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Get Mouthy About Cancer

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THE HEAD and Neck Cancer Foundation (HNCF) is calling all Brits to ask their dentists to conduct mouth cancer screens at their next appointment. This should be routinely included within the price of a dental check-up and should take no more than one minute.

Consumer research conducted by HNCF in partnership with YouGov – as part of its Get Mouthy About Cancer campaign – shows that we could all be doing more to specifically drive early diagnosis of mouth cancers.

Early detection is paramount to improving patient outcomes – as these types of cancers can be extremely aggressive, disfiguring and life-limiting.

HNCF’s research asked people in Wales how often they have routine dental check-ups and if they are receiving mouth cancer screening.

6% of people in Wales admit to never going to the dentist for a check-up and a further 3% said they do not recall the last time they went to the dentist

Only half of the Welsh population visit the dentist every six months for a routine check-up.

Shockingly, over half (51%) of those in Wales stated that they were not sure if their dentist had carried out a mouth cancer check at their last check-up

When looking nationally at overall awareness of mouth cancer screening – nearly three-quarters of all Brits stated their dentist does not do a regular mouth cancer screen, or they are unaware of it being done during their last check-up. Which means the vast majority of us are missing out on this simple routine and potentially life-saving screen.

Michelle Vickers, CEO at The Head and Neck Cancer Foundation commented on the findings: “As a nation, we are regrettably unaware that our dentists can play a huge role in oral cancer detection and be routinely screening for signs of mouth cancer during check-ups. Dentists are taught to do this as part of their standard oral check-up process. If people were screened they would know – as the tongue is held to either side of the mouth and the dentist is likely to follow the gums for signs of abnormal growth. We are asking everyone to ask their dentist for a routine screen the next time they visit – it’s really that simple.

“We’ve introduced our Get Mouthy About Cancer campaign because we all hear so often (and know how) to check our boobs or balls – but I bet the majority of people are unaware of what they’re looking for in their mouth! 31 people are diagnosed with head and neck cancers each day in the UK – so it’s time to get talking about what to look for. We brush our teeth daily – just an extra 30-60 seconds to check oral health could save your life!”

To find out how to check please watch HNCF’s video: http://bit.ly/HNCFWales. Once you’ve seen this video you will know whether your dentist is checking your mouth, or not, and how to check yourself at home.

Professor Mark McGurk, world-renowned surgeon and founder of HNCF added: “We want everyone to be having a conversation about mouth cancers. By bringing routine mouth checks front-of-mind and putting it on the agenda – we will raise awareness, raise the number of early detections and reduce the number of people facing stage two and three mouth cancers.”

For those patients who do detect mouth cancer early, technological and medical innovation means that treatment can now be offered in a much less invasive manner, by using the Sentinel Node Biopsy technique (SNB). SNB is an alternative and significantly less invasive treatment for dealing with head and neck cancers. The fluorescent camera and technology locates the nodes in the neck that will contain migrating cancer cells so that these can be targeted and removed – this saves over 70% of patients with early disease from a neck dissection. It spares vital glands and helps patients get back to a normal life more quickly, compared to traditional neck dissection techniques.

SNB has been endorsed by the National Institute for Health and Care Excellence (NICE), is fully adopted in Denmark and the Netherlands, and is growing in deployment across Europe and the US. This practice, pioneered by Professor Mark McGurk, is the result of 15 years’ development and is based on the findings of nearly 500 cases.

HNCF works to educate and train both surgeons and nurses around the UK on this treatment and state-of-the-art technology, to bring a better outcome and time-saving treatment to oral cancer patients.

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Health

Possible super-hospital plans released as Pembrokeshire site ruled out

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HYWEL Dda Health Board have reduced the number of potential sites for the new “super-hospital” in West Wales from five to three. 

The new site has been narrowed down to two possible locations in Whitland or one in St Clears.

According to the plans provided in Hywel Dda’s technical appraisal reports, all sites will include a main building divided into planned and urgent care, as well as a separate facility for mental health services. Parking, administrative facilities, and a helipad are also planned.

Site 12 in Whitland
Travel time analysis for population to site 12

The potential Narberth site is no longer being considered, meaning that the new hospital would be built outside of Pembrokeshire.

Hywel Dda presented the findings of a “transport infrastructure analysis,” stating that both sites had bus services that are “infrequent” and “short,” making shift work difficult.

