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Health

Health Board to make decision about the future of St David’s GP Surgery

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THE FUTURE of Primary Care provision for patients registered with St David’s GP Surgery in Pembrokeshire will be discussed by Hywel Dda University Health Board at a meeting on Thursday, 25 July 2024.

An engagement exercise was undertaken to gather patient and local stakeholder views on the future of GP services following the decision of the one GP who runs the Surgery to resign his General Medical Services Contract, which takes effect from 31 October 2024.

The engagement with patients and stakeholders included a drop-in event St David’s City Hall in June. This event was well-attended and gave people an opportunity to discuss their concerns in person with the Health Board and Llais, the patient’s voice organisation for Wales.

Patients and members of the local community were also able to share their views via a questionnaire which was available at the engagement event, and also from the Surgery, the local Pharmacy, online, or by contacting the Health Board by phone or e-mail.

Jill Paterson, Director of Primary Care, Community and Long-Term Care, at Hywel Dda University Health Board said: “Thank you to everyone who has taken the time to feed back their views to us. The Health Board is committed to listening to and engaging with our local populations and we would like to thank patients and stakeholders for their involvement in the process so far.

“We would like to reassure patients that we are working to find a sustainable solution from the limited options available so that services can be delivered as locally as possible for patients from the 1 November.

The main themes picked up during the engagement period include concerns about the impact on the community of St David’s if the Surgery were to close, continuity of care and also travel to another GP surgery, especially with regard to public transport.

“People at the drop-in event were provided with information about the frequency of public transport and other transport support available in the community,” said Ms Paterson.

“There was also much appreciation expressed for Dr Stephen Riley and his team and for the care that they have provided over the years. We very much appreciate the continuing support given by the Community to the team at St David’s Surgery throughout this challenging period.”

On Thursday, 25 July, the Board will consider the feedback received.

Ms Paterson continued: “We understand local people will want to know what the future of their GP services will look like, and we will be writing to all patients to inform them of the outcome once a decision is made by the Board.”

To read the Board papers and watch the meeting on the day, please visit: Board Agenda and Papers 25 July 2024 – Hywel Dda University Health Board (nhs.wales)

An update, following the Board’s formal decision on Thursday, July 25 will be shared with patients and stakeholders.

Health

Hywel Dda Health Board announces Community Vaccination Centres

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HYWEL Dda University Health Board is organizing pop-up community vaccine centres to make it easier for eligible individuals to access their flu and COVID-19 vaccines.

To check your eligibility for the flu and/or COVID-19 vaccine:

If you are eligible, you can either drop in at one of the centres listed below or book an appointment using the details above.

New clinics are being arranged for February. Stay updated by visiting the health board’s webpage:
Seasonal Flu Vaccinations


Vaccination Centres and Schedules

Carmarthenshire

Carmarthen Athletic RFC
Athletic Park, Johnstown, Carmarthen, SA31 3QY

  • Monday, January 27: 9:30am–4:45pm
  • Tuesday, January 28: 9:30am–4:45pm
  • Wednesday, January 29: 9:30am–4:45pm
  • Thursday, January 30: 9:30am–4:45pm

Llandeilo Fawr Civic Hall
17 Crescent Road, Llandeilo, SA19 6HW

  • Friday, January 31: 10:00am–4:45pm

Pontyberem Memorial Hall
Coalbrook Road, Pontyberem, Llanelli, SA15 5HU

  • Tuesday, February 4: 9:30am–4:30pm

Llandovery RFC
Church Bank Playing Fields, Llandovery, SA20 0BA

  • Thursday, February 6: 10:00am–4:30pm
  • Friday, February 7: 10:00am–4:30pm

Ceredigion

Tregaron Memorial Hall
The Square, Tregaron, SY25 6JL

  • Monday, January 27: 10:00am–4:30pm

New Quay Memorial Hall
Ffordd Towyn Road, New Quay, SA45 9QQ

  • Tuesday, January 28: 9:30am–4:45pm
  • Wednesday, January 29: 9:30am–4:45pm

The Pwerdy-Powerhouse Community Arts Centre
Chapel Street, Pont Tyweli, Llandysul, SA44 4AH

  • Tuesday, February 4: 10:00am–4:45pm
  • Wednesday, February 5: 10:00am–4:45pm

Pembrokeshire

Pembrokeshire Archives
Prendergast, Haverfordwest, SA61 2PE

  • Tuesday, January 28: 9:30am–4:50pm

Regency Hall
King George V Playing Fields, Milford Street, Saundersfoot, SA69 9NG

  • Friday, January 31: 9:30am–4:45pm

Neyland MVC
Unit 1, Honeyborough Retail Park, SA73 1SE

  • Monday, February 3: 9:30am–4:45pm
  • Wednesday, February 5: 9:30am–4:45pm

Llwyngwair Manor
Newport, Pembrokeshire, SA42 0LX

  • Thursday, February 6: 10:00am–4:30pm

Bloomfield House
Redstone Road, Narberth, SA67 7ES

  • Friday, February 7: 10:00am–4:45pm
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Health

RCN demands urgent action and transparency on corridor care in Wales 

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THE RCN today issued a strong call to action to the Welsh government, urging them to take decisive steps to eradicate corridor care – a practice that is unsafe, undignified, and unsustainable. The most vulnerable in society, including many older people, bear the brunt of corridor care –where patients are treated in hallways and other inappropriate settings due to bed shortages.

