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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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Police appeal for witnesses after 20-year-old pedestrian tragically killed on A40

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DYFED-POWYS POLICE is appealing for witnesses to a fatal road traffic collision on the A40 west of Carmarthen on Saturday (Sept 26) in which a 20-year-old man, a pedestrian, lost his life.

The police have asked The Pembrokeshire Herald to publicise this appeal.

A spokesman for the police told this newspaper: “At around 9.40pm, a white VW Transporter was in collision with a pedestrian on the A40 westbound, near the junction of Llangynog, Carmarthen.

“The pedestrian, a 20-year-old male, died as a result of his injuries.

“It appears the pedestrian had left his vehicle, a black Seat, following a single-vehicle collision further along the westbound carriageway shortly before.

The police have asked that if anyone has any information on either or both collisions, or may have been travelling along the A40 at the relevant time, please contact the serious collision investigation unit, quoting reference DPP-20200926-339.

This can be done by email: contactcentre@dyfed-powys.pnn.police.uk, by phone on 101 or by text: If you are deaf, hard of hearing, or speech impaired text the non-emergency number on 07811 311 908.

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Llanelli becomes a Covid-19 ‘health protection zone’

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RESIDENTS in a large part of Llanelli are being put under new local restrictions in a ‘health protection zone’ following a rapid increase in Covid-19 cases in the area.

The town is seeing a concentrated spread of cases compared with other parts of Carmarthenshire – in the last seven days, 85 positive cases have been identified in Llanelli (151.6 per 100,000 of the population) compared to 24 cases in the rest of Carmarthenshire (18.1 per 100,000 of the population).*

Public Health Wales officials are expecting numbers to continue rising over the coming week.

Carmarthenshire County Council and Hywel Dda University Health Board have worked with the Welsh Government and Public Health Wales to agree the temporary restrictions at sub-county level to try and halt the spread of the virus.

As of 6pm on Saturday September 26, 2020, residents living in defined parts of Llanelli will not be able to visit anyone else’s home, or accept visitors into their home, unless they have a ‘reasonable excuse’ such as providing care for a vulnerable person.

They should not arrange to meet indoors with anyone who they don’t live with, and travel in and out of the ‘health protection zone’ will also be limited – people should not leave the area or travel into the area unless it is essential. Travelling in and out of the zone for a holiday is not considered a reasonable excuse.

People are being asked to wear face coverings anywhere where they cannot maintain a two-metre distance from other people, including collecting children from school, in addition to the rules which already require them to wear a face covering in indoor spaces like shops and on public transport.

All indoor and outdoor visits to residential care homes have also been suspended.

Students may still travel into and out of the ‘health protection zone’ to go to school or college.

People living in the defined area of Llanelli must work from home, and employers must take all reasonable steps to support staff to do so.

Indoor public spaces such as leisure centres should only be used by people living in the defined area.

Shops will remain open, but people living outside the defined area of Llanelli should avoid travelling to visit them and shop in their own locality wherever possible.

The specific wards covered in the defined area of Llanelli are:

  • Bigyn
  • Bynea
  • Dafen
  • Elli
  • Felinfoel
  • Glanymor
  • Hendy
  • Hengoed
  • Llangennech
  • Lliedi
  • Llwynhendy
  • Tyisha
  • Swiss Valley

Although the pattern of increased positive cases is overwhelmingly concentrated in the Llanelli area where the restrictions have been strengthened, the whole of Carmarthenshire has now been put on alert, with a warning that the tighter restrictions may be extended if cases continue to spread.

Everyone – including those in the defined areas of Llanelli – is being urged to follow the national guidance around social distancing, good hygiene, self-isolation, testing and face coverings.

Leader of Carmarthenshire County Council, Cllr Emlyn Dole, said: “It is worrying to see how sharply the number of positive cases has risen in the Llanelli area, and action has had to be taken to help stop the spread and break the chain of infections concentrated in this area to prevent a whole county lockdown.

“We must all do the right thing, follow the advice and protect each other. In parts of Llanelli, we’re asking people and businesses to make even greater sacrifices – we fully appreciate the impact this will have, but there is no other way. We must stop the spread.”

A mobile testing unit has been set up in Llanelli to manage the increased demand by local residents who have any of the Covid-19 symptoms – either a high temperature, a change or loss to taste or smell or a new continuous cough.

Reporting of positive cases in the town is fully expected to rise during the next two weeks with the increase in more targeted testing. But this is a positive indicator that cases are being identified and control measures put in place.

Chair of Hywel Dda University Health Board Maria Battle said: “Our local community has given us such tremendous support during the past few months. To protect the health of our people, including the most vulnerable, and to ensure our NHS resources are available to provide people with the care they need; we need the help of our Llanelli population and wider community now more than ever before. Whilst hospital admissions have not yet increased again for COVID cases, we have seen a sharp rise in positive cases in the community, and in time this is likely to have an impact on hospital admissions. The very best way we can support each other and those we love, is to follow local restrictions, minimise our contacts, practice good hygiene and self-isolate and book a test if we have any COVID-19 symptoms.”

Increased testing capacity for residents in Llanelli is available by appointment at the following locations:

  • Parc y Scarlets Car Park B, accessed via Trostre Retail Park, in Llanelli
  • The Ty’r Nant site (next to KFC), Trostre, Llanelli
  • The Carmarthen showground (signposted in both directions off the A40)

There should be no reason for Llanelli residents to travel excessive distances for a test, as there will be tests available in Llanelli and Carmarthen. Tests should be booked via the UK Portal. Any Llanelli residents experiencing difficulty booking a test locally via the UK portal can instead email covidenquiries.hdd@wales.nhs.uk or by calling 0300 333 2222.

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Tir Coed build outdoor classroom for Cross Hands Primary

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The local charity Tir Coed teamed up with Cross Hands Primary School to design and install a locally grown woodland shelter to enable primary school pupils to benefit from outdoor lessons-even when
the rain pours!

Last year Cross Hands Primary School received funding from Carmarthenshire is Kind for their intergenerational project. The project brought the schoolchildren together with older people in the community. Through intergenerational activities, everyone involved increases social connectedness, reduces social isolation, learns from one another and has a great time!

Before the lockdown, Tir Coed was contracted to lead a group mainly made up of parents from the school on a shelter-building course. The attendees would gain knowledge and skills and the children and the older people would be able to use the shelter, a third generation now included in this
fantastic project. The plans, however, had to change due to restrictions and in an effort to have it ready for the children when they returned to school, three intrepid Activity Leaders braved the wet August weather to build the beautiful shelter .

Studies have shown that being in the outdoors significantly reduces the risk of spreading the Corona Virus. With this addition to their already impressive outdoor area, it is hoped that more learning can
take place outside the classroom. Deputy Head, Emma Walters said, “It looks amazing! I am very impressed with the shelter and I cannot thank Tir Coed enough for organising this. Additional covered space in the outdoors will mean that we can take more learning into our lovely nature
area.”

If you would like to find out more about the work of Tir Coed or have a project you would like our help with you can contact Nancy, the Carmarthenshire Coordinator: carms@tircoed.org.uk

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