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‘Once in a lifetime’ reorganisation planned by Health Board

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THE LOCAL Health Board is embarking on a ‘once in a lifetime’ reorganisational plan which is looking at all potential options to ‘change the status quo and focus on improving health’ of locals.

This will involve, a press release has revealed, transferring more hospital services into the community where appropriate.

This is part of a strategy that the Health Board is looking into, to help solve an acute recruitment problem which is putting a great deal of pressure on the way that the Heath Board operates – and is leading to an untenable level of use of costly temporary staff to plug gaps and services.

In the summer of 2017, the Health Board embarked in an engagement with the public called ‘The Big Conversation’ which involved public workshops and drop-ins being held across the three counties of Pembrokeshire, Carmarthenshire and Ceredigion.

The Health Board now says the it has independently analysed opinions of the general public and has been using that data to explore, challenge and test different scenarios.

It is yet to be seen what these changes will mean for end service users.

The Herald understands it is likely to mean hospital services being reduced or cut, and replaced with community alternatives.

The Health Board has said it will not make any changes, unless it can guarantee the safety of the people which it serves.

The Health Board has insisted that no preferred option for change has yet been determined, and nothing has been signed off or agreed at this stage.

Medical Director Dr Philip Kloer said: “This is a once in a lifetime opportunity for our health service and community to work together to design an NHS which is fit for our generation and beyond. It has been acknowledged for some time across the UK that healthcare services are challenged like never before and we need significant change. Indeed this has been recognised in the recently published ‘Parliamentary Review of Health & Social Care’ here in Wales.

“We need to develop more proactive, resilient and better resourced local community services to support and improve people’s health and wellbeing, and avoid deterioration where possible. This will involve closer working with our partners, particularly colleagues in social care. We are also looking at ways of providing the most modern clinical practice, using the latest digital, technological, and new scientific developments, in fit for purpose facilities to provide better patient outcomes and experience.

“A number of our services are fragile and dependent on significant numbers of temporary staff, which can lead to poorer quality care. For us specifically in Hywel Dda, the geography we cover is large, with many scattered communities that are getting older, needing more holistic health and social care treatment and support. Because of this, we need to better resource our community based care, which is where most of our patient contact is, and help people manage their health conditions. We also need to evolve traditional ways of working and provide a more proactive approach. This should give patients – young, older and frail and everyone in between – the services they need when the need it, so people do not have to wait too long.

“This will mean changing hospital-based care, as well as community care, and we appreciate the attachment local people and our own staff have for their local hospitals. They have been cared for in them, or work in them, and they also play an important role in our wider communities. The options may propose change to a local hospital; however this is about more than the buildings. This is about investing in our communities, attracting doctors, nurses and therapists by operating a modern healthcare system and keeping hospitals for those who really need hospital care.

“We will not put in place any change that isn’t safe for our patients and population. And we will look at all the impacts from ensuring services are safer with better patient outcomes, to considering the wider impact on people, including the most vulnerable.”

Dr Kloer added: “The potential options are evolving, with changes to them on almost a daily basis. Many will never even reach public consultation, for a variety of reasons including safety, accessibility and affordability, or will change significantly as they are tested against population needs and healthcare standards.

“We will be coming back to the public in the spring with fewer options that have been more rigorously tested and we will open and honest about what we think our preferred option is and why. We would not, and cannot, propose something that would not be safe for our population.

“We live in this community, use our NHS and work for our NHS and we want to work with our patients, staff, partners and public to ensure it is the best it can be.”

Meanwhile, Elin Jones, Ceredigion’s Assembly Member, has called for urgency in the implementation of electronic records for NHS patients in Wales, following the publication of a report by the Wales Audit Office, ‘Informatics systems in NHS Wales’.

The report outlines several of the opportunities that electronic patient records can bring to patients and health boards, as well as the current obstacles to achieving this goal.

Elin Jones, who has long-called for a paperless NHS has welcomed the report, saying: “This is an important step in the development of health services in Wales, which is long-overdue. It would make our NHS more sustainable and more flexible to every patient’s needs.

