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Tonight, the biggest change to the NHS for years. | 0:00:01 | 0:00:05 | |
During the summer, two health boards published their plans. | 0:00:05 | 0:00:09 | |
Now, they want to hear the public's views. | 0:00:09 | 0:00:12 | |
A number of people are ready to share their views. | 0:00:12 | 0:00:15 | |
This is not significant change for Prince Philip. | 0:00:15 | 0:00:17 | |
I'm going to answer the question. | 0:00:18 | 0:00:20 | |
CROWD: Don't close the hospital! | 0:00:20 | 0:00:23 | |
If they close the hospital, Blaenau will die. | 0:00:23 | 0:00:27 | |
With an ageing population and a diminishing budget... | 0:00:27 | 0:00:31 | |
..the challenges are huge. For some, change must happen. | 0:00:31 | 0:00:35 | |
Some of the things taking place at Welsh hospitals aren't safe. | 0:00:35 | 0:00:40 | |
Taro Naw reveals details of a confidential health board document.. | 0:00:40 | 0:00:43 | |
..which discusses the effect on jobs. | 0:00:44 | 0:00:48 | |
888 | 0:00:48 | 0:00:50 | |
888 | 0:00:50 | 0:00:52 | |
Blaenau Ffestiniog, Gwynedd. | 0:01:22 | 0:01:25 | |
Here, among slate quarries, a new kind of industry is succeeding. | 0:01:25 | 0:01:31 | |
Downhill mountain biking. | 0:01:33 | 0:01:36 | |
Despite the success of the site, one thing worries the scheme's leaders - | 0:01:41 | 0:01:46 | |
Betsi Cadwaladr Health Board's plans to close the local hospital. | 0:01:46 | 0:01:52 | |
It's the worst time to close Blaenau Hospital. | 0:01:52 | 0:01:55 | |
The type of riding and skill levels here... | 0:01:55 | 0:02:00 | |
..means accidents are going to be unavoidable. | 0:02:00 | 0:02:04 | |
Everyone who rides mountain bikes understands what the dangers are. | 0:02:04 | 0:02:10 | |
What we realize is that people pick up nasty cuts. | 0:02:10 | 0:02:15 | |
The terrain we have here, with the slate... | 0:02:16 | 0:02:20 | |
..means wounds have to be cleaned properly. | 0:02:20 | 0:02:23 | |
Change is afoot across Wales, not just in Blaenau. | 0:02:23 | 0:02:29 | |
The health boards are responding to the Welsh Government's policy... | 0:02:29 | 0:02:32 | |
..of a five-year vision for the NHS. | 0:02:32 | 0:02:35 | |
More care at home and centralization of some services. | 0:02:36 | 0:02:39 | |
The plans for Blaenau Ffestiniog are part of the health board's plans... | 0:02:41 | 0:02:44 | |
..to improve the service in North Wales. | 0:02:44 | 0:02:46 | |
I cannot film inside the hospital because I do not have permission. | 0:02:47 | 0:02:52 | |
But I can tell you there are 12 beds for inpatients. | 0:02:52 | 0:02:56 | |
There is also a minor accident unit. | 0:02:56 | 0:02:59 | |
Keeping the doors open costs £800,000 a year. | 0:02:59 | 0:03:02 | |
Under the health board's plans, it would all disappear. | 0:03:03 | 0:03:08 | |
I went to meet one family which insists the hospital is crucial. | 0:03:08 | 0:03:12 | |
Good afternoon. I'm Garry. How are you? | 0:03:13 | 0:03:16 | |
Sharon O'Neill and her mother, Jean Evans, live close to the hospital. | 0:03:16 | 0:03:21 | |
When I visited, Sharon's father, Wil Evans, was in hospital. | 0:03:22 | 0:03:27 | |
He had problems with his kidneys, his heart and dementia. | 0:03:27 | 0:03:31 | |
When you look out of the window and see the hospital, how do you feel? | 0:03:32 | 0:03:38 | |
I feel sad. | 0:03:38 | 0:03:39 | |
I look up and I know my father is there. | 0:03:39 | 0:03:43 | |
I say good morning when I open the curtains every morning. | 0:03:43 | 0:03:49 | |
We don't know how long Dad will be with us. | 0:03:49 | 0:03:53 | |
I want to be close to him. | 0:03:53 | 0:03:55 | |
To see it not as a hospital... | 0:03:55 | 0:03:58 | |
