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Improving the system of care

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systemofcare1A NEW agreement to improve the system of care and support for people in a mental health crisis has been signed by the Welsh Government, police forces, the NHS, councils and other agencies. The crisis care concordat commits the organisations which have signed up to work together to intervene early and, if possible, to reduce the likelihood of people posing a risk to themselves or others as a result of a mental health condition. A key part of this approach are new proposals to reduce the use of police custody for people suffering with mental health problems. People with suspected mental health issues who are detained under the Mental Health Act should be assessed within three hours and not be held in police custody for more than 12 hours.

All organisations which sign the concordat have made a commitment to find the most appropriate support needed for people in whatever situation and whichever service a person turns to, making sure that any intervention is carried out without any unnecessary or inappropriate placement; for example within police custody. Other commitments include: People under 18 who experience a mental health crisis should never be held in police custody unless in exceptional circumstances; Police vehicles will rarely be used to convey people in crisis, except the most violent of individuals and only in exceptional cases to transport people between NHS facilities; NHS transport or other health vehicles, but not necessarily an ambulance, should be commissioned to take people in a mental health crisis to hospital;

If a young person under 18 is detained under section 135 or 136 of the Mental Health Act and taken to a police station for assessment, a case review will be held within seven days to determine whether this could have been avoided in order to learn from that incident; Monitoring groups within health boards will review every section 135 and 136 detention within police custody to determine its appropriateness.

Health and Social Services Minister, Mark Drakeford said: “This new agreement is about providing the most appropriate care and support to those facing a mental health crisis, whatever the time, every day of the year. “It is about all those who have signed up working closely together so we avoid people being wrongly kept in a police cell and instead being given access to the right treatment for them.

I am delighted this deal has brought together so many organisations that have a vital role to play.” Jon Stratford, assistant chief constable, South Wales Police said: “Too many people end up in police cells when detained for their own or others’ safety under the Mental Health Act instead of receiving appropriate support and help. We welcome the development of the crisis care concordat.

“The signing of today’s agreement is an important step in improving how all agencies work together to protect vulnerable people.” Sara Moseley, director of Mind Cymru and chair of the Wales Alliance on Mental Health, said: “When you are in crisis you are at your most vulnerable. You may be experiencing delusions or hallucinations, you might be suicidal or self-harming, it can be very frightening – you need the right help urgently.

“A police cell is a completely inappropriate environment in which to receive that care and support. Mind has been campaigning for action on reducing the use of police cells for people in crisis for many years. Bringing together so many agencies including the police, the NHS and the third sector is a great achievement and shows how determined we are to create change.

“This is a crucial first step. There’s a lot more to do to make sure that anyone experiencing a mental health crisis gets the right care. We need to make sure that mental health services can cope with demand and get people the help they need early on to prevent them reaching crisis point in the first place. Great crisis care exists but we need to make sure it exists for anyone in Wales who needs it.”

Dyfed-Powys Police and Crime Commissioner Christopher Salmon said: “I welcome this Concordat. “I raised this issue with Welsh Government two years ago and I’m glad that Dyfed-Powys Police and Hywel Dda University Health Board have led the way.”

Explaining how Dyfed Powys Police had taken steps to anticipate the Concordat, Mr Salmon continued: “I’m delighted that – a year after we launched our Street Triage scheme to help those in mental distress during police incidents – the Concordat will recognise the importance of treating mental illness as a health issue, not a police one. “The work of all those involved in delivering our local service is to be applauded; a huge amount of effort and expertise has resulted in a great new project.”

Mr Salmon concluded: “In the past, many people have been locked in police cells when what they’ve really needed is health treatment. Across the Hywel Dda area – Carmarthenshire, Ceredigion and Pembrokeshire – they now get that treatment. “The Concordat has been a long time coming but will put clear responsibility on health services to treat mental health cases. The police will be there to help, not the other way round. It’s a great example of work between the police and the health board.”

 

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Local Government

Cabinet backs major leisure investment plan for Pembrokeshire

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New centres proposed for Milford Haven and Pembroke as ageing facilities face replacement

PEMBROKESHIRE COUNTY COUNCIL’S Cabinet has approved a major investment programme aimed at transforming leisure facilities across the county.

The multi-million-pound Leisure Investment Programme includes plans for new leisure centres in Milford Haven and Pembroke, alongside a £4.6 million package to repair and extend the life of Tenby’s swimming pool.

Cabinet members were told that both Pembroke and Milford Haven leisure centres are reaching the end of their usable life. Pembroke Leisure Centre opened in 1974, while Milford Haven’s facility followed in 1984, ten years after the site’s original swimming pool.

The report highlighted that maintaining the ageing buildings would require millions of pounds in ongoing repairs, with replacement now seen as the most sustainable long-term solution.

For Milford Haven, Cabinet approved £1.2 million to develop detailed plans, including design work and pre-construction activity. The proposed new leisure centre would be built alongside the town’s planned new primary and secondary school development.

In Pembroke, councillors agreed £195,000 to carry out feasibility studies for a new leisure centre on the existing site.

Meanwhile, Tenby’s swimming pool will receive a £4.6 million capital grant awarded to the Tenby and District Swimming Pool Association, which owns the facility. The funding is expected to extend the pool’s lifespan by at least ten years, allowing time to explore longer-term options, including possible integration with future secondary school provision in the town.

Cllr Rhys Sinnett, Cabinet Member for Residents’ Services, said the decision marked a major step forward.

