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Health

Welsh care homes were caught up in nightmare Covid ‘experiment’

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  • Grim statistics reveal 1,500 excess care home deaths during pandemic

A SOCIAL CARE champion said care homes in Wales felt they were caught up in a nightmare “experiment” when Covid struck in 2020.

According to Mary Wimbury, the Covid inquiry had flagged up once again that Wales and the rest of the UK was under prepared to deal with a pandemic.

She was speaking after the UK Covid-19 inquiry moved to Cardiff to scrutinise the Welsh government’s handling of the emergency.

In the early stages , said Ms Wimbury, protecting the NHS had been treated as the  paramount priority while social care hadn’t been given enough consideration.

One of the catastrophic consequences was that admitting untested hospital patients into care homes had in some cases led to the virus spreading rapidly, leading to the deaths of many vulnerable elderly residents.

In the three-year period from January 2020 there were nearly 1,500 excess deaths in care homes in Wales.

The lack of a rigorous testing regime early on and shortages of personal protective equipment like face masks, gloves and aprons had contributed to the problems.

Mary Wimbury, Care Forum North Wales

On the other hand the Welsh Government had adopted a more cautious, considered approach than the UK Government and only announced new infection control measures when the necessary infrastructure had been put in place.

Financial support provided by the Welsh Government for the social care sector was also significantly higher in Wales than in other parts of the UK.

Ms Wimbury said: “During those early weeks, we were talking to our counterparts in care associations across the United Kingdom and I think all of us felt the focus was very much on the NHS and there wasn’t sufficient focus on care homes in particular.

“We felt more planning could have been done in advance in relation to the different types of pandemics and how we would react to them.

“It’s definitely the case we were pressing for testing in particular for people being admitted to care homes from hospitals before that was implemented.

“While testing was announced earlier in England but we were also hearing from counterparts in England was that, although it had been announced, it wasn’t necessarily happening on the ground because the infrastructure wasn’t there.

“One of the differences we saw during the pandemic was that Welsh Government wanted to get the logistics in place before announcing something.

“Testing was absolutely crucial and what we were hearing from members across Wales in the early days was that they were being put under pressure by the NHS to admit people without testing.

“We know that testing would have helped but we also know that in the early stages when people were incubating Covid they wouldn’t have necessarily tested positive. It would have helped in some cases but not in all of them.

“At the time it felt very much like we were living in an experiment and we were finding out about the disease as we went along.

“It was the sector’s worst possible nightmare because the virus was most dangerous to frail elderly people

“We started asking questions in February 2020 about preparations in terms of the care sector and it became clear in the early days of the pandemic in the March that we needed an extension of testing and access to sufficient PPE for staff working in the social care sector, as well as funding to implement the infection control  measures that were necessary.

“There were gradual steps as different measures were introduced. Initially, we go the extension of testing for new admissions to care homes and for symptomatic care home residents.

“At the start there was a rule that you could only test five people in a care home and once you had five tests you couldn’t have any more. Clearly, that didn’t make sense going forward.

“Then we moved on to testing all staff and residents when there was an outbreak and finally to all residents and staff being tested regularly.”

“What the inquiry gives us an opportunity to do is to think about what could have been done better in advance so that, heaven forbid, if we were to have another pandemic in future we can be better prepared.”

 

Health

RCN Wales appoints Nicola Williams as Executive Director

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NICOLA WILLIAMS will take up the role in April, bringing more than three decades of experience in nursing and senior leadership.

The Royal College of Nursing (RCN) has announced the appointment of Nicola Williams as its new Executive Director for Wales.

She joins the organisation from Velindre University NHS Trust, where she currently serves as Executive Director for Nursing, Allied Health Professionals and Health Care Scientists. With 38 years of experience in nursing and more than six years at executive board level, she is widely recognised across NHS Wales for her work in improving patient outcomes.

A highly experienced strategic leader, Williams has worked across a wide range of clinical and organisational settings. She has led major transformation programmes, strengthened national clinical leadership networks and championed innovation and evidence-based improvements in care. Her work has contributed to changes adopted across Wales and has been recognised with national awards.

Speaking about her appointment, Nicola Williams said: “I feel privileged to be appointed as Executive Director of RCN Wales. I’m a proud nurse, passionate about patient safety and improving care standards.

“Delivering the best care is only possible when nursing staff are supported to work in safe, inclusive environments. I will stand alongside members and their patients.

“Nursing staff are the backbone of health and care. I am determined to support our members across Wales, wherever they work, to meet the challenges ahead and shape the future of our profession.

“I look forward to meeting members across Wales and ensuring our work is informed by their experiences and expertise.”

In her new role, Williams will lead the RCN’s work in Wales and provide strategic leadership across key priority areas spanning the UK.

She succeeds Helen Whyley, who has held the position since February 2019 and will move into a new role as Director of Service Innovation at the RCN.

 

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Health

Decision pending on adult mental health referral pathway

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HYWEL DDA University Health Board will decide next week whether to make changes to the GP referral pathway for routine adult mental health services permanent.