..because I've spent a lot of time there too with illnesses... | 0:03:58 | 0:04:03 | |
They've been wonderful. I can't fault it. | 0:04:03 | 0:04:06 | |
Aren't you being a little emotional, sentimental, perhaps? | 0:04:06 | 0:04:11 | |
Things have moved on now and there are newer services? | 0:04:11 | 0:04:15 | |
No, it's part of Blaenau. That was built for Blaenau people. | 0:04:15 | 0:04:18 | |
The hospital opened in 1925... | 0:04:18 | 0:04:21 | |
..in memory of those who died in World War I. | 0:04:21 | 0:04:24 | |
Local slate workers paid for it. | 0:04:25 | 0:04:27 | |
The name of Sharon O'Neill's uncle, her father's brother... | 0:04:29 | 0:04:32 | |
..is on the memorial. | 0:04:32 | 0:04:34 | |
Another relative helped build the hospital. | 0:04:34 | 0:04:37 | |
They built the hospital for the area. | 0:04:38 | 0:04:40 | |
If they decide to close it, they should hand it back. | 0:04:41 | 0:04:45 | |
The community should then decide what to do with it. | 0:04:45 | 0:04:49 | |
Last week, Wil Evans was moved to a nursing home 12 miles away. | 0:04:50 | 0:04:56 | |
When I visited the family before he was moved... | 0:04:56 | 0:05:00 | |
..the importance of having him nearby was clear. | 0:05:00 | 0:05:04 | |
It means I can see the hospital from the house. | 0:05:04 | 0:05:06 | |
And I know that if... I know he's dying. They told me he's dying. | 0:05:07 | 0:05:12 | |
Yes. | 0:05:13 | 0:05:14 | |
I'm sorry. | 0:05:21 | 0:05:22 | |
It's the fact that if they move him from there... | 0:05:25 | 0:05:28 | |
..it will be really difficult to go and visit. | 0:05:28 | 0:05:32 | |
The health board says there have been staffing problems. | 0:05:34 | 0:05:39 | |
Beds have had to be moved... | 0:05:39 | 0:05:41 | |
..and the minor injuries unit temporary closed. | 0:05:41 | 0:05:45 | |
The aim is to relocate the unit and the beds... | 0:05:45 | 0:05:49 | |
..14 miles away to Alltwen Hospital in Tremadog. | 0:05:49 | 0:05:55 | |
Staffing problems are an excuse... | 0:05:57 | 0:05:59 | |
..according to the chairman of the hospital's protection board. | 0:05:59 | 0:06:02 | |
They won't spend on overtime for current members of staff. | 0:06:03 | 0:06:06 | |
They won't spend to bring in extra members of staff. | 0:06:06 | 0:06:09 | |
That problem is a recent one. The health board created it. | 0:06:10 | 0:06:15 | |
Alltwen Hospital was opened three years ago. | 0:06:15 | 0:06:20 | |
The health board emphasises it has modern facilities... | 0:06:20 | 0:06:24 | |
..and can treat more patients. | 0:06:25 | 0:06:27 | |
Looking at the building, it's an old building. | 0:06:27 | 0:06:31 | |
You now have an opportunity to get modern facilities. | 0:06:31 | 0:06:36 | |
Until you've been inside, and heard people's experiences... | 0:06:37 | 0:06:42 | |
..then you would never describe it as old or old fashioned. | 0:06:42 | 0:06:46 | |
The care here is excellent. | 0:06:47 | 0:06:49 | |
Travelling to Alltwen Hospital worries Sharon O'Neill. | 0:06:50 | 0:06:54 | |
Buses are very rare here. They only go once every hour or so. | 0:06:54 | 0:06:59 | |
I'm fortunate because I have a car. | 0:06:59 | 0:07:03 | |
But what about the elderly who want to go to Alltwen? | 0:07:03 | 0:07:09 | |
It will be difficult. | 0:07:09 | 0:07:10 | |
It's a similar story across Wales. | 0:07:11 | 0:07:14 | |
Services are being centralized, some community hospitals will close. | 0:07:14 | 0:07:19 | |
The health boards say this will lead to better patient care. | 0:07:19 | 0:07:24 | |
They say there are too many people are currently in hospital. | 0:07:24 | 0:07:28 | |
It would be better to care for them in the community. | 0:07:28 | 0:07:32 | |
