Changes effective from ! 17 November 2020 Nevill Hall Hospital is changing: What does it mean for me? Nevill Hall Hospital is changing Nevill Hall Hospital is changing Fill in, cut out and keep Foreword Know your healthcare options when Nevill Hall Hospital From 17 November, services at Nevill Hall For example, most people whose current Hospital are changing. These changes will closest A&E hospital is Nevill Hall will in changes on 17 November 2020. affect you if Nevill Hall is your nearest future be closest to Prince Charles Hospital District General Hospital. ().

These changes are happening earlier than I want to reassure you that your health expected because the Grange University and wellbeing is our priority and you will CALL 999 or go to your nearest A&E Hospital, near Cwmbran, is opening four still get the best treatment, but it might be if you or your child have a life-threatening illness or serious injury. months ahead of schedule. It is opening in a different place. We have put together H Make sure you know where your nearest A&E department will be early to help the NHS prepare for COVID-19 this information booklet to ensure you can A&E from 17 November 2020. during the winter. access the right care, at the right time and in the right place. My nearest A&E is: Tel: Nevill Hall Hospital will continue to provide a wide range of outpatient appointments, Thank you for your understanding and CALL 111 or go to a MINOR INJURY UNIT diagnostics and planned procedures. for everything you are doing to keep But, it will no longer provide consultant- safe. if you or your child have a minor injury. led accident and emergency services, • For children under 2 with a minor injury, please go to A&E consultant-led maternity & neonatal Professor Vivienne Harpwood H • For adults and children over 2 years old with a minor injury, services and consultant-led children’s Chair, Powys Teaching Health Board please go to a Minor Injury Unit services. These services will continue to be available to you from other hospitals Carol Shillabeer My nearest MIU is: Tel: here in Wales, and in neighbouring counties Chief Executive, Powys Teaching in England. Health Board Contact YOUR GP if you or your child have an illness or concern that is not immediately life-threatening.

Talk to your POWYS MIDWIFE about your birth options. Your Powys midwife can be contacted Contents in an emergency on 01874 622443. What changes are happening to Nevill Hall Hospital? 04 Caring for my child 06 Call NHS 111 or visit www.111.wales.nhs.uk How do I access healthcare in an emergency? 08 if you or your child is unwell, unsure what to do and need help. You can also call 111 for urgent GP care when your own surgery My birth choices 10 is closed. What’s happening to planned care? 11 Welsh Ambulance Service 12 Treat AT HOME or contact YOUR PHARMACIST 24/7 Air Ambulance 13 if you or your child have a minor illness or ailment such as a sore throat, cough, skin irritation or common mild illness. South Wales Major Trauma Network 14 Local Care and Support 15 Role of the third sector 16 To find your nearest A&E or MIU please see page 20. Council Services 18 For more information, visit www.pthb.nhs.wales/nevill-hall How we can keep Wales safe 19 Follow us to keep up to date: Map of services 20 @PTHBhealth www.facebook.com/PTHBhealth 03 Nevill Hall Hospital is changing

Service Nevill Hall Hospital

24/7 nurse-led Minor Injuries Unit (for adults and children In Powys, we also provide Minor Injury What changes aged 1 and over) Units for adults and children aged 2 and ✓ over (see page 20).

Day surgery – where you are operated on and discharged We also provide day surgery services in are happening on the same day ✓ Powys hospitals (see page 20). Wide range of routine outpatient clinics for adults and We also provide outpatient appointments children ✓ in Powys hospitals (see page 20). to Nevill Hall Diagnostic services – assessments, X-rays, MRI, CT scans We also provide diagnostic services ✓ including X-ray in Powys hospitals.

Medical Assessment Unit, Enhanced Frailty Unit and 213 These services will continue at Nevill Hall inpatient beds ✓ Hospital.

Hospital? Midwife-led maternity services Talk to your Powys midwife about your ✓ birth plan (see page 10).

