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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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Tip off leads to pensioner’s drug stash

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A BRIEFCASE full of drugs has been recovered during a raid in Swansea suburb.
Police acting on information provided by a member of the public executed a warrant in Gorseinon and recovered a large quantity of cannabis.
A man was arrested on suspicion of possession of the class B drug, with intent to supply.
A South Wales Police spokesman said: “At around 5.40pm on Wednesday, January 6, following an intelligence led operation, a 68 year-old man from Gorseinon was arrested on suspicion of possession with intent to supply cannabis.
“He was taken to Swansea central police station for questioning. He has been released under investigation”.

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New Year – new start – for two seals released back into the wild

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Two grey seal pups have been returned to the wild for the New Year following months of RSPCA rehabilitation.

They were released at Port Eynon, Gower, Swansea, on 3 January as the sun rose – just days into 2021 – by  RSPCA animal rescue officer Ellie West and RSPCA inspector Keith Hogben – who caught the beautiful event on camera. One seal had been originally rescued from Abereiddy in Pembrokeshire – the other from Trevone in Cornwall. They were both found in distress, underweight and with injuries.

Ellie said: “This was such a lovely release – to see them both enter the sea happily where they belong with the sun rising in the distance was just glorious. It was a lovely way to start the new year.”

The seals had been transferred to the Welsh coast from RSPCA Mallydams Wood Wildlife Centre in Hastings the previous day and had spent the night at the RSPCA Llys Nini Branch seal unit.

“These two pups – nicknamed BB8 and Luke Skywaker – have been in the fantastic care of RSPCA Mallydams Wood Wildlife Centre who have given them the best rehabilitation over the past few months. It’s always fantastic to hear when they have put on the appropriate weight and can be released back into the wild,” added Ellie.

Ellie had been involved in the initial care of the seal rescued from Abereiddy Beach back in October.

“He was a weaned pup that had pretty much moulted out all his baby white lanugo coat, so he was fully weaned, but he was found quite underweight, lethargic and had the snotty face of a sickly pup,” she said. “He also had a lump on the top of his neck.

“He was reported to myself and Keith and we asked Welsh Marine Life Rescue (WMLR) to attend who very kindly collected him and cared for him for a few days until we were able to transfer him to the wildlife centre.

“Once again we want to thank WMLR for all their assistance, expertise and all their hard work this past season. We could not do what we do without them.”

At RSPCA Mallydams Wood Wildlife Centre the seal had the lump removed under anaesthetic by the vet team.

The second seal from Cornwall came into RSPCA care in November and weighed just 16.3kg. The seal had suffered a few small wounds and was a bit wheezy, with centre staff treating him for lungworm and administering antibiotics. When he left the centre the seal – who was named Luke Skywalker – weighed a healthy 40kg.

Before release, the seals were given identification tags in their hind flippers for ID purposes. The RSPCA often receives good feedback from sightings – and the scientific results received reveal that seals that go on from rehabilitation survive in the wild.

The RSPCA advises that if members of the public spot a seal on a beach that they think might need help, the best thing is to observe them from a distance and do not approach them.

Seals are wild animals and have a nasty bite. Never try to return a seal to water yourself, as you may put yourselves and the seal at risk by doing this. It is also advised they keep dogs away from any seal and keep them on leads on beaches that have seal colonies too.

It’s not unusual for a seal pup to be alone, as seal mums leave their pups very early on in life. So if the seal pup looks fit and healthy and shows no signs of distress, it should firstly be monitored from a safe distance for 24 hours.

If you see a pup whose mother hasn’t returned within 24 hours, is on a busy public beach, or if you think the seal may be sick or injured, please stay at a safe distance and call the RSPCA’s advice and cruelty line on 0300 1234 999. An unhealthy seal pup looks thin (but not bony) with a visible neck, like a dog.

There is more information on the RSPCA website about what to do if you see a seal or pup on the beach alone.

If you have an animal welfare concern or find an animal in distress please call 0300 1234 999.

This winter, the RSPCA expects to rescue thousands of animals from neglect, cruelty and suffering. Already this Christmas we received more than 44,000 calls to our cruelty line but the calls to our rescue line are not stopping so neither will we. To help our rescue teams continue to reach the animals who desperately need us this winter, visit www.rspca.org.uk/xmas and Join the Winter Rescue #JoinTheRescue

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Community Midwife home for Christmas after 85 day battle with COVID-19

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SHARON GEGGUS, a community midwife from Llanelli is home for the holidays after a three month battle with coronavirus.
Sharon began to feel unwell in September, experiencing shortness of breath and a high temperature.
As these symptoms persisted and her condition began to worsen, she was admitted to Prince Philip Hospital in Llanelli on 16 September, with a temperature of 41°C.During her stay, she credits the support of her family and the staff at Prince Philip Hospital for helping her get through the ordeal. Speaking of her experience in hospital, Sharon says: “I was sedated for about five weeks, but I was told that the staff were playing music for me. They had contacted my family to find out what my favourite songs were, and they would play those.
“It was really hard but the hardest times I didn’t really know about – my family were the people going through it. I can’t stress how well the staff looked after me. I used the iPads provided through the hospital to keep in contact with my family and the staff would also help me phone and communicate with my family.  
“The ITU staff and the staff on Ward 9 where I went for rehabilitation were amazing. I’m a community midwife myself and I would obviously treat someone how I wanted to be treated – but they really went above and beyond.
They would sit and chat with me when I was feeling down and they made sure I was in contact with my family all the time, even letting me hang up pictures of my family on my wall.”
Sharon was clapped out of the hospital on 10 December, 85 days after being admitted. Even though she is home, the road to recovery isn’t over.
She says: “There’s still a long way to go but I’m getting there. I can get around using a walking frame and only need oxygen when I’m really moving about. It’s so nice to be home, I think you just sort of relax a bit and move around more and just feel better for being back with your family.”
Reflecting on her experience, Sharon offered this advice to others with COVID-19: “Keep in touch with your family as much as you possibly can, it’s what got me through. I wouldn’t really know what else to say, just keep positive and keep in touch with your loved ones, that’s what really helps.”
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