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‘Once in a lifetime’ reorganisation planned by Health Board

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THE LOCAL Health Board is embarking on a ‘once in a lifetime’ reorganisational plan which is looking at all potential options to ‘change the status quo and focus on improving health’ of locals.

This will involve, a press release has revealed, transferring more hospital services into the community where appropriate.

This is part of a strategy that the Health Board is looking into, to help solve an acute recruitment problem which is putting a great deal of pressure on the way that the Heath Board operates – and is leading to an untenable level of use of costly temporary staff to plug gaps and services.

In the summer of 2017, the Health Board embarked in an engagement with the public called ‘The Big Conversation’ which involved public workshops and drop-ins being held across the three counties of Pembrokeshire, Carmarthenshire and Ceredigion.

The Health Board now says the it has independently analysed opinions of the general public and has been using that data to explore, challenge and test different scenarios.

It is yet to be seen what these changes will mean for end service users.

The Herald understands it is likely to mean hospital services being reduced or cut, and replaced with community alternatives.

The Health Board has said it will not make any changes, unless it can guarantee the safety of the people which it serves.

The Health Board has insisted that no preferred option for change has yet been determined, and nothing has been signed off or agreed at this stage.

Medical Director Dr Philip Kloer said: “This is a once in a lifetime opportunity for our health service and community to work together to design an NHS which is fit for our generation and beyond. It has been acknowledged for some time across the UK that healthcare services are challenged like never before and we need significant change. Indeed this has been recognised in the recently published ‘Parliamentary Review of Health & Social Care’ here in Wales.

“We need to develop more proactive, resilient and better resourced local community services to support and improve people’s health and wellbeing, and avoid deterioration where possible. This will involve closer working with our partners, particularly colleagues in social care. We are also looking at ways of providing the most modern clinical practice, using the latest digital, technological, and new scientific developments, in fit for purpose facilities to provide better patient outcomes and experience.

“A number of our services are fragile and dependent on significant numbers of temporary staff, which can lead to poorer quality care. For us specifically in Hywel Dda, the geography we cover is large, with many scattered communities that are getting older, needing more holistic health and social care treatment and support. Because of this, we need to better resource our community based care, which is where most of our patient contact is, and help people manage their health conditions. We also need to evolve traditional ways of working and provide a more proactive approach. This should give patients – young, older and frail and everyone in between – the services they need when the need it, so people do not have to wait too long.

“This will mean changing hospital-based care, as well as community care, and we appreciate the attachment local people and our own staff have for their local hospitals. They have been cared for in them, or work in them, and they also play an important role in our wider communities. The options may propose change to a local hospital; however this is about more than the buildings. This is about investing in our communities, attracting doctors, nurses and therapists by operating a modern healthcare system and keeping hospitals for those who really need hospital care.

“We will not put in place any change that isn’t safe for our patients and population. And we will look at all the impacts from ensuring services are safer with better patient outcomes, to considering the wider impact on people, including the most vulnerable.”

Dr Kloer added: “The potential options are evolving, with changes to them on almost a daily basis. Many will never even reach public consultation, for a variety of reasons including safety, accessibility and affordability, or will change significantly as they are tested against population needs and healthcare standards.

“We will be coming back to the public in the spring with fewer options that have been more rigorously tested and we will open and honest about what we think our preferred option is and why. We would not, and cannot, propose something that would not be safe for our population.

“We live in this community, use our NHS and work for our NHS and we want to work with our patients, staff, partners and public to ensure it is the best it can be.”

Meanwhile, Elin Jones, Ceredigion’s Assembly Member, has called for urgency in the implementation of electronic records for NHS patients in Wales, following the publication of a report by the Wales Audit Office, ‘Informatics systems in NHS Wales’.

The report outlines several of the opportunities that electronic patient records can bring to patients and health boards, as well as the current obstacles to achieving this goal.

Elin Jones, who has long-called for a paperless NHS has welcomed the report, saying: “This is an important step in the development of health services in Wales, which is long-overdue. It would make our NHS more sustainable and more flexible to every patient’s needs.

“I have heard of many instances where patients have turned up to appointments in Llanelli, Swansea or Cardiff, only to find that their medical records have not arrived. These are people who have, in some cases, had to wait a long time for a specialist appointment, and have had to travel long distances, sometimes leaving very early in the morning or have arranged overnight accommodation in order to get to a 9 am appointment.