By investing in home care, Betsi Cadwaladr Health Board... | 0:07:33 | 0:07:38 | |
..acknowledges it won't be suitable for everybody. | 0:07:39 | 0:07:42 | |
Those who have to travel further for hospital beds and their families... | 0:07:42 | 0:07:45 | |
..will be given support. | 0:07:46 | 0:07:48 | |
We have looked at the community transport system, buses, taxis... | 0:07:48 | 0:07:54 | |
..and the third sector, such as the Red Cross... | 0:07:54 | 0:07:57 | |
..to make sure we considered these things. | 0:07:57 | 0:08:01 | |
But how do you explain the change to people in Blaenau Ffestiniog? | 0:08:01 | 0:08:07 | |
One reason to close is because the building is no longer appropriate. | 0:08:08 | 0:08:14 | |
There have been changes with nurses, staff... | 0:08:14 | 0:08:20 | |
..and the problems we've had concerning staffing. | 0:08:20 | 0:08:23 | |
We also need to move on with enhanced care at home in the area. | 0:08:23 | 0:08:29 | |
We believe that is something that will bring much more... | 0:08:29 | 0:08:35 | |
..of the care that is needed in that community. | 0:08:35 | 0:08:40 | |
The enhanced care at home scheme... | 0:08:40 | 0:08:46 | |
..has been run as a pilot scheme in Rhyl and Prestatyn. | 0:08:46 | 0:08:50 | |
Three years ago, in-patient wards were closed... | 0:08:51 | 0:08:53 | |
..at Rhyl's Royal Alexandra Hospital. | 0:08:54 | 0:08:56 | |
The money was used to provide care at home. | 0:08:57 | 0:09:01 | |
The aim is to extend the scheme throughout North Wales. | 0:09:02 | 0:09:06 | |
Janet Binns is part of the pilot. | 0:09:06 | 0:09:09 | |
As part of the scheme, a number of agencies co-operate... | 0:09:09 | 0:09:12 | |
..including social workers, nurses, physiotherapists and consultants. | 0:09:13 | 0:09:17 | |
This morning, we shall be visiting a woman. | 0:09:20 | 0:09:23 | |
We shall be taking her blood pressure. | 0:09:24 | 0:09:27 | |
We shall assess her to see how things are developing. | 0:09:27 | 0:09:30 | |
Usually, the patient receives support for a fortnight. | 0:09:30 | 0:09:35 | |
Without this service, the patients would have to go to hospital... | 0:09:35 | 0:09:40 | |
..or they would have to stay there for a longer period. | 0:09:40 | 0:09:43 | |
How are you? Can I come in? | 0:09:43 | 0:09:47 | |
There we go. | 0:09:47 | 0:09:48 | |
Right from the first night, they're absolutely marvellous. | 0:09:48 | 0:09:51 | |
Absolutely marvellous, all of them. | 0:09:52 | 0:09:55 | |
Not just the nurses, but the healthcare workers as well. | 0:09:55 | 0:10:00 | |
A nurse visits the home every day. | 0:10:00 | 0:10:03 | |
Also during the day... | 0:10:04 | 0:10:06 | |
..a healthcare worker will help with the food and cleaning. | 0:10:06 | 0:10:10 | |
They can have as many as four calls in a day. | 0:10:11 | 0:10:14 | |
The agencies work successfully together according to Janet Binns. | 0:10:15 | 0:10:20 | |
Feedback from patients has been very positive. | 0:10:20 | 0:10:24 | |
If they are at home, they already feel better. | 0:10:24 | 0:10:29 | |
They can see their families more easily. | 0:10:29 | 0:10:32 | |
We are in an area where people have moved to other countries or areas. | 0:10:33 | 0:10:38 | |
People can feel lost, especially in hospital without many visitors. | 0:10:38 | 0:10:45 | |
Clarence Health Centre, Rhyl. | 0:10:47 | 0:10:49 | |
The surgery is also part of the pilot scheme. | 0:10:49 | 0:10:52 | |
Dr Gwyn Williams says the scheme has been excellent for some... | 0:10:52 | 0:10:56 | |
..but not for everyone, especially those with mobility problems... | 0:10:56 | 0:11:00 | |
..or those who live alone. | 0:11:00 | 0:11:02 | |
