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Health

Health annual meeting reflects on another extraordinary year

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REFLECTING on what it calls ‘yet another extraordinary year’, Hywel Dda University Health Board has looked back at its achievements and challenges throughout 2022/23 during its annual general meeting.

Held today [Thursday 28 September 2023], the AGM reviewed the organisation’s Annual Report, including its financial accounts. The report and presentations set out to staff, patients, and the public what has been achieved between 1 April 2022 and 31 March 2023, what has been challenging, and how the health board intends improve services for local people.

The main themes included how the health board is progressing against its strategic objectives, its ongoing response to COVID-19 and its performance against a number of measures including planned care, urgent and emergency care, cancer, mental health, neurodevelopment services, infection control and workforce.

Reference was made to new initiatives to support patients and improve services, progress through research and partnership opportunities, workforce developments and capital developments across the three counties. Progress on well-being objectives, Welsh language services, and the health board’s submission of its programme business case for £1.3billion investment in its long-term strategy was provided. Praise was also given to all staff, including those who have won or been shortlisted for dozens of local and national awards as well as for the health board as an employer.

The support of patients, families and local communities for the health board’s charity, Hywel Dda Health Charities, was also recognised. Examples were provided of fundraising activities which contributed to £3.99million charitable income, and of the many services and activities above and beyond core NHS expenditure which were charitable funded.

In addition to the presentation of the Annual Report and financial accounts, the Annual General Meeting also heard from members of the Apprenticeship Academy. Representatives of the health board’s apprentices shared what they have enjoyed about their time with the health board, and how they are looking forward to advancing their career within the organisation.

Maria Battle, Chair of Hywel Dda University Health Board said: “This annual event gives us an opportunity to reflect on another extraordinary year, but also to look ahead to 2023/24. While things are still very challenging for the NHS, we have a clear vision to help us recover from the impact of the pandemic, address our long-standing financial challenge, and build a health system resilient and sustainable for the future.

“We recognise too that access to a wide range of services has been constrained over the past three years, resulting in delays in treatment and care within our health board. We are deeply sorry if you have experienced delays in access to your care and treatment. While we have made significant progress in reducing the number of patients who are waiting for treatment, we are aware that it remains difficult for people who are still waiting, or have their treatment further delayed. We are committed to further reducing our waiting lists to pre-pandemic levels and meeting the Welsh Government target.

“The highly focused response to the pandemic has left a financial legacy too. We could not identify and deliver savings and efficiencies in the way we would normally, and as a result we faced significant financial challenges as funding for the COVID-19 response tailed off, leaving us needing to make up for two years of lost time.

“The resolve of our staff continues to astound us, with colleagues committed to delivering the best possible patient care in difficult circumstances.

“Being the last AGM I will chair before my retirement from the health board in October, I want to take this opportunity to sincerely thank everyone working in and with Hywel Dda University Health Board, whatever your role. Thank you also to all our volunteers, and our partners, for your extraordinary service caring for patients and our communities during these challenging times.”

The Annual Report details areas where the health board’s performance needs to improve, along with mitigations and actions being taken, in areas such as waiting times for planned care, outpatient, mental health, neurodevelopment services, and infection control. Performance in these and other areas have been negatively impacted by issues with patient flow, patient acuity, demand and capacity, and staff shortages.

Quality improvement continues to be a key focus across the organisation to ensure the safest and best care for our patients and community, and part of this work involves listening to and acting on the feedback received from those who use our services.

Through close working with its partners on a shared vision for our communities to live healthy, joyful lives, the health board continues to engage with local people on topics such as its health and care strategy and the land appraisal process for a proposed new hospital, the future of children and young people’s services, as well as changes to some local GP practices.

The health Board has also worked in partnership to support vulnerable groups, care homes, social care and safe discharge, developed new opportunities with local universities and continues as an active member of the Dyfed-Powys Local Resilience Forum.

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Health

Bathing water samplers set for a busy season of water quality checks

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WHILE families across Wales start making plans for the summer, samplers from Natural Resources Wales (NRW) are embarking on their annual programme of bathing water quality tests.

This year, there are 110 designated bathing waters which will be sampled multiple times between 15th May-30th September, in line with the UK Bathing Water Regulations. 109 of these are coastal waters, and one inland lake (Llyn Padarn).

Last month the Welsh Government announced that Nefyn Beach in Gwynedd had been added to the list of designations, following a successful application.

Bathing water samples are sent to NRW’s laboratory in Swansea, where they are tested for levels of Escherichia coli (E. coli) and intestinal enterococci (IE).

Results from a four-year rolling period then determine the classification for the next bathing water season; excellent, good, satisfactory or poor.

Last year, 98% of Wales’s designated bathing waters met stringent environmental standards, with 80 out of 109 meeting the ‘excellent’ criteria.

Clare Pillman, Chief Executive of NRW said:

“More and more people are enjoying the benefits of open water swimming, and where better to take a dip than at one of the many fantastic bathing waters Wales has to offer.

“Our blue waters offer a wealth of recreation opportunities, providing a vital boost to Wales’ tourism sector and the health and well-being of our communities.

“Our teams continue to work hard to tackle the many sources of pollution which threaten our water quality, including from agriculture and storm overflows. Much progress is being made, and we are pressing for record levels of water company investment for the environment in the coming years to safeguard the future health of our waters.”

