DOCSLIB.ORG

Public Health Wales Annual Report 2020/21

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Public Health Wales Annual Report 2020/21 Public Health Wales Annual Report 2020/21 1 of 263 Contents Section 1: Performance Overview and Well-being of Future Generations Report - page 10 Section 2: Accountability Report - page 57 Section 3: Financial Statements and Notes – page 187 2 of 263 Chair Introduction In concluding my Foreword for the 2019/20 Annual Report , I expressed my pride at the way in which Public Health Wales had mobilised very early on in response to COVID -19, a pandemic of the kind not seen for a century. I paid tribute to the swift response of our experts in health protection and microbiology services and to the willingness of staff across the organisation to step into new roles and adopt different ways of working. I expressed my confidence that, in the 2020/21 Annual Report, whatever the course of the pandemic and its implications, I would once again be recording my sense of pride and privilege in being the chair of this outstanding organisation, incorporating as it does staff of exceptional talent, dedication and commitment to the public health and protection of the people of Wales. And so it proves- COVID-19 has caused heartache and seen millions of lives lost across the world, including in Wales, and it has had such a devastating effect on us all .The year has called on everyone working in Public Health Wales to really dig deep and the response has been truly remarkable; people have worked selflessly and tirelessly to provide national system leadership, and we have come into our own as the National Public Health Institute for Wales. Achievements include: producing system-level plans and guidance, providing expert epidemiological advice, surveillance data and analysis; setting up much- needed helplines for the public and professionals; constantly updating the website to provide relevant information; helping Wales keep ahead by developing an international horizon scanning system; introducing a National Engagement Survey to help understand how people have been feeling during the year; making a significant contribution to vaccine research and the introduction of the Wales COVID-19 vaccination programme. Along the way, we have become world leaders in genomic sequencing, adopted a more data science approach to using and presenting data, led change , innovation and improvement at a pace never seen before and secured transformational change; we opened laboratories in weeks, rather than months and , in 6-8 weeks, transformed laboratory turnaround times across the nation. The Screening Division kept three of the national screening programmes going throughout the year, a phenomenal achievement. The fact that we have secured additional investment to expand our capacity for COVID-19 testing and our health protection service is also testament to the value placed on Public Health Wales’ system leadership role. And throughout the year, we have maintained good governance and secured an unqualified Audit opinion at the end of what has been the 3 of 263 most challenging year; this is a fitting tribute to Huw George’ inspirational leadership of an expert finance team. I am indebted to my Board colleagues for their unfailing preparedness to give far more of their time throughout the year, as the Board increased the frequency of its meetings, in response to COVID-19. The Board maintained its cohesion throughout, effectively balancing scrutiny and support during times of significant challenge. I owe particular thanks to the chairs, members, lead executives and all those who have supported the Audit and Corporate Governance Committee (ACGC) and Quality, Safety and Improvement Committee (QSIC). Both have met more frequently and have discharged a ‘heavy lifting’ role on behalf of the full Board. Kate Eden, as vice chair and QSIC chair, and Dyfed Edwards, as ACGC chair, have been by my side throughout the year and offered me their wise counsel; I thank them both. Executive colleagues have demonstrated yet again their command of their leadership role and responsibilities and Tracey has led the team and the organisation with her customary energy, passion and commitment. Effective leadership is never needed more than in times of an emergency and there can be no more serious emergency than that resulting from a global pandemic. Tracey has shown strength, resilience and total sense of purpose throughout this unparalleled year and Wales’ good fortune continues in having her as one of its senior public servants. COVID-19 has yet to run its course and we continue to mobilise in response to it, whilst also reactivating services and beginning what will be a ‘new’ recovery, capturing all the innovations made in the last year. I am humbled and privileged to have been appointed for a second term as the chair of Public Health Wales, I look forward to commenting next year on the further development of Public Health Wales, as the National Public Health Institute for Wales, and its key role in responding to the wider societal