A problem we've had is they've had to go to a community hospital... | 0:11:02 | 0:11:07 | |
..in Holywell, Colwyn Bay or Denbigh. | 0:11:07 | 0:11:11 | |
Because they are older, their friends are older... | 0:11:11 | 0:11:15 | |
..and their partner is also older. | 0:11:15 | 0:11:19 | |
They will have had difficulties when trying to visit. | 0:11:19 | 0:11:22 | |
This adds to the isolation and hampers their recovery. | 0:11:22 | 0:11:28 | |
The GP questions if there will be enough finance to extend the scheme. | 0:11:28 | 0:11:34 | |
My main concern is if they will try and make the best of what's there. | 0:11:36 | 0:11:40 | |
Will they be pushing community nurses into the scheme... | 0:11:40 | 0:11:47 | |
..instead of employing staff for the scheme? | 0:11:47 | 0:11:50 | |
That will add pressure on them. | 0:11:51 | 0:11:53 | |
The health board says... | 0:11:55 | 0:11:57 | |
..it does not intend to get rid of hospital beds entirely. | 0:11:57 | 0:12:01 | |
The board is confident there will be enough money. | 0:12:01 | 0:12:05 | |
We will have to reinvest the savings that we make. | 0:12:05 | 0:12:10 | |
That is the way forward with our consultation plans. | 0:12:11 | 0:12:14 | |
But changes will also take place in other areas. | 0:12:14 | 0:12:19 | |
Back in Blaenau Ffestiniog, about 200 people are protesting... | 0:12:19 | 0:12:24 | |
..outside last month's health board public meeting. | 0:12:24 | 0:12:28 | |
CROWD: Don't close the hospital! Don't close the hospital! | 0:12:28 | 0:12:32 | |
The emotion is clear and similar scenes can be found elsewhere. | 0:12:32 | 0:12:38 | |
Recently, it became clear that every health board is behind... | 0:12:38 | 0:12:44 | |
..when it comes to making savings. | 0:12:44 | 0:12:47 | |
One health economist says savings isn't the only reason for change. | 0:12:47 | 0:12:51 | |
The cost, not just the financial cost... | 0:12:52 | 0:12:55 | |
..of running services at local hospitals is higher. | 0:12:55 | 0:12:59 | |
If they're not secure, the standard won't be there... | 0:13:00 | 0:13:03 | |
..to ensure patients get the required service. | 0:13:03 | 0:13:07 | |
That is why we must change the system. | 0:13:07 | 0:13:09 | |
A whole list of things makes the situation more complicated. | 0:13:09 | 0:13:15 | |
There is less money to spend and more people are living longer. | 0:13:15 | 0:13:19 | |
Health boards admit they don't always reach their targets. | 0:13:19 | 0:13:23 | |
They say some services are in danger of collapsing... | 0:13:23 | 0:13:28 | |
..because of a shortage of doctors. | 0:13:28 | 0:13:31 | |
There's enough evidence and enough research has been done... | 0:13:31 | 0:13:34 | |
..to show the system we have is unaffordable. | 0:13:34 | 0:13:39 | |
People need to understand there are many more risks in the system... | 0:13:39 | 0:13:45 | |
..if we retain the status quo. We also have financial problems. | 0:13:45 | 0:13:50 | |
. | 0:00:00 | 0:00:00 | |
Llanelli and a Hywel Dda health board public meeting. | 0:14:03 | 0:14:08 | |
The health board wants to change things over the next five years... | 0:14:08 | 0:14:13 | |
..as do other boards in Wales. | 0:14:13 | 0:14:15 | |
They intend to invest £40 million in care in the community. | 0:14:15 | 0:14:18 | |
But those gathered here only want to discuss one thing... | 0:14:18 | 0:14:23 | |
..the emergency service plans for the local Prince Philip Hospital. | 0:14:23 | 0:14:27 | |
Your have to go back to the drawing board. This is a bad idea. | 0:14:27 | 0:14:31 | |
Let me tell you, moving A&E, people will die. No question. | 0:14:32 | 0:14:36 | |
