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Health

Significant disruption expected during second junior doctors strike, says WG

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URGENT and life-threatening care will continue to be provided during second junior doctors strike in Wales this week, but significant disruption is expected to other services the Welsh Government has said.

The head of NHS Wales, Judith Paget, has also urged everyone to help reduce the burden on the NHS by considering other options to attending hospital, unless they need urgent care.

Ahead of the industrial action which starts on Wednesday, Health Minister Eluned Morgan has said the Welsh Government are always open to further talks but they don’t have the budget available to increase the pay deal.

Eluned Morgan said: “We are disappointed that junior doctors have decided to take further industrial action in Wales, but we understand their strength of feeling about our 5% pay offer.

“Our offer is at the limits of the finances available to us and reflects the position reached with the other health unions. But we will continue to press the UK Government to pass on the funding necessary for full and fair pay rises for public sector workers.

“We remain committed to working in social partnership with the British Medical Association and are always open to have more talks.”

NHS Wales Chief Executive Judith Paget said: “As during the last strike we welcome the collaborative approach on patient safety taken by the British Medical Association. We have been working with them and NHS organisations to ensure patient safety is protected during the industrial action.

“We expect significant disruption to non-emergency and elective activities during the industrial action, with much work already been postponed. During the last strike around 41% of outpatient appointments and 61% of operations were postponed across Wales. We expected services during the industrial action to resemble those generally provided on a Bank Holiday.

“However, if you have a critical need to attend an emergency department you should still do so.

“But we are also urging everyone to consider the best option for them, including 111 online or phone service, or their local pharmacy.”

Responding to the Welsh Government’s comments, director of the Welsh NHS Confederation Darren Hughes said: “NHS leaders understand the financial challenges facing the Welsh Government, but it is disappointing that the BMA and government have not been able to find a solution to the ongoing pay dispute.

“Patient safety is of course the number one priority. Health leaders and their teams will pull out all the stops to fill rotas ahead of the strikes, but the reality is more patients having their operations or appointments cancelled, which will impact on attempts to tackle waiting lists for routine hospital care.

“As always, it is patients who bear the greatest burden from industrial action, with around 41 per cent of outpatient appointments and 61 per cent of operations postponed across Wales in the last wave of industrial action by junior doctors in January.

“The impact of strike action is not just felt on the days of industrial action, but also following industrial action when the service does its best to catch up on postponed patient appointments and cancellations.

“It is not too late to restart negotiations and stop the strikes before more patients have their vital care delayed. We call on both sides to lay out the basis for a realistic settlement that would be satisfactory to the majority of junior doctors.”

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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Health

High pollen counts forecast for Wales this week

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CURRENT forecasts are for high pollen counts from today until Sunday across Wales, and airborne allergens expert has said. Max Wiseberg added: “This is not good news for hay fever sufferers across Wales. The main culprit is oak pollen which is now in peak season and there are some early grass pollens.”

Max continues, “However, better news is that, whilst there is no cure for hay fever, there are many measures and precautions you can take to help reduce the effects of the pollen. Although many hay fever sufferers find that nothing really works or that some remedies help, but nothing does the whole job, or what worked last year doesn’t work today, there is another way. A novel approach is to combine products for greater effect, and create your own ‘Hay Fever First Aid Kit’.”

“So if nothing works on its own, or your symptoms are particularly severe on a given day, create your own Hay Fever First Aid Kit, in other words use a combination of products, which can be complementary to one another. I suggest that your ideal Hay Fever First Aid Kit will consist of a prevention, such as HayMax organic drug-free allergen barrier balm, one (and only one) antihistamine, one (and only one) nasal spray, eye drops and one or more other natural products,”

Max goes on to explain how all the elements of a Hay Fever First Aid Kit work:

“The first thing is to avoid the pollen in the first place with an organic allergen barrier balm such as HayMax applied around the nostrils and bones of the eyes to help stop pollen getting in.”

“There are several forms of medication you can take that seek to reduce the effects of the pollen on the body.

  • Try an antihistamine, to counteract the effects of too many histamines, the body’s reaction to too much pollen; the most common are acrivastine, cetirizine, chlorphenamine, desloratadine, fexofenadine and loratadine.
  • Use a steroid nasal spray, which works by fighting inflammation and mucus production, helping clear nasal symptoms – itching, sneezing, watering and congestion.
  • Eye drops work in one of three ways; some stop the histamine release, some are anti-inflammatory and others block the inflammation caused by histamine.
  • There are several types of each, so if one doesn’t work particularly well or stops working, it’s worth trying another.”

“There are many other drug-free and natural products available for hay fever sufferers.

  • Quercetin is thought to limit the release of histamine; found naturally in many foods, it can also be taken in a capsule.
  • Butterbur is a herbal extract believed to have an antihistamine-like effect on hay fever symptoms and is available in capsules.
  • Immune boosting wellness formulae, such as Bee Prepared Daily Defence Immune Support which contains only all natural ingredients that help support the immune system, help the body fight the effects of the pollen.”
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Community

Fresh pleas to save much-needed Pembroke Dock day centre

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A PLEA to keep Pembroke Dock’s Anchorage Day Centre open is to be heard at a full meeting of Pembrokeshire County Council next week.

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 to be heard at the May 9 meeting, member of the public Peter Welsh will ask: “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?”

A Pembrokeshire County Council spokesman has previously said: “Following the engagement sessions held with families and service users regarding the future of the centre on April 10 and 17 at the Anchorage, families said that they would like to maintain the Anchorage Day Centre and explained that they would write to the council in order to ask for the decision to be overturned.

“People who attend the service will be offered alternative care, all service users are currently having their individual care needs assessed by social work teams to fully understand which other services best meet those care needs.”

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

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