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Health

Laugharne surgery may shut due to staffing problems

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HYWEL DDA University Health Board (HDdUHB) says it has received an application from the Coach and Horses GP Surgery in St. Clears, to close their Laugharne Branch Surgery in Carmarthenshire.

The main reasons for the application are:

  • The Practice has faced major problems in sustaining its core workforce and has been unable to provide GP sessions at the Laugharne Branch Surgery since April 2020.
  • In order to protect the provision of general medical services, the GP Partners of the Coach and Horses Surgery in St. Clears have made the difficult decision to apply to close the Laugharne Branch Surgery. This will allow them to centralise their staff and services, which will in turn support the future sustainability of the GP Practice.
  • There are challenges across the UK in the recruitment and retention of general medical practitioners (GPs).

Tracey Huggins, Head of General Medical Services at Hywel Dda University Health Board, explains the process: “Once an application to close a branch surgery is received, the Health Board starts its Branch Practice Review Process, which is managed independently of the Coach and Horses GP Practice.

“The process that sets out how the Health Board will respond to receiving and reviewing the application to close. It also sets out how we will share information with patients and wider stakeholders in order to seek their views, which includes engaging with Llais, the statutory body in Wales that represents the interest of patients and the public.

“Once all of these processes are completed, we enter a period of conscientious consideration of the feedback that we have received. This is all done independently of the Practice, although we keep them informed and include their representative in our meetings.

“Finally, all of the information gathered is taken into account when the Board meets in public to consider a final decision on the application.”

This period of engagement will take place from 1 to 30 November 2023. Patients and members of the wider community can have their say by:

  • Attending a drop-in event on Tuesday, 28 November 2023, any time between 2.00pm and 7.00pm at Laugharne Memorial Hall, Clifton Street, Laugharne SA33 4QG
  • By questionnaire: collection boxes for questionnaires at Laugharne Surgery and at Coach and Horses Surgery. Patients can also return by posting to FREEPOST HYWEL DDA HEALTH BOARD
  • By telephone: 0300 303 8322 and select option 5 for other services.
  • By email: ask.hdd@wales.nhs.uk
  • In writing: comments to be addressed to Tracey Huggins, Head of GMS Primary Care Team, Felinfoel Community Resource Centre, Felinfoel, Llanelli, SA14 8BE.
  • Online: responding to a questionnaire hosted on the Health Boards Have Your Say / Dweud eich Dweud sites https://www.haveyoursay.hduhb.wales.nhs.uk/laugharne-branch-surgery-the-future-of-services-for-registered-patients
  • Feedback direct to Llais, Suite 5, 1st Floor, Ty Myrddin, Old Station Road, Carmarthen SA31 1LP.

Health

Mind, Body and Spirit Awareness Day at North Pembrokeshire venue

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This Saturday, April 12, thoughts will be turning to the mind, body and spirit, thanks to the ever-popular Awareness Day that takes place at Canolfan Hermon in North Pembrokeshire.  

This is the fourth event of its kind  at the village hall and each year the event continues to grow from strength to strength.

This year, there will be a total of  eight therapists in attendance as well as  two mediums, a card reader and ten stall holders selling spiritual, mind and body items including crystals, jewellery, honey and cosmetics.  There will also be a stall from the Jig-So Children’s Centre in Cardigan while  hot food and refreshments will also be served throughout the day by Fusion Kitchen.

As with previous events, the Mind, Body and Spirit Awareness Day will be raising funds for Breast Cancer and Thrombosis UK.  As a result, there will be a £1 entry fee as well as optional raffle tickets and a Memory Tree for additional donations. A  light language healing demonstration will take place at 1 pm.

People near and far are invited to experience the different therapies, while  event organiser Lynda Barnes says there is guaranteed to be something here for everyone. The event starts at 11 am and will continue until 3 pm.

For further information, contact Lynda Barnes on 07920249194.

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Health

‘Nobody taking responsibility’ for paying care workers the real living wage

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CARE HOME providers urged the Welsh Government to follow through on a key commitment to ensure care workers are paid the real living wage.

Giving evidence in the Senedd, Care Forum Wales, which represents more than 450 care homes, warned funding did not reach all parts of the sector in 2024/25.

The non-profit organisation said funding for the real living wage (RLW) was not ringfenced, so some councils chose to spend the money on libraries and teachers’ salaries instead.

Care Forum Wales raised concerns about “nobody taking responsibility”, with the Welsh Government claiming to have provided the money and councils saying it was insufficient.

Labour’s manifesto for the 2021 election contained a pledge to “ensure care workers are paid the real living wage during the next Senedd term”.

But Sanjiv Joshi, Care Forum Wales’ treasurer, warned the Welsh Government’s push for care workers to receive the real living wage has become an aspiration rather than a reality.

He told the local government committee: “The first year when it was announced … providers had to give an undertaking to commissioners that we were paying the real living wage.