Consultant-led Accident and Emergency services Make sure you know where your nearest consultant-led A&E department will be from 17 November. See page 6 for more information about Nevill Hall Hospital is changing on 17 November 2020. ✗ caring for your child in an emergency. See page 8 for more information about emergency care. Nevill Hall Hospital in Abergavenny is Work is underway on a business case to changing on 17 November 2020. This is establish a new radiotherapy unit at the Children’s inpatient services Make sure you know where your nearest consultant-led A&E department will be because the Grange University Hospital will Nevill Hall Hospital, run by Velindre NHS ✗ from 17 November. open ahead of schedule to help the NHS Trust. If approved, this would provide life- See page 6 for more information about respond to winter pressures and a potential saving cancer treatment closer to home caring for your child in an emergency. second wave of COVID-19. Many of the for more South and Mid Powys residents. Consultant-led births and Special Care Baby Unit services you receive at Nevill Hall Hospital Talk to your Powys midwife about your will remain the same. But some important birth plan. changes may affect how you access ✗ See page 10 for more information about some health services in future. your birth options.

These changes mainly affect consultant-led Inpatient surgery requiring overnight stay You will be contacted about any changes A&E services, more complex operations (e.g. to your planned care. those requiring overnight stay), consultant- ✗ See page 11 for more information about led maternity & neonatal services, and changes to planned care. consultant-led children’s services. Nevill Hall Hospital will continue to provide first-class care to residents of South and Mid Powys when the Grange University Hospital opens on 17 November.

04 05 Nevill Hall Hospital is changing

From 17 November 2020, Nevill Hall Hospital will NOT Caring for provide an emergency children’s service for serious illnesses and injuries. In an emergency, call 999 or take my child your child to your nearest A&E department. Immediately dial 999 to request an Where you can take your child depends ambulance if your child: on their age and the severity of their injury or illness. • stops breathing • is struggling to breathe – for example, if Age 0 to 2 Age 2 and over the area under their ribcage is “sucked in” • is unconscious or seems unaware of For serious Dial 999 Dial 999 what’s going on illnesses or go to A&E or go to A&E and injuries • won’t wake up • has a seizure (fit) for the first time, For minor Dial 111 Dial 111, Children’s services at Nevill Hall Hospital are changing even if they seem to recover injuries or go to A&E* or go to a Minor from 17 November 2020. Outpatient and planned day Injury Unit Take your child to your nearest A&E *The Minor Injury Unit at Nevill Hall Hospital can see case surgery will continue. Children’s A&E and inpatient department if they: children aged 1 and over. Minor Injury Units in Powys care will be available from neighbouring hospitals. can see children aged 2 and over. • have a high temperature (fever) and they’re lethargic (lacking in energy), People living in South and Mid Powys will despite having paracetamol or ibuprofen continue to access consultant-led accident How are children’s services at Nevill Hall Hospital changing from 17 November 2020? • are breathing fast, panting or very wheezy and emergency services at neighbouring • have severe abdominal (tummy) pain hospitals including: Service Children’s Services at Nevill Hall Hospital from 17 November 2020 • have a cut that won’t stop bleeding or is gaping open • Prince Charles Hospital, Merthyr Tydfil Wide range of routine Children’s outpatient clinics will continue at Nevill Hall Hospital. • have a leg or arm injury and they’re outpatient clinics ✓ • Morriston Hospital, unable to use the limb • Glangwili General Hospital, Carmarthen Planned day case • have swallowed poison or tablets • Bronglais General Hospital, surgery (e.g. tonsils, Day case surgery for children will continue at Nevill Hall Hospital. • County Hospital, Hereford adenoids) ✓ Please talk to your clinical team if you are • Grange University Hospital, Cwmbran Minor Injuries for A minor injury service for children aged 1 and over will continue to be unsure about how the changes to Nevill children aged 1 and over ✓ available from Nevill Hall Hospital. Hall Hospital may affect any care your child receives for ongoing or chronic conditions. Consultant-led Accident Nevill Hall Hospital will no longer provide consultant-led A&E services. and Emergency services Consultant-led A&E services will continue to be available from other ✗ hospitals in Wales and in England. Make sure you know where your nearest consultant-led A&E department will be from 17 November.

