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Health

Welsh Language Commissioner urges quicker action in dementia care

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THE Welsh Language Commissioner has called for more action to be taken in dementia care for Welsh speakers. In a policy paper published by the Commissioner, it notes that little progress has been made since recommendations were made in a joint report with Alzheimer’s Society Wales back in 2018.

The Commissioner notes, though, that some positive steps have been taken in recent years and welcomes the reconvening of the dementia and Welsh language group. But she wants to see an increase in momentum, so that provision for patients and families can be improved in the coming years.

Among the Commissioner’s recommendations are:

  • Ensuring that the evaluation of the Dementia Action Plan for Wales collates the experiences of Welsh speaking patients and carers 
  • Ensuring Wales’s next action plan for dementia has the Welsh language as a core element
  • The need for the Welsh Government to lead on formulating a specific delivery plan for the development of Welsh medium dementia care pathways, prioritising areas such as data collection, increasing language awareness, assessments and resources, and language training.

The Commissioner also recommends the creation of a dedicated role to lead on the Welsh language and dementia to ensure the proposed work is delivered.

According to Efa Gruffudd Jones, Welsh Language Commissioner, it is vital to be able to offer care services in the patient’s preferred language,

“It has now been six years since we published a report on dementia care for Welsh speakers. The momentum that existed following the publication of that report and the establishment of an action subgroup has slowed significantly. I accept that the pandemic was a factor in that but we now need to rebuild the momentum to be able to offer suitable dementia care through the Welsh language.

“I recognise that some significant strategic and statutory steps have been taken in recent years. NHS Health Boards and Trusts are now under a duty to comply with Welsh language standards. The Welsh Government’s new More than just words plan includes a number of actions that underpin the requirements of the Welsh language standards, and together set a clear direction for the healthcare sector in Wales.

“Seeing the dementia and Welsh language group meeting again is also to be welcomed, and I hope to see this group contribute to the Welsh Government’s design process for a new dementia scheme in Wales.

“But progress is slow and as we set out our recommendations, we also encourage the creation of a dedicated role that can lead on this work. In my view that is the only way  we can move forward appropriately and in a timely manner.”

Alzheimer’s Society National Influencing Manager for Wales, Gemma Roberts, said: “Dementia is the biggest health and social care issue of our time. The Welsh Government must make dementia a priority for the 42,000 people in Wales living with dementia. This figure is due to rise to 70,000 by 2024. 

According to Welsh Government figures the diagnosis rate in Wales is just 56% – so many thousands of people in Wales haven’t received a diagnosis and are facing dementia alone without access to the vital care, support, and treatments a diagnosis can bring.  

Alzheimer’s Society is urgently calling for a fully funded Dementia Action Plan in Wales that sets out a detailed plan to increase the diagnosis rate. It is essential that the new Dementia Action Plan is fully funded – currently only 1.4% health budget spent on dementia in UK, yet 1 in 3 will develop dementia in their lifetime. 

The plan also needs to set out high quality mandatory training for social care workers in Wales, with a focus on delivering dementia care through the medium of Welsh.”  

Health

Fundraising events raise over £4,000 for ICU

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VICKI COLES and Sophie Moncrieff have raised a fantastic £4,140 for the Intensive Care Unit (ICU) at Withybush Hospital in memory of Henry Coles, Vicki’s husband.

Vicki and Sophie, with the help of their family and friends, organised a number of charity events, a charity wax, a raffle and charity night at The Bull Inn in Prendergast.

Henry sadly passed away in March 2024 and Vicki wanted to raise money to say thank you for the amazing support he received at the ICU.

Vicki said: “The care Henry received, and the support given to us by the ITU staff, was amazing and we can’t thank them enough.

“I want to say a big thank you to everyone who has helped at this very difficult time. We look forward to doing another fundraiser for Henry’s birthday next year.”

Katie Hancock, Fundraising Officer said: “Thank you to Vicki and your family and friends for raising an amazing amount for the ICU at Withybush, it is a lovely tribute to Henry. We hope you take comfort in knowing the funds will make a big difference to the patients, families, and staff at the ICU at Withybush Hospital.

“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 NHS charity and how you can help support local NHS patients and staff, go to www.hywelddahealthcharities.org.uk

Pictured above: Vicki Coles and Sophie Moncrieff with staff from the unit

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Health

Call for overhaul of ‘unsustainable’ GP funding model

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SENEDD members added their voices to a chorus of calls for fair funding for GPs after more than 21,000 people across Wales signed a petition.

