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.”
Ascona Group announces new Car and Truck wash facilities
ASCONA GROUP, one of the UK’s fastest-growing forecourt operators, is pleased to announce two new vehicle washing partnerships as part of improvements to its unique roadside retail proposition across its forecourt estate.
As part of a new partnership with the American based PDQ Manufacturing, a leader for in-bay automatic vehicle washing facilities, Ascona Group will be the first in the UK to install the ‘Laserwash 360 Plus’, a touchless car wash system for its customers.
The partnership will initially expand the wash options at the Hinton Service Station, with a view to roll out the system to other sites under the Ascona Group’s brand, ‘Charlie’s Express Car Wash’ later this year. The partnership is a significant investment for Ascona and demonstrates its commitment to ever improving the experience for customers.
Ascona Group is also delighted to announce a strategic partnership with WashTec UK that will see Ascona introduce a ‘First of its Kind’ truck washing facility at the Tenby Road site on the A40 Eastbound in Carmarthenshire, which offers the very best technology available to HGV drivers.
The truck wash employs a fully ‘closed loop’ total water recycling system, the first of its kind in Wales, which recovers all water used within the wash process, filtering it for reuse with little or no water entering the mains drainage system. This system ensures Ascona not only has the best commercial wash in South Wales, but also offers customers one of the more environmentally friendly approaches in operation.
Commenting on the announcement, CEO Darren Briggs said: “From the very beginning, we knew that our sites must present our customers with a unique and compelling offer which is why we are constantly seeking new and innovative ways to improve our roadside retail facilities.
“These two new partnerships further demonstrate our focus on creating industry-leading propositions and we are really excited to be working with PDQ Manufacturing USA and WashTec UK. Together, we are keen to continue to build on the success of these new operations and we are actively reviewing multiple opportunities across the Ascona portfolio to roll out more units such as these.”
Nearly £50,000 of National Lottery funding for community groups in Carmarthenshire
FIVE local community organisations across Carmarthenshire are celebrating after being awarded a share of £49,575 of funding from The National Lottery Community Fund over the past month.
One successful project was MolTân Makers who will use their £9,820 grant to provide metal working workshops for people wishing to improve their mental health and well-being. The group will reach out to mental health groups and the wider community and also allow people to reconnect with the community following the pandemic.
One participant with MolTân Makers explained, “ The course was professionally run by four hard-working people who helped us with one to one tuition when needed. They were so welcoming and adaptable to individual needs and allowed me to attend the course at different hours due to health reasons.
“They were great company and created an interesting and positive atmosphere to help people with mental and physical health problems feel included and understood and we all took home what we made in the course.”
The Hangout received £10,000 and will help young people improve their mental health and wellbeing through structured outdoor activity programmes. The project will build on a previous pilot project that led to more young people becoming re-engaged in school following the pandemic and continuing to volunteer with the group after the initial sessions finished.
The Alternative Learning Company in Llanelli were awarded £9,955 and will recycle plastic bottles to build full size greenhouses. They will propagate plants for growing schemes in local schools and communities. The project will reduce the levels of plastic sent to landfill or polluting open spaces, and give young people an understanding of the impact of climate change.
Newcastle Emlyn Town Council will build an outdoor structure in collaboration with the community, to mark Her Majesty the Queen’s Jubilee. This £10,000 grant will fund building and design materials, and a water harvesting kit.
Messy Projects will use their £9,800 grant to run the activities and events they missed due to the pandemic. Activities will include celebrating the Queens platinum jubilee, a BBQ, and a Bonfire party.
John Rose, Wales Director at The National Lottery Community Fund, said “These groups play a vital role in supporting their communities and these grants will allow them to continue being there for people in future.
”National Lottery players raise more than £30 million each week for good causes across the UK and the projects funded over the past month show the crucial difference players make through their tickets. I look forward to following all of their progress.”
Family of power station worker calls on former colleagues to help with asbestos claim
THE WIFE of a Carmarthenshire man, who was just 66 when he died of an asbestos-related cancer, is calling on colleagues who worked with him in the 1970s to help understand where and how he contracted the disease.
Peter Colton, from Llanelli, died in July 2021 after being diagnosed with the asbestos-related disease, mesothelioma.
He worked as a conveyor and weighbridge operator for the CEGB at Carmarthen Bay Power Station. During his time at the power station, his duties included offloading coal wagons and conveying coal to the boilers.
It is possible that Mr Colton was exposed to asbestos during those years and now his family has sought the help of local asbestos specialists J.M Parsons, to investigate a claim for compensation.
Ann Colton, Mr Colton’s wife, wants answers. She said: “Peter was diagnosed with mesothelioma and died just six weeks later. He had been suffering from shortness of breath and just had no quality of life.
“It was devastating to see someone who had been so healthy and active slowly get worse and worse. We just want to know where and how he was exposed to asbestos and hope someone out there can help us.”
According to data from the Health and Safety Executive, annual mesothelioma deaths in Britain increased steeply over the last 50 years, a consequence of mainly occupational asbestos exposures that occurred because of the widespread industrial use of asbestos during 1950-1980.
Amanda Jones is one of the specialists at J.M Parsons, which is owned by Thompsons Solicitors. Thompsons has paved the way for asbestos litigation in the UK ever since it brought about the first successful asbestos disease claim to the House of Lords in 1972, 50 years ago.
She said: “We would be grateful to hear from anyone who remembers working with Peter Colton in Carmarthen Bay Power Station in the 1970s or anyone who worked in the same field as Peter beyond the 1970s.
“Such individuals will be invaluable to Mr Colton’s family as they may be able to add important information that will assist us in building a civil claim. We hope that we will then be able to answer questions about the conditions that Mr Colton worked in during his working life.”
Anyone with information should contact Amanda Jones on 01554 779940, or via email at email@example.com.
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