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Health

Pressures remain high despite the end of ambulance ‘critical incident’

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AMBULANCE service pressures remain high despite the end of a 48-hour critical incident declared by the Welsh Ambulance Service.

The incident, triggered by overwhelming demand and a backlog of 340 emergency calls on Monday, was formally stood down after significant strain on resources.

Judith Bryce, assistant director of operations, said: “While the critical incident is behind us, significant pressures remain, and it’s really important that the public play their part to protect our precious resources for those who need them most.”

Ambulance chiefs have urged the public to use the service responsibly, advising people to only dial 999 in life-threatening emergencies and consider alternatives such as NHS 111 Wales symptom checkers, pharmacists, minor injuries units, or GPs.

“For anyone under the weather after New Year’s Eve celebrations, consider what you can do at home to self-care, including for common ailments like coughs, sore throats, and diarrhoea,” Ms Bryce added.

She also warned the public to take extra care while yellow weather warnings for heavy rain and high winds remain in place, highlighting the risk of accidents on the road and injuries from slips, trips, and falls.

The pressures extended beyond the ambulance service, with health boards including Cwm Taf Morgannwg, Hywel Dda, Aneurin Bevan, and Cardiff and Vale reporting increased demand. These boards introduced mask-wearing measures last week due to rising flu cases.

Jason Killens, chief executive of the ambulance service, described the critical situation as “very rare” and stressed the importance of using emergency services wisely.

This is not the first time a critical incident has been declared during winter pressures. In December 2020, south Wales experienced a similar crisis, while an extraordinary incident was declared in 2023 after an ambulance waited over 28 hours outside a hospital.

The Welsh government acknowledged the ongoing pressures on urgent and emergency care services and urged the public to carefully consider their options before seeking care.

 

Health

£2m hospital upgrade to ease A&E pressure at Carmarthen site

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MAJOR refurbishment work has begun at Hywel Dda University Health Board’s Glangwili Hospital after more than £2 million in funding was secured from the Welsh Government.

The £2.096m investment will be used to overhaul the hospital’s Same Day Emergency Care (SDEC) unit, creating extra consultation rooms, a redesigned reception, and a more comfortable environment for both patients and staff.

Health chiefs say the expanded unit will help reduce pressure on the hospital’s busy Emergency Department by allowing more people to be treated quickly without needing an overnight stay.

The project forms part of wider efforts to improve urgent and emergency care across the health board’s sites, including the Minor Injury Unit at Prince Philip Hospital.

Keith Jones, Director of Operational Planning and Performance for the health board, said the funding would increase capacity and speed up patient flow.

He said: “This investment will help us reduce pressure on the Emergency Department and provide a smoother, swifter experience for patients. We’re grateful to Welsh Government for the support.”

Services temporarily relocated

While the work takes place, several services have moved elsewhere on the hospital site.

The SDEC unit, Discharge Lounge and Medical Day Unit have relocated to Y Lolfa, formerly Padarn Ward.

The Cancer Information and Support Service and Cancer Psychological Support Service have also moved, although contact details remain unchanged.

Some clinics, including podiatry, neuro-rehabilitation and occupational therapy, will stay at the Priory Day Hospital, but patients may need to use different access routes.

Patients are being notified through appointment letters, and extra signage will be in place around the hospital. Staff are urging visitors to check their letters carefully or contact departments directly if unsure where to attend.

Cabinet Secretary for Health and Social Care Jeremy Miles said the upgrade would help tackle overcrowding and delays.

He said: “This investment will reduce waits, ease handover pressures and improve the overall experience for patients and staff when they need urgent or emergency care.”

Work is expected to continue over the coming months.

 

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Community

Work on new 26-home Pembrokeshire development gets underway

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CONSTRUCTION work has started on a Haverfordwest scheme to provide sheltered housing apartments for the over-55s.

The Tŷ Haverfordia affordable housing and reablement development of 26 sheltered housing apartments for the over-55s alongside a dedicated 12-bed reablement centre to support residents returning home from hospital at the former Haverfordia House site, delivered by Wynne Construction, forms part of Pembrokeshire County Council’s “continued commitment to increasing high‑quality, accessible housing and deliver effective modern health and social care support across Pembrokeshire”.

Initial works began on January 26 and include securing the site, setting up a small compound and contractor parking area, installing controlled access for site personnel, and positioning temporary office and welfare units.