Paediatric Assessment Nevill Hall Hospital will no longer provide a Paediatric Assessment Unit. Unit The NHS 111 Wales website includes useful ✗ Call 999 or go to A&E if your child is seriously unwell. Dial 111 if it is urgent information about health services including: Children’s inpatient Nevill Hall Hospital will no longer provide children’s inpatient services. but not life threatening. a symptom checker, a local services search, services (e.g. Children’s inpatient services will continue to be available from other and a health encyclopaedia. overnight beds) NHS 111 Wales is free ✗ hospitals in Wales and in England. You will be contacted about any changes to your child’s inpatient care. to call, 24 hours a day. www.111.wales.nhs.uk

06 07 Nevill Hall Hospital is changing Nevill Hall Hospital is changing

Where will I receive consultant-led Where should I go with a minor injury? emergency care? Minor Injury Units in Powys and in From 17 November 2020, residents of neighbouring counties can treat less serious How do I access South and Mid Powys will continue to injuries such as cuts, bites and sprains. access consultant-led accident and They are run by experienced nurses with emergency services at a wide range of extra training in the treatment of injuries. hospitals across Wales and at neighbouring healthcare in hospitals in England. Minor Injury Units in South and Mid Powys able to treat adults and children Most people whose current closest aged 2 and over, include: A&E hospital is Nevill Hall will in future an emergency? be closest to Prince Charles Hospital Brecon (Merthyr Tydfil). A&E hospitals include: 01874 615800 (24 hours a day) • Prince Charles Hospital, Merthyr Tydfil • Morriston Hospital, Swansea Llandrindod Wells • Glangwili General Hospital, Carmarthen 01597 828735 • Bronglais General Hospital, Aberystwyth (07:00 to 00:00 midnight, every day) • County Hospital, Hereford Ystradgynlais • Grange University Hospital, Cwmbran 01639 844777 (08:30 to 16:00, Monday to Friday For the most serious injuries (“major excluding Bank Holidays) Emergency care at Nevill Hall Hospital is changing trauma”) the best place to be is a Major on 17 November 2020. Nevill Hall Hospital will Trauma Centre, such as the University During COVID-19 we ask you to call before provide a 24/7 nurse-led minor injury unit. Hospital of Wales in , see page 14 you visit, so that we can keep you safe and for more information. It will not provide consultant-led A&E services. keep our staff safe. Our expert nurses will be able to provide you with advice over the You can find your nearest A&E department telephone, book an appointment for you, or or Minor Injury Unit by using the Local refer you to another service if appropriate. How are emergency services changing at What should I do in a medical emergency? Services search on the NHS 111 Wales Nevill Hall Hospital? Please see page 6 for details on how to website at www.111.wales.nhs.uk Many GP practices in Powys also offer a On 17 November 2020, 24/7 consultant- care for your child in an emergency. minor injury service. Check with your local led accident and emergency services will There is also a handy map on page 20. practice for details. transfer from Nevill Hall Hospital to the new Call 999 if you have a life-threatening Grange University Hospital in Cwmbran. illness or serious injury. You can also access a wide range of health advice in your local community. Find out Nevill Hall Hospital will provide a 24/7 Here are some examples of medical more on page 15. nurse-led Minor Injury Unit for adults, emergencies when you should call 999: and for children aged 1 and over. Nevill Hall Hospital will also provide a • Chest pain 24/7 nurse-led minor injury unit from 17 Residents of South and Mid Powys • Difficulty in breathing November 2020. This unit can treat adults, will continue to be able to access 24/7 • Loss of consciousness and children aged 1 and over. consultant-led accident & emergency • Severe loss of blood services from other neighbouring hospitals. • Choking • Fitting / convulsions The NHS 111 Wales website includes useful • Drowning Dial 111 if it is urgent information about health services including: Dial 999 if you have a • Severe allergic reactions but not life threatening. a symptom checker, a local services search, and a health encyclopaedia. life-threatening illness If you are taken to hospital by ambulance, NHS 111 Wales is free or serious injury. they will take you to the best place for your to call, 24 hours a day. www.111.wales.nhs.uk treatment and care.