“I have heard of many instances where patients have turned up to appointments in Llanelli, Swansea or Cardiff, only to find that their medical records have not arrived. These are people who have, in some cases, had to wait a long time for a specialist appointment, and have had to travel long distances, sometimes leaving very early in the morning or have arranged overnight accommodation in order to get to a 9 am appointment.

“Being turned away because their paper record has not arrived is a failure in the current system, and would be addressed directly by electronic records.

“The technology is available, it’s just a case of putting the funding in place.

“With the proper investment into the Welsh NHS by the Welsh Government, electronic patient records can help the NHS to deliver better outcomes for patients and to make more efficient and effective use of scarce financial and human resources.”

Entertainment

What’s not to love about Prince Nathaniel of Neyland?

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VAIN, enthusiastic, dramatic and utterly loveable, Prince Nathaniel of Neyland is set to steal hearts on the Torch Theatre stage this festive season in Rapunzel.

Played by the charismatic Harry Lynn, the flamboyant prince is the sort of pantomime hero audiences can’t help but cheer on, even when he is wildly out of his depth. From the moment he steps on stage, Prince Nathaniel is determined to help Rapunzel at every possible turn – even if bravery doesn’t always come naturally.

Describing the role as “wonderfully silly, enthusiastic, and a big-hearted comedic hero,” Harry says Prince Nathaniel is “the epitome of royal bravery,” striking his dramatic “Prince Pose” whenever the moment allows.

“But in reality, he’s often nervous, dramatic, and hilariously out of his depth,” Harry explained. “He’s pampered, easily flustered, and very vain about his hair – to the point where a haircut at Belinda’s salon becomes a full-on event. Beneath all the bravado, though, he’s loyal, caring, and absolutely determined to do the right thing, especially when Rapunzel needs him.”

Harry, who trained at the Royal Welsh College of Music and Drama, believes audiences will quickly fall for the prince’s perfectly imperfect charm.

“He’s confident but clueless, brave but squeamish, and always trying his best,” he said. “And when it really counts, he genuinely steps up. Whether he fully saves the day… well, this is a pantomime, so every hero needs a little help. Let’s just say he plays an integral part in Rapunzel’s fairytale ending.”

A familiar face to panto fans, Harry has just completed a run as Hunk/Scarecrow in The Wizard of Oz at Aberystwyth Arts Centre and says the festive season is his favourite time of year to perform.

“Panto season is pure joy – loud audiences, lots of laughter, plenty of improvisation, and that special festive atmosphere where anything can happen,” he said. “It’s a theatre experience like no other and the perfect way to celebrate Christmas.”

Prince Nathaniel, however, rarely has a quiet moment on stage. He is chased, sprayed, gunged, electrocuted, bashed in the face, tangled in a complicated ladder sequence – and faints, falls, panics, poses and hides behind Belinda whenever fear takes over.

“It’s a lot,” Harry laughed. “The challenge is keeping the comedy big and bold while still maintaining his charm. Having the Prince arrive in full regal mode, only to be sprayed in the face and gunged by Belinda, is peak panto chaos – huge fun to perform and, hopefully, even more fun to watch.”

Rapunzel – the hair-raising adventure runs at the Torch Theatre from Saturday, December 6 to Sunday, December 28. A Relaxed Environment performance takes place on Saturday, December 13 at 2:00pm, with a BSL-interpreted performance on Tuesday, December 16 at 6:00pm.

Tickets are priced at £24.50, £20.00 concessions, or £78.00 for a family ticket. For more information or to book, visit www.torchtheatre.co.uk or call the Box Office on (01646) 695267.

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Crime

Cowboy builders jailed after years of bullying and fraud against homeowners

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A FATHER and son who preyed on homeowners across south and west Wales — many of them elderly or in poor health — have been jailed after a court heard how they used intimidation and deception to extract huge sums of money for unnecessary and badly executed building work.

Jim Janes and his son, Thomas James, ran a long-running roofing scam that left dozens of victims facing financial hardship, unfinished homes and costly repair bills.

Swansea Crown Court heard the pair routinely targeted householders with minor repair needs before escalating jobs into major works, demanding ever-increasing payments once roofs had been stripped or damaged.

When questioned or challenged, the defendants became aggressive, leaving victims feeling frightened and pressured into paying. In one case, a homeowner was threatened unless money was handed over.

