Connect with us
Advertisement
Advertisement

Health

New 50-day challenge to improve hospital discharge and community care

Published

on

THE WELSH GOVERNMENT has this week (Nov 11) launched a 50-day challenge to help more people safely return home from hospital and to ease winter pressures on our health and care system.

Health boards and local authorities will work together to use a 10-point action plan to support more people who have experienced long delays in hospital, to return home.

The challenge is designed to ensure the NHS and local councils work together to share and learn from best practice to improve our system performance and ensure we have the right support available to help people stay well or recover at home, or in the community.

Under strain: Withybush Hospital, Haverfordwest (Photo: File)

All health boards and local authorities have accepted the 50-day Integrated Care Winter Challenge set by Ministers, which will run to the end of the year.

The challenge will also specifically target the people who have been waiting the longest to leave hospital.

The NHS in Wales – like the NHS in other parts of the UK – is experiencing persistently high levels of pathways of care delays (delayed discharges) which negatively impact on people’s long-term health and the “flow” through the wider health and care system.

Cabinet Secretary for Health and Social Care Jeremy Miles said: “It’s essential we support our health and care services over the winter so they can continue looking after the sickest and most vulnerable people.

“There is no place like home for people to recover from an illness or injury once they are ready to leave hospital. Equally there are a wide range of support services available in our communities that can help prevent people needing to go to hospital in the first place, helping them to stay well at home.

“The 50-Day Integrated Care Winter Challenge and the 10-point action plan will strengthen our health and social care system so that we can help more people to stay well at home and get more people home from hospital when they are ready to leave.

“I’m really pleased the NHS and local authorities have constructively embraced this challenge and have prepared to take immediate collective action to respond.”

Minister for Children and Social Care Dawn Bowden added: “Community-based care can improve outcomes, especially for older people and those with complex needs. We know people recover better at home than in a hospital, where unnecessary stays can affect their physical and mental wellbeing.

“There are many good examples where health and social care teams are working closely together to ensure people can be supported to stay well at home or move smoothly from hospital into the community where the right support is available to them.

“This 50-day challenge is about promoting best practice and making sure it is available and consistently applied across Wales.”

The 10-point action plan of best practice interventions includes steps to remove the blockages in the health and care system so people can be discharged home promptly.

This includes improving hospital discharge procedures; planning for discharge from the point of admission; ensuring there is proportionate and effective seven-day working to enable weekend discharges; undertaking more assessments in the community and providing community rehabilitation and reablement to help people recover fully.

Community health and social care services have a pivotal role to play in supporting people to remain well in the community. They assess what help people need, including access to rehabilitation, home adaptations or personal care in the community.

The 50-Day challenge is a key element of the Welsh Government’s winter resilience plans. The £146m Regional Integration Fund, the £11.95m Further Faster funds, and the £5m allied health professional funding are helping to build community capacity in the system.

The Health Secretary and the Minister recently met teams at the Integrated Discharge Service in the University Hospital of Wales in Cardiff, to learn more about their approach to getting people home safely and to discuss best practice.

Diane Walker, Head of Integrated Discharge Service at Cardiff and Vale University Health Board said: “We know it’s better for patients to leave hospital as soon as they’re ready to do so. When a patient spends longer than necessary in hospital, they are at a higher risk of losing their independence and deteriorating further.

“Recently, an elderly frail male was admitted to hospital due to an acute illness and increased needs. Following hospital-based assessments, it was agreed that his care would need to be provided by a care home.

“The process to find a suitable care home involved adult social care providing details about the patient to homes and waiting for a response. However, it proved difficult to find a home that could meet his needs. This resulted in his hospital discharge being delayed and an increased risk of deconditioning, catching a hospital acquired infection and risk of a fall. To prevent this, health and social care teams worked together to provide details about the patient, and a care home place was secured.

“As a result of this successful joint approach, it was agreed that all ‘pen picture’ details about patients will be completed by health and social care teams in the future.”

 

Health

RCN Wales appoints Nicola Williams as Executive Director

Published

on

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.

 

Continue Reading

Health

Decision pending on adult mental health referral pathway

Published

on

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

 

Continue Reading

Health

Parents urged to check children’s vaccinations after meningitis cases

Published

on

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.

 

Continue Reading

Local Government1 hour ago

Poverty summit highlights support efforts across Pembrokeshire

A SUMMIT bringing together key organisations from across Pembrokeshire has highlighted both the scale of local poverty and the work...

Education22 hours ago

Milford Haven school plans unveiled but funding not yet secured

PLANS for a new £100 million school in Milford Haven have been unveiled, but the project has not yet secured...

News23 hours ago

Council unveils plans for new state-of-the-art secondary school in Milford Haven

PEMBROKESHIRE COUNTY COUNCIL has revealed plans for a new state-of-the-art school in Milford Haven, promising modern, inspiring learning spaces for...

Health1 day ago

NHS waiting list falls — but cancer delays and diagnostic backlog worsen

Record progress claimed by Welsh Government as critics warn key targets are still being missed THE NHS in Wales has...

Crime2 days ago

Rapist jailed after ‘abhorrent’ attacks on woman and children

Haverfordwest man told police “women won’t have sex without force” A HAVERFORDWEST man who raped a woman and a young...

News2 days ago

Reform secures first Pembrokeshire councillor in Hakin by-election win

Late Reform candidate takes seat as independent surge and Labour withdrawal shape contest REFORM UK candidate Scott Thorley has won...

News3 days ago

Scott Thorley elected as Pembrokeshire’s first Reform councillor

REFORM UK candidate Scott Thorley has won the Hakin by-election after securing 179 votes. The full result is as follows:...

News3 days ago

Police confirm man has died after being recovered from River Cleddau

Major emergency response in town centre after concerns raised for man in water A MAN has died after being recovered...

Community3 days ago

Davies and Kurtz urge groups to seek employability funding

Community organisations in Pembrokeshire encouraged to apply for new grants supporting skills and job access LOCAL Senedd Members Samuel Kurtz...

News3 days ago

Emergency services flood Haverfordwest after reports of person in river

Town centre sealed off as multi-agency response continues A MAJOR emergency response is underway in the centre of Haverfordwest after...

Popular This Week