Under the plans, the A&E unit will change its name... | 0:14:40 | 0:14:44 | |
..to the Local Accident Centre and will be led by nurses... | 0:14:44 | 0:14:48 | |
..rather than by the current emergency consultant. | 0:14:48 | 0:14:53 | |
They will be treating minor illnesses and injuries. | 0:14:54 | 0:14:57 | |
This is not significant change, in terms of Prince Philip. | 0:14:58 | 0:15:02 | |
Can I just answer the question? | 0:15:02 | 0:15:05 | |
This is not significant change, in terms of Prince Philip. | 0:15:06 | 0:15:10 | |
I'm going to answer the question, if you let me answer it. | 0:15:10 | 0:15:13 | |
That was the clear message from the board, no significant change. | 0:15:14 | 0:15:18 | |
Despite the unit's current name, it is misleading. | 0:15:18 | 0:15:23 | |
We cannot continue to call it something which it isn't. | 0:15:23 | 0:15:27 | |
Visitors to Llanelli would hope that there would be... | 0:15:27 | 0:15:31 | |
..the whole range of back-up specialities in the hospital... | 0:15:31 | 0:15:35 | |
..because it's says A&E above the door. It means something. | 0:15:35 | 0:15:39 | |
If you have it there and there are not the appropriate specialists... | 0:15:39 | 0:15:43 | |
..that is a recipe for disaster. | 0:15:43 | 0:15:46 | |
There will also be an emergency assessment unit... | 0:15:46 | 0:15:51 | |
..for conditions such as strokes, diabetes and heart problems. | 0:15:51 | 0:15:57 | |
Geraint Hopkins attended the meeting. | 0:15:57 | 0:16:00 | |
He disagrees there are no changes under the plans. | 0:16:00 | 0:16:03 | |
Nothing against the nurses, but this nurse-led unit won't work. | 0:16:04 | 0:16:09 | |
Say you go there with a headache, you're given paracetamol... | 0:16:09 | 0:16:15 | |
..you could be having a brain haemorrhage. | 0:16:15 | 0:16:18 | |
The nurses are not qualified to tell you what is wrong. | 0:16:18 | 0:16:22 | |
The nurses will receive support and training... | 0:16:23 | 0:16:26 | |
..from emergency consultants via video link, say Hywel Dda. | 0:16:27 | 0:16:31 | |
As it is a 24-hour service, it will be better than the current system... | 0:16:31 | 0:16:35 | |
..where GPs provide night time care. | 0:16:36 | 0:16:39 | |
Geraint Hopkins is worried there will be extra pressure... | 0:16:41 | 0:16:44 | |
..on the ambulance service with patients travelling further... | 0:16:44 | 0:16:48 | |
..to Carmarthen or Swansea. | 0:16:48 | 0:16:50 | |
He says the service is already under pressure. | 0:16:50 | 0:16:53 | |
He recently called an ambulance for his wife... | 0:16:53 | 0:16:56 | |
..who suffers from an unusual allergy. | 0:16:56 | 0:17:00 | |
There was no ambulance available. I spoke to the woman on the phone. | 0:17:01 | 0:17:05 | |
She told me, "You can't move her. You must leave her on the floor." | 0:17:05 | 0:17:10 | |
"I have to get her to hospital in ten minutes... | 0:17:10 | 0:17:14 | |
"..so they can give her hydrocortisone... | 0:17:14 | 0:17:17 | |
"..or she'll have a second anaphylaxis | 0:17:17 | 0:17:20 | |
She said, "I can't do anything." Well, she couldn't breathe. | 0:17:21 | 0:17:24 | |
She was changing colour. Luckily, the rapid response turned up. | 0:17:25 | 0:17:29 | |
While arguments remain over the name, one body is warning... | 0:17:29 | 0:17:33 | |
..that a national policy is needed in naming emergency centres. | 0:17:34 | 0:17:39 | |
With so many changes planned, there is the potential for confusion. | 0:17:39 | 0:17:44 | |
We know they're called minor injury units, local accident centres... | 0:17:45 | 0:17:49 | |
..but we also know of units that are called minor injury units... | 0:17:49 | 0:17:53 | |
..that actually provide GP services. | 0:17:53 | 0:17:57 | |
