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NHS Wales launches Welsh language online therapy programme for anxiety

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WELSH speakers dealing with anxiety can now access free online help in their preferred language through the NHS.

NHS Wales offers a range of guided cognitive behavioural therapy (CBT) programmes for managing mental health and wellbeing.

Space from Anxiety is the third CBT programme to be translated into Welsh, giving Welsh speakers the choice and freedom to express their feelings, thoughts and emotions in their chosen language.

Fionnuala Clayton, NHS Wales online CBT service project manager, said: “We’re incredibly proud to launch this programme in Welsh.

“Providing bilingual therapy is a key priority for us and is very much forefront in our minds as the service continues to grow.

“It can be difficult to open up and share your thoughts and feelings, and it’s even harder if you have to do it in your second language.

“It’s vital that we break down that barrier and provide people with the space and opportunity to use Welsh when they access our therapeutic content.”

Research suggests almost a quarter of adults in Wales feel anxious all or most of the time, while 45% of adults with feelings of anxiety keep them secret.

Although some level of anxiety plays a useful and healthy role in helping us deal with problems and rise to challenges, it can become overwhelming and ultimately debilitating if left unaddressed.

Lingering stigma around mental health issues can make it tough to reach out for help, but NHS Wales’ online therapy programmes – delivered by SilverCloud® – help break down barriers to care.

The interactive programmes teach practical coping skills for mild to moderate mental health issues and can be accessed anonymously online – without seeing a GP or joining waiting lists – via any mobile, tablet, laptop or desktop device.

They take 12 weeks to complete and service users need commit as little as 15 minutes a day, 3-4 times weekly. Progress is monitored by qualified practitioners, who provide fortnightly feedback and can escalate more serious cases to access further support.

30,000 people have accessed the service – funded by the Welsh government – since it piloted in Powys in 2018.

It was extended across Wales in September 2020 and Space from Anxiety has become the second-most requested programme, with almost 6000 people signing up in the last six years.

The new Welsh provision meets one of the themes of Cymraeg 2050  – a Welsh government strategy aiming to deliver a million Welsh speakers by 2050 – and is in line with More Than Just Words, its Strategic Framework for Promoting the Welsh Language in health, social services and social care.

NHS Wales Online CBT Co-ordinator Leah Williams is one of 12 trained online supporters monitoring and providing feedback to SilverCloud® Wales users. She grew up in a family of Welsh speakers, speaking Welsh as her first language.

Says Leah: “I think I always took it for granted when visiting a GP that I had the privilege of seeing a Welsh speaking doctor, but when it came to accessing mental health support, this was not always the case.

“My mental health practitioners and counsellors were non-Welsh speakers. I found it difficult to open up and discuss personal issues.

“Not being able to converse in your first language can be distressing, especially when speaking about an already emotive subject.

“I found that when I did get to speak to a Welsh-speaking counsellor, there was an instant therapeutic connection due to a shared identity and a deeper understanding of my issues and needs.

“It’s incredibly rewarding that I now get to bring that to SilverCloud Wales as a Welsh-speaking member of the online support team.

“People are quick to say that the Welsh language is fading away, but the reality is it’s very much alive.”

To find out more and sign up, visit: https://nhswales.silvercloudhealth.com/signup/

Follow us on Twitter: https://twitter.com/SilvercloudW

Find us on Facebook: https://www.facebook.com/SilverCloudWales

 

Health

Rural social care in west Wales ‘left to pick up the pieces’

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CLAIRE ARCHIBALD MS has challenged the First Minister over pressures facing rural social care in west Wales, warning that families in Pembrokeshire and Ceredigion are being left without the support they need.

The Reform UK Member of the Senedd for Ceredigion Penfro raised the issue during First Minister’s Questions, saying reductions in the clinical role of rural hospitals had not been matched by proper investment in community care.

Ms Archibald, who has previously worked as a carer, said the impact was being felt by patients stuck in hospital, families struggling to secure support, and people unable to spend their final days at home.

She told the Senedd: “Across Pembrokeshire and Ceredigion, Labour has reduced the clinical role in our rural hospitals, but the community care to fill the gap has simply not been put in place.

“The results are delayed discharges, families left struggling, and many people denied the chance to spend their final days at home with their loved ones.