08 0908 Nevill Hall Hospital is changing Your birth What’s choices happening to

From mid November 2020, Nevill Hall Hospital will not provide a consultant-led maternity unit. Talk planned care? to your Powys midwife about your birth options.

If you’re expecting, we want you to have Your midwife will be able to help you Planned care services at Nevill Hall Hospital are changing as much information as possible to help plan the birth you want, whilst ensuring you through your pregnancy and plan the wellbeing of you and your baby. from 17 November. It will continue to provide a wide range of your labour and birth. outpatient appointments, scans and day case surgery. It will Our South Powys Midwife Team can also Where can I give birth? be contacted if you need emergency advice no longer provide inpatient surgery requiring overnight stay. You can give birth at home, in a unit run overnight or at the weekend via the Brecon by midwives (a midwife-led birth unit) or Hospital switchboard on 01874 622443. in a consultant-led unit in a major hospital. Many planned care appointments for Please accept our apologies that Your options about where to have your Call 999 if you have an obstetric or residents of South and Mid Powys are COVID-19 is continuing to affect planned baby will depend on an assessment of your gynaecological emergency. Welsh available in our community hospitals. appointments. Staff across the NHS are needs. Women who are healthy with no Ambulance Service will take you to the This includes day case surgery at our working hard to restart services, whilst complications (“low risk”) may be able to most appropriate hospital for your care hospitals in Brecon and Llandrindod Wells. ensuring this is safe for patients and consider all of these birth locations. Women and treatment. safe for staff. with some medical conditions may be Unless you are contacted, please assume advised to give birth in a consultant-led that your outpatient appointment, scan Information about the steps being taken unit in case you need additional treatment or planned operation or procedure is going to restart services in Powys and in for you or your baby. ahead unchanged. neighbouring hospitals is available from www.pthb.nhs.wales/find/restart How are maternity services at Nevill Hall Hospital changing? Service Planned Care Services at Nevill Hall Hospital from Service Nevill Hall Hospital services from mid November 2020 17 November 2020

Home births No change: our experienced midwifery team in Powys offers home births across the Day Surgery (surgery where you are operated We also provide some day surgery services in Powys. ✓ county. on and discharged in the same day) ✓

Midwife-led No change: our experienced midwifery team in Powys offers midwife-led births in Diagnostic Services (e.g. assessments and We also provide some diagnostic services including Birth Unit our birth centres in Brecon, Llandrindod Wells, Knighton, Llanidloes, Newtown and scans including X-ray, MRI and CT) ✓ X-ray and endoscopy services in Powys. ✓ Welshpool. A wide range of outpatient appointments We also provide a wide range of outpatient services Consultant-led Nevill Hall Hospital will no longer offer consultant-led births or special care baby unit (including children’s and maternity outpatients). ✓ in our community hospitals in Powys. Maternity Unit from mid November 2020. Please discuss your birth plan with your Powys midwife. Nevill Hall Hospital will no longer provide inpatient If you have already booked to give birth with Aneurin Bevan University Health Board ✗ surgery requiring overnight stay. This will continue we recommend continuity of care with your obstetric plan. This would mean that More complex surgery requiring overnight stay ✗ to be available for South and Mid Powys residents your consultant-led birth would take place at The Grange from mid November 2020. from other hospitals.

1010 11 Nevill Hall Hospital is changing Nevill Hall Hospital is changing Welsh Ambulance 24/7 Air Service Ambulance

To ensure that everybody in Wales receives the same level Welsh Ambulance Service is here to provide of care, no matter where you and when you need help, the life-saving care in Powys, 24 hours a day. Wales Air Ambulance is providing a new 24/7 service.