This where the confusion lies. | 0:17:57 | 0:17:59 | |
It's making a decision on what we call them and what is provided... | 0:17:59 | 0:18:04 | |
..so the public are clear what they can expect. | 0:18:04 | 0:18:07 | |
A week ago, the South Wales health boards announced their plans. | 0:18:08 | 0:18:12 | |
Some specialist services will be centralised.. | 0:18:12 | 0:18:16 | |
..with fewer hospitals providing full accident and emergency services. | 0:18:17 | 0:18:21 | |
But the changes are not restricted to Wales. | 0:18:25 | 0:18:28 | |
Across the border, changes have already taken place in many areas. | 0:18:28 | 0:18:34 | |
I travelled to Newark, near Nottingham. | 0:18:34 | 0:18:37 | |
In 2010, the A&E unit changed... | 0:18:37 | 0:18:41 | |
..and became a unit which would only treat minor injuries and sickness. | 0:18:42 | 0:18:46 | |
Paul Baggaley is secretary of the committee to safeguard the hospital. | 0:18:46 | 0:18:50 | |
We're constantly told that Newark Hospital never had A&E... | 0:18:50 | 0:18:53 | |
..because it never had all the specialist support services... | 0:18:53 | 0:18:58 | |
..that other major hospitals do. | 0:18:58 | 0:19:02 | |
Newark Hospital dealt with emergency care in Newark... | 0:19:02 | 0:19:06 | |
..and provided a great service. | 0:19:06 | 0:19:08 | |
The arguments presented to close the A&E unit here in Newark... | 0:19:09 | 0:19:14 | |
..are similar to those heard by campaigners in the Llanelli area... | 0:19:14 | 0:19:19 | |
..that there is a shortage of back-up services... | 0:19:19 | 0:19:22 | |
..such as intensive surgery. | 0:19:22 | 0:19:25 | |
Managers also argued that most of the patients coming to the unit... | 0:19:25 | 0:19:30 | |
..only needed treatment for minor injuries and illness. | 0:19:30 | 0:19:35 | |
Campaigners say the community has lost out following the changes... | 0:19:36 | 0:19:40 | |
..with increased pressure on the remaining full A&E units. | 0:19:41 | 0:19:44 | |
Recent figures show the number of people waiting over four hours... | 0:19:45 | 0:19:49 | |
..has more than tripled. | 0:19:50 | 0:19:51 | |
As more and more small hospitals close, more people have to go... | 0:19:52 | 0:19:55 | |
..to these major A&Es and it's creating greater pressure. | 0:19:56 | 0:20:00 | |
Added on to that is the pressure it puts on the ambulance service. | 0:20:00 | 0:20:04 | |
The average transfer times for people being discharged... | 0:20:04 | 0:20:09 | |
..into an alternative A&E is an hour and a half. | 0:20:09 | 0:20:13 | |
That's 15 minutes worse than the average for the East Midlands. | 0:20:13 | 0:20:18 | |
According to the health trust, they are acutely aware... | 0:20:18 | 0:20:23 | |
..of the importance of transferring patients as quickly as possible. | 0:20:23 | 0:20:28 | |
They're working with the ambulance service to provide the best care. | 0:20:28 | 0:20:33 | |
Back in Llanelli, no-one from the health board was available... | 0:20:33 | 0:20:38 | |
..for interview. | 0:20:38 | 0:20:40 | |
In a statement, they said the plans for Prince Philip Hospital... | 0:20:40 | 0:20:44 | |
..do not involve scrapping any emergency services... | 0:20:44 | 0:20:47 | |
..trained emergency nurses will treat most patients... | 0:20:47 | 0:20:51 | |
..while emergencies will go straight to the assessment unit... | 0:20:51 | 0:20:55 | |
..led by consultants, reducing unnecessary delays... | 0:20:55 | 0:20:59 | |
..in receiving emergency treatment... | 0:21:00 | 0:21:02 | |
..so there will be no additional pressure on services. | 0:21:02 | 0:21:07 | |
Most of Hywel Dda's budget is spent on the workforce. | 0:21:09 | 0:21:15 | |