“We have providers across west Wales handing back contracts, refusing referrals and shelving expansion because they cannot recruit the workforce.

“So, after 26 years of Labour-led government supported by your party, isn’t it the truth that rural social care has been neglected and left to pick up the pieces?

“What concrete action will your government take to restore front-line social care in west Wales?”

Following the exchange, Ms Archibald said the issue was not simply about policy, but about real families being placed in impossible situations.

She said: “I have seen first-hand how important good care is, both for the person who needs support and for the family around them.

“When community care is not there, people stay in hospital longer than they need to, families are left fighting for help, and people lose the chance to be cared for at home.

“This is especially serious in rural areas like Pembrokeshire and Ceredigion, where distance, workforce shortages and reduced local services all make the pressure worse.

“For too long, rural social care has been left to carry the burden while services are taken away elsewhere.

“People in west Wales deserve better than warm words. They need clear action, proper workforce planning, and front-line care that actually reaches them.”

Ms Archibald said she would continue pressing the Welsh Government on delayed discharges, care package shortages, workforce pressures and the need to protect services in rural communities.

 

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Health

Welsh Ambulance Service to hold extraordinary board meeting

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THE WELSH AMBULANCE SERVICE will hold an extraordinary Trust Board meeting later this month.

Members of the public will be able to watch the meeting online via Microsoft Teams on Thursday (Jun 25), from 9:30am to 10:00am.

Board members are expected to receive and approve the Trust’s Annual Report and Accounts for 2025–26.

Colin Dennis, Chair of the Welsh Ambulance Service, said: “Our Board meetings play a vital role in ensuring transparency and openness in everything we do, and we would invite anyone with an interest in the Trust’s work to join us virtually to find out more.”

A link to watch the meeting will be available through the Trust, but viewers are advised it will only work from 10 minutes before the meeting begins.

An agenda will be published on the Trust’s website in the days before the meeting.

 

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Health

Wales becomes first UK nation to offer online gambling harm support

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WALES has become the first UK country to offer nationwide access to a new online NHS programme for people affected by gambling harms.

The free course, Space from Gambling Harms, is available through the SilverCloud platform and can be accessed at any time on a phone, tablet or computer without the need to see a GP.

It forms part of the new All-Wales Gambling Treatment Service, which launched in April alongside a 24-hour helpline.

The 12-week programme is based on cognitive behavioural therapy and motivational enhancement therapy, helping users reflect on their gambling habits, build confidence, and develop skills to regain control.

Jodie Morgan, Clinical Operational Manager at Betsi Cadwaladr University Health Board, which manages the gambling service and helpline for NHS Wales, said: “Improving access to support is a key part of the All-Wales Gambling Treatment Service.

“Space from Gambling Harms offers people another way to access confidential, evidence-based support at a time that suits them, and we will be supporting patients across Wales to access the programme alongside our wider treatment offer.”

The course is available to anyone in Wales aged 18 or over via self-referral. Users are advised to spend around 20 minutes a day, three times a week, working through the programme.

Anyone who self-refers is assigned an NHS-trained supporter who can provide guidance, advice and encouragement.

Fionnuala Clayton, project manager for NHS Wales’ online CBT service, said: “Through SilverCloud, we want to remove as many barriers to support as possible and provide people with tools they can use in a way that fits around their lives.

“This programme gives people the opportunity to reflect on their habits, gain the skills and confidence to control their gambling, and get their lives back on track.”

The programme is one of 28 mental health and wellbeing courses available through SilverCloud, which is managed by Powys Teaching Health Board.

Other SilverCloud programmes for mild-to-moderate mental health issues, including anxiety, stress, depression and poor sleep, are available to anyone in Wales aged 16 or over.

In Wales, research suggests tens of thousands of people are affected by gambling harms each year.

The new helpline offers information, advice and support to anyone affected by gambling, including family members and others impacted. Where needed, callers can be referred on to specialist treatment services.

Anyone affected by gambling harms can call the 24/7 helpline on 0808 281 9265.

Professionals and individuals can also refer to the Gambling Treatment Service by calling 03000 859464 or emailing [email protected].

Self-referrals to SilverCloud’s Space from Gambling Harms programme can be made at nhswales.silvercloudhealth.com/signup/.

 

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