We have been working with the Welsh Appropriate help will start to be arranged Since 1 July, Wales' 24/7 Air Ambulance Heliport between 7pm and 7am, ensuring Ambulance Service so that they are ready immediately. However, they will also ask: service has been up and running with a new that the service has the capability to attend to respond to the changes taking place at 24/7 Air Support desk and the launch of the medical emergencies across Wales. Nevill Hall Hospital from 17 November 2020. • the patient’s age, sex and medical history ‘Night-time service’ whereby a consultant and • whether the patient is breathing, critical care practitioner operate between For more information about the latest Following a serious incident or trauma, the conscious, bleeding seriously or has 7pm and 7am from the Cardiff Heliport base EMRTS developments, you can head to: pre-hospital role of is the most had persistent chest pain using a Rapid Response Vehicle. www.emrts.cymru/247 important aspect of the life-saving process. • the type of illness or injury and how it happened As part of Phase 2 of the ‘Night-time You can find out more about the Wales All crews are highly skilled professionals service’, from December a double-pilot Air Ambulance Charity and make a donation who can treat and stabilise patients before The operator will tell you the best way to crew and aircraft will be based at Cardiff at www.walesairambulance.com taking them to the most appropriate help the patient whilst the ambulance is on hospital, if necessary. the way. When help arrives, the patient’s clinical condition will be assessed and What happens when you call? treatment may be given as necessary at You will need to tell the operator the the scene. If, after treatment, the patient’s address where help is needed, including the condition is still critical, then they will be postcode if you know it, the phone number taken to either the nearest hospital accident you are calling from, what is wrong and and or the most what has happened. appropriate specialist centre, such as a heart attack centre or burns unit. The operator will despatch an emergency ambulance, rapid response vehicle, urgent care vehicle, volunteer first responder, air Download the what3words app ambulance helicopter or specialist teams This gives the ambulance service depending on the incident and location. very accurate information about your location. This can be very important in a rural area like Powys www.what3words.com

For more information about the Welsh Ambulance Service, you can head to: www.ambulance.wales.nhs.uk

12 13 Nevill Hall Hospital is changing Nevill Hall Hospital is changing South Wales Local Care Major Trauma and Support A trip to the GP isn’t always the best path to follow Network when we are unwell. Did you know that there are a number of local alternatives you can consider?

Serving the population of South Wales, What is major trauma? Self-care There are Minor Injury Units in Brecon, West Wales and South Powys, the Major Major trauma refers to multiple and serious Sometimes self-care is the answer. Having Llandrindod Wells, Nevill Hall and Trauma Network aims to ensure patients injuries that could result in disability or a good first aid kit to hand often means Ystradgynlais hospitals. with life-threatening or life-changing death. For example, serious head injuries, you’ll manage without even leaving home. injuries receive the best possible care multiple injuries caused by road traffic At the time of print (mid-October 2020), and treatment. accidents, and gunshot wounds. Having a well-stocked first aid kit in the all Minor Injury Units in Powys are currently cupboard means you’ll be prepared for when APPOINTMENT ONLY services. The new network launched in September Patients with these types of injuries will those common aches, pains, ailments, and Please ensure you ring in advance 2020. It includes a major trauma centre at have a better chance of survival if they are injuries surprise you. to make an appointment so that the University Hospital of Wales, trauma treated within a major trauma network. we can protect you and our staff units (Princes Charles Hospital, Glangwili 111 Wales from COVID-19. General Hospital, Grange University A major trauma network helps to ensure This FREE service is available 24 Hospital and Morriston Hospital) and speedier recovery, reduced disability, quicker hours a day, seven days a week. Information about caring for your sick rural trauma facilities (including Bronglais return to normal life, and better access to child is available on page 6. General Hospital) supported by other 24/7 major trauma care. You’ll find an A-Z online symptom checker hospitals within the region. offering advice on treatment, contact details Helping each other What happens in an emergency? to your local chemist, dentist, optician, minor There are several voluntary organisations The network complements the Call 999 if you have a life or limb-threatening injuries units and much more. Often there’s in South and Mid Powys who can help. arrangements already in place for other emergency. The Welsh Ambulance Service no need to leave the comfort of home! parts of Powys, where our residents or Welsh Air Ambulance will take you to the For more information about the access the designated Trauma Units at most appropriate hospital for your care and www.111.wales.nhs.uk | Telephone: 111 organisations who are there to help, County Hospital in Hereford and Royal treatment. For the most serious injuries, the go to pages 16 and 17. Shrewsbury Hospital and Trauma best place to be is a Major Trauma Centre. Pharmacy Centres in Stoke and Birmingham. Community pharmacists offer fast Your GP For more information about the South Wales and effective advice on over-the- Of course, the GP is still available when Major Trauma Network, you can head to: counter treatments for a variety of you need them. But, by considering the www.pthb.nhs.wales/find/majortrauma minor illnesses or injuries. alternatives first, you are helping to ensure that they only see those people that need Minor Injury Unit them, which helps us all in the long run. Injured yourself? Then follow the path to the Minor Injury Unit. Specialists are waiting to Please be aware that some services continue assess on-site and treat a range of injuries to be affected by COVID-19. We apologise such as cuts, insect bites, minor head injuries for any inconvenience whilst we take steps (without loss of consciousness) and more. to keep you safe and keep our staff safe.