harms resulting from CoVID-19. The ground-breaking work of the Research and Evaluation Division and the World Health Organisation Collaborating Centre will be pivotal to this; the insights and evidence generated remind us the impact of COVID-10 on public Health are even more wide-reaching than the disease caused by the infection itself and will last far longer. I have every confidence that Public Health Wales’ expert and dedicated staff will be at the heart of Wales’ rebuilding and recovery. Jan Williams OBE Chair Public Health Wales 4 of 263 Chief Executive Introduction It is my pleasure to introduce our Annual Report for 2020/21. As the National Public Health Institute in Wales, our vision is ‘Working to achieve a healthier future for Wales’. This year, 2020/21, has been an exceptional year in the context of a global SARS-COV-2 Novel Coronavirus (COVID-19) pandemic, and I am so very proud to share with you the exceptional work that all of our people have done right across the organisation, to protect the people of Wales at such a challenging time. Within this Annual Report, we outline the changes and impact that the pandemic has had on our organisation and our work. Public Health Wales, the NHS in Wales and our local authority colleagues, have all faced unprecedented and increasing pressure in planning and providing services to meet the needs of those who are affected by the COVID-19 pandemic – and to keep up with the various phases in order to best protect and support our population. As a consequence, this year has seen our organisation mount an unprecedented health protection response to the coronavirus pandemic. The nature of our response to COVID-19 has evolved significantly during this time and has also been delivered in the context of the United Kingdom’s exit from the European Union. Our role in response to the COVID-19 pandemic is to provide system leadership and specialist advice on public health approaches and this has required the mobilisation of the full weight of the organisation’s resources as our highest priority since the end of February 2020. We have also provided analysis and expert advice to support the response to outbreaks at a local level, through expert epidemiological advice and surveillance data and analysis. We have had to adapt and deploy our people throughout the organisation in order to respond at scale and at pace which has involved new training, new experiences and new challenges for many of our staff who have acted in the most professional and committed way through the year. The exceptional nature of our response to COVID-19 has also required us to fundamentally assess the delivery of our previously agreed plans. It has challenged us to consider not only the immediate action we need to undertake to respond to the current pandemic, but also the longer-term direct and indirect public health implications on the people of Wales. As a result, we developed a revised in-year Operational Plan that set out the priority areas and specific action that Public Health Wales will deliver over during the next year. 5 of 263 There have been many extraordinary achievements and a wide range of delivery activities by our people throughout the year and the following examples only begin to touch the surface. These include setting up a National Contact Centre and National Health Protection Centre to provide expert and timely specialist health protection advice for issues escalated from regional Test Trace Protect (TTP) teams and a telephone advice line for professional enquiries in Wales. The development of the Public Health Protection Response Plan that underpinned the Welsh Government’s Test Trace Protect Strategy. In addition, our Communicable Disease Surveillance Centre (CDSC), and staff mobilised into it from other parts of the organisation, rapidly established timely surveillance and epidemiology data to support the COVID-19 pandemic - the scale of which has far exceeded anything previously experienced. Our Pathogen Genomics Unit (PenGU) has been working with key partners to sequence and analyse every available SARS-CoV-2 samples from patients in Wales. We have become a global leader in COVID-19 genomics, having sequenced and shared more SARS-CoV-2 genomes than any other country in the world except the United States and England. The Public Health Protection Response Plan recognised that measures to contain and control COVID-19, and the ill health it causes, can have significant unintended, potentially harmful impacts on people’s immediate and longer-term health and well-being. It was therefore critical to understand these as early as possible, monitor their development, explore relevant evidence and solutions for Wales, and inform policy and decision- making in order to mitigate and minimise harm wherever possible. Our World Health Organization Collaborating Centre has utilised our strong international links and partnerships to establish an International Horizon Scanning system for COVID-related issues, providing up to date policy summaries, intelligence and insights into other developments worldwide.
