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Health

Significant disruption expected during second junior doctors strike, says WG

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URGENT and life-threatening care will continue to be provided during second junior doctors strike in Wales this week, but significant disruption is expected to other services the Welsh Government has said.

The head of NHS Wales, Judith Paget, has also urged everyone to help reduce the burden on the NHS by considering other options to attending hospital, unless they need urgent care.

Ahead of the industrial action which starts on Wednesday, Health Minister Eluned Morgan has said the Welsh Government are always open to further talks but they don’t have the budget available to increase the pay deal.

Eluned Morgan said: “We are disappointed that junior doctors have decided to take further industrial action in Wales, but we understand their strength of feeling about our 5% pay offer.

“Our offer is at the limits of the finances available to us and reflects the position reached with the other health unions. But we will continue to press the UK Government to pass on the funding necessary for full and fair pay rises for public sector workers.

“We remain committed to working in social partnership with the British Medical Association and are always open to have more talks.”

NHS Wales Chief Executive Judith Paget said: “As during the last strike we welcome the collaborative approach on patient safety taken by the British Medical Association. We have been working with them and NHS organisations to ensure patient safety is protected during the industrial action.

“We expect significant disruption to non-emergency and elective activities during the industrial action, with much work already been postponed. During the last strike around 41% of outpatient appointments and 61% of operations were postponed across Wales. We expected services during the industrial action to resemble those generally provided on a Bank Holiday.

“However, if you have a critical need to attend an emergency department you should still do so.

“But we are also urging everyone to consider the best option for them, including 111 online or phone service, or their local pharmacy.”

Responding to the Welsh Government’s comments, director of the Welsh NHS Confederation Darren Hughes said: “NHS leaders understand the financial challenges facing the Welsh Government, but it is disappointing that the BMA and government have not been able to find a solution to the ongoing pay dispute.

“Patient safety is of course the number one priority. Health leaders and their teams will pull out all the stops to fill rotas ahead of the strikes, but the reality is more patients having their operations or appointments cancelled, which will impact on attempts to tackle waiting lists for routine hospital care.

“As always, it is patients who bear the greatest burden from industrial action, with around 41 per cent of outpatient appointments and 61 per cent of operations postponed across Wales in the last wave of industrial action by junior doctors in January.

“The impact of strike action is not just felt on the days of industrial action, but also following industrial action when the service does its best to catch up on postponed patient appointments and cancellations.

“It is not too late to restart negotiations and stop the strikes before more patients have their vital care delayed. We call on both sides to lay out the basis for a realistic settlement that would be satisfactory to the majority of junior doctors.”

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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