“Being turned away because their paper record has not arrived is a failure in the current system, and would be addressed directly by electronic records.

“The technology is available, it’s just a case of putting the funding in place.

“With the proper investment into the Welsh NHS by the Welsh Government, electronic patient records can help the NHS to deliver better outcomes for patients and to make more efficient and effective use of scarce financial and human resources.”

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Health

Give someone “the best gift” this Christmas by giving blood in West Wales

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A MOTHER who needed in-the-womb blood transfusions during her pregnancy and a man who depends on regular, lifesaving blood donations are encouraging communities across Wales to give “the best gift” this Christmas by donating blood.

The Welsh Blood Service is preparing to face Winter pressures on its services and is hoping their new Christmas campaign, “the best gift” will raise awareness about the importance of donating blood and the lifesaving difference it makes.

Last December over 900 donations of blood and blood products were needed across Ceredigion, Carmarthenshire and Pembrokeshire to provide care to patients at Prince Philip, Withybush, Bronglais and Glangwili hospital. 

These donations play a vital role by supporting a range of treatments from helping recovering accident victims and patients with blood cancers to supporting mothers and new-born babies during childbirth.

Blood donations were needed during both pregnancies for mother of two, Shelley Parry. After her own life was saved during her first pregnancy, Shelley received several more blood transfusions directly into her womb to keep her youngest daughter alive.

Shelley explains: “Receiving blood is truly the best gift we have ever received. We’re forever indebted as a family to those who have taken the time to donate. Without the generosity of blood donors, quite simply, we wouldn’t be parents. Thanks to their selfless act, we can look forward to Christmas together as a family.

“It only takes one hour of your time to donate, if you can, please consider donating.”

Also supporting the campaign is blood recipient Giggs Kanias. Since birth, Giggs has received over 1,000 blood transfusions as part of his treatment for beta thalassaemia major, a severe blood disorder. Thanks to blood donors, Giggs is looking forward to celebrating Christmas with his family.

Giggs said: “I am so thankful to the incredible people who give blood. When I’m in hospital, I stare at the bags of blood being transfused into me and always wonder, who is the person that has helped me?

“I know the difference these people have made to my life and I’m so grateful to each and every one of them. Without their generosity, I wouldn’t be here today, I wouldn’t be a dad, or have had the opportunity to see my daughter grow up. Receiving blood is truly the best gift anyone could ever receive.”

Alan Prosser, Director of the Welsh Blood Service, said: “For patients like Giggs, receiving blood will be the best gift they receive this Christmas. It truly is the best gift you can give.

“Blood products have a short shelf life and is needed by hospitals 365 days a year, including Christmas day, to help support patients in need, which is why we can’t stop collecting.”

The Welsh Blood Service provides lifesaving blood products to 20 hospitals across Wales and four Wales Air Ambulance aircraft for use in emergencies.

Giggs and his daughter

Alan continues: “It is critical the service prepares. We need to build up blood stocks ahead of a potentially challenging winter, where seasonal illnesses and Covid-19 may exacerbate the usual winter pressures faced by the NHS.

“We are reaching out to communities across Wales to ask them to make a lifesaving blood donation and give “the best gift” this festive season.”

Do something amazing this Christmas. Give someone the best gift. Give blood. If you are aged 17 or over, book to give blood at: www.wbs.wales/Xmas21 or call 0800 252 266 today.

Appointments are available in Pembrokeshire on 7 December and January 6 and 20 in Tenby, 16 December and 27 January in Crymych, 20 December and 17 January in Haverfordwest, 10 January in Letterston Village Hall and 21 January in Milford Haven. 

Appointments are available in Carmarthenshire on 10 December in Pontyberum, 29 December and 13 January in Carmarthen, 28 January in Kidwelly Community Hall, 23 and 24 December and 4, 12 and 25 January in Parc Y Scarlets and 31 January in Llandeilo.

Appointments are available in Ceredigion on 14 December in Newcastle Emlyn, 14 January in Aberaeron and 18 January in Lampeter.

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Scrub removal at Pembrey to improve dunes for biodiversity

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If scrub growth is not controlled, it will cause species like lizards, orchids and dune pansies to suffer and disappear from our sand dunes.

SCRUB provides a splash of greenery in our sandy spaces, but too much scrub smothers the sand dunes and has a devastating effect on the specialist plants and invertebrates which live there. 