There are no details on how changes may affect the number of jobs. | 0:21:15 | 0:21:21 | |
But Taro Naw has obtained this confidential draft document. | 0:21:22 | 0:21:26 | |
It's the board's draft document. | 0:21:26 | 0:21:28 | |
It notes and shows what some of the changes could mean... | 0:21:28 | 0:21:32 | |
..regarding local staffing levels. | 0:21:32 | 0:21:35 | |
Over the coming years, eight wards and four community hospitals... | 0:21:35 | 0:21:39 | |
..will close with nurses and clinical staff the worst hit. | 0:21:40 | 0:21:44 | |
The reduction in the number of jobs... | 0:21:45 | 0:21:48 | |
..will correspond to 319 full-time jobs. | 0:21:48 | 0:21:51 | |
But around 100 of those will move to the community. | 0:21:52 | 0:21:55 | |
As so many staff are part-time, the changes could affect more people. | 0:21:56 | 0:22:01 | |
But it's not clear, looking at this document... | 0:22:01 | 0:22:05 | |
..how many people will lose their jobs through compulsory redundancy. | 0:22:05 | 0:22:10 | |
The board told Taro Naw that they could not find the document... | 0:22:10 | 0:22:15 | |
..and therefore could not be certain it was authentic... | 0:22:15 | 0:22:19 | |
..despite it containing the director's name. | 0:22:19 | 0:22:23 | |
They added that no final decisions had been made. | 0:22:23 | 0:22:27 | |
The aim is to work with the staff to ensure efficacy. | 0:22:27 | 0:22:32 | |
The changes would improve experiences and work opportunities. | 0:22:32 | 0:22:36 | |
With 46% of their budget going on wages, savings in this field... | 0:22:36 | 0:22:42 | |
..are part of wider plans to ensure the best value for money. | 0:22:42 | 0:22:46 | |
All health boards across Wales will be looking closely at staffing... | 0:22:49 | 0:22:53 | |
..according to Professor Ceri Phillips... | 0:22:54 | 0:22:57 | |
..but that doesn't necessarily mean job losses... | 0:22:57 | 0:23:00 | |
..or that services will be affected. | 0:23:01 | 0:23:03 | |
We have to consider whether or not we need doctors to do everything... | 0:23:03 | 0:23:07 | |
..or whether nurses, pharmacists and physios can do certain things. | 0:23:07 | 0:23:12 | |
What we will see is health boards working with professional groups... | 0:23:13 | 0:23:18 | |
..to try and ensure a different skill mix... | 0:23:18 | 0:23:23 | |
..that maybe has the same effect, but at a lower cost. | 0:23:23 | 0:23:27 | |
According to GP Dr Williams, the effect on the workforce... | 0:23:28 | 0:23:32 | |
..will be significant. | 0:23:33 | 0:23:35 | |
You starting to talk about cuts of 8% per year. | 0:23:35 | 0:23:38 | |
You can't cut that. | 0:23:39 | 0:23:41 | |
It's going to come out of where most of the budget goes... | 0:23:41 | 0:23:46 | |
..and that is staffing. | 0:23:46 | 0:23:47 | |
Betsi Cadwaladr and Hywel Dda's consultation periods... | 0:23:48 | 0:23:52 | |
..come to an end at the end of the month. | 0:23:52 | 0:23:55 | |
In South Wales, the process has just begun. | 0:23:55 | 0:23:58 | |
Those at the centre of change are already raising their voices. | 0:23:58 | 0:24:03 | |
We're the ones who live in the area. | 0:24:03 | 0:24:06 | |
We want them to come here and live in the area for a while... | 0:24:06 | 0:24:11 | |
..and realise how much the hospital is needed. | 0:24:11 | 0:24:16 | |
The challenge for the health boards is to answer those concerns. | 0:24:16 | 0:24:21 | |
When the system changes, hopefully we will see improved services... | 0:24:21 | 0:24:27 | |
..better quality services for people in Wales... | 0:24:27 | 0:24:32 | |
..and the NHS back on its feet. | 0:24:32 | 0:24:35 | |
Subtitles by Red Bee Media Ltd | 0:24:56 | 0:24:59 | |
. | 0:24:59 | 0:25:00 |