Load more

Recommended publications
  • BCUHB Annual Report 2013
    Betsi Cadwaladr University Local Health Board Annual Report and Accounts 2012/13 Betsi Cadwaladr University Health Board - Annual Report and Accounts 2012/13 1 Contents About the Health Board 4 Making it Better 31 Service User Experience 31 Achievements & Awards 5 Modernisation & Service Improvement 32 Principles of Remedy 33 Making it Safe 7 Welsh Language 34 Quality and Safety 7 Equality, Diversity & Human Rights 34 Keeping People Safe 9 Research and Learning 35 Keeping Information Safe 9 Monitoring Standards for Health Services 37 Ready for an Emergency 11 Public Health 37 Making it Work 12 Making it Sound 40 Our Workforce 12 Statement of Accountable Officer’s Caring for our Staff 13 Responsibilities 40 Engaging and Communicating with Staff 15 Governance and Quality Statement 40 Estates and Infrastructure 16 Risk Management 41 Our Board 41 Making it Happen 19 Directors’ Declarations of Interest 43 Performance & Financial Review 19 Primary Financial Statements and Notes 44 Our Environmental and Social Remuneration Report 49 Commitments 22 Auditors’ Report 56 Primary Care and Localities 26 Engagement and Consultation 28 Working with our Partners 29 Organisational Development 30 Welcome from the Chairman and Acting Chief Executive Welcome to the Annual Report for Betsi Cadwaladr University Health Board for 2012/13. The past year has been a challenging one for the Health Board as we seek to deliver improvements in the services and care we provide, whilst ensuring that they are safe and sustainable within the resources that we have available to us. Yet again we can report excellent achievements by our staff, and those who work in primary care.
    [Show full text]
  • Glossary of Health and Care Terms
    Glossary of health and care terms May 2021 This glossary provides a summary of organisations and general terms used within the health and care sector in Wales. The glossary provides some of the most common words and phrases used. 0 - 9 Acute Medical Unit (AMU) 111 An AMU is the first point of entry for patients referred to hospital as The NHS Wales 111 service is a free- emergencies by their GP and those to-call, non-emergency medical requiring admission from the helpline, available 24 hours a day, to Emergency Department. be used for health information, advice and access to urgent care. The service is currently operational in the Aneurin Add to Your Life Bevan University Health Board (UHB), Cwm Taf Morgannwg UHB, Hywel Dda ‘Add to Your Life’ is an online health- UHB, Powys Teaching Health Board check, which provides assessment (THB) and Swansea Bay UHB areas. It and community-based support to is anticipated that 111 will be rolled out enable over 50s in Wales to assess across Wales by the end of 2021. and improve their own health. A Additional Learning Needs and Education Tribunal Act 2018 A Regional Collaboration for Health (ALNET) (ARCH) The ALNET Act 2018 establishes a ARCH is a regional partnership made statutory framework for supporting up of Swansea University, Swansea children and young people with Bay UHB and Hywel Dda UHB. The additional learning needs (ALN) from ARCH partners work to improve the birth; whilst they are in school; and, if health, wealth and wellbeing of the they are over compulsory school age, people of South West Wales.
    [Show full text]
  • Covid-19 Joint Controller Agreement (For Personal Data Necessary to Deal with the Covid-19 Outbreak Only)
    Covid-19 Joint Controller Agreement (for personal data necessary to deal with the Covid-19 outbreak only) Implementing the Test, Trace, Protect strategy 4.0 18/12/2021 18/06/2021 18/06/2021 1 Page Contents 1 About this agreement .........................................................................................................................3 2 Purpose of Disclosure ........................................................................................................................4 3 The information sharing partner organisations ..........................................................................5 4 Lawful basis ..........................................................................................................................................6 5 Data to be Disclosed ...........................................................................................................................8 6 Information Security ...........................................................................................................................8 7 Data Subjects’ Rights and Requests for Information ................................................................8 8 Personal data breaches and complaints .......................................................................................9 9 Escalation of risks and issues .........................................................................................................9 10 Review ................................................................................................................................................9
    [Show full text]
  • 12 July 2013 Darren Millar AM Chair Public Accounts Committee
    Swyddfa Bangor | Bangor Office 11 Llys Castan | 11 Chestnut Court Ffordd y Parc Parc Menai Bangor Gwynedd LL57 4FH Ffôn | Tel: 01248 679 284 12th July 2013 Darren Millar AM Chair Public Accounts Committee National Assembly for Wales Cardiff Dear Mr Millar Public Accounts Committee – Governance Arrangements at Betsi Cadwaladr University Health Board Thank you for your letter of the 3rd July 2013, relating to the Public Accounts Committee inquiry into the findings of the recent joint report from the Auditor General for Wales and Healthcare Inspectorate Wales on ‘An Overview of Governance Arrangements - Betsi Cadwaladr University Health Board.’ The North Wales Community Health Council (‘CHC’) is willing to co-operate in providing evidence for your inquiry and I trust that the following will provide the Public Accounts Committee with a detailed view of the CHC’s position relating to the public consultation ‘Healthcare in North Wales is Changing’ and the CHC’s response to the joint report. For ease of reference, the evidence on behalf of the CHC is provided in several parts. All documents are listed in chronological order on the relevant indexes: Appendix A - Healthcare in North Wales is Changing (response and press releases) Appendix B - Correspondence with the Minister for Health and Social Services Appendix C - Action following publication of the joint report ‘An Overview of Governance Arrangement – Betsi Cadwaladr University Health Board’. Following Ministerial direction, the CHC and the health board have reached a local agreement in accordance with the National Guidance for Engagement and Consultation on Changes to Health Services in Wales. A joint letter dated 3rd July 2013 (copy included in Appendix B) has been submitted to the Minister’s office and confirmation of receipt acknowledged on the 5th July 2013.