“Since then, that’s now become aspirational as commissioners have not had the funds – or so we are told – to follow through and maintain those real living wages.”

Giving evidence on April 3, Melanie Minty, policy adviser at Care Forum Wales, said: “The real living wage, as Sanjiv said, isn’t reaching the sector necessarily.”

But, describing the RLW as a drop in the ocean, she warned care homes cannot compete with councils and the NHS which pay a higher rate than used in costing commissioned care.

Under the Welsh Government’s 2025/26 budget, funding for the real living wage is allocated to councils within the revenue support grant, meaning it can be spent on other areas.

Ms Minty also voiced concerns about an increasing number of councils receiving grants to build care homes that “will never recover their costs”.

She pointed to the example of Carmarthenshire Council building a £19.5m residential home despite free capacity in the county’s independent sector.

Cautioning that commissioning too often focuses on cost over outcomes, she said: “I’ve heard of commissioners going into homes and saying ‘you’re spending too much on food’.

“Things like holidays have been drastically cut back for younger people.”

Mr Joshi, who runs the Caron group of care homes in mid and south Wales – which includes Valley View Care Home in Hengoed – warned of a £9,000-a-year difference in nursing fees between neighbouring councils.

He said: “We’re talking about Cardiff and RCT … imagine the pressure that puts on and it’s not driven by the needs, the needs would not be that different.”

Pressed about the minimum level of profits required to make services feasible, Mr Joshi replied that he targets an 11% return which is unachievable in parts of Wales.

Warning of an “irrational” policy direction, he said: “We have the private sector delivering incredible value for money [yet] being eroded by underfunding. Then we have the public sector spending four or five times that amount, it doesn’t make sense.”

Mr Joshi told the committee families are increasingly having to make up a difference in costs that should be provided by councils and health boards.

Warning charity providers are exiting the market, Ms Minty said: “Most of our third-sector members have sold their care homes because they are not viable.”

Ms Minty called for a fee methodology that can be applied consistently across Wales, with some councils far more transparent and understanding of the costs than others.

“Cardiff, while giving a really good increase this year, has been very honest in admitting they know it’s not going to meet all the changes,” she said. “Whereas other local authorities … have been known to make an offer and say this will cover all sorts of things.”

She said the sector has stabilised since the pandemic and Brexit but increasing employer national insurance contributions have added to the pressure.

She told the committee: “I think we’ll see an unintended consequence will be that employers are forced to suppress pay increases … and some will be forced to make redundancies.”

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Health

New patient deal aims to cut NHS waiting times across Wales

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A NEW deal between the NHS and the public is at the centre of a plan to drive down the longest waiting times for healthcare in Wales.

Health Secretary Jeremy Miles is expected to unveil a strategy this week aimed at reducing the overall waiting list by 200,000 patients by March 2026. The plan also sets targets to eliminate two-year waits for planned treatments and restore a maximum eight-week wait for diagnostic tests.

A key part of the announcement is the introduction of a new “patient deal”, which aims to improve transparency, reduce missed appointments and ensure better preparation for surgery. This deal will be incorporated into updated referral-to-treatment guidelines due later this month.

What the new deal includes:

  • Faster access to planned care with patients told how long they can expect to wait once added to the list.
  • Waiting time tracking through the NHS Wales App, with updates available from June.
  • Only fit and well patients will be added to surgical waiting lists, in line with evidence showing they recover more quickly and have better outcomes.
  • Support to get surgery-ready, with help to improve health before treatment.
  • Appointment changes, where patients will be offered two dates. If they miss both without good reason, they will be removed from the waiting list.
  • Alternatives and risks explained, so patients are fully informed before deciding on surgery.

Each year, around 700,000 outpatient appointments in Wales are either missed by patients or cancelled. Health boards will now be under stricter obligations to reduce these disruptions, and to minimise the number of cancellations made by the NHS itself.

Mr Miles said: “The NHS will do all it can to prioritise faster access to treatment. In return, we are asking the public to prioritise and keep their appointments so that, together, we make the best possible use of scarce NHS resources.

“We cannot continue losing one in seven appointments due to no-shows or other avoidable reasons. These missed slots delay care for everyone and waste vital resources.

“Evidence shows people in better health recover more quickly and require shorter hospital stays. By preparing patients properly and ensuring they understand all treatment options, we can deliver better outcomes and greater efficiency.”

The Welsh Government hopes the new plan will bring waiting lists closer to pre-pandemic levels. As well as reducing overall waiting list size by 200,000 by March 2026, the government has pledged to ensure no one waits more than two years for planned treatment and to restore the eight-week target for diagnostic testing.

Health boards will be expected to continue transforming how they deliver planned care over the next 12 months. This includes adopting more regional working models and implementing recommendations from the Ministerial Advisory Group on NHS Performance and Productivity, due to report later this month.

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