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Health

Calls to declare health emergency in Wales narrowly rejected

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THE WELSH PARLIAMENT narrowly rejected calls to declare a health emergency due to the “existential threat” facing the NHS.

With the vote deadlocked at 26-26, Elin Jones – the Senedd’s speaker or Llywydd – used her casting vote against the Plaid Cymru motion in line with convention.

Mabon ap Gwynfor, the shadow health minister, urged the Welsh Government to recognise an unfolding emergency and bring the NHS “back from the brink”.

The Plaid Cymru MS warned that without a drastic course correction, the health service faces a highly uncertain future.

He said: “We have brought forward this debate today with one clear purpose: to try to convince the government we need to recognise the existential threat facing the NHS, which is so valuable to us, by declaring a health emergency in Wales.”

Mr Gwynfor, who represents Dwyfor Meirionnydd, pointed out that waiting lists have hit record highs in July, August, September and October.

Plaid Cymru MS Mabon ap Gwynfor
Plaid Cymru MS Mabon ap Gwynfor

‘Limbo’

He told the chamber that there are 582,000 people waiting for treatment – almost a fifth of Wales’ population, who are “stuck in this ever-expanding limbo zone”.

Turning to cancer services, Mr Gwynfor said only around 54% of patients started treatment within the recommended 62 days against a target of 75% which has never been met.

He added that ambulances spent a combined total of 22,000 hours parked outside hospitals waiting to drop off patients in December alone.

Mr Gwynfor quoted Wes Streeting, Labour’s shadow health minister at Westminster, as saying: “You would have to be living on Mars not to see the NHS is in an emergency.”

He urged Welsh Labour to “come back to earth and open their eyes to what is happening here on their watch”.

Pointing out that the Senedd was the first parliament in the world to declare a climate emergency, he urged Welsh ministers to do the same with health.

‘Collapse’

Russell George, the Conservatives’ shadow minister, raised concerns about a GP crisis, saying the number of patients per GP has risen by a third in less than a decade.

Conservative MS Russell George
Conservative MS Russell George

Mr George accused the Welsh Government of failing to sufficiently recruit, train and retain NHS staff more broadly than GPs.

He moved the Conservatives’ amendments, which urged the Welsh Government to develop a workforce plan and set a target to eliminate two-year waits by September.

The Montgomeryshire MS said: “The staffing crisis is so acute that we do need to act now to prevent the collapse of our NHS.

“Those aren’t my words, those are the words straight from the British Medical Association.”

Mr George told MSs that 25,000 people are waiting more than two years for treatment in Wales but in England and Scotland such waits have been virtually eliminated.

‘Miracles’

Huw Irranca-Davies recognised the challenges but said it must be balanced against the miracles being performed daily by the health service.

Labour MS Huw Irranca-Davies
Labour MS Huw Irranca-Davies

The Labour backbencher praised the “amazing” treatment he has received from the NHS, saying he has not experienced long delays.

The Ogmore MS, whose wife works in A&E, said: “It isn’t because, as somebody will say ‘well, you’re an MS, your name goes up the list’ – it isn’t that.

“The NHS treats me like any other citizen. It’s seen me, it’s seen me promptly and it’s getting me through the system as fast as it possibly can, and I’m having the best of service.”

Jane Dodds, the Lib Dems’ leader in Wales, focused her contribution on rural communities, calling for a rural GP premium to help with recruitment and retention.

Jane Dodds MS, leader of the Welsh Liberal Democrats
Jane Dodds MS, leader of the Welsh Liberal Democrats

The Mid and West Wales MS warned that GPs are continuing to say they have had enough.

She raised a Royal College of GPs survey which found that one in four did not expect to be in their current role in five years’ time.

‘Crisis’

Eluned Morgan, Wales’ health minister, said: “I don’t accept there is a health emergency and I’m not really sure what we hope to achieve by declaring a health emergency.”

Health minister Eluned Morgan
Health minister Eluned Morgan

During the debate on February 7, she told the chamber that the Welsh Government has prioritised the NHS in the face of more than £1bn of real-terms cuts.

She said achieving performance targets has been difficult because demand has gone through the roof, with referrals increasing by 10% last year to 1.5 million.

Baroness Morgan pointed out that almost 300,000 people – about the population of Cardiff – are seen as out-patients every month by the Welsh NHS.

She said more than 2,500 people attend A&E and about 1,100 people call 999 every day.

The minister stressed: “I think the vast majority of these people would say that there is not a crisis. People fall over themselves to tell me how great their treatment has been….

“You’ve got to balance it. We’ve got to balance all of the criticism with the great work that is being done in the NHS.”

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

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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.

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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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