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Health Minister praises partnership working at South Pembrokeshire Hospital 

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THE MINISTER or Health and Social Services Eluned Morgan and Deputy Minister for Social Care Julie Morgan have visited South Pembrokeshire Hospital in Pembroke Dock to learn more about how partnership working helps patients in Pembrokeshire receive the best care.

The visit last week (Wednesday, 31 May) came ahead of today’s announcement that Welsh Government will invest up to £30m to deliver more care at home or in the community and reduce time people spend in hospitals.

The Health Minister and Deputy Minister for Social Care have set out how they will work with local government, NHS and other partners to strengthen local care services in order to help alleviate the kind of pressure on the health and care system seen this winter.

To see this work in action, Eluned Morgan and Julie Morgan, visited the Co-ordination Centre at South Pembrokeshire Hospital to hear more about the ‘Further Faster’ initiative where the Hywel Dda University Health Board, Pembrokeshire Council and third sector work together to co-ordinate and allocate the appropriate care to people across the county.

Operating seven days week, 8am to 6pm and staffed by a team of experienced clinicians and coordinators, the Coordination Centre provides a single place for the co-ordination and triage of referrals and enquiries regarding routine and planned, urgent and intermediate care needs for the people of Pembrokeshire.

Eluned Morgan said she was impressed by the ‘Further Faster’ initiative. She said: “I think this is an example of exactly what we’re trying to achieve across Wales but we’re trying to see this supercharged so we’re seeing local authorities work with the health board to make sure that we can discharge people from the hospital much quicker.

“But we also have a real recognition that there’s a lot of work we need to do in relation to prevention. And everybody working together here is absolutely key and I think, in relation to care, that is crucial as well.”

Julie Morgan agreed and praised the work at the Co-ordination Centre.

She said: ““I think we’ve seen a really good example of where everybody works together in the same room in the Co-ordination Centre. It was so striking to see everybody there together and the call handlers can refer people on to specialists sitting in the same room as them. The key issue really is to try and prevent hospital admissions and to do all we possibly can to keep people in the community and I think this is a great example.”

The Minister and Deputy Minister also met staff and patients at Martello House – a facility for patients who are receiving care after coming out of hospital and re-ablement care to prevent them returning to hospital and to be able to live independently at home.

Patient Paul McGrath from Pembroke Dock had an opportunity to speak to the Ministers about his experience at Martello house.

Mr McGrath underwent heart surgery earlier this year and after months of treatment and recovery in hospital, Mr McGrath was transferred to Martello House. He has been there for two weeks and is hoping to go back home in a week or so.

He said: “Because of the way Martello House works, it’s made me feel much more comfortable in doing things. I’ve been able to get up and about and get moving which has helped tremendously. Certainly, being here and what I’ve been doing, just moving around and walking, doing stuff for myself has helped my mobility and my confidence.

“They encourage the walking and maintaining the physiotherapy regime that I’ve been given. Making cups of tea, cups of coffee… sorting out breakfast for yourself, that sort of thing. Just getting on with day-to-day stuff.”

Mr McGrath said being at Martello house had speeded up his recovery process.

“When I first came here, I still couldn’t see myself being at home – I was worried about that. But being here made me realise that I’m supposed to be at home. I can be at home, I can carry on with whatever I’m doing here. Everything I do here, I can do at home.”

Jill Paterson, Director of Primary Care, Community and Long-Term Care for Hywel Dda University Health Board said: “This is a priority for us and our partner organisations. By working together to coordinate and deliver our services we can support individuals to remain at home or in their community with the right level of care and support so that they spend less time in hospital.”

Cllr Tessa Hodgson, Pembrokeshire County Council Cabinet Member for Social Care and Safeguarding, said: “We have a history of excellent partnership working in Pembrokeshire, with health, third sector and the authority’s social care delivering projects and services which supports our communities. It’s important to focus on what will benefit patients – and improve outcomes for the people who live in Pembrokeshire who need these vital health and care services. This approach will improve the co-ordination and efficiency to ensure services are fit-for-purpose and improve the lives of those who need support the most.”

According to Eluned Morgan, the new £30m investment will help to deliver thousands of extra hours of reablement services across Wales – providing as a safe alternative to hospital admission and to keep people at home, or so people can recover at home more quickly after a stay in hospital.

The money will also be spent on:

Recruiting more community workers to advise people on how they can access the right support and services to help them recover and lead independent lives;
Ensuring every local authority has a Technology Enabled Care (TEC) Responder Service by winter 2024. Currently only 10 local authorities have this facility. Using the latest monitoring technology this service will ensure people can get the help they need as quickly as possible;
Moving towards 24/7 Community nursing by increasing the availability of community nurses across Wales for an extra 10 hours a day on Saturdays and Sundays;
Strengthening community specialist palliative care – by making specialist nurses available overnight;
Providing practical support for local services to collaborate to put in place an individual care plan for those people identified as most at risk for urgent care. This will help to reduce hospital admissions.
ENDS

Cathryn Ings

 

Health

Welsh Ambulance Service stands down critical incident after heatwave pressure

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THE WELSH AMBULANCE SERVICE has stood down the critical incident declared on 26 June following three days of sustained pressure linked to the extreme heat.

The service said demand has now begun to reduce, although it remains under significant pressure.

Members of the public are still being urged to call 999 only in serious or life-threatening emergencies.

For less urgent health concerns, people are being asked to use NHS 111 Wales or the online Albot service for advice and support.

The Trust thanked staff, volunteers, partner organisations and the public for their patience, professionalism and support during what it described as an exceptionally challenging period.