    [Show full text]
  • Betsi Cadwaladr University Local Health Board Annual Report And
    Betsi Cadwaladr University Local Health Board Annual Report and Accounts 2011/12 Betsi Cadwaladr University Health Board ‐ Annual Report and Accounts 2011/12 1 Welcome from the Chairman Welcome to the Betsi Cadwaladr University Health Board’s Annual Report for 2011/12. I was delighted to be appointed by the Health Minister as the Chairman of the Health Board in April 2011 and am proud and privileged to be part of the largest Health Board in Wales, working to improve health and health services for the people of North Wales. As someone who was born and brought up in North Wales and who has lived in different parts of the region, I know the value of developing local knowledge and robust information about the needs and preferences of the diverse population we serve. This year the Welsh Government issued the new five year vision for the NHS in Wales. “Together for Health” focuses on sustainability and action. Our collective aim is on delivery and making significant improvements to transform services to benefit local people. In some areas there is good practice but in others we could do better. The people of North Wales deserve more than this, so we have been looking at a number of our services. This work has been led by doctors and clinical staff who have been examining the facts and coming forward with ideas which will improve the quality and safety of our services as well as containing costs. The pressure on public sector finances is well known and we have been working hard to make every penny count.
    [Show full text]
  • Accessing a Test Through Your Local Health Board
    Accessing a Test through your Local Health Board (LHB) Symptomatic critical workers, including teachers and education staff, may access tests at LHB run Community Testing Units (CTUs). The route through which tests can be accessed differs depending on your LHB area, please see guidance below specific to the relevant LHB. Please only use this route if you are symptomatic or living with an individual who has symptoms, and are unable to access a test through the online booking portal. The three symptoms are: a high temperature: this means you feel hot to touch on your chest or back (you do not need to measure your temperature) a new, continuous cough: this means coughing a lot for more than an hour, or 3 or more coughing episodes in 24 hours (if you usually have a cough, it may be worse than usual) a loss or change to your sense of smell or taste: this means you've noticed you cannot smell or taste anything, or things smell or taste different to normal Aneurin Bevan University Health Board Please contact Local Authority HR or Occupational Health Team to request a test and if eligible the LA will arrange your referral. Betsi Cadwaladr University Health Board Please contact the relevant email or number within your area to request a test. CTU Email address Contact number Wrexham [email protected] 01978 725389 Glan Clwyd [email protected] 01745 448788 ext 7232 Bangor [email protected] 03000 851480 Alltwen [email protected] 07799342683 Cardiff & Vale University Health Board Please ask your school to contact the relevant Local Authority mailbox with your request.