To maintain safe access to nearby facilities, including the GP surgery and Haverfordwest Leisure Centre, pedestrian routes through the area will remain open.

In addition, a minimum number of public parking spaces, including disabled bays, have been kept with Pay & Display machines relocated to reduce inconvenience.

In keeping the minimum number of parking spaces as well as needing to accommodate essential contractor welfare facilities, a small section of Rifleman Field has had to be used during the duration of the development of the site.

This space will be securely fenced off, and the footprint minimised. Any areas of Rifleman Field affected by the works will be fully reinstated on completion and restored to a condition that is equal to or better than at present.

To ensure residents and stakeholders are kept informed and have the opportunity to engage with the development, Pembrokeshire Housing Services will be hosting a Community Engagement Drop-in Event on Thursday, February 19, 5-7pm, at The Green Room, Haverfordwest Leisure Centre.

Pembrokeshire County Council Cabinet Member for Housing, Cllr Michelle Bateman, said: “I am pleased that we have finally reached the stage of commencing on site and look forward to seeing the development progressing.

“We have been able to progress with the development after receiving much-needed Welsh Government grant assistance for both the reablement and housing parts of the development.”

Last year, Pembrokeshire County Council’s Cabinet, members approved awarding a fixed contract of £13,560,454.21 to C Wynne & Son for the Haverfordia House works.

In 2019, Cabinet backed the acquisition of the freehold of Haverfordia House, with the overall intention to deliver a new housing and wellbeing facility following its demolition.

A report for members at last year’s June meeting said: “As well as providing long-term residents with a sense of place and community, it will provide short-term reablement users with the facilities and in-house support which they need to relearn the skills required to keep them safe and independent when they return home.”

It said there was a need for one-bed properties, and a review of sheltered over 55 accommodation was undertaken in 2018-19 which identified that existing sheltered housing stock is “no longer fit for purpose”.

 

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Health

Health board targets rise in steroid and gym drug use across west Wales

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THE LOCAL health board has launched new targeted measures after recording a sharp rise in the use of steroids and other image-enhancing drugs across the region.

Hywel Dda University Health Board says needle exchange figures show significant growth over the past two years in people seeking support related to Image and Performance Enhancing Drugs (IPEDs), including anabolic steroids and so-called Selective Androgen Receptor Modulators (SARMs).

SARMs, while marketed online as safer alternatives to steroids, are illegal to sell in the UK and health professionals warn they carry serious and largely unknown risks.

The health board has now teamed up with Dyfed Drug and Alcohol Service (DDAS) and Choices, a young people’s substance use service, to tackle what officials describe as an “emerging public health challenge”.

Workshops and outreach

Two key initiatives have been introduced.

Educational workshops are being delivered to young people, focusing on the risks of using performance-enhancing substances during physical development and the potential long-term effects on hormones, mental health and fertility.

At the same time, enhanced support is being offered to people already involved in gym and fitness culture, with harm-reduction advice, health monitoring and confidential drop-in services.

Support includes testosterone testing, blood checks, cycle provision kits and discreet one-to-one consultations.

One service user described the programme as “quick, professional and non-judgemental”.

They said: “The drop-in clinic for my blood test was really convenient. I was seen quickly and given a full run-down of the services available. The staff made me feel comfortable the whole time and I got my results back faster than expected.”

Taking support into the community

The team has also worked directly with local gyms, leisure centres and sports venues, speaking to more than 100 people during five outreach sessions.

Twelve DDAS staff members have completed specialist IPED training delivered by Public Health Wales to strengthen expertise within the service.

Rachel Wilson, Resilient Families Manager at Choices, said the aim is to reduce stigma.

She said: “We’re proud to work alongside Hywel Dda to ensure people who use IPEDs are met with understanding, not judgement. These initiatives are helping us reach individuals who may not have previously considered accessing support.”

Craig Jones, Prevention and Population Health Improvement Manager, added: “This work is about meeting people where they are. By listening and responding with compassion and evidence-based care, we’re making a real difference.”

Dr Ardiana Gjini, Executive Director of Public Health, said the approach showed the board’s commitment to early intervention.

She said: “These initiatives reflect a proactive, collaborative response to emerging health challenges and demonstrate our dedication to protecting the health of our communities.”

Anyone seeking confidential advice or support can contact DDAS on 03303 639997 to book an appointment.

 

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