This winter Natural Resources Wales will be removing non-native, invasive plant species from areas of dune at Pembrey to help wildlife thrive.

The coast around Pembrey is home to 20% of all the plants in Wales and features a large sand dune system. Sand dunes are listed as the habitat type most at risk of biodiversity loss in Europe.

The Dynamic Dunescapes project, funded by National Lottery Heritage Fund and delivered in Wales by Natural Resources Wales (NRW), is working at Pembrey with Carmarthenshire County Council’s Outdoor Recreation Service to improve the condition of these dunes for wildlife.

Some non-native plant species, like the dense scrub plant sea buckthorn, are invasive and they are growing quickly in this dune system – spreading further across large areas of dune each year. 

Many of the dunes’ rare and specialist wildlife needs bare sand or low grassland habitat to survive and gets lost under or outcompeted by scrub. 

If scrub growth is not controlled, it will cause species like lizards, orchids and dune pansies to suffer and disappear from our sand dunes.

Scrub removal in specifically chosen locations will help to restore the habitat types that these species need, and this work will play a part in ensuring the dunes at Pembrey have a healthy, biodiverse future. 

Improving the ecological condition here will increase this coastal landscape’s resilience to other threats, such as extreme weather events and changing conditions brought on by climate change in the future.

The first phase of this work is to take place in Pembrey Country Park around Car Park 8 and the second will take place on the foredunes in front of the Welsh Government Woodland Estate which is managed by NRW. 

It is scheduled to begin in the last week of November and will last for two weeks. There will be a temporary closure of Factory Road outside the Country Park for one week – reopening on 5th December.

Ruth Harding, Senior Environment Officer at Natural Resources Wales, said:

“Sea Buckthorn control is important to improve the dune grassland habitats at Pembrey. Carmarthenshire County Council and Natural Resources Wales have carried out this type of habitat management over a number of years which has resulted in restoring the area to a dune grassland rich with different species of plants. 

You can best enjoy this during the summer months within the Pembrey Burrows and Saltings Local Nature Reserve. As part of Dynamic Dunescapes, we are now continuing this work, which will result in an overall increase in dune grassland habitat.”

Carmarthenshire County Council’s Cabinet Member responsible for leisure, Cllr Peter Hughes Griffiths said:

“Whilst scrub is a valuable habitat it does need management to maintain it in good condition for wildlife. Cutting back the scrub will ensure it does not spread into areas where it is not wanted and or where it can destroy other habitat.”

Dynamic Dunescapes is not the only project working to restore Pembrey’s important sand dunes. The EU LIFE-funded Sands of LIFE project, managed by (NRW), has also been undertaking sand dune management to improve conditions for wildlife in recent years. The two projects work closely to build on and support each other’s work.

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Community

Demolition of 4 Tys begins in Tyisha, Llanelli

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Four Tys

WORK to demolish the Four Tys housing blocks in Tyisha, Llanelli has started, marking the next exciting step in Carmarthenshire County Council’s plans to Transform the area. 

The demolition work is set to be completed by civil engineering contractor Walters over the next 20 weeks and will enable the build of modern, mixed-use housing which meets the needs of the community.

Improvements to existing homes and the creation of community facilities and green spaces will also form part of changes on the horizon for Tyisha. 

Cllr Linda Davies Evans, chair of the Transforming Tyisha steering group and cabinet member for housing said: “The demolition of the Four Tys marks an important step in the Transforming Tyisha project. Although this process will evoke powerful memories for many of the people who have lived and worked in Tyisha since the Four Tys were built in the 1960s, their demolition will enable us to provide the housing and facilities that the community needs.

Local residents and businesses who may be impacted by the demolition process will be contacted throughout to ensure minimum disruption.”

This forms a part of the council’s ambitious plans to regenerate the Tyisha ward and the wider Llanelli town centre area which is undergoing massive investment.

The council is also seeking a partner to develop new housing and create a vibrant community. An early market engagement exercise is currently live which gives potential partners the opportunity to express their interest in working with the council to transform the area.

Fresh and innovative ideas for this exciting project can be submitted to the council until December 7.

For more information on the early market engagement process or the council’s Transforming Tyisha regeneration project please visit www.carmarthenshire.gov.uk/tyisha

The demolition of the ‘Four Tys’ forms part of the council’s ambitious Transforming Tyisha project which looks to regenerate the area through increasing community safety, developing housing and community facilities and improving the environment.

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