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
‘Serious concerns’ at Welsh mortuary after body mix-ups
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ASSESSORS found “evidence of active ongoing risks and significant areas of concern” at a hospital mortuary, five months after the wrong bodies were released to two bereaved families.
As a result, the UK’s national accreditation service has partially suspended its official recognition of mortuary activities at the Grange University Hospital, in Cwmbran.
Aneurin Bevan University Health Board said it has put in safeguards against any further incidents, and is working with the mortuary staff to “deliver continued improvements”.
The two separate incidents occurred at the hospital in November 2023, triggering an internal investigation, as well as inspections by the Human Tissue Authority (HTA), which licenses the health board’s post mortem procedures.
News of the second incident also prompted an unannounced visit from the UK Accreditation Service (UKAS) in early April.
UKAS is not a regulatory body, but acts as a government-recognised, independent organisation commissioned to “assess against nationally and internationally agreed standards”.
At the Grange, its assessors found “evidence of a lack of standardisation” in the procedures for patient release, five months after the two “serious” incidents.
Deceased patients arriving at the mortuary from the community have different identification tags and paperwork from those who arrive there from the hospital, and there is also “inconsistency” with information added into the mortuary register, they said.
UKAS also raised concerns about a “lack of security measures in place”, including CCTV coverage, and no list of personnel with access to the facility.
In all, UKAS found seven “areas of improvement” and decided to partially suspend its accreditation of the Grange’s mortuary service, subject to review, over what an assessor called “serious concerns on security and safe patient management”.
A spokesman for Aneurin Bevan University Health Board said the two “unprecedented” incidents at the mortuary “were found to have the same root cause”.
He said the health board launched its own investigation, audited the department, and introduced safeguards against repeat incidents – and has to date completed 17 of 19 recommendations made by its own investigators.
Five further corrective actions mandated by licensing agency the HTA had been “met satisfactorily across the health board”, he added.
“It is important to note that UKAS is not a regulatory body, and that UKAS accreditation is not a mandatory requirement, but we voluntarily ask them to review our services to maintain good practice,” the spokesman said.
The health board is now making changes at the mortuary, based on several of the investigations’ findings.
“Enhanced CCTV is being implemented”, said the spokesman, adding that “all our mortuary sites are secure, with swipe card access in place”.
“In addition, all relevant procedures have been updated and staff have been given further training to provide additional assurance,” he said.
“We continue to address all recommendations from the HTA and UKAS, and a transformational team is working alongside our mortuary staff to deliver continued improvements.”
Reporting by Nicholas Thomas, Local Democracy Reporter
Health
Asthma attacks nearly triple as children return to school, charity warns
![](https://pembrokeshire-herald.com/wp-content/uploads/2024/08/Huw-in-hospital-1.jpg)
ASTHMA hospitalisations among children in Wales nearly triple when they return to school in September, according to newly released data. The alarming trend has prompted leading health charity, Asthma + Lung UK Cymru, to urge parents and teachers to take precautions to protect young asthma sufferers.
The data, compiled by Digital Health and Social Care Wales, reveals that hospital admissions for children aged 5 to 19 increase by a staggering 175% in September compared to August. This spike in asthma-related hospitalisations has reached its highest level in four years, with admissions returning to pre-pandemic levels.
With an estimated 59,000 children in Wales diagnosed with asthma, the charity attributes the increase to a “perfect storm” of factors that coincide with the start of the school year. Many children, having fallen out of their regular medication routines over the summer holidays, return to school with poorly controlled asthma. The new term also brings increased exposure to triggers such as colds, flu viruses, dust mites, pollen, and even the emotional stress associated with returning to the classroom. These factors can lead to life-threatening asthma attacks or exacerbate symptoms like breathlessness, coughing, and wheezing.
One mother, Branwen Niclas from Anglesey, shared her experiences with her eight-year-old son, Huw, who was diagnosed with asthma in 2023. Huw has been hospitalised multiple times due to severe asthma attacks, including one in December 2022 that left him breathless and exhausted. “The autumn and winter school term is always a worry,” Niclas said. “Cold and wet weather really affects Huw’s asthma, and he often misses out on playing football with his friends.”
She recounted a particularly frightening episode when Huw, then six, deteriorated rapidly during a long car journey. “I could see his tummy and chest muscles were working so hard. Huw collapsed on the way out of the car, and I carried him in [to the hospital], and he was immediately put on a nebuliser. It took him a week to fully recover.”
Joseph Carter, Head of Asthma + Lung UK Cymru, expressed deep concern over the rising number of children being hospitalised. “Children’s asthma admissions are the highest in four years and are returning to pre-pandemic levels. We must break this trend,” Carter said. He highlighted the role of cold and flu viruses, which begin to circulate more widely as children mix at school after the summer break, as well as other potential triggers like high pollen levels and the use of cleaning products in schools.
To combat this worrying trend, Carter advised parents to ensure their children maintain their asthma treatment routines during the holidays and to make sure they have their reliever inhalers with them when they return to school. He also urged schools to be vigilant and prepared to act swiftly in case of an asthma emergency.
Asthma + Lung UK Cymru has issued additional guidance for parents, recommending that they arrange an asthma review for their child, update their child’s asthma action plan, and check the school’s policies regarding inhaler use.
For more information and advice on managing childhood asthma, parents can visit the Asthma + Lung UK website or contact their helpline.
The charity is also encouraging schools to download and display a free poster outlining the vital steps to take if a pupil has an asthma attack.
Asthma + Lung UK Cymru continues to campaign for better awareness and support for children with asthma, aiming for a world where everyone can breathe with healthy lungs.
Health
Charitable donations fund state-of-the-art ultrasound system for Glangwili
![](https://pembrokeshire-herald.com/wp-content/uploads/2024/09/gwan.jpg)
THANKS to generous donations, Hywel Dda Health Charities – the official charity of Hywel Dda University Health Board – has purchased a state-of-the-art ultrasound system worth over £43,000 for the Intensive Care Unit (ICU) in Glangwili Hospital.
An ultrasound scan, sometimes called a sonogram, is a procedure that uses high-frequency sound waves to create an image of part of the inside of the body.
The new system features advanced clinical tools which enable fast assessments of patients, support clinical decision making, aid in performing invasive procedures, and help monitor patient progress.
The ultrasound system will be used daily for patient care and will also be used to train ICU staff and develop their skills.
Sarah Carmody, Service Manager – Critical Care, said: “We are so grateful that generous donations from our local communities have enabled us to purchase the new ultrasound system.
“It means our intensive care staff will have access to a mobile, multi-purpose ultrasound which reduces examination time and helps them conduct rapid assessments of patients receiving critical care.
“The new system has enhanced features such as the ability to communicate and store images within existing IT systems.
“It will greatly enhance patient care and diagnostics and help guide management of critically ill patients.”
Nicola Llewelyn, Head of Hywel Dda Health Charities, 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.”
http://www.hywelddahealthcharities.org.ukFor 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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