Health
Report aims to drive efficiency in Welsh Health and Social Care system
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IN A GROUNDBREAKING report released this week, an alliance of eight leading health organisations, convened by the Royal College of Nursing (RCN), has set forth a strategic vision for reshaping Wales’ healthcare system. The comprehensive analysis, titled “Promoting Efficiency and Saving Money in Health and Social Care in Wales,” identifies workforce investment as the fulcrum for achieving enhanced value for the Welsh government’s robust health and social care expenditure.
With health and social care devouring a significant 43% slice of the Welsh government’s budget pie – amounting to an eye-watering £10.7 billion in the 2023-24 financial year – the quest for cost-efficiency has never been more critical. October’s announcement of an emergency cash injection of £425 million to sustain NHS services underscored the urgent need for innovative solutions to the financial strains plaguing the system.
The report serves not only as a blueprint for fiscal prudence but also as a beacon of successful innovation, showcasing compelling case studies from across the UK. One such example hails from Somerset, where a shrewd investment in moving and handling equipment by occupational therapists cut the need for double carer visits, netting an impressive £270k in savings. In a digital stride forward, an NHS Trust in North West England implemented electronic prescribing to spectacular effect, securing a £2m saving within a year and slashing prescription errors by two-thirds.
Helen Whyley, RCN Wales Director and the report’s leading voice, expressed her enthusiasm about the findings: “We are at the forefront of a vital conversation, armed with undeniable evidence, ready to chart a course towards a more cost-effective, sustainable healthcare system for Wales.”
Whyley underscores that the path to enduring improvement is paved with investment in the workforce. “A comprehensive approach encompassing recruitment, retention, competitive pay, and enhanced working conditions is paramount,” she asserts. “Not only does this pave the way for timely and superior care, but it also mitigates the future risks and costs associated with more complex care needs.”
The RCN’s report lays down the gauntlet for the Welsh government, challenging policymakers to undertake a long-term commitment to healthcare personnel as the cornerstone of a sustainable health service. It’s a call to action that, if heeded, could define the future of healthcare in Wales.
Health
10-mile trek raises £1,000 for stroke unit
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A TEAM of 18 from CARA Wales took on a 10-mile trek and raised £1,000 for the Stroke Ward at Withybush Hospital.
The team from CARA Wales, an agricultural and rural consultancy and advice organisation, walked across the Preseli Mountains from Foel Drygan to Foel Eryr on 17th June 2023.
Mererid Sandbrook, who works for CARA Wales, said: “The walk started in Crymych and continued along the Golden Road up to Foel Eryr, the highest point of Preseli Mountain. It was a really enjoyable day.
“We were all really pleased to have raised such a great amount of money. We would like to thank everyone who donated money towards our challenge.”
They also raised £1,000 for Stroke Association.
Nicola Llewelyn, Head of Hywel Dda Health Charities, the official charity of Hywel Dda University Health Board, said: “We’d like to say a big thank you to CARA Wales for taking on the 10-mile trek in aid of the Stroke Ward.
“The support of our local communities enables us to provide services over and above what the NHS can provide in the three counties of Hywel Dda and we are extremely grateful for every donation we receive.”
Your donations are making a positive difference to the health, wellbeing and experience of NHS patients, service users and staff. For more details about the charity and how you can help support local NHS patients and staff, go to www.hywelddahealthcharities.org.uk
Health
Hywel Dda to engage on Tregaron Community Hospital beds
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HYWEL DDA University Health Board is inviting members of the public to share their views about the potential of decommissioning the nine beds currently at Tregaron Community Hospital.
The proposal for a new model of care, which is part of the broader Cylch Caron project, will see the move of care from the hospital to people’s own homes enabled through a different model of support. This can only be achieved by staff working in different ways, focused on keeping people well at home, and with more available to help people in the community.
Peter Skitt, County Director Ceredigion at Hywel Dda University Health Board explains: “Members of our local community will be familiar with our vision, which includes the development of the Cylch Caron model of care that includes an integrated resource centre.”