The decision will be taken at a public Board meeting on Thursday (Mar 26).

Board members will consider a proposal to formalise changes already introduced in Ceredigion and, if approved, roll out the revised pathway across Pembrokeshire and Carmarthenshire.

Since March 2025, adults in Ceredigion seeking routine mental health support have been advised by their GP to contact the NHS 111 Wales ‘Press 2’ service, rather than being referred directly to the county’s Community Mental Health Team.

The temporary change was introduced in response to ongoing staffing shortages. Health Board officials say the approach has helped maintain timely access to face-to-face assessments for those who need them, while directing initial contact through a single access point.

The 111 ‘Press 2’ service provides telephone assessments by local wellbeing practitioners, supervised by registered mental health nurses, offering advice, support and onward referrals where required.

At its November 2025 meeting, the Board agreed to extend the temporary pathway until the end of March 2026. A nine-week engagement exercise followed, running from December 8 to February 9, to gather feedback from patients, professionals and stakeholders on the potential long-term impact.

Andrew Carruthers, Chief Operating Officer at Hywel Dda University Health Board, said: “I would like to thank everyone who took the time to share their views and experiences.

“I would also like to thank West Wales Action for Mental Health for supporting engagement with patients, including those with lived experience, alongside GPs, primary care teams, mental health staff and third sector partners.

“Our priority is to ensure mental health services remain accessible, fair and sustainable. The temporary changes in Ceredigion have shown some positive benefits, and the feedback we have received from across the three counties will play an important role in shaping the Board’s decision.”

The Board will review all evidence and feedback before making a final decision on the future of the adult mental health referral pathway.

GPs will continue to refer patients with urgent or complex needs directly to community mental health teams where appropriate, and have access to a dedicated NHS 111 professional line for additional clinical advice.

Further details, including the full Board papers, are available here:
https://biphdd.gig.cymru/amdanom-ni/eich-bwrdd-iechyd/cyfarfodydd-y-bwrdd-2026/agenda-a-phapuraur-bwrdd-26-mawrth-2026/

The meeting will be streamed live from 9:30am on Thursday (Mar 26) via:
www.youtube.com/hywelddahealthboard1

 

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Health

Parents urged to check children’s vaccinations after meningitis cases

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Local pharmacy reports MenB vaccine shortage amid rising concern

PARENTS and carers across west Wales are being urged to check their children’s vaccination status following recent meningitis cases in the UK.

The warning comes as a local pharmacy has confirmed a shortage of the Meningitis B (MenB) vaccine, highlighting growing pressure on supplies.

Mendus Pharmacy said it currently has no availability of the vaccine due to what it described as a nationwide supply issue.

Mendus Pharmacy: No availability of the vaccine

In a statement, the pharmacy said: “We would like to inform our patients that, due to ongoing supply issues, we currently have no availability of the Meningitis B vaccine.

“Unfortunately, this is a nationwide shortage and all stock is currently unavailable.

“We understand this may be particularly concerning given the recent outbreak reported in Kent, and we completely appreciate the importance of timely vaccination.”

The pharmacy confirmed it is operating a waiting list and will contact patients once supplies return.

Health officials say keeping vaccinations up to date remains one of the most effective ways to prevent serious illness and reduce pressure on NHS services.

Dr Ardiana Gjini, Executive Director of Public Health at Hywel Dda University Health Board, urged parents to act.

She said: “Vaccination is one of the most effective ways we can protect children and young people from serious illness.

“Ensuring your child is fully vaccinated not only safeguards their health but also helps prevent the spread of infections within our communities.

“I strongly encourage all parents and carers to check their child’s vaccination status. If you are concerned that your child may have missed routine vaccinations, please speak to your GP.”

Meningococcal disease is a serious and potentially life-threatening infection that can lead to meningitis or septicaemia. While many people recover, some are left with long-term physical, neurological or psychological complications. Around one in ten cases can be fatal.

Although the disease can affect anyone, babies, young children, teenagers and young adults are at greatest risk.

In Wales, vaccines protecting against meningococcal strains A, B, C, W and Y are offered as part of the NHS immunisation programme. Infants receive the MenB vaccine, while teenagers are offered the MenACWY vaccine.

Latest figures from the Health Board show that uptake among 16-year-olds for the MenACWY vaccine stands at 76.4%, meaning a significant number of young people remain unprotected as they approach adulthood.

For younger children, uptake of the MenB vaccine is higher but still below the recommended 95% target. Around 92.8% of infants are vaccinated by their first birthday, rising slightly to 91.8% by their second.

Health officials say these figures reflect strong engagement from families and primary care teams but stress that continued vigilance is needed.

Families are being advised to check their child’s vaccination record with their GP or by contacting the Health Board directly. Parents should also ensure babies receive their scheduled MenB doses and that teenagers receive their MenACWY and 3-in-1 booster vaccines, which are currently being delivered in schools.

Parents are also urged to remain alert to the symptoms of meningitis and septicaemia and to seek urgent medical advice if they have concerns.

Further information on symptoms is available via NHS 111 Wales.

 

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