Corridor care compromises patient safety and dignity by delaying timely treatment, reducing privacy, and increasing anxiety and stress. For the nursing workforce, it worsens workloads, contributes to burnout, and undermines their ability to provide quality care.

In open letters to the Welsh Government, NHS Wales, key watchdogs and advocates, the RCN has called for action on eight steps to end corridor care in Wales. The RCN’s eight recommendations include protecting patient safety and supporting the nursing profession by declaring care in chairs for over 24 hours a “never event” and fostering a culture where nursing staff can raise safety concerns without fear. Key steps include increase weekend staffing that can enable timely discharges, restoring District Nurse numbers to 2010 levels, and investing in social care to ensure patients can transition from hospitals to appropriate care settings promptly.

Additionally, the Government must pause hospital bed reductions and review capacity to ensure adequate care in both community and hospital settings. Investing in the nursing workforce and fully implementing the Six Goals for Urgent and Emergency Care programme is critical. NHS Wales must be empowered to divert patients to neighbouring services when necessary, easing pressure on overstretched facilities and improving outcomes.

Helen Whyley, Executive Director of RCN Wales, said: “Nurses are facing immense challenges in maintaining high standards of patient care amidst the growing prevalence of corridor and chair care in hospitals. The RCN’s recent report starkly highlights the stories of nurses who are striving to provide quality care in these difficult conditions. Despite the lack of proper facilities and the strain of overcrowded hospitals, nurses continue to demonstrate remarkable dedication and resilience. They often work long hours under intense pressure, ensuring that patients receive the best possible care even when resources are stretched thin.”

“Our recommendations provide a clear and achievable roadmap to ensure patients receive care in the right place, at the right time, and by the right professional. The nursing workforce is ready to lead the way – but we need the Welsh government to act now.”

The RCN is calling on the Welsh Government to engage all health care stakeholders, listen to the expertise of the nursing workforce, and prioritise patient safety above all else. The time to end corridor care is now.

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Health

Leading pharmacies demand tougher regulation on online sale of weight-loss jabs

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PHARMACIES are calling for stricter regulation of online sales of weight-loss injections, warning of risks to patient safety amid predictions of a surge in demand this year.

The National Pharmacy Association (NPA), representing independent community pharmacies, has urged the General Pharmaceutical Council (GPhC) to require more thorough consultations with patients before dispensing weight-loss injections and other high-risk medications online.

The NPA cautioned that existing regulations allow medicines to be supplied without adequate consultation or access to patient records, leaving patients vulnerable. They called for a mandatory two-way consultation process to ensure prescribers have a full understanding of patients’ medical histories before issuing such treatments.

Greater safeguards needed

Responding to draft GPhC guidelines, the NPA criticised the proposed safeguards, stating they “still leave the door open for medicines to be prescribed and supplied without appropriate two-way patient consultation or access to a full clinical picture, particularly with high-risk medicines.”

The association recommended prescribers engage in direct dialogue with patients—either in person or via telephone—before offering weight-loss medications such as Mounjaro injections. The NPA also stressed the importance of obtaining comprehensive medical histories, rather than relying solely on online questionnaires.

Nick Kaye, Chair of the National Pharmacy Association, said:
“Obesity is one of the biggest challenges facing our country, and pharmacies want to play their part in helping patients achieve and maintain a healthy weight.
“Weight-loss injections can be effective when prescribed as part of a carefully managed programme, but the current regulations allow some patients to access these medications inappropriately, without proper consultation or examination of medical records.”

Addressing rising demand

The call for tighter regulations comes as demand for weight-loss treatments is expected to rise, with the government planning to expand the rollout of such medications. Many pharmacies already dispense weight-loss treatments or include them in private weight-loss programmes, emphasising a need for best practices to prioritise patient safety.

The NPA highlighted cases of patients who had been inappropriately prescribed weight-loss injections, including individuals with eating disorders or those with body mass indexes (BMI) outside the licensed range. Such cases increase the risk of severe adverse effects.

Kaye added:
“Medicines are not like ordinary goods for sale; they must be handled with great care because they have the power to harm as well as to heal. We urge the GPhC to make a full consultation compulsory for high-risk medicines and ensure supply is prioritised for those with the greatest clinical need, including those with type 2 diabetes.”

Warning against unregulated sellers

The NPA and the Medicines and Healthcare products Regulatory Agency (MHRA) have also warned against purchasing weight-loss injections from unregulated sources, such as beauty salons or social media platforms. Counterfeit medications from these suppliers pose significant health risks.

The NPA advised patients to consult a pharmacist if they are unsure about weight-loss treatments, ensuring they receive safe and effective care as part of a programme to achieve sustainable lifestyle changes.

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