Health

The NHS at 75: Urgent national dialogue required to address future healthcare needs

Published

2 years ago

July 4, 2023

AS THE NATION celebrates the 75th anniversary of the NHS, the Welsh NHS Confederation has called upon the Welsh and UK Governments to engage in a comprehensive national conversation regarding the innovation and transformation of the health and care system. In a press release, the Welsh NHS Confederation emphasised the need to adapt to meet the requirements of future generations.

On Wednesday, 5th July, the Welsh NHS Confederation will present a report at the Senedd, signalling the commencement of a public debate on the future of healthcare and care services. The organisation acknowledges the public’s enduring trust in the NHS and its fundamental principles of providing free care to all in need. However, it is widely recognised that the existing health and care services are unsustainable. Over the past 75 years, the demographics of the population have undergone significant changes, with substantial improvements in life expectancy for both men and women in England and Wales, an achievement to be celebrated.

Nevertheless, the challenges posed by an ageing population with increased frailty and chronic conditions necessitate a thorough re-evaluation of health and social care. The NHS is confronted with mounting demands while simultaneously contending with immediate pressures that impede long-term planning for health and care services.

This pivotal moment calls for collaborative efforts to co-produce and redesign services, ensuring they effectively adapt to the evolving needs of the population and remain sustainable in the future. Crucially, the NHS must empower individuals to make informed decisions about their own well-being and independence, guaranteeing access to the most appropriate care for their specific requirements.

It is vital to recognise that access to healthcare represents only a fraction of a population’s overall health, with socio-economic factors playing a substantial role. Wales, for instance, faces the highest poverty rate among the four nations of the UK, with more than one-third of children (34 per cent) living in poverty.

The Welsh population grapples with a multitude of health challenges that hinder life expectancy and widen inequalities, many of which lie beyond the direct purview of the NHS. Improving population health and well-being necessitates an integrated approach that encompasses services and sectors beyond healthcare. Redirecting resources towards long-term investment in public engagement and communication, as well as implementing preventative measures across sectors such as housing, education, transport, and access to the arts and leisure, is imperative. All sectors bear responsibility for creating a preventive model, fostering an economic, social, and natural environment in Wales that supports good health and well-being throughout one’s life.

Continuing along the current trajectory is not an option; change is needed urgently. A transparent and candid conversation with the public about the future of health and care services is essential. This discussion must revolve around an NHS that receives adequate and sustainable funding, an NHS that delivers care and prevention directly to individuals and communities, an NHS that empowers and enables, and one that benefits from improvements in public health. The foundation of this dialogue must be an ambitious and sincere partnership between the NHS and the people it serves.

Darren Hughes, Director of the Welsh NHS Confederation, expressed the importance of adapting to opportunities and challenges, a characteristic deeply ingrained in the NHS’s history. He acknowledged the invaluable contributions of NHS staff, social care staff, volunteers, third-sector organisations, unpaid carers, and communities in supporting the nation’s health and well-being. However, Hughes cautioned that the existing efforts alone are insufficient to ensure the long-term sustainability of health and care services for future generations. He emphasised the urgency of engaging in a national conversation to unite behind a shared vision for the NHS’s future. Hughes highlighted that the responsibility lies with the population and all sectors

Health

Hywel Dda Health Board announces Community Vaccination Centres

Published

2 days ago

January 28, 2025

Tom Sinclair

HYWEL Dda University Health Board is organizing pop-up community vaccine centres to make it easier for eligible individuals to access their flu and COVID-19 vaccines.

To check your eligibility for the flu and/or COVID-19 vaccine:

Visit: phw.nhs.wales
Contact the health board: 0300 303 8322 (Option 1)
Email: [email protected]

If you are eligible, you can either drop in at one of the centres listed below or book an appointment using the details above.

New clinics are being arranged for February. Stay updated by visiting the health board’s webpage:
Seasonal Flu Vaccinations

Vaccination Centres and Schedules

Carmarthenshire

Carmarthen Athletic RFC
Athletic Park, Johnstown, Carmarthen, SA31 3QY

Monday, January 27: 9:30am–4:45pm
Tuesday, January 28: 9:30am–4:45pm
Wednesday, January 29: 9:30am–4:45pm
Thursday, January 30: 9:30am–4:45pm

Llandeilo Fawr Civic Hall
17 Crescent Road, Llandeilo, SA19 6HW

Friday, January 31: 10:00am–4:45pm

Pontyberem Memorial Hall
Coalbrook Road, Pontyberem, Llanelli, SA15 5HU

Tuesday, February 4: 9:30am–4:30pm

Llandovery RFC
Church Bank Playing Fields, Llandovery, SA20 0BA

Thursday, February 6: 10:00am–4:30pm
Friday, February 7: 10:00am–4:30pm

Ceredigion

Tregaron Memorial Hall
The Square, Tregaron, SY25 6JL

Monday, January 27: 10:00am–4:30pm

New Quay Memorial Hall
Ffordd Towyn Road, New Quay, SA45 9QQ

Tuesday, January 28: 9:30am–4:45pm
Wednesday, January 29: 9:30am–4:45pm

The Pwerdy-Powerhouse Community Arts Centre
Chapel Street, Pont Tyweli, Llandysul, SA44 4AH

Tuesday, February 4: 10:00am–4:45pm
Wednesday, February 5: 10:00am–4:45pm

Pembrokeshire

Pembrokeshire Archives
Prendergast, Haverfordwest, SA61 2PE

Tuesday, January 28: 9:30am–4:50pm

Regency Hall
King George V Playing Fields, Milford Street, Saundersfoot, SA69 9NG

