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Press releases

Update on Out of Hours Service in Carmarthenshire

Posted By RobertLloyd58

Update on Out of Hours Service in Carmarthenshire – Friday 15 June 2018

Press release from Hywel Dda –

We are currently experiencing a shortage of GPs to cover the Out of Hours service in Carmarthenshire overnight tonight and on Saturday afternoon and evening.

Efforts are continuing until the last possible moment to fill the shifts affected. Clinical staff will be available to make an assessment of your condition and refer you to an appropriate destination should an urgent face to face review be required.  In the meantime, there are other services that can help you if you are unwell:

for health information and advice, including online symptom checkers, please visit NHS Direct Wales: www.nhsdirect.wales.nhs.uk

call 111 – they can help to signpost you to the right service, for example a GP, nurse, pharmacist or Minor Injury Unit, they also provide health information on a wide range of conditions for self care if appropriate

attend a minor injury unit, available at Glangwili Hospital, Prince Philip Hospital and Llandovery Community Hospital

ONLY in an emergency for serious or life-threatening conditions should you dial 999

Joe Teape, Deputy Chief Executive and Director of Operations at Hywel Dda University Health Board said: “I apologise for any concern or inconvenience caused to Carmarthenshire residents. Unfortunately we continue to experience GP shortages at this time and we appreciate the efforts our staff, GPs and partners from across the Hywel Dda area are making to ensure we can provide safe services for our patients.”

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Press releases

Aberystwyth marine scientist joins Arctic expedition

Posted By Robert Lloyd

A marine biologist from Aberystwyth University joins an international study into the impact of climate change on the Arctic Ocean’s ecosystem which sets sail this week.

Dr David Wilcockson from the Institute of Biological, Environmental and Rural Sciences is heading to the Barents Sea on board RRS James Clark Ross as part of the £16 million UK flagship research programme Changing Arctic Ocean, which is funded by the Natural Environment Research Council (NERC).

During the month-long voyage, Dr Wilcockson will work with scientists from institutes across the UK, Norway and Germany to look at the effects of warming on the Arctic Ocean, from the surface of the ocean to the seafloor, as part of the Arctic PRIZE project.

Dr Wilcockson joins the mission as an expert on rhythmic behaviour in marine animals. His study will focus on plankton, tiny marine animals that underpin the food chain in the oceans.

Caught using specially adapted nets known as plankton trawls, Dr Wilcockson will study their daily migration in the water, when they are active and inactive, and how they respond to changes in light and temperature.

His findings will be added to scientific models that are being developed to predict how the ecology of the Arctic Ocean is likely to change.

Dr Wilcockson said: “We know that warming of the oceans is making the ice retreat and that is having a knock on effect on the physical and chemical properties of the water, and that in turn we believe is affecting the ecology. Understanding how the plankton might respond to these changes will give us an idea of how this is likely to affect animals higher up the food chain, such as fish, seals and whales.”

Warming oceans
With warmer winters across the polar region, the Arctic Ocean is now experiencing year-on-year record lows of sea ice.

These changes are having an unprecedented impact on how the Arctic ecosystem operates.

The retreat and thinning of Arctic sea ice is a key driver of change, increasing the amount of light in the ocean and encouraging mixing that brings deeper, nutrient-rich waters to the surface.

These are two key determinants of productivity in the Arctic Ocean that the entire food chain relies on.

It is important to understand how climate change is altering these properties and to quantify their impacts on the Arctic ecosystem if computer models that predict future change are to be improved.

Arctic PRIZE
Scientists from the Arctic PRIZE programme are spending a month at sea measuring the physical, chemical and biological properties at different depths in the Barents Sea.

Their aim is to identify if significant changes are happening on a seasonal basis that alter the way plankton behave.

These organisms form the lower part of the food chain and are vital to the survival of larger animals, such as fish and seals.

Their growth during the spring/summer transition is dependent on the right nutrient mix in seawater and sufficient light.

Climate change may alter the timing, location or amount of growth by the plankton, even drawing in different plankton species from more southerly locations, with unknown consequences for the rest of the food chain.

A central part of the scientists’ work involves collecting automated instruments that have been moored at sea for the last 12 months.

These will be redeployed for a further year to collect vital data on how changes in sea ice are affecting important parameters in seawater, like light intensity.

The scientists will also collect an autonomous glider that has been monitoring the open water south of the ice edge since January – deep in the polar night.

It has been collecting data on the physical, chemical and optical properties of the water during the critical transition period from winter to summer.

This allows the scientists to identify how the plankton are responding to seasonal change in an environment influenced by warming.

Professor Finlo Cottier, from the Scottish Association for Marine Science and lead investigator of the Arctic PRIZE project, is the Principal Scientific Officer on the cruise: “We are working in partnership with Norwegian scientists, particularly in Tromsø, to observe how the Arctic ecosystem responds during the winter to summer transition as the sea ice retreats to the north. Together we are refining our understanding of these Arctic environments. One of our key questions is whether there will be more biological productivity in the Arctic Ocean as ice reduces in area and becomes thinner. We have a very integrated programme of work that connects the physical environment of ice, water and light to the chemistry to the organisms in the water column and to the seafloor communities.”

