Betsi Cadwaladr Health Board Update – Issue 7 (August 2016)
Board approves Full Business Case
for Neonatal Unit
At its July meeting, the Board approved the Full Business Case for the North Wales Sub-Regional Neonatal Intensive Care Centre (SuRNICC) for submission to the Welsh Government.
Obtaining Welsh Government approval is now the final step in the planning process for the new facility which will be located alongside the maternity department at Glan Clwyd Hospital. It is expected that building work will start on site in October, although some preliminary work has already been carried out as part of the on-going redevelopment of the Hospital.
The SuRNICC will initially provide twenty cots, with provision being made for further two cots to be opened to accommodate future growth. Having this facility in North Wales will mean far fewer babies having to be transferred England to receive care during their first few weeks, and will mean those few babies who still have to have receive specialist care in the Regional Units at Arrowe Park or Liverpool Women’s Hospital will be able to come back to North Wales sooner.
A range of new clinical staff will need to be appointed to deliver the new services and the recruitment process is already underway, with a number of senior colleagues already appointed. These include two Consultants in Neonatal Intensive Care, a Neonatal Service Manager, Advanced Neonatal Nurse Practitioner, Lecturer Practitioner and experienced Transport Nurse. This team will play a major part in planning and setting up the new service while the construction work is taking place. We have also had a very good response to our adverts for general nurses for the unit.
As part of the supporting developments, a new state of the art transport system, described as a ‘neonatal intensive care unit on wheels’ has been built by a team from the Electro Biomedical Engineering (EBME) Department at Glan Clwyd Hospital.
Baton relay highlights campaign
to prevent spread of infections
North Wales rock star Mike Peters joined a team of Health Board staff and patients to carry a symbolic baton around hospitals in North Wales to help champion the message that Clean Hands Save Lives.
Mike, 57, from Prestatyn in Denbighshire, is battling leukaemia and so has learned first-hand the importance of hand washing when it comes to staying infection-free. Despite his illness he continues to tour, both at home and overseas. He is a staunch supporter of Ysbyty Glan Clwyd and Ysbyty Gwynedd, without which he says he would not be alive today.
The baton tour in North Wales was part of nine days of events organised by the Health Board as part of a UK-wide campaign led by the Infection Prevention Society, which was launched in Scotland on May 5 to coincide with the World Health Organisation’s World Hand Hygiene Day, and finishes on September 26 at an Infection Prevention Conference in Yorkshire.
The idea is to spread the message, not the bugs, and to make people think about how regularly cleaning hands also helps prevent the opportunities for infections to be passed on by what people touch and handle. Experts estimate that eight out of ten infections are spread by touch.
Responding to our communities
Last year we spent the summer out and about, talking to hundreds of people across North Wales about health services in the region. We heard many examples where people had received excellent care, and there was widespread praise for our clinical teams.
People also told us that they:
- were concerned about long waits for treatment and GP appointments;
- felt that high standards of care are important;
- expected to be treated by well trained, high quality staff; and
- needed good communication, information and advice.
We now need to build on what we have heard and to respond more effectively to our population health needs. We are developing a strategy for well-being, health and health care for North Wales called Living Healthier, Staying Well, which reflects our ambition to support people to live longer healthier lives and prioritising well-being and achieving the standards that people expect.
We face some challenges, including:
- people waiting too long for treatment in some areas because we can’t meet demand;
- being unable to recruit enough appropriately skilled staff including doctors and other health care professionals;
- health needs increasing over the next few years because our population is living longer (which is a good thing!) and
- the negative impacts on health of obesity, smoking and other lifestyle choices.
Therefore we need to focus on improving health and reducing inequalities; delivering more care closer to home and the services we provide in our hospitals.
We are starting to have the conversation about developing our strategy in partnership with others and there will be opportunities to feed in to this over the coming weeks and months.
Health Service for visitors
eases demands on local GPs
The GP out of Hours service, which provides a weekend and overnight medical services to people living in North Wales when their own GP practice is closed, is offering an additional service over the summer holiday period, aimed at helping reduce pressures on GP practices in the Dwyfor area.
From 18 July until the end of August, the service will be offering day time appointments at Ysbyty Alltwen in Tremadog and Bryn Beryl Hospital in Pwllheli for holidaymakers and visitors to the area. The scheme was trialed over the Whitsun half term holiday after local GPs raised concerns about how the extra demands on their practices from visitors affected the service they could offer to their regular patients.
Dr Arfon Williams, a GP in Nefyn, commented “The system worked very well over the May holidays, and we’re glad measures have again been put in place to help GPs. The population here on Pen Llyn increases from around 17-18,000 people to tens of thousands during the summer holidays, and it would’ve been very difficult to cope without the extra provision.”
HMP Berwyn Health and Wellbeing Programme
The Health Board will be responsible for providing the healthcare services inside the new prison, HMP Berwyn, which is currently being built near Wrexham and will open in February.
The prison will have a strong focus on rehabilitation and resettlement, helping offenders to prepare for a fresh start in life. There are poorer levels of physical and mental health within prisons compared to the wider population and the health and wellbeing service will play a crucial role in helping men in prison prepare for their eventual return to their communities.
HMP Berwyn will have its own dedicated health centre, providing a comprehensive range of health and wellbeing services including GP, therapies, mental health, x-ray facilities and dental care, along with programmes to promote good health and address specific issues such as smoking and substance misuse.
Kate Clay (pictured), who was previously Head of Healthcare at Oakwood Prison near Wolverhampton, has been appointed as the Health Board’s Programme Director for HMP Berwyn.
The Health Board is working with the Ministry of Justice and the contractors on the development and equipping of the health centre. The recruitment campaign for clinical and support staff for the services is underway and has attracted a good response.