    [Show full text]
  • NHS (Wales) Summarised Accounts Local Health Boards, NHS Trusts and Special Health Authority in Wales 2019-20
    PUBLIC AUDIT (WALES) ACT 2004 GOVERNMENT OF WALES ACT 2006 NATIONAL HEALTH SERVICE (WALES) ACT 2006 Summarised accounts of Local Health Boards, NHS trusts and Special Health Authority in Wales for the year ended 31 March 2020. Presented pursuant to NHS (Wales) Act 2006 Section 178 Schedule 9 Para 1 & Para 5(2) NHS (Wales) Summarised Accounts Local Health Boards, NHS Trusts and Special Health Authority in Wales 2019-20 Welsh Government NHS WALES LOCAL HEALTH BOARD, NHS TRUST & SPECIAL HEALTH AUTHORITY SUMMARISED ACCOUNTS 2019-20 NHS Wales Summarised Accounts 2019-20 FOREWORD Introduction 1. The Welsh Ministers are required to prepare Summarised Accounts from the individual accounts of NHS Wales organisations. The foreword is prepared on the audited accounts. 2. In 2018-19, the Local Health Boards (LHBs) and NHS Trusts were summarised into single summarised accounts for the first time. In 2019-20, the annual accounts of Health Education and Improvement Wales (HEIW), are also being included as part of the Summarised Accounts. These Summarised Accounts of the LHBs and NHS trusts and Special Health Authority have been prepared to comply with the Accounts Direction given by HM Treasury in accordance with Section 178, Schedule 9, Para 5(4) of the National Health Service (NHS) Wales Act 2006 (the Act). 3. The Auditor General for Wales (AGW) is required to examine, certify and report on the Summarised Account (Section 178, Schedule 9 para 5(6) of the Act). 4. These accounts supplement the details of expenditure on healthcare contained within the consolidated resource accounts of the Welsh Government for 2019-20 which include the results of the LHBs, NHS Trusts and HEIW.
    [Show full text]
  • Betsi Cadwaladr University Health Board - Annual Report 2018/19 1
    Betsi Cadwaladr University Health Board - Annual Report 2018/19 1 The Annual Report and Accounts are part of the Health Board’s public annual reporting and set out our service delivery, environmental and financial performance for the year and describe our management and governance arrangements. The Annual Governance Statement, which is provided as an Appendix to this document, forms part of the Accountability Report section of this Annual Report, and provides a detailed report on our governance, arrangements for managing risk and systems of internal control. The Annual Quality Statement, published separately, provides information on the quality of care across our services and illustrates the improvements and developments we have taken forward over the last year to continuously improve the quality of the care we provide. Copies of all these documents can be downloaded from the Health Board’s website at www.wales.nhs.uk/sitesplus/861/page/40903 or are available on application to the Health Board’s Communications Team at BCUHB, Block 5, Carlton Court, St Asaph Business Park, St Asaph, LL17 0JG, by telephone on 01248 384776 or by e-mail to [email protected]. 2 “To improve health and provide excellent care” Contents Chairman's Foreword .................................................................................................................. 6 PART ONE - PERFORMANCE REPORT Overview ................................................................................................................................. 8 Chief Executive’s
    [Show full text]
  • Annual Report 2017-18
    1 www.ambulance.wales.nhs.uk welshambulanceservice @welshambulance Contents Welcome from the Interim Chair and Interim Chief Executive ........................................................................................ 4 The Welsh Ambulance Service… at a Glance ................................................................................................................ 7 Our Year in Review: The Highlights .......................................................................................................................... 11 Planning and Delivering Our Services ....................................................................................................................... 16 A Clinically-Led Service ........................................................................................................................................... 18 Our Performance in Summary ................................................................................................................................ 21 Emergency and Urgent Care Services ....................................................................................................................... 37 Investing in Technology .......................................................................................................................................... 38 Non-Emergency Patient Transport Services (NEPTS) .................................................................................................. 39 Development of the Five Step Model for NEPTS .........................................................................................................
    [Show full text]
  • Welsh Language in Primary Care Q. Q. A. A
    Welsh Language in Primary Care Frequently Asked Questions (FAQ) Q. What are Welsh Government’s aims for the Welsh language? A. We have two main strategic aims for the Welsh language, both to be achieved by 2050. 1. To see a million Welsh speakers. 2. To double the daily use of Welsh. The Welsh Language (Wales) Measure 2011 confirms the official status of Welsh in Wales. The Welsh Government believes that Welsh speakers should be able to access important services in the language of their choice where the capacity exists and to increase the use of Welsh in the workplace. Q. Why offering Welsh services in health/primary care is important? A. More than just words is our framework for strengthening Welsh language services in health and social care. At the core of all our work to strengthen Welsh language provision in health and social care are patient safety, dignity and respect as language choice can be a need rather than a preference for patients. The quality of care can be compromised by the failure to communicate with people in their chosen language. It is especially important for vulnerable people and their families who need to access services in the language of their choice, such as older people suffering from dementia or stroke who may lose their second language or very young children who may only speak Welsh. You may wish to view the video on the link below that shows more vividly than words how important language is: https://www.youtube.com/watch?v=1OAu1qB0DkQ&feature=youtu.be My Language, My Health: The Welsh Language Commissioner’s Inquiry into the Welsh Language in Primary Care (2014) also highlighted the importance of offering Welsh services in the primary care sector as this is the first point of contact for many members of the public with the healthcare system.
