Paediatric care hours to change from Monday
THE OPENING hours at Withybush Paediatric Ambulatory Care Unit will be changed to 10am-6pm from Monday (Dec 5).
The move comes following a decision, taken in the interests of patient safety due to a shortage of consultant paediatricians, by Hywel Dda University Health Board last week.
Referrals to PACU can continue to be made up until 6pm, after which necessary discharges or transfers to Glangwili Hospital when an overnight stay in hospital is required will be made.
Deputy Chief Executive and Director of Operations Joe Teape explained: “We are carefully planning this temporary change and will be spending a lot of time during the coming days finalising the activation plan and making sure that all our staff, GPs, including out-of-hours, and partners such as the Welsh Ambulance Services Trust and NHS Direct are aware and are able to appropriately advise and assist children and their families.”
A task and finish group with clinicians and managers is also being set up to closely monitor the change and ensure further work is progressed in areas including recruitment, technology and engagement with the pubic on a longer term plan to restore the service to a 12 hour one. Weekly updates will be provided to Hywel Dda Community Health Council, as well as regular updates for the general public.
The temporary change has been put in place as a result of national challenges in the recruitment of consultant paediatricians combined with particular problems in Pembrokeshire due to the retirement of one consultant coinciding with maternity leave of another and sickness.
The temporary service change, which will be active from next week, reflects the 10am-10pm model that has been in place and has been providing safe care since service change two years ago, but from the new times of 10am-6pm and with remote consultant paediatric support from Glangwili Hospital at night.
Parents should continue to access healthcare services for children in the usual ways.
Children who present at Withybush Hospital out-of-hours will usually be transferred to Glanwgili Hospital for paediatric input. In the exceptional circumstance where emergency resuscitation is required, emergency and anaesthetic staff will resuscitate, stabilise, and arrange transfer onto another hospital.
In the meantime, the health board continues to reduce the impact on families as much as possible. This includes provision of the dedicated ambulance vehicle for transfers between Withybush and Glangwili hospitals, provision of funded transport schemes such as that provided by Action for Children, help under the NHS Travel Costs scheme and, in exceptional circumstances where no alternatives are available, vulnerable families will be provided with a paid for taxi to return home.
Recruitment efforts will continue, both for substantive, permanent posts and locum (temporary) paediatric consultants. The health board has secured an agency consultant for an extended period of three months and is interviewing a potential candidate for a role at either Withybush or Bronglais hospitals in January. Adverts for Advanced Paediatric Nurse Practitioners are also being placed.
For a paediatric minor injury, go to Withybush Emergency and Urgent Care Centre (EUCC) 24 hours a day. In an emergency, if your child is very sick, you should dial 999 for assistance.
Parents can also call NHS Direct Wales – 0845 46 47 – they can advise you if you are unsure what to do, as well as provide health information on a wide range of conditions, treatment and local health services.
The Range’s Swansea Store Shortlisted for ‘Best Christmas Display’
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Local coronavirus restrictions imposed to control outbreaks in South Wales
Coronavirus laws are being tightened in four more Welsh authorities – Blaenau Gwent, Bridgend, Merthyr Tydfil and Newport – following a sharp rise in cases, Health Minister Vaughan Gething today announced.
The new measures will come into force at 6pm on Tuesday 22 September 2020, to protect people’s health and control the spread of the virus in the four local authority areas.
The new restrictions will apply to everyone living in Blaenau Gwent, Bridgend, Merthyr Tydfil and Newport:
People will not be allowed to enter or leave these areas without a reasonable excuse, such as travel for work or education;
People will only be able to meet people they don’t live with outdoors for the time being. They will not be able to form, or be in, extended households;
All licensed premises will have to close at 11pm;
Everyone over 11 will be required to wear face coverings in indoor public areas – as is the case across Wales.
From 6pm on Tuesday 22 September, the requirement for all licensed premises to close at 11pm will also be extended to Caerphilly borough.
Health Minister, Vaughan Gething, said:
“Following the decision to place additional coronavirus restrictions in place in Caerphilly and Rhondda Cynon Taf, we have seen a worrying and rapid rise in cases in four other south Wales council areas – Blaenau Gwent, Bridgend, Merthyr Tydfil and Newport.