He said: “We have taken a significant step towards delivering leisure facilities that are fit for the future and meet the needs of our communities.

“We are committed to providing high-quality sports and leisure provision across Pembrokeshire, and where significant investment is required, we will not shy away from it. These facilities play a vital role in supporting long-term health and wellbeing.”

 

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Health

Owain Wyn Evans highlights hearing health concerns across Wales

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NEW research has revealed just how closely sound is linked to identity in Wales — but also raised concerns about declining hearing health across the country.

A study commissioned by Specsavers and fronted by broadcaster and drummer Owain Wyn Evans found that nearly half of adults in Wales have noticed changes in their hearing in recent years, yet many are failing to act.

Sound shapes Welsh identity

The research found that seven in ten people in Mid and West Wales (69%) say hearing a Welsh accent is what makes Wales feel most like home. Over half also pointed to the Welsh language (59%) and the sounds of the countryside (57%) as central to their sense of belonging.

Community events also play a key role, with 68% saying occasions such as Eisteddfodau and local fêtes bring people together through shared sound — more than those who cited singing at rugby or football matches (59%).

Overall, 65% of respondents said sound is an important part of their Welsh identity, with Welsh choirs (54%) and everyday language (53%) also featuring strongly. Around 40% said losing the ability to hear these sounds would make them feel less connected to Welsh culture.

Hearing issues on the rise

Despite this strong emotional connection to sound, the study highlights growing concerns around hearing health.

Some 45% of adults said they have noticed changes in their hearing in recent years. However, more than a quarter have taken no action.

Exposure to loud environments appears to be a key factor. Nearly three in ten people (29%) reported experiencing temporary muffled hearing or ringing in their ears after live music or gigs, while one in five (21%) said the same after visiting nightclubs.

Across Wales, 38% said they had experienced similar symptoms after live events, yet only 24% of those who noticed a decline in their hearing had a hearing check in the past two years. More than a quarter (28%) said they have taken no action and do not plan to.

Owain Wyn Evans shares personal experience

The findings are personal for Owain Wyn Evans, 42, who has experienced hearing changes himself.

The Ammanford-born broadcaster said: “I first noticed changes to my hearing about five years ago. I’ve been drumming since I was ten, often in very loud environments like rugby and social clubs, and over time I realised I was missing parts of conversations.

“It was a shock to be told there had been changes, but it made me take my hearing health seriously.

“Sound is such a huge part of who we are in Wales — from the countryside to the sea. Protecting our hearing means protecting those connections.”

Barriers to seeking help

Despite recognising the importance of hearing, one in three people (33%) admitted they have never taken steps to protect it. More than a third (38%) said they would feel more confident wearing glasses than using hearing devices.

For some, taking action has been life-changing. Cardiff-based former DJ Amal Luchmun, 56, said hearing loss had begun to affect everyday life.

“My hearing loss became a conversation killer,” he said. “I’d find myself guessing what people were saying and avoiding noisy environments because it was exhausting.

“Since getting a hearing device, the difference has been huge. I recently went to a Six Nations match and could hear everything clearly and chat easily with people around me.”

Experts urge early action

Annie Morris, head of clinical performance at Specsavers, said hearing changes often go unnoticed.

“Changes to our hearing usually happen gradually, and the brain adapts to missing sounds,” she said. “People often don’t realise how much they’re missing until it starts to affect conversations.

“On average, people wait around ten years before seeking help. While hearing loss can’t be reversed, acting early can slow further decline.”

She added that simple steps such as wearing ear protection in loud environments and booking regular hearing checks can make a significant difference.

Checks available across Wales

Specsavers stores across Wales offer hearing tests both in-store and through home visits for those unable to travel.

 

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News

Wales faces infrastructure shortfall without urgent reform, commission warns

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WALES risks falling behind on its long-term infrastructure needs unless major barriers to planning, funding and delivery are tackled, a leading advisory body has warned.

The National Infrastructure Commission for Wales (NICW) this week (Mar 23) published two major reports setting out what the country will need over the next 80 years — and why current systems are failing to deliver.

The Wales Infrastructure Assessment examines key sectors including energy, transport, water, digital and the circular economy, while a separate Infrastructure Delivery Report focuses on how projects can be better planned, funded and completed.

The Commission says that despite strong policies already in place, many major projects are delayed or fail to progress due to systemic problems. These include complex approval processes, short-term political and funding cycles, and a shortage of skilled workers.

It also highlights a lack of joined-up thinking across sectors, with transport, energy and digital systems often planned in isolation, leading to inefficiencies and missed opportunities.

Concerns were also raised about fragile confidence among communities and investors, driven by frequent policy changes, inconsistent engagement and uncertainty over long-term funding.

NICW has identified eight priority actions to improve delivery, including longer-term funding commitments, planning reform, better collaboration between sectors, investment in skills, and earlier engagement with communities.

Dr David Clubb, Chair of the Commission, said: “Wales has no shortage of ambition. What we face is a shortage of delivery. Unless we address the structural barriers in the system, we will not meet the needs of current or future generations.

“The next Senedd must be prepared to make long-term, and sometimes difficult, choices.”

The reports also stress the importance of better data and long-term planning, drawing on international approaches to support more informed decision-making.

With the Senedd election approaching, the Commission said the next Welsh Government will have a critical opportunity to reset how infrastructure is delivered — and warned that failure to act could undermine economic growth, climate targets and public confidence.

 

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