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BBC News
6 days ago
- General
- BBC News
Former nurse, 84, removed her own eye cyst after years of waiting
An 84-year-old retired nurse removed a cyst from her own eye after waiting years for treatment, a report has account was revealed in a citizen experiences report presented during a meeting of the Betsi Cadwaladr University Health Board on Thursday, which looked at the long delays facing people awaiting treatment for conditions in north found some frustrated NHS patients were taking matters into their own hands, with another patient carrying out their own tooth filling with a kit from the health board said it acknowledged that "significant work" remained to address challenges in a "sustainable, long-term way". The woman, who is still waiting for an eye operation, initially waited three years to be seen after being placed on the ophthalmology waiting list in had some procedures but said they "did not help", so was eventually driven to carry out the dangerous procedure herself, according to the report."She is waiting for an eye operation, which was requested in October 2023, and her eyesight is deteriorating rapidly," it said."As a former nurse and nurse manager, she has given her working life to care for other people. Now she needs some care of her own."The report described long waits experienced by patients in the emergency departments at Ysbyty Gwynedd, Ysbyty Wrexham Maelor, and Ysbyty Glan Clwyd were found to be waiting up to 36 hours and "overcrowding, uncertainty, and discomfort" were also common public consultation had been part of a "listening and understanding" initiative aimed at improving the design and delivery of care and had been 300 enquiries from MPs and MSs over their constituents' experiences, with waiting times the main focus. Another case was a man who wanted to join the Army, but was unable to because of the health of his report said the man had not been able to find an NHS dentist nearby due to a "chronic shortage" of dentists in north Wales, and private dentists quoted a minimum of £3,000 for conversations highlighted issues over outpatient waiting times, access to services, ambulance and emergency department delays, and was found to have had a "catastrophic impact" on one patient's life who suffered daily pain, and another, awaiting an operation for bladder stones, endured "continual bleeding". Llais, the body which gives people a "voice" when accessing health services, also gathered data which found people had "significant challenges" accessing timely and affordable primary care, difficulty accessing GP appointments and the absence or loss of NHS dental treatment or self-management of dental problems had manifested sometimes in "unsafe or distressing" ways, including one patient "filling their own tooth with a kit from the dentist". Another patient reported waiting "12 hours in a corridor on a trolley".Long delays for specialist services, including audiology, cataract surgery, neuro-developmental assessment, and respiratory care were also "a major concern".A meeting to discuss the report heard that despite many people highlighting "dissatisfaction or frustration", many other participants had also expressed "gratitude" and praise for the "professionalism and compassion" by hospital staff, members and report said measures had been taken by the board to address calls for dental care, this included creating contracts worth more than £1.5m to expand NHS dental provision and a new dental access portal, launched in February, was also helping "simplify and centralise" access to procurement exercises, covering general dental services, orthodontics, oral surgery, and non-urgent access, also totalled more than £ to areas such as emergency departments, dermatology, gynaecology, physiotherapy musculoskeletal, cancer services, and a midwifery ward bereavement suite had also been neuro-developmental services, it said a child and adolescent mental health improvement programme was in place to provide mental health support for children and young people.
BBC News
29-05-2025
- Business
- BBC News
Hywel Dda health board's fragile services need urgent change
Hospital services across a Welsh health board could reorganised because they are so Dda health board has included critical care, stroke services, eye care and urology among those in need of urgent the options would be to halve the number of acute stroke units and centralise planned urology cases and eye care.A number of options will be given to the public, though the health board said it would welcome alternative suggestions as there was no preferred is understood each option put forward would come with a cost implication, but would be less than the current rising costs. Hywel Dda said changes were needed "because of the risks to them being able to continue to offer safe, quality services or timely care".The four main hospitals in the area, which covers Pembrokeshire, Carmarthenshire and Ceredigion, are Prince Philip in Llanelli, Glangwili in Carmarthen, Withybush in Haverfordwest and Bronglais in health board said clinical teams were spread across multiple sites, over a wide geographic area, and there is an "over-reliance on a small number of individuals".The nine areas deemed most fragile are: Critical careDermatologyEmergency general surgeryEndoscopyOphthalmologyOrthopaedicsRadiologyStrokeUrology The health board is not alone in facing challenges of reducing waiting times for a time when parts of Wales still have patients waiting longer than two years for care, it has removed those waits entirely, but still has more than 12,000 waiting longer than one issues have improved predominantly due to the recruitment of international nurses, taking band five vacancies down from 280 whole-time equivalent to just health board said that had substantially reduced its agency spend, but vacancies remained in other areas of its to update services were first drawn up in 2018 and while the pandemic increased demand, Hywel Dda has also had to contend with significant capital costs associated with issues around reinforced autoclaved aerated concrete (Raac) at Withybush Hospital.A new hospital is planned for the area, but will not be built for at least 10 years after delays as well as the impact of inflation on construction costs. Since the pandemic, there has also been an increased emphasis on regional working among health boards in Wales, meaning pressures can be spread across regions, though that also creates fresh logistical backlog maintenance costs for an ageing estate continuing to rise, meaning doing nothing is not an option.A previous report stated maintenance costs had increased from £60m to £255m since 2018, with £42m categorised as "high risk". Glangwili and Withybush have the "most significant backlogs" at £90m and £72m changes would be closely inspected by patients who are likely to face longer travel times for some services as a consequence, though the plans also include expansion in some areas and a greater role for primary and community services.A public consultation on the options will be held over the summer with final plans expected to be put to the board by November.