Carolyn Thomas led a debate on the petition submitted by the British Medical Association (BMA) as part of the professional body’s “Save our Surgeries” campaign.

The Labour politician, who chairs the petitions committee, attended a meeting with GPs and told the Senedd their message was clear: the current funding model is unsustainable.

She said: “Over the last two decades, while the number of face-to-face appointments, digital contacts and phone calls has risen, the complexity of the work has been transformed, expenses have risen, and the cost of premises has leapt up.

“Yet the share of the health budget spent on GP services has shrunk..”

Ms Thomas, who represents North Wales added: “In some areas, recruitment and retention is the main worry but in others it’s the crumbling fabric of buildings. In others, it is the rapidly ageing population or a growing workload that isn’t matched by an equivalent rise in capacity.

“But underlying all of these is money to pay for the services that we all want to see.”

Sam Rowlands, the Conservatives’ shadow health secretary, said 8% of NHS Wales funding goes to GPs which is lower than levels from 2005/06.

Mr Rowlands pointed out that more than 100 surgeries have closed in the past 12 years.

Plaid Cymru’s Heledd Fychan criticised “huge underinvestment” over the past decade, telling the Senedd that Wales remains 500 GPs short of the OECD average.

She said: “There were 372 GP services in Wales at the end of June, which is 14 fewer than when the BMA launched the ‘Save Our Surgeries’ campaign. It is clear, therefore, that these consistent warnings about a shortage of provision … have fallen on deaf ears.”

Ms Fychan, who represents South Wales Central, raised concerns about big companies, often located outside Wales, stepping into the market for GP services.

She said: “In the Aneurin Bevan area, eHarleyStreet is a clear example of this. This continues with the damaging trend of profits being taken out of the health system into private pockets, and also makes the provision vulnerable.”

Her Plaid Cymru colleague Luke Fletcher raised a BMA survey that found nearly four out of five locum GPs cannot find work despite patient waiting times hitting record highs.

He said: “That’s in England but here in Wales the symptoms of the same crisis have been visible for a while, yet the data doesn’t seem to be available….

“Anecdotally, I’ve been told of locums in Wales looking to other fields. Some are considering jobs in retail and driving taxis. At a time when we’re crying out for GPs and we all accept that there’s a shortage of GPs – this situation is madness.”

Warning services are in chaos, the Conservatives’ Laura Anne Jones raised concerns about a survey showing 37% of Welsh GPs may leave the profession within five years.

Julie Morgan said she has heard the same story from surgeries in her constituency: “They’re struggling to maintain safe levels of service and worried about being able to continue.”

The former minister told the Senedd that Cardiff North is in the bottom 1% of funded practices in the UK due to the “outdated” Carr-Hill formula used to calculate funding.

Jenny Rathbone, a fellow Labour backbencher, highlighted the Deep End Cymru project, which aims to support 100 practices in the most deprived areas.

Jane Dodds, the Liberal Democrats’ leader in Wales, raised concerns about staff welfare and reiterated calls for a premium to recognise the significant challenges for GPs in rural areas.

Responding to the debate on November 6, Jeremy Miles said surgeries in Wales see an astonishing number of patients with around 1.5 million every month.

Wales’ health secretary stressed: “I want to reassure GPs that we have heard the messages about the huge demands and the pressure on staff welfare.”

Mr Miles said ministers have chosen to commit £1bn over this Senedd term to clear the backlog and reduce waiting times following the pandemic.

He told the Senedd: “By necessity, this means that a larger proportion of funding has gone to secondary care. Redressing this imbalance will be a priority for future funding decisions.

“And we are committed to the principle of providing more care closer to home.”

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Charity

NHS staff take on Parkrun for charity

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STAFF from the Frailty Unit at Withybush Hospital took part in the Haverfordwest Parkrun and raised a fantastic £1,478 for the unit.

The staff took part in the 5k Parkrun in August at the Haverfordwest cricket club, whilst others volunteered, sold refreshments and held a raffle.

Lisa Marshall, Senior Sister, said: “I am so proud of Estelle and the team for organising a successful fundraiser and helping to raise money for our unit.

“It was a great team building day and we all had lots of fun. We are as always grateful for the support and donations we receive, and we look forward to our next fundraiser!”

Katie Hancock, Pembrokeshire Fundraising Officer, said: “We’d like to say a big thank you and well done to Estelle, Lisa and the Frailty Unit team for completing their Parkrun fundraiser.

“Thank you so much for dedicating your time to once again raising funds for your amazing unit.

“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 NHS charity and how you can help support local NHS patients and staff, go to the Hywel Dda Charities website.

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