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Recent family commitments have meant that Mr Mainwaring, aged 77, has been cared for at Ystradgynlais Community Hospital, following intervention from the Upper Valleys Cluster virtual ward to avoid him having to temporarily care for himself. Patients in Swansea Bay are benefiting from a new service which allows them to receive the care they need at home, avoiding admissions into hospital. If routine visiting is suspended, residents can continue to receive visits from their 2 nominated essential visitors. “I am delighted that years of hard work are paying off for the good of our patients in North Wales by having easier access to excellent spinal surgeons. A great deal of work has gone into this and I would like to thank Physiotherapy Manager Nesta Mccluskey and Spinal Physiotherapist Anne White for all their hard work for helping to set everything up.
An extra 508 beds and community care packages have been confirmed by local health boards and local authorities so far, with many more currently being negotiated. £3m is being invested in the continued delivery of a National Integrated Autism Service for Wales, which will improve support services for children, young people and adults by providing them with lifetime support. The PBC recognises the need to create a digital infrastructure that will enable the health board to connect with patients and service users in all settings, creating a health system ‘without walls’. This would include innovations, such as wearables, more advanced electronic health records, and greater use of technology to simplify processes including admission and discharge. The health board also wants to maximise the social benefit from the way it works and anticipates the proposed investment would bring significant economic benefits for our communities.
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"A second catheter laboratory is a very exciting development for cardiac services in North Wales. It is also the means by which the Board will address long standing challenges, including fragile services, unsustainable workforce and financial challenges, and an aging hospital estate . People with hearing difficulties across North Wales will find it easier to access specialist support in their GP surgery, thanks to investment in a new NHS service. “While we have been awaiting the results, we have had lots of staff from the virtual ward coming to the house. Her father, Lynn Mainwaring, who has dementia, had been suffering falls in recent months and staff from the virtual ward were able to offer their help after he was referred by his GP practice. However, COVID-19 is still in our communities and we need to keep people living and working in care homes as safe as possible.
The fund is being targeted at delivering effective integrated and preventative services for children with complex needs, people with learning disabilities, older people and carers. In the meantime, the health board will continue with the process around site selection and preparation for the new urgent and planned care hospital. We are working with the Consultation Institute to ensure public involvement in the criteria and final scoring of options.
Virtual wards offer hands-on care closer to home
Patients’ care remains hands-on, but it’s given in the comfort of their own homes instead of a hospital. Read further information on theWelsh Government’s guidance to care home providers on visiting. What care home visitors need to do to ensure the safety of care home residents and staff. “After developing some momentum, we started discussions with Spinal Physiotherapist Anna White in Bangor and Physiotherapy manager Nesta Mccluskey in Wrexham which led to meetings with clinical leads from the two specialist sites. “As a part of our Care Close to Home initiative bringing clinics to some of the more remote regions the hospital serves, which means less travel and more meeting clinicians, which is often a stressful occurrence, in a familiar setting.
The money, which has come from the Welsh Government's All-Wales Capital Programme, will support the establishment of a second Catheter Laboratory in Ysbyty Glan Clwyd in North Wales. To properly appraise all options, as required by Welsh Government business case process, the next stage would look in more detail at how we re-purpose Glangwili and Withybush Hospitals. This would include options to use the current buildings and location, but also potential to re-build them on site.
Care Inspectorate Wales
If supported, investment could exceed £1.3billion, which is a level never seen before in west Wales. This is a significant bid but reflects the enormity of the change and improvement being sought for the benefit of our communities. The Integrated Care Fund, set up to support the integration of health, social care and housing , will receive a £75m boost over three years, in a bid to create more large-scale housing which integrates social care as well as other innovative approaches to the integration of health and social care. This capital funding is in addition to the £50m revenue element of the Fund announced in April this year. The ‘Step Down’ service will support people to return to their communities when they no longer need treatment in hospital but may require more time, support and specialist care. Care-at-home services are also being boosted to enable more people to return to their own home.
The plan also commits the Welsh Government to increasing investment in digital technologies and to support and develop the workforce, including unpaid carers and volunteers. The Health Minister, Lesley Griffiths, has announced nearly £3m for a development which will allow heart patients in north Wales to receive care closer to home. The PBC offers hope following the pandemic, that health and care can shift from an illness service with a focus on hospital buildings and intervention, to a service that works across boundaries to prevent ill health or deterioration of health, providing help earlier, and wherever possible closer to home.
New spinal clinics in North Wales brings care closer to home
“This new contract will enable patients from the area to access orthodontic care closer to home which is something that the health board has been working to achieve for some time. The Welsh Government this week also announced an extra £70m to ensure social care workers in Wales will receive the Real Living Wage. That is part of wider efforts to recruit and retain social care workers and strengthen the sector to help support eh NHS as it faces one of its toughest winters. The changes will begin immediately, with a £100million Transformation Fund to support the implementation of the plan. The funding will be targeted at resources to speed up the process, including the development of new integrated prevention services and activities in the community.
“The health board invested heavily in virtual wards last year which enabled us to grow our dedicated team and service to ensure we have the resource needed to really impact patient care. They can support patients with complex or multiple needs, who have a history of falls, frequent or recurrent hospital admissions, uncontrolled chronic conditions or health and social care needs. The SHIAG review of contraception and abortion identified that as a commissioning issue, there is still considerable inequity in abortion access and provision. Addressing the disparities that exist in abortion services is one of the targets of the Equality Impact Assessment for National Sexual Health Policy. In 2008, the Sexual Health Independent Advisory Group commissioned a review of the 2001 National Sexual Health Strategy.
A £10m a year fund will be boosted to £105m over three years to help deliver more joined up care closer to home and help build homes to support people to live independently in their own communities. We have to move on from the idea that the hospital is the first or best place for you to be when you are unwell. That isn’t always the case, especially when there are a range of local services that will allow you to remain safely at home.
Another fundamental aspect of the PBC is a focus on providing better conditions and opportunities for staff, to retain and attract the workforce needed. One of the board’s biggest challenges has been workforce shortages and over-reliance, and cost of, temporary staff. The PBC is the first stage of business planning to secure support from Welsh Government in order to proceed to far more detailed planning, analysis and recommendations on the detail of how to proceed. It’s a milestone in the Board’s journey to achieve its long-term strategy and improvement in population health – A Healthier Mid and West Wales , which followed extensive engagement and consultation in 2018. Hywel Dda University Health Board will discuss and agree the submission of an ambitious plan to improve health outcomes and well-being of our population.
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