Plan for ‘site C’ in Whitland
Travel time analysis for population to ‘site C’

For Whitland, it noted that there was an approximate 750m walking distance from the train station to the hospital site, with recommended walking distance of 400m, and that local roads do ‘not appear’ to suffer from significant congestion during a typical weekday. 

In St Clears, the report highlighted the impact a planned new railway station – expected to open in 2024 – could have on the town, saying it would be a ‘major boost’ to the area providing viable alternative car travel, with it being understood there is a commitment to increase the frequency of services at some stations along the west Wales line from two hourly to hourly.

Plans for ‘site 17’ in St Clears
Travel time analysis for population ‘site 17’ in St Clears

After it was announced that Narberth would not be the site of the new hospital, Hywel Dda University Health Board Chair, Maria Battle, assured the residents of Pembrokeshire that their concerns would be taken into account.

“Our programme business case to the Welsh Government is seeking the greatest investment west Wales will have ever seen,” said Ms Battle.

Ambulance times to Whitland, Bronglais Hospital and Morriston Hospital (Welsh Ambulance Service travel time analysis June 2022)
Ambulance times to St Clears, Bronglais Hospital and Morriston Hospital (Welsh Ambulance Service travel time analysis June 2022)

“We have listened to and continue to listen to the fears and voices of the public we serve and our staff who understand the frontline challenges of trying to deliver services across so many sites and spread so thinly.

“Recognising the fragility of our services and the risk this poses every day, we do not intend to make changes at Glangwili or Withybush hospitals before a new hospital is built. And afterwards, they will continue to provide valuable health services to our communities.”

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Health

Glangwili hospital receive fabric to make laundry bags

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Pictured with some of the laundry bags and squares are Nurse Louise McGee and Health Care Support Worker Abi Jones.

THANKS to donations, Hywel Dda Health Charities has provided fabric to make laundry bags and bonding squares for the Special Care Baby Unit at Glangwili Hospital.

Health Care Support Worker Louise Hughes said: “The laundry bags help parents to be involved in their baby’s care and the fabric squares help in the bonding between mother and baby.

“The laundry bags are placed at the end of each baby’s cot, providing a place to store soiled clothes, ready to be taken home to be washed.

“The laundry bags and squares are made for us by the mother of one of our members of staff, and we would like to thank for her kindness and time in making these.”

Louise added: “Parents tell us they find the bags very useful and have said they look homely which is nice to see when you are sat in a clinical area, and the bonding squares help them feel connected with their baby.”

Hywel Dda Health Charities is the official charity of Hywel Dda University Health Board. For more details about the charity and how you can help support local NHS patients and staff, go to www.hywelddahealthcharities.org.uk

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Glangwili Hospital is first in Wales to administer new osteoporosis medication

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GLANDWILI HOSPITAL has become the first in Wales to administer a new medication that will help patients suffering from osteoporosis. It was approved by the National Institute for Health and Care Excellence (NICE) and it the first new osteoporosis drug treatment of its kind for over a decade.

The new treatment – Romosozumab – is now available in Wales for preventing future fractures in patients suffering from osteoporosis.

The bone-building drug is given as a simple injection under the skin. It is highly effective for preventing fractures by the way it acts on bone cells, particularly in postmenopausal women with severe osteoporosis. It is one of only two treatments that help to promote bone formation, and the first to reduce bone loss at the same time.

On Thursday 21 July Carole Bevan became the first patient in Wales to receive the medication at Glangwili General Hospital, Carmarthen.

She said: “I am very fortunate to be the first patient in Wales and quite pleased at being considered and offered this treatment. I did not feel the needle at all and I’m happy to self-administer the injection monthly for the next 12 months.”

Dr Abhaya Gupta, Consultant Physician at Glangwili Hospital, added: “The availability of this drug in Wales is an additional option for treating patients with osteoporosis, many of whom suffer devastating consequences from hip fractures, spine and wrist fractures.

“By its novel mechanism of action this treatment has the potential to revolutionise our approach to treating those people with severe disease who are at very high risk of fracture, especially when it is used as their initial treatment.

“With increasing numbers of elderly patients with osteoporosis, this injection is an additional drug available to specialists to treat these patients, helping to reduce disability and health and social care costs in the long term.”

Catrin Beddoe, a pharmacist at Glangwili Hospital, added: “This is a simple injection given once a month for one year to appropriate elderly female patients suffering from the devastating consequences of fractures, and I am pleased to be part of the specialist osteoporosis team involved in this exciting work.”

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