Passing sentence, Judge Catherine Richards said the defendants showed a “cruel disregard” for the impact of their actions and deliberately manipulated vulnerable people for financial gain.

She told the court the offending was driven by greed and a willingness to exploit those least able to protect themselves.

The court heard the fraud continued for more than five years, during which the defendants traded under multiple business names, changed contact details, and used different bank accounts in an effort to avoid detection.

Lee Reynolds, prosecuting, said the pair often dismantled roofs without consent and left properties exposed to the weather, effectively forcing customers to comply with their demands or face further damage to their homes.

Many victims were in their sixties, seventies and eighties, with some paying tens of thousands of pounds. One homeowner lost £100,000.

Independent experts later found that much of the additional work charged for was unnecessary and that the workmanship carried out was of poor quality. In some cases, jobs were left incomplete, requiring extensive remedial work.

Victims told the court how they had been left anxious, ashamed and financially stretched, with some forced to borrow money or remortgage their homes to cover the costs.

Jim Janes, 55, and Thomas Michael Jim James, 37, both of Llangadog, Carmarthenshire, had previously pleaded guilty to fraudulent trading.

In mitigation, the court heard Janes had worked in the building trade for much of his life, while James was said to have played a lesser role in the operation. However, the judge rejected claims that either man bore reduced responsibility.

Sentencing both men to eight years in prison, Judge Richards said they had acted ruthlessly and without any regard for the harm caused to their victims.

Both defendants will serve 40 per cent of their sentences in custody before being released on licence.

A further hearing will be held on Thursday (May 22) next year to consider confiscation proceedings and the imposition of serious crime prevention orders.

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Crime

Cocaine dealers jailed after flooding Aberystwyth streets with drugs

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TWO men who supplied cocaine in Aberystwyth have been jailed after police seized large amounts of cash, drugs and weapons during coordinated raids.

Luke Hutton, aged 25, and Lee Mark Walsh, 37, were sentenced at Swansea Crown Court after admitting possession of cocaine with intent to supply and possessing criminal property.

The court heard that police attended Walsh’s flat in Aberystwyth on Thursday (Nov 14) to execute a search warrant. Officers saw several people outside the address, including both defendants. When police approached, Walsh remained at the property while Hutton attempted to flee but was quickly detained.

Walsh, of Yr Hafan, Aberystwyth, was found with cannabis, £160 in cash and a mobile phone. Hutton, of Corporation Street, Aberystwyth, was carrying £8,795 in cash and a phone.

During a strip search in custody, officers recovered a wrap of white powder concealed on Hutton. Further searches uncovered £850 in cash laid out on Walsh’s bed, five mobile phones, a silver knuckleduster and a large kitchen knife hidden beneath the bed.

Police also recovered scales with white powder residue, a bank card contaminated with drug traces, and a further bag of white powder elsewhere in the flat. At Hutton’s address, officers found £1,060 in cash, bicarbonate of soda and empty snap-seal bags, consistent with drug preparation.

Prosecutor Dean Pulling told the court both men were clearly involved in drug supply for financial gain.

Walsh also admitted possession of an offensive weapon and possession of cannabis. He has previous convictions for cannabis offences and failing to comply with a drugs test.

Hutton has a longer record, including offences involving communications, driving matters, domestic abuse and breaching a restraining order.

Mitigating for Walsh, Ryan Bowen said the defendant had experienced a troubled childhood, moving schools frequently, and had struggled with cannabis use from a young age. He said Walsh had shown a strong work ethic and hoped to pursue barbering on release.

Jon Tarrant, representing Hutton, said his client had been heavily addicted to cocaine and that drug use had dominated his life, contributing to the breakdown of relationships, including contact with his two young children.

Sentencing, Judge Vanessa Francis said both men had been involved in dealing with the expectation of making “significant financial gain”.

Addressing Hutton, she said: “You told the author of the pre-sentence report that when your benefits stopped, you ‘did what you had to do’. This court will do what it has to do to take off the streets those who spread the misery of drug supply.”

After reductions for guilty pleas, Hutton was jailed for three years and Walsh for 32 months. Both will serve up to half of their sentences in custody before being released on licence.


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