Share your views - paediatric services

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Background

Hywel Dda University Health Board has a shared vision with our communities for us to live healthy joyful lives throughout the life cycle. This includes starting and developing well, living and working well, and growing older well.

We are working in our communities to provide more joined-up support and care as close to home as possible, for babies, children and young people through to older adults. Our hospitals also have an important role to provide quality specialist support when you need it.

Our future hospital model includes a new Urgent and Planned Care Hospital in the south of our

Background

Hywel Dda University Health Board has a shared vision with our communities for us to live healthy joyful lives throughout the life cycle. This includes starting and developing well, living and working well, and growing older well.

We are working in our communities to provide more joined-up support and care as close to home as possible, for babies, children and young people through to older adults. Our hospitals also have an important role to provide quality specialist support when you need it.

Our future hospital model includes a new Urgent and Planned Care Hospital in the south of our region, which will be our main hospital site for all specialist children (and adults) services. We are still in discussion, and will be asking our communities as part of a formal consultation in early 2023 about their views of three sites possible sites for this new hospital, two in the Whitland area and one in St Clears area.

Temporary changes

In the interim of a new hospital being built, the Health Board is reviewing the temporary changes it has made since 2016 to the way hospital services for children are provided in the south of our area.

In December 2016, the health board reduced the opening hours of the Paediatric Ambulatory Care Unit (daytime hospital services) at Withybush Hospital, Haverfordwest, from the usual 10am-10pm to 10am-6pm, across seven days of the week.

This was because of significant recruitment challenges, leading to limited availability of on-site consultant support and supervision.

In March 2020, the PACU at Withybush Hospital, the equipment and specialist staffing, moved to Glangwili Hospital, Carmarthen. This allowed PACU space to support the wider response to the COVID-19 pandemic. Families with children suffering minor injuries were still able to access care at Withybush Hospital at the Minor Injury Unit, however sick children or those with major injuries were directed to Glangwili Hospital. In September 2021 the Board supported the extension to this change whilst a review is undertaken as to the best options for providing children’s hospital services in the time between now and the new Urgent and Planned Care Hospital opening.

You can read an initial report (issues paper pages 6 to 95) considering these issues, as well as early feedback and experiences from patients, their families and carers, and staff here https://hduhb.nhs.wales/about-us/your-health-board/board-meetings-2022/board-agenda-and-papers-29th-september-2022/english/item-34-interim-paediatrics-review/

What is happening now?

We have developed options for children’s hospital services until a new urgent and planned care hospital is opened, currently predicted to take until at least 2029. This has included listening to staff groups, as well as children and young people, and their parents or guardians/carers..

We held a workshop for staff and public representatives to consider the information about the temporary changes to try to reach agreement on what important issues need to be considered and prioritised when developing children’s services in the future. The report from this workshop and a summary report can be found on this page.

A working group, which included staff and public representatives, then developed potential solutions or options, allowing further workshops to discard options that were considered as not being realistic to deliver, while scoring how well they think the other options would work.

The Health Board’s Board will consider the findings of all this work and will decide if more formal engagement or consultation on the future of the temporary service is necessary.


If you are under 16 years old, we would love to hear from you on this link: https://forms.office.com/r/sd7KaagJT7

  • We are asking for your views on our children’s (paediatrics) services at Withybush, Haverfordwest or Glangwili hospitals. 

    Complete survey
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Page last updated: 18 Nov 2022, 03:51 PM