Friday, January 31: 9:30am–4:45pm

Neyland MVC
Unit 1, Honeyborough Retail Park, SA73 1SE

Monday, February 3: 9:30am–4:45pm
Wednesday, February 5: 9:30am–4:45pm

Llwyngwair Manor
Newport, Pembrokeshire, SA42 0LX

Thursday, February 6: 10:00am–4:30pm

Bloomfield House
Redstone Road, Narberth, SA67 7ES

Friday, February 7: 10:00am–4:45pm

Health

RCN demands urgent action and transparency on corridor care in Wales

Published

2 days ago

January 28, 2025

Tom Sinclair

THE RCN today issued a strong call to action to the Welsh government, urging them to take decisive steps to eradicate corridor care – a practice that is unsafe, undignified, and unsustainable. The most vulnerable in society, including many older people, bear the brunt of corridor care –where patients are treated in hallways and other inappropriate settings due to bed shortages.

Corridor care compromises patient safety and dignity by delaying timely treatment, reducing privacy, and increasing anxiety and stress. For the nursing workforce, it worsens workloads, contributes to burnout, and undermines their ability to provide quality care.

In open letters to the Welsh Government, NHS Wales, key watchdogs and advocates, the RCN has called for action on eight steps to end corridor care in Wales. The RCN’s eight recommendations include protecting patient safety and supporting the nursing profession by declaring care in chairs for over 24 hours a “never event” and fostering a culture where nursing staff can raise safety concerns without fear. Key steps include increase weekend staffing that can enable timely discharges, restoring District Nurse numbers to 2010 levels, and investing in social care to ensure patients can transition from hospitals to appropriate care settings promptly.

Additionally, the Government must pause hospital bed reductions and review capacity to ensure adequate care in both community and hospital settings. Investing in the nursing workforce and fully implementing the Six Goals for Urgent and Emergency Care programme is critical. NHS Wales must be empowered to divert patients to neighbouring services when necessary, easing pressure on overstretched facilities and improving outcomes.

Helen Whyley, Executive Director of RCN Wales, said: “Nurses are facing immense challenges in maintaining high standards of patient care amidst the growing prevalence of corridor and chair care in hospitals. The RCN’s recent report starkly highlights the stories of nurses who are striving to provide quality care in these difficult conditions. Despite the lack of proper facilities and the strain of overcrowded hospitals, nurses continue to demonstrate remarkable dedication and resilience. They often work long hours under intense pressure, ensuring that patients receive the best possible care even when resources are stretched thin.”

“Our recommendations provide a clear and achievable roadmap to ensure patients receive care in the right place, at the right time, and by the right professional. The nursing workforce is ready to lead the way – but we need the Welsh government to act now.”

The RCN is calling on the Welsh Government to engage all health care stakeholders, listen to the expertise of the nursing workforce, and prioritise patient safety above all else. The time to end corridor care is now.

Health

Leading pharmacies demand tougher regulation on online sale of weight-loss jabs

Published

4 days ago

January 27, 2025

Tom Sinclair

PHARMACIES are calling for stricter regulation of online sales of weight-loss injections, warning of risks to patient safety amid predictions of a surge in demand this year.

The National Pharmacy Association (NPA), representing independent community pharmacies, has urged the General Pharmaceutical Council (GPhC) to require more thorough consultations with patients before dispensing weight-loss injections and other high-risk medications online.

The NPA cautioned that existing regulations allow medicines to be supplied without adequate consultation or access to patient records, leaving patients vulnerable. They called for a mandatory two-way consultation process to ensure prescribers have a full understanding of patients’ medical histories before issuing such treatments.

Greater safeguards needed

Responding to draft GPhC guidelines, the NPA criticised the proposed safeguards, stating they “still leave the door open for medicines to be prescribed and supplied without appropriate two-way patient consultation or access to a full clinical picture, particularly with high-risk medicines.”

The association recommended prescribers engage in direct dialogue with patients—either in person or via telephone—before offering weight-loss medications such as Mounjaro injections. The NPA also stressed the importance of obtaining comprehensive medical histories, rather than relying solely on online questionnaires.

Nick Kaye, Chair of the National Pharmacy Association, said:
“Obesity is one of the biggest challenges facing our country, and pharmacies want to play their part in helping patients achieve and maintain a healthy weight.
“Weight-loss injections can be effective when prescribed as part of a carefully managed programme, but the current regulations allow some patients to access these medications inappropriately, without proper consultation or examination of medical records.”

Addressing rising demand

The call for tighter regulations comes as demand for weight-loss treatments is expected to rise, with the government planning to expand the rollout of such medications. Many pharmacies already dispense weight-loss treatments or include them in private weight-loss programmes, emphasising a need for best practices to prioritise patient safety.

The NPA highlighted cases of patients who had been inappropriately prescribed weight-loss injections, including individuals with eating disorders or those with body mass indexes (BMI) outside the licensed range. Such cases increase the risk of severe adverse effects.

Kaye added:
“Medicines are not like ordinary goods for sale; they must be handled with great care because they have the power to harm as well as to heal. We urge the GPhC to make a full consultation compulsory for high-risk medicines and ensure supply is prioritised for those with the greatest clinical need, including those with type 2 diabetes.”

Warning against unregulated sellers

The NPA and the Medicines and Healthcare products Regulatory Agency (MHRA) have also warned against purchasing weight-loss injections from unregulated sources, such as beauty salons or social media platforms. Counterfeit medications from these suppliers pose significant health risks.

The NPA advised patients to consult a pharmacist if they are unsure about weight-loss treatments, ensuring they receive safe and effective care as part of a programme to achieve sustainable lifestyle changes.