 

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Health

Welsh Ambulance Service urges public to ‘choose wisely’ as pressures continue

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THE WELSH AMBULANCE SERVICE has issued a fresh appeal to the public following the declaration of a critical incident on Friday (June 26), as exceptionally high demand continues to place pressure on crews across Wales.

In a social media post published today (Saturday, June 27), the Trust warned that hot weather is contributing to a rise in ambulance call-outs, including incidents involving heat-related illness, falls, breathing difficulties and existing medical conditions worsened by the heat.

The message comes less than 24 hours after the service declared a critical incident amid unprecedented demand, with ambulance resources stretched across Wales.

The Trust is urging people to call 999 only for serious or life-threatening emergencies, contact NHS 111 Wales for urgent health advice, and use local pharmacies for minor illnesses and ailments.

It said choosing the right service can help ambulance crews reach the sickest patients more quickly while pressures remain high.

 

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Health

Nursing leaders demand urgent action to end corridor care in Welsh hospitals

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RCN Wales joins doctors, patient groups and charities in call for national reporting before summer recess

NURSING leaders, doctors, patient groups and charities have called on the Welsh Government to take urgent action to end corridor care in Welsh hospitals.

A joint letter signed by Age Cymru, BMA Cymru Wales, Carers Wales, Llais, Marie Curie Cymru, Royal College of Nursing Wales, Royal College of Emergency Medicine Wales, Royal College of Pharmacy and Royal College of Physicians sets out a series of steps ministers are being urged to take immediately.

The organisations want the Welsh Government to publish a formal definition of corridor care, introduce national reporting, monitor the issue as a patient safety indicator, and require health boards to produce local plans focused on the most vulnerable patients.

They have also called for a coordinated approach across health and social care, warning that the problem cannot be tackled properly unless it is measured consistently across Wales.

The groups want a public commitment from the Welsh Government before the Senedd’s final sitting day before the summer recess on July 17.

‘Unsafe and unacceptable’

Corridor care refers to patients being assessed, treated or cared for in inappropriate areas such as corridors, waiting rooms, ambulance bays or other spaces not designed for clinical care.

Health bodies have repeatedly warned that the practice can put patients at risk, reduce privacy and dignity, and leave staff unable to provide the level of care they know patients need.

RCN Wales Executive Director Nicola Williams said corridor care was still happening every day across most hospitals in Wales.

She said: “Earlier this month, we welcomed the Cabinet Minister for Health and Care’s determination to address corridor care following England’s first publication of corridor care statistics.

“I have also been encouraged by the verbal commitments I have received from Welsh Government officials that echo our priorities of a clear, consistent definition of corridor care across Wales, and the development of a data set for use across NHS Wales for public reporting.

“Corridor care continues to happen every day across most hospitals in Wales, putting patients’ wellbeing and lives at risk and affecting the morale of nursing staff who cannot give the care that patients deserve.

“We must be able to quantify this problem if we are to eliminate it.”

Ms Williams added that the RCN must be involved in efforts to eradicate corridor care because nurses are “at the forefront of this crisis and a vital part of the solution.”

Wales behind England

The call comes after NHS England began publishing national corridor care data, giving a clearer picture of how often patients are being treated in inappropriate settings.

In Wales, there is still no formal national definition of corridor care and no routine public reporting.

RCN Wales has argued that without consistent data by health board, it is impossible to know the true scale of the problem, identify trends or hold the system properly accountable.

The issue has been raised repeatedly by nursing and medical bodies in recent months. In January, RCN Wales published a briefing calling for care delivered to a patient in a chair for more than 24 hours to be treated as a “never event.”

The RCN and BMA Cymru Wales have also called for reductions in hospital beds to be paused, for capacity to be reviewed nationally, and for greater investment in community and social care so patients who are medically fit to leave hospital can be discharged safely.

Healthcare Inspectorate Wales has also warned that corridor care should not become normalised, saying care in non-clinical spaces can compromise patient safety, dignity and the quality of care.

West Wales concerns

The issue is particularly relevant in west Wales, where hospital capacity, ambulance handover delays and the future of local services remain politically sensitive.

Hywel Dda University Health Board has faced repeated criticism over pressures at Withybush, Glangwili, Bronglais and Prince Philip hospitals, with patients in rural areas often facing long journeys for emergency treatment.

The call from nursing and medical bodies comes days after the Senedd backed a motion calling on the Welsh Government to rule out hospital closures and service downgrades during the current Senedd term, with patient safety prioritised.

That debate was dominated by concerns over Withybush Hospital, where changes to emergency general surgery mean some patients who need emergency operations will be transferred to Glangwili Hospital in Carmarthen.

Campaigners argue that distance is itself a patient safety issue in rural Wales, particularly when emergency departments and ambulance services are already under pressure.

Wider NHS pressure

Corridor care is widely seen as a symptom of wider problems across the NHS, including delayed discharges, lack of social care capacity, pressure on emergency departments, workforce shortages and too few available beds.

Doctors and nurses say patients can end up stuck in emergency departments because hospital wards are full, while patients on wards cannot leave because care packages or community support are not available.

The result is a system where pressure builds at the hospital front door, leading to long waits, ambulance queues and patients being cared for in unsuitable spaces.

The Welsh Government has previously said it recognises the seriousness of the issue and is committed to improving urgent and emergency care.

But professional bodies say recognition is no longer enough and that Wales now needs clear national data, local health board plans and public accountability.

The joint letter places fresh pressure on ministers to act before the Senedd breaks for summer.

For patients and staff, the message from Wales’ leading health organisations is blunt: corridor care cannot be ended until Wales properly defines it, measures it and treats it as a major patient safety issue.

 

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