Dr Kim Last, co-investigator on the Arctic PRIZE project and based at the Scottish Association for Marine Science, is participating on the cruise: “The Arctic is rapidly changing, with ice retreat resulting in an ocean of warmer, fresher and lighter water. We know that some zooplankton are shifting habitat ranges northwards, but migrating could come at a price. Heading north the day/night cycle is altered and this in turn will affect their biological clocks that control everything from their behaviour to their genes. Our aim is to understand how resilient they are to such change.”

The ultimate goal of the Changing Arctic Ocean programme is to generate a better understanding of the Arctic so computer models can more accurately predict future change to the environment and the ecosystem. Within the programme there are four main projects with more than 80 scientists combined, from 18 UK research institutes.

The four projects cover different aspects of the programme’s goals: how change in the Arctic is affecting the food chain, from small organisms at the bottom to large predators at the top (ARISE), how warming influences the single main food source at the bottom of the food chain (DIAPOD), the effect of retreating and thinning sea ice on nutrients and sea life in the surface ocean (Arctic PRIZE) and on the ecosystem at the seafloor (ChAOS).

Photo: Dr David Wilcockson

Links:

Arctic PRIZE
https://www.changing-arctic-ocean.ac.uk/project/arctic-prize/

Study at the Institute of Biological, Environmental and Rural Sciences
https://www.aber.ac.uk/en/ibers/

Dr David Wilcockson

https://www.aber.ac.uk/en/ibers/staff-profiles/listing/profile/dqw/

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Press releases

Haverfordwest residents urged to take part in health consultation

Posted By Robert Lloyd

Calling all Haverfordwest residents – your NHS services need to change and now is the time to make your voices heard – Press release from the Hywel Dda University Health Board

Residents in Haverfordwest and the surrounding area are being invited to a public drop-in event to discuss our proposals to fundamentally change the way we provide healthcare services for current and future generations.

The event will be held between 2pm-7pm at Pembrokeshire Archives Building, Haverfordwest SA61 2PE on Tuesday 26 June 2018.  This is your opportunity to tell us what you think about our proposals or to give us new ideas.

Hywel Dda University Health Board has formally launched its “Big NHS Change,” a 12-week consultation aimed at making provision of local health and care better for our communities.

We’re asking residents across Carmarthenshire, Ceredigion and Pembrokeshire, as well as the wider cross-border regions, to get involved and have your say on three proposals to improve the way we provide care for our population. Each proposal has been designed and tested by our clinicians to ensure that our services are safe, sustainable, accessible and kind for our generation and those to come.

The health board particularly wants to reach out to people who may not usually take part in or may be traditionally under-represented in similar consultation feedback, including among others, disabled people, LGBTQ+, black and minority ethnic groups, different age groups, people of varying faiths or none, men and people of working age.  We are also keen to hear from any voluntary agencies or third sector agencies supporting protected groups.

Hywel Dda Chief Executive Steve Moore said: “Our proposals for change could affect everyone in our area, from bumps and babies to older people and everyone in between, so we are asking you all to tell us what you think. Whether you are a patient, a carer, a family member, or one of the thousands of people who work for the Health Board – we want to hear from you.

“Last year we started a conversation with our population, our staff and with people we work with to provide care to explore what is important to us and to jointly think about how to best run services. We did this because we think it is the right thing to do to design our services together. We explored the opportunities we think are offered to us through modern medicine and advancements in technology and the expectations you have for us to improve.

“We also set out the significant challenges faced by the NHS which we must deal with to ensure it thrives and delivers for you and your family now and in the future. This means that we will have to make decisions about where we can provide services and know that there are going to be compromises to make, so that we make best use of our resources.”

Among the biggest challenges the health board currently faces are an ageing population, difficulty for many people in accessing services close to home, significant recruitment challenges – particularly specialist medical staff – and ageing hospital buildings which require a lot of maintenance to keep running.

To overcome these we want to radically change the way we provide local health care services so that people are accessing most of the care and treatment they need in their local community, and are able to stay at home while they are getting treatment rather than having to go into hospital.

Reducing the number of main hospitals will mean having fewer medical rotas to fill, making it easier to attract clinicians to come and work for us; it will also mean shorter waiting times and fewer cancellations, and more money for local and community health services.

In all three of the proposals, Bronglais District General Hospital will continue to provide services for mid Wales; a new major hospital will be built somewhere between Narberth and St Clears, and there will be 10 community hubs across the Health Board area.

