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Asthma attacks nearly triple as children return to school, charity warns

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ASTHMA hospitalisations among children in Wales nearly triple when they return to school in September, according to newly released data. The alarming trend has prompted leading health charity, Asthma + Lung UK Cymru, to urge parents and teachers to take precautions to protect young asthma sufferers.

The data, compiled by Digital Health and Social Care Wales, reveals that hospital admissions for children aged 5 to 19 increase by a staggering 175% in September compared to August. This spike in asthma-related hospitalisations has reached its highest level in four years, with admissions returning to pre-pandemic levels.

With an estimated 59,000 children in Wales diagnosed with asthma, the charity attributes the increase to a “perfect storm” of factors that coincide with the start of the school year. Many children, having fallen out of their regular medication routines over the summer holidays, return to school with poorly controlled asthma. The new term also brings increased exposure to triggers such as colds, flu viruses, dust mites, pollen, and even the emotional stress associated with returning to the classroom. These factors can lead to life-threatening asthma attacks or exacerbate symptoms like breathlessness, coughing, and wheezing.

One mother, Branwen Niclas from Anglesey, shared her experiences with her eight-year-old son, Huw, who was diagnosed with asthma in 2023. Huw has been hospitalised multiple times due to severe asthma attacks, including one in December 2022 that left him breathless and exhausted. “The autumn and winter school term is always a worry,” Niclas said. “Cold and wet weather really affects Huw’s asthma, and he often misses out on playing football with his friends.”

She recounted a particularly frightening episode when Huw, then six, deteriorated rapidly during a long car journey. “I could see his tummy and chest muscles were working so hard. Huw collapsed on the way out of the car, and I carried him in [to the hospital], and he was immediately put on a nebuliser. It took him a week to fully recover.”

Joseph Carter, Head of Asthma + Lung UK Cymru, expressed deep concern over the rising number of children being hospitalised. “Children’s asthma admissions are the highest in four years and are returning to pre-pandemic levels. We must break this trend,” Carter said. He highlighted the role of cold and flu viruses, which begin to circulate more widely as children mix at school after the summer break, as well as other potential triggers like high pollen levels and the use of cleaning products in schools.

To combat this worrying trend, Carter advised parents to ensure their children maintain their asthma treatment routines during the holidays and to make sure they have their reliever inhalers with them when they return to school. He also urged schools to be vigilant and prepared to act swiftly in case of an asthma emergency.

Asthma + Lung UK Cymru has issued additional guidance for parents, recommending that they arrange an asthma review for their child, update their child’s asthma action plan, and check the school’s policies regarding inhaler use.

For more information and advice on managing childhood asthma, parents can visit the Asthma + Lung UK website or contact their helpline.

The charity is also encouraging schools to download and display a free poster outlining the vital steps to take if a pupil has an asthma attack.

Asthma + Lung UK Cymru continues to campaign for better awareness and support for children with asthma, aiming for a world where everyone can breathe with healthy lungs.

 

Health

RCN Wales appoints Nicola Williams as Executive Director

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NICOLA WILLIAMS will take up the role in April, bringing more than three decades of experience in nursing and senior leadership.

The Royal College of Nursing (RCN) has announced the appointment of Nicola Williams as its new Executive Director for Wales.

She joins the organisation from Velindre University NHS Trust, where she currently serves as Executive Director for Nursing, Allied Health Professionals and Health Care Scientists. With 38 years of experience in nursing and more than six years at executive board level, she is widely recognised across NHS Wales for her work in improving patient outcomes.

A highly experienced strategic leader, Williams has worked across a wide range of clinical and organisational settings. She has led major transformation programmes, strengthened national clinical leadership networks and championed innovation and evidence-based improvements in care. Her work has contributed to changes adopted across Wales and has been recognised with national awards.

Speaking about her appointment, Nicola Williams said: “I feel privileged to be appointed as Executive Director of RCN Wales. I’m a proud nurse, passionate about patient safety and improving care standards.

“Delivering the best care is only possible when nursing staff are supported to work in safe, inclusive environments. I will stand alongside members and their patients.

“Nursing staff are the backbone of health and care. I am determined to support our members across Wales, wherever they work, to meet the challenges ahead and shape the future of our profession.

“I look forward to meeting members across Wales and ensuring our work is informed by their experiences and expertise.”

In her new role, Williams will lead the RCN’s work in Wales and provide strategic leadership across key priority areas spanning the UK.

She succeeds Helen Whyley, who has held the position since February 2019 and will move into a new role as Director of Service Innovation at the RCN.

 

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Health

Decision pending on adult mental health referral pathway

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HYWEL DDA University Health Board will decide next week whether to make changes to the GP referral pathway for routine adult mental health services permanent.

The decision will be taken at a public Board meeting on Thursday (Mar 26).

Board members will consider a proposal to formalise changes already introduced in Ceredigion and, if approved, roll out the revised pathway across Pembrokeshire and Carmarthenshire.