Prior to the start of the traditional bathing water season, NRW officers undertake a number of pre-season checks and samples. This includes checking to ensure permit conditions for nearby discharges are being complied with.

Issues or deteriorations flagged in last year’s results are investigated by local teams to identify any sources of pollution which may be contributing to high bacteria levels found in samples.

Information about where to find designated bathing waters, and the standard of bathing water is available on NRW’s website.

Visit the Adventure Smart website for information about swimming safely in open waters.

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Community

Further pleas to save Anchorage Day Centre

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A PLEA by a concerned parent to keep Pembroke Dock’s Anchorage Day Centre open was heard at a full meeting of Pembrokeshire County Council.

The Anchorage Day Care Centre in Pembroke Dock has been a “safe and happy place” for adults with learning difficulties and additional needs for decades.

In more recent years it has expanded to support elderly dementia sufferers.

But now the centre is expected to close, with services instead being offered elsewhere in the county, including Haverfordwest and Milford Haven.

A series of engagement events have taken place at The Anchorage recently, outlining the reasons and the options in continued service.

One parent, who wished to remain anonymous, said: “One young woman who attends ran out of the first meeting sobbing when she was told it was going to close. Another, at the second meeting, tried to address the meeting but was so choked up at the thought of not seeing her friends anymore she could hardly speak.”

In a submitted question heard at the May 9 meeting of Pembrokeshire County Council, concerned parent Peter Welsh asked: “Is the council aware of the huge impact the impending closure of the Anchorage Adult Day-care Centre in Pembroke Dock is already having to the health and mental wellbeing of my daughter and 20 other vulnerable adults with special needs and learning difficulties, who are unable to cope with changes to routine, or to process and understand what is happening to them?

“And would the council, therefore, please review its closure decision and retain the centre and the vital and invaluable service it provides not only to the individuals concerned but also to the parents?

“If not, what specific measures does the cabinet member have in place to support my daughter and these other individuals who need extra assistance to enable them to maintain their independence, value and allow their carers to have valuable respite from their caring responsibilities and what are the estimated costs for these substitute measures?”

Responding, Cabinet Member for Social Care & Safeguarding Cllr Tessa Hodgson said an engagement with service users, carers and families was made immediately after staff were informed about the potential closure following the council’s March budget setting.

Members were told two sessions were held with all concerned, with a list of alternative day opportunities in the county outlined, with opportunities to attend short sessions at the other centres being available so they “can fully explore which opportunity is best suited to their needs and wants”.

“All service users of the Anchorage will be offered alternative day centre arrangements in order to preserve their independence and also to support the caring needs of their families, these assessments are still taking place and are likely to continue to do so at least until the end of May.”

Cllr Hodgson said she was unable to provide estimated costs of the new arrangements until all the assessments were in place, hoping to update members at a future date.

An online e-petition, on the council’s own website has been launched calling for the Anchorage to stay open.

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Health

Calls for Welsh Govt to improve both maternity and neonatal safety

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LEADING pregnancy charities have urged the Welsh Government to take stronger measures to enhance maternity and neonatal services, in order to realise the substantial changes necessary to reduce infant mortality. The Sands and Tommy’s Joint Policy Unit released a revealing report today, stating that initiatives in Wales are inadequate to instigate the vital transformation required to prevent baby deaths.

The report, titled “Saving Babies’ Lives 2024: Progress Report,” notes that strides toward diminishing stillbirths and neonatal deaths have halted in Wales, mirroring a stagnant situation across the UK. The findings suggest that with improved care, as many as 800 infant lives could have been saved throughout the UK last year. The document emphasises the urgent need for meaningful action to tackle the severe and enduring disparities in baby loss and pregnancy complications across different demographic groups.

Particularly alarming is the continuing disparity in outcomes for infants from varied ethnic backgrounds and socio-economic statuses. The report underscores that the stillbirth rate in Wales has exceeded that of any other UK nation since 2014, with minimal improvement in neonatal mortality rates over the past decade. Unlike England, which aims to halve the rates of stillbirth, neonatal death, preterm birth, maternal death, and brain injury by 2025 relative to 2010, Wales has set no similar goals.

Moreover, the report criticises the Welsh Government for the insufficient number of reviews conducted following infant deaths, which are crucial for understanding potential lessons and providing grieving parents with needed explanations.

Robert Wilson, head of the Sands and Tommy’s Joint Policy Unit, commented, “Our report unequivocally shows that the Welsh Government must establish clear targets for reducing pregnancy loss and baby deaths, and for eliminating inequalities. These targets should catalyse a thorough suite of policy measures, adequately supported by necessary funding and resources.”

The report provides specific recommendations to enhance maternity safety in Wales, including the consistent involvement of staff and patients, especially bereaved parents, in assessing the quality of maternity and neonatal services. It also calls for transparent and independently overseen reviews of individual services, and improvements in the completion rate of reviews following a baby’s death.

The Joint Policy Unit is advocating for a unified commitment across all four UK nations to eradicate inequalities in pregnancy and baby loss. Disturbingly, the 2021 data revealed that the rate of stillbirths and neonatal deaths among Black babies was almost double that of White babies, and significantly higher than the overall UK rate. This disparity was similarly stark between the most and least deprived areas in the UK.

The report also highlights that only about 2% of public and charity health research funding has been allocated to reproductive health and childbirth over the last two decades, signalling a need for increased investment in these crucial areas.

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