The proposals are:

Proposal A

  • A new urgent care and planned care hospital between Narberth and St Clears
  • Community hospitals in Glangwili, Prince Philip Hospital in Llanelli and Withybush
  • A general hospital in Aberystwyth on the Bronglais Hospital site

Proposal B

  • A new urgent care and planned care hospital between Narberth and St Clears
  • Community hospitals in Glangwili and Withybush
  • General hospitals at Prince Philip Hospital in Llanelli and Aberystwyth on the Bronglais Hospital site

 

Proposal C

  • A new urgent care hospital between Narberth and St Clears
  • A planned care hospital on Glangwili site
  • A community hospital in Withybush
  • General hospitals at Prince Philip Hospital in Llanelli and Aberystwyth on the Bronglais Hospital site

Hywel Dda’s Executive Medical Director & Director of Clinical Strategy, Dr Phil Kloer, added: “The challenges we face are really significant.  People are living longer, some with long lasting health conditions, and we expect there to be many more older people who will need regular health care and social care.

“In our area some people live in towns and some in country areas, making it difficult for us to ensure that services are in the right place for people to access.  Many people live a long way from services, so helping people to live at home while they have treatment can involve a lot of travel for health workers.

“We know that people want to be supported to manage their health in their own homes – about 4 out of every 10 hospital beds are filled by people who could be treated at home. Added to this is the fact that we’re finding it hard to get enough permanent staff, especially specialist medical staff, to come and work for us, and we also need to make fuller use of new technology such as computers, phones, telehealth and telecare.

“This is why we have come up with three proposals that we think are safe, viable and offer an improvement on what we currently have, and have launched a formal 12-week consultation to present these to you, to listen and talk to you further and take on board your views and ideas.

“We all have a shared passion for the NHS, our services, our history and our staff and we want to harness this to design, together with you, the best health service for our population. We are so grateful to those of you who have already been involved in this as patients, staff and members of our communities.”

Your feedback will be independently analysed and considered before any formal proposal is put before our Health Board for decision on how to proceed later in 2018 and we will continue to keep you updated on how we have used your feedback.

Please tell us your views by:

Completing the online questionnaire at: www.hywelddahb.wales.nhs.uk/hddchange

Emailing us at: hyweldda.engagement@wales.nhs.uk

Telephone: 01554 899 056

Coming to one of our drop-in events:

Tuesday 26th June 2pm-7pm / Pembrokeshire Archives Building, Haverfordwest SA61 2PE

Monday 2nd July 2pm-7pm / Victoria Hall, Lampeter SA48 7EE

Thursday 5th July 2pm-7pm / Pill Social Centre, Milford Haven SA73 2QT

Monday 9th July 2pm-7pm / Tumble Hall, Tumble SA14 6HR

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The Big Cwtsh

Blog posts

Latest podcast from Phil Evans and Robert Lloyd

Posted By Robert Lloyd

The latest podcast from Phil Evans and Robert Lloyd has just been released.

The Big Cwtsh: Episode 19 is now on Soundcloud.

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Scarlets

Press releases

Injury update on Scarlets players

Posted By Robert Lloyd

Injury update from the Scarlets about players injured on Wales summer tour –

Steff Evans suffered an injury to his knee following the hyperextension event playing for Wales against South Africa.

He has seen a specialist and does not require any surgery. It is hoped he will be ready for the start of the coming season.

Wyn Jones sustained a calf injury in a Wales training session last week. He will see a specialist to help guide his management.

Samson Lee has been released from the Wales squad and returned home due to a back injury. He will undergo further assessment.

Hadleigh Parkes suffered a compound facture to his finger in the test against Argentina last weekend. The injury rules him out of the final summer test and he will undergo further assessment on the injury in due course.

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Press releases

Update on GP ‘Out of Hours’ service in Carmarthenshire

Posted By Robert Lloyd

Update on GP Out-of- Hours service Thursday 14.6.18 – Press release from the Hywel Dda University Health Board

We are currently experiencing a shortage of GPs to cover the Out of Hours service in Carmarthenshire overnight tonight. Efforts are continuing until the last possible moment to fill the shifts affected, which are for this evening and overnight at Glangwili General Hospital. In the meantime, there are other services that can help you if you are unwell: 

  • for health information and advice, including online symptom checkers, please visit NHS Direct Wales: www.nhsdirect.wales.nhs.uk
  • call 111 – they can help to signpost you to the right service, for example a GP, nurse, pharmacist or Minor Injury Unit, they also provide health information on a wide range of conditions for self care if appropriate
  • attend a minor injury unit, available at Glangwili Hospital, Prince Philip Hospital and Llandovery Community Hospital
  • use your community pharmacy, some of these have enhanced services like ‘triage and treat’ for treatment of minor conditions
  • ONLY in an emergency for serious or life-threatening conditions should you dial 999

Joe Teape, Deputy Chief Executive and Director of Operations at Hywel Dda University Health Board said: “I would like to apologise for any concern or inconvenience caused to Carmarthenshire residents. Unfortunately we continue to experience GP shortages from time to time and we appreciate the efforts our staff, GPs and partners from across the Hywel Dda area are making to ensure we can provide safe services for our patients.”

Read More
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