    [Show full text]
  • Healthcare Inspectorate Wales
    HEALTHCARE INSPECTORATE WALES Annual Report 2018-19 Important Note about Cwm Taf Morgannwg University Health Board and Swansea Bay University Health Board This Annual Report covers the period from 1 April 2018 - 31 March 2019 and the boundaries and names of two of Wales’ health boards changed on 1 April 2019. Following the Bridgend boundary changes, Abertawe Bro Morgannwg University Health Board became Swansea Bay University Health Board; and Cwm Taf University Health Board became Cwm Taf Morgannwg University Health Board on 1 April 2019. For the purposes of this report, we have used the correct names of the health boards during the 2018 – 2019 reporting period. For further details on the new boundaries, please visit the relevant health board websites: www.cwmtaf.wales and www.sbuhb.nhs.wales In Writing Or Via Communications Manager Email: [email protected] Healthcare Inspectorate Wales Website: www.hiw.org.uk Welsh Government Rhydycar Business Park Merthyr Tydfil CF48 1UZ Phone: 0300 062 8163 978-1-78937-514-5 WG38420 Contents 5 Foreword 6 HIW in numbers 8 What did patients tell us? 10 Our work 12 Our Resources 14 Working with others 15 Progress against our Stratgeic Plan 20 National and Local Reviews 26 Inspection Findings 42 Summaries of Local Health Boards and Trusts in Wales 60 Annex A - Commitment Matrix Abbreviations used: Abertawe Bro Morgannwg University Health Board – ABM Aneurin Bevan University Health Board – Aneurin Bevan Betsi Cadwaladr University Health Board – Betsi Cadwaladr Cardiff and Vale University Health Board – Cardiff and Vale Cwm Taf University Health Board – Cwm Taf Hywel Dda University Health Board – Hywel Dda Powys teaching Health Board – Powys Healthcare Inspectorate Wales (HIW) is the independent inspectorate and regulator of healthcare in Wales HOSPITAL PRIVATE CLINIC GENERAL PRACTICE Our purpose To check that people in Wales receive good quality healthcare.
    [Show full text]
  • Welsh Ambulance Services NHS Trust National Collaborative Commissioning: Quality and Delivery Framework Ambulance Quality Indicators: January - March 2018
    Welsh Ambulance Services NHS Trust National Collaborative Commissioning: Quality and Delivery Framework Ambulance Quality Indicators: January - March 2018 AQI Definition Table Response Model STEP 1: Help Me Choose STEP 2: Answer My Call STEP 3: Come to See Me STEP 4: Give Me Treatment STEP 5: Take Me To Hospital Glossary The information contained in this document is not restricted and is classified for general release Produced by the Welsh Ambulance Services NHS Trust Health Informatics Department commissioned by the Emergency Ambulance Services Committee in accordance with the National Collaborative Commissioning: Quality and Delivery Framework Designed with permission using the CAREMORE® 5 steps. Copyright, 2017 WAST Version: 2.0 Document Reference: 7716 EASC Ambulance Quality Indicator Definition Table No. AQI Ref. AQI Description AQI Detailed Description Number of Welsh Ambulance Services NHS Trust community engagement How often are the Welsh Ambulance Services NHS Trust engaging with the communities it serves and spreading health messages about self- 1 AQI1 events care, choice and appropriate use of ambulance/health services? Number of Local Health Board engagement events attended by the Welsh How many events relating to public education / engagement in using the Ambulance Service did the Welsh Ambulance Services NHS Trust 2 AQI2 Ambulance Services NHS Trust attend. This work is vital if over time the number of inappropriate 999 calls is to be reduced. This AQI is under development. How often is the Welsh Ambulance Services NHS Trust meeting with stakeholders to discuss, agree and design services to meet clinical and 3 AQI3 Number of attendances at key stakeholder events service user expectation needs? How often is the NHS Direct Wales website being used? This allows us to examine links between website use and 999 and 0845 call volumes.
    [Show full text]