthenshire.
Since March 2025, adults in Ceredigion seeking routine mental health support have been advised by their GP to contact the NHS 111 Wales ‘Press 2’ service, rather than being referred directly to the county’s Community Mental Health Team.
The temporary change was introduced in response to ongoing staffing shortages. Health Board officials say the approach has helped maintain timely access to face-to-face assessments for those who need them, while directing initial contact through a single access point.
The 111 ‘Press 2’ service provides telephone assessments by local wellbeing practitioners, supervised by registered mental health nurses, offering advice, support and onward referrals where required.
At its November 2025 meeting, the Board agreed to extend the temporary pathway until the end of March 2026. A nine-week engagement exercise followed, running from December 8 to February 9, to gather feedback from patients, professionals and stakeholders on the potential long-term impact.
Andrew Carruthers, Chief Operating Officer at Hywel Dda University Health Board, said: “I would like to thank everyone who took the time to share their views and experiences.
“I would also like to thank West Wales Action for Mental Health for supporting engagement with patients, including those with lived experience, alongside GPs, primary care teams, mental health staff and third sector partners.
“Our priority is to ensure mental health services remain accessible, fair and sustainable. The temporary changes in Ceredigion have shown some positive benefits, and the feedback we have received from across the three counties will play an important role in shaping the Board’s decision.”
The Board will review all evidence and feedback before making a final decision on the future of the adult mental health referral pathway.
GPs will continue to refer patients with urgent or complex needs directly to community mental health teams where appropriate, and have access to a dedicated NHS 111 professional line for additional clinical advice.
Further details, including the full Board papers, are available here:
https://biphdd.gig.cymru/amdanom-ni/eich-bwrdd-iechyd/cyfarfodydd-y-bwrdd-2026/agenda-a-phapuraur-bwrdd-26-mawrth-2026/
The meeting will be streamed live from 9:30am on Thursday (Mar 26) via:
www.youtube.com/hywelddahealthboard1
Health
Parents urged to check children’s vaccinations after meningitis cases
Local pharmacy reports MenB vaccine shortage amid rising concern
PARENTS and carers across west Wales are being urged to check their children’s vaccination status following recent meningitis cases in the UK.
The warning comes as a local pharmacy has confirmed a shortage of the Meningitis B (MenB) vaccine, highlighting growing pressure on supplies.
Mendus Pharmacy said it currently has no availability of the vaccine due to what it described as a nationwide supply issue.

In a statement, the pharmacy said: “We would like to inform our patients that, due to ongoing supply issues, we currently have no availability of the Meningitis B vaccine.
“Unfortunately, this is a nationwide shortage and all stock is currently unavailable.
“We understand this may be particularly concerning given the recent outbreak reported in Kent, and we completely appreciate the importance of timely vaccination.”
The pharmacy confirmed it is operating a waiting list and will contact patients once supplies return.
Health officials say keeping vaccinations up to date remains one of the most effective ways to prevent serious illness and reduce pressure on NHS services.
Dr Ardiana Gjini, Executive Director of Public Health at Hywel Dda University Health Board, urged parents to act.
She said: “Vaccination is one of the most effective ways we can protect children and young people from serious illness.
“Ensuring your child is fully vaccinated not only safeguards their health but also helps prevent the spread of infections within our communities.
“I strongly encourage all parents and carers to check their child’s vaccination status. If you are concerned that your child may have missed routine vaccinations, please speak to your GP.”
Meningococcal disease is a serious and potentially life-threatening infection that can lead to meningitis or septicaemia. While many people recover, some are left with long-term physical, neurological or psychological complications. Around one in ten cases can be fatal.
Although the disease can affect anyone, babies, young children, teenagers and young adults are at greatest risk.
In Wales, vaccines protecting against meningococcal strains A, B, C, W and Y are offered as part of the NHS immunisation programme. Infants receive the MenB vaccine, while teenagers are offered the MenACWY vaccine.
Latest figures from the Health Board show that uptake among 16-year-olds for the MenACWY vaccine stands at 76.4%, meaning a significant number of young people remain unprotected as they approach adulthood.
For younger children, uptake of the MenB vaccine is higher but still below the recommended 95% target. Around 92.8% of infants are vaccinated by their first birthday, rising slightly to 91.8% by their second.
Health officials say these figures reflect strong engagement from families and primary care teams but stress that continued vigilance is needed.
Families are being advised to check their child’s vaccination record with their GP or by contacting the Health Board directly. Parents should also ensure babies receive their scheduled MenB doses and that teenagers receive their MenACWY and 3-in-1 booster vaccines, which are currently being delivered in schools.
Parents are also urged to remain alert to the symptoms of meningitis and septicaemia and to seek urgent medical advice if they have concerns.
Further information on symptoms is available via NHS 111 Wales.
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