“In many cases, this is linked to people socialising indoors without social distancing. We are seeing evidence of coronavirus spreading. We need to take action to control and, ultimately, reduce its spread and protect people’s health.
“It’s always a difficult decision to introduce restrictions but coronavirus has not gone away – it is still circulating in communities across Wales and, as we are seeing in parts of South Wales, small clusters can quickly cause real issues in local communities.
“We need everyone’s help to bring coronavirus under control. We need everyone to pull together and to follow the measures which are there to protect you and your loved ones.”
The restrictions are being introduced following a rapid increase in the number of confirmed cases in coronavirus, which have been linked to people meeting indoors, not following social distancing guidelines and returning from summer holidays overseas.
The Welsh Government will call an urgent meeting of all local authority, health board and police forces from Bridgend to the English border tomorrow to discuss the wider situation in South Wales and whether further measures are needed across the region to protect people’s health.
The new local restrictions measures will be kept under regular review. They will be enforced by local authorities and by the police.
Keep Wales safe by:
Always keeping your distance
Washing your hands regularly
Working from home wherever you can
Following any local restrictions
Following the rules about meeting people
Staying at home if you or anyone in your extended household has symptoms.
Welsh legislation will restrict those travelling from hotspot areas
MARK Drakeford, First Minister of Wales, has today announced legislation which will restrict those coming from coronavirus hotspot’s from travelling to Wales.
The Prime Minister, Boris Johnson has refused to impose rules which prohibit those from areas where the infection rate is high from entering low virus rate areas’s.
Mr Drakeford has made two requests to the Prime Minister requesting to impose rules which will mean those from high virus areas in England be prohibited from travelling to Wales, a request which has been denied by Mr Johnson.
The powers set by Mr Drakeford will come into force by the end of the week, unless Boris Johnson takes action sooner.
Speaking at the Plenary today, Mr Drakeford made the announcement, stating if Mr Johnson does not reply to his request by Friday then The Welsh Government will bring in legislation to restrict travel from those in English lockdown areas travelling to Wales.
Mr Drakeford said this was not a case of all those from England being restricted travel to Wales, just hotspot areas.
He said: “Evidence from public health professionals suggests coronavirus is moving from east to west across the UK and across Wales. As a general rule, it is concentrating in urban areas and then spreading to more sparsely populated areas as a result of people travelling.
“Much of Wales in now subject to local restriction measures because levels of the virus have risen and people living in those areas are not able to travel beyond their county boundary without a reasonable excuse. This is designed to prevent the spread of infection within Wales and to other areas of the UK.
“We are preparing to take this action to prevent people who live in areas where there are higher Covid infection rates across the UK from travelling to Wales and bringing the virus with them.
“I am determined to keep Wales safe.”
The legislation, which is understood to come into force Friday, October 16 at 6pm, will mean those travelling to Wales from areas of England which are classed as virus hotspot’s will be restricted.
The new legislation also restricts those travelling into Wales from high virus prevalence areas from Northern Ireland and Scotland.
The Leader of the Opposition in the Welsh Parliament – Paul Davies MS – has rounded on the First Minister over a ban on people entering Wales from England, and the Labour Party’s inability or unwillingness to publish comprehensive data proving that transmission rates are accelerating due to travel.
Mr Davies took the First Minister to task during Plenary today (October 14), and referred to a statement made by the leader of the Labour Party on September 23 when he said that the Welsh Government was not seeing any spikes at all in infection due to travel and tourism.
Mr Davies said that the people of Wales deserve to have sight of the data that underpins the Welsh Labour-led Government’s position on this matter, so that they can be confident that the Government’s actions are proportionate to the threat of the virus in their area.
Mr Davies also referred to a paper that accompanied the First Minister’s letter to the Prime Minister yesterday, a paper – that was not peer-reviewed – that confirms the data “…does not constitute definitive proof” in favour of a travel ban.
Mr Davies said: “The First Minister and his Government have acted rashly and without examining a range of other factors before a conclusion on whether to impose a travel ban or not is reached, while at the same time seemingly ignoring the fact that transmission rates in relation to travel had already peaked in August and September.
“It is incumbent on the First Minister to explain just why he has chosen to act in this way, and what supporting evidence he and his Ministers have seen to justify a ban and then publish it so it can be properly scrutinised.
“If he cannot or will not, then he must review and rescind this ban immediately.”
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