Dr Sion James, Deputy Medical Director Primary Care and local GP for Tregaron, adds: “Tregaron Hospital has been a part of our local community for a number of years, and we need to provide our community with a range of services that meets their current and future needs.
“The Centre is an exciting and unique project that aims to offer many opportunities and benefits for people in the area. This will bring together a range of services in a central hub for the Tregaron and surrounding rural areas. The project will create an innovative rural model of community-based care to meet care, health and housing need in the area, which is fit for today and sustainable for tomorrow.”
The Cylch Caron scheme is being developed in partnership between Ceredigion County Council, Hywel Dda University Health Board and the Welsh Government. It will consist of a GP surgery, community pharmacy, outpatient clinics and community nursing and social care facilities, as well as extra care flats and integrated health and social care units.
Ceredigion County Council recently announced that they are inviting companies to tender for the design and build of the new fully-integrated health, social care and housing centre.
Peter adds: “While we develop our Cylch Caron scheme, we also need to consider our current model of care for patients at Tregaron Hospital. Despite efforts to recruit to positions, our current level of staffing is insufficient, and our staffing rotas are fragile. Our staff have voiced how challenging it is to support our patients through our current model of care at Tregaron Hospital. Our proposal is to move our staff from being hospital based and looking after the nine beds, to being community based. This will enable us to support more patients in their homes.
The Cylch Caron model of care is focused on providing more community nursing and enhanced care in people’s own homes. This would be achieved through outreach nursing and increased provision of same day urgent care. Outpatient appointments will continue to be provided from Tregaron Hospital and the building will serve as a hub for our staff until the new Cylch Caron Integrated Resource Centre is built.
Peter continues: “We know that being close to home, or in their home, is important for our patients. We want to increase the opportunity for people in Ceredigion to be able to stay well for longer, with the support of enhanced staffing in their own homes.
“At the moment, the patients in our care at Tregaron hospital live more than ten miles away from the hospital, and most are medically fit. And this has been common for a long time. Our proposal to move our staff to focus on advanced care in people’s homes provides a different way of supporting our patients. It will enable us to deliver our community care model quicker and support more people in our communities.
“Patients have consistently shared that they would prefer to be at home, or closer to home, and this tends to enable their recovery. We will work with our patients and their families, and our broader community, to understand their views during the planned period of engagement.”
The proposal to decommission the nine beds and the engagement period will be discussed at the Board meeting held on 25 July. The four-week period of engagement will launch on 1 August and run until 29 August 2024. Individuals will be able to attend online and in-person events and be able to share their views through the Health Board’s Have Your Say portal. Feedback from the engagement will be presented to the September meeting of the Health Board.
Further information on the events and how individuals can share their views will be shared at the end of July.
Health
Equipment and games for Glangwili children’s ward thanks to donations
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THANKS to donations, Hywel Dda Health Charities, the official charity of Hywel Dda University Health Board, has been able to provide equipment and games worth over £300 to Cilgerran Ward at Glangwili Hospital.
The NHS charity funded TV brackets, universal remotes, Nintendo Switch cases and Nintendo games including FIFA, Chocobo and Minecraft Dungeons.
Karen Thomas, Head of Therapeutic Play, said: “We are so grateful that charitable funds have allowed us to purchase more items for Cilgerran Ward.
“The new items will help the therapeutic play team work more effectively and focus their time on the children and young people in our care.
“Being able to play while in hospital means the children and young people can continue an aspect of their normal life. Arts and crafts help as they go through treatments and procedures in hospital, minimising the effects of isolation, stress and anxiety.
“The items will help make the ward and all the areas the children attend more friendly and promote wellbeing for all.”
Nicola Llewelyn, Head of Hywel Dda Health Charities, the official charity of Hywel Dda University Health Board, said: “The support of our local communities enables us to provide services over and above what the NHS can provide in the three counties of Hywel Dda and we are extremely grateful for every donation we receive.”
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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