Since March 2025, adults in Ceredigion seeking routine mental health support have been advised by their GP to contact the NHS 111 Wales ‘Press 2’ service, rather than being referred directly to the county’s Community Mental Health Team.

The temporary change was introduced in response to ongoing staffing shortages. Health Board officials say the approach has helped maintain timely access to face-to-face assessments for those who need them, while directing initial contact through a single access point.

The 111 ‘Press 2’ service provides telephone assessments by local wellbeing practitioners, supervised by registered mental health nurses, offering advice, support and onward referrals where required.

At its November 2025 meeting, the Board agreed to extend the temporary pathway until the end of March 2026. A nine-week engagement exercise followed, running from December 8 to February 9, to gather feedback from patients, professionals and stakeholders on the potential long-term impact.

Andrew Carruthers, Chief Operating Officer at Hywel Dda University Health Board, said: “I would like to thank everyone who took the time to share their views and experiences.

“I would also like to thank West Wales Action for Mental Health for supporting engagement with patients, including those with lived experience, alongside GPs, primary care teams, mental health staff and third sector partners.

“Our priority is to ensure mental health services remain accessible, fair and sustainable. The temporary changes in Ceredigion have shown some positive benefits, and the feedback we have received from across the three counties will play an important role in shaping the Board’s decision.”

The Board will review all evidence and feedback before making a final decision on the future of the adult mental health referral pathway.

GPs will continue to refer patients with urgent or complex needs directly to community mental health teams where appropriate, and have access to a dedicated NHS 111 professional line for additional clinical advice.

Further details, including the full Board papers, are available here:
https://biphdd.gig.cymru/amdanom-ni/eich-bwrdd-iechyd/cyfarfodydd-y-bwrdd-2026/agenda-a-phapuraur-bwrdd-26-mawrth-2026/

The meeting will be streamed live from 9:30am on Thursday (Mar 26) via:
www.youtube.com/hywelddahealthboard1

 

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Health

Parents urged to check children’s vaccinations after meningitis cases

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Local pharmacy reports MenB vaccine shortage amid rising concern

PARENTS and carers across west Wales are being urged to check their children’s vaccination status following recent meningitis cases in the UK.

The warning comes as a local pharmacy has confirmed a shortage of the Meningitis B (MenB) vaccine, highlighting growing pressure on supplies.

Mendus Pharmacy said it currently has no availability of the vaccine due to what it described as a nationwide supply issue.

Mendus Pharmacy: No availability of the vaccine

In a statement, the pharmacy said: “We would like to inform our patients that, due to ongoing supply issues, we currently have no availability of the Meningitis B vaccine.

“Unfortunately, this is a nationwide shortage and all stock is currently unavailable.

“We understand this may be particularly concerning given the recent outbreak reported in Kent, and we completely appreciate the importance of timely vaccination.”

The pharmacy confirmed it is operating a waiting list and will contact patients once supplies return.

Health officials say keeping vaccinations up to date remains one of the most effective ways to prevent serious illness and reduce pressure on NHS services.

Dr Ardiana Gjini, Executive Director of Public Health at Hywel Dda University Health Board, urged parents to act.

She said: “Vaccination is one of the most effective ways we can protect children and young people from serious illness.

“Ensuring your child is fully vaccinated not only safeguards their health but also helps prevent the spread of infections within our communities.

“I strongly encourage all parents and carers to check their child’s vaccination status. If you are concerned that your child may have missed routine vaccinations, please speak to your GP.”

Meningococcal disease is a serious and potentially life-threatening infection that can lead to meningitis or septicaemia. While many people recover, some are left with long-term physical, neurological or psychological complications. Around one in ten cases can be fatal.

Although the disease can affect anyone, babies, young children, teenagers and young adults are at greatest risk.

In Wales, vaccines protecting against meningococcal strains A, B, C, W and Y are offered as part of the NHS immunisation programme. Infants receive the MenB vaccine, while teenagers are offered the MenACWY vaccine.

Latest figures from the Health Board show that uptake among 16-year-olds for the MenACWY vaccine stands at 76.4%, meaning a significant number of young people remain unprotected as they approach adulthood.

For younger children, uptake of the MenB vaccine is higher but still below the recommended 95% target. Around 92.8% of infants are vaccinated by their first birthday, rising slightly to 91.8% by their second.

Health officials say these figures reflect strong engagement from families and primary care teams but stress that continued vigilance is needed.

Families are being advised to check their child’s vaccination record with their GP or by contacting the Health Board directly. Parents should also ensure babies receive their scheduled MenB doses and that teenagers receive their MenACWY and 3-in-1 booster vaccines, which are currently being delivered in schools.

Parents are also urged to remain alert to the symptoms of meningitis and septicaemia and to seek urgent medical advice if they have concerns.

Further information on symptoms is available via NHS 111 Wales.

 

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