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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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New ward extension opens at Werndale Hospital

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WERNDALE Hospital opens its £1millon ward extension, featuring a suite of new spacious patient en-suite rooms and additional light and airy ward space for new nurses’ stations, new technology and medical equipment, in pleasant and comfortable spaces. 

Werndale is part of Circle Health Group, the UK’s largest provider of private healthcare. The group is carrying out a £125 million redevelopment programme across its 50 hospitals in the UK.

Werndale has a strong history in the village of Bancyfelin, where is has been serving the local communities of Wales for over 32 years.

James Davies, Wales and Scarlets rugby player, from Bancyfelin, cut the ribbon to mark the official opening on Monday 1st August. His nickname “Cubby”, is reference to his brother’s nickname, “Fox”; this refers to the Fox & Hounds pub their parents ran in Bancyfelin, the village where they grew up. Staff and consultants were given the chance to view the new extension, with a small gathering to mark the occasion and celebrate all the hard work that has gone into this project over the last 12 months.

Jacky Jones, Executive Director of Werndale Hospital said: “The investment programme is an exciting opportunity to expand what we can offer to patients at Werndale. Our staff and consultants are delighted with this expansion which will allow us to meet the private healthcare needs of patients and families in Wales and will decrease waiting times which will positively impact the patient’s experience. Having the new patient rooms here increases our ward capacity by 20%, it is a great investment”.

Gaynor Llewellyn, Director of Clinical Services said: “At Werndale we are committed to continuous improvement of clinical facilities and services. We continually invest in the hospital so that we can offer our patients and consultants reassurance when they visit us for treatments”.

Werndale Hospital is seeing increased demand for its services across all specialities particularly orthopaedic surgery, ophthalmology, and general surgery. Nearly 4,000 patients had surgery at Werndale Hospital, Bancyfelin during 2021 and the new investment will enable ward capacity to be increased by 25 per cent.

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M4 closed westbound following lorry fire near Swansea

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A SECTION of the M4 near Swansea was shut on Monday (Aug 8) due to a vehicle fire.

The westbound section of the motorway, between junction 47 at Penllergaer and junction 48 at Hendy closed.

Emergency services were called to the scene, and there was queuing traffic in the area.

Traffic monitoring service Inrix reported: “M4 Westbound closed, queueing traffic due to vehicle fire between J47 A48 (Penllergaer / Swansea West Services) and J48 A4138 Pontardulais Road”

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Police appeal after Llanelli assault: victim required hospital treatment

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DYFED POWYS POLICE is investigating an assault which occurred on Regalia Terrace, Llanelli, Carmarthenshire at about 12.05am, Sunday 3rd July.

The victim required hospital treatment.

Officers have carried out all possible lines of enquiry, and are now appealing for help from the public.

They would like to identify the person in the CCTV image, who may have information that could help the investigation.

Anyone who knows who the person is, or if you believe you are pictured, contact Dyfed-Powys Police.

This can also be done either online at: https://bit.ly/DPPContactOnline, by emailing 101@dyfed-powys.police.uk or phoning 101.

If you are deaf, hard of hearing, or speech impaired text the non-emergency number on 07811 311 908.

Please quote reference DP-20220703-011

Alternatively, contact the independent charity Crimestoppers anonymously by calling 0800 555111, or visiting crimestoppers-uk.org.

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