14 15 Nevill Hall Hospital is changing Nevill Hall Hospital is changing

Credu Connecting Carers Do you look after someone with a health condition and/or disability? infoengine yw cyfeirlyfr ar- infoengine is the online lein gwasanaethau trydydd directory of third sector Community Connectors Then you matter too! sector ledled Cymru. services across Wales.

Credu supports Young and Adult Carers.

How Credu supports depends upon each individual person and their circumstances, but here are some ways that we can help: Looking For Support? • Practical information on getting support with your Caring role (services for the person you look after / respite / financial benefits you may be entitled to). • Emotional support – we have a free counselling service run by skilled Not Sure Who To Ask? volunteers.

• We are trained to give you the time and the space to work through challenges and find solutions in a flexible manner – focusing on what Os ydych chi'n edrych i ddarganfod pa If you are looking to find out what truly matters to you. wasanaethau sydd ar gael yn eich ardal services are available in YOUR local area, PAVO Community Connectors can put you in touch with voluntary • Young Carers and Adult Carers Groups – people who attend these leol CHI, yna edrychwch ddim pellach! then look no further! groups report getting so much support from each other through sharing information, tips, activities and even having fun. organisations and community groups to support you. • Working alongside you for however long you would like us to and Ewch i: www.infoengine.cymru Go to: www.infoengine.wales without any pressure. Os hoffech dderbyn cefnogaeth gyda • Courses to help manage your caring role such as first aid / manual If you would like support to register your We will work with you to access the right local services, support and handling / stress less / sleep easy. chofrestru'ch sefydliad a'ch gwasanaeth organisation and service(s), please (au), cysylltwch â ni: contact us: information.

Getting in touch: [email protected] [email protected] 01597 823800 | [email protected] | www.credu.cymru 01597 822191 People ring us about many different things – shopping support, For upcoming groups & events: www.credu.cymru/events 01597 822191 www.infoengine.cymru @creducarers | www.facebook.com/creducarers transport, benefits, health conditions, housing, loneliness and much @InfoEngine1 more.

Are you looking for local services that can help what services are available and allows you to choose To talk to a Community Connector please contact us on: you? how best to meet your needs. So whether you’re looking for childcare, something to do, help with Dewis Cymru aims to help people with their housing needs, or help to provide care for someone, it’s 01597 828649 well-being by sharing information about a wide likely that Dewis Cymru will have information that can range of local and national organisations and help you. [email protected] services. Whatever you are looking for, from a childminder to a residential care home, Dewis has Where can I find Dewis Cymru? @powysconnectors the answer! You can then make your own choice over which services best meet your needs. Just go to www.dewis.wales. You’ll then be able to search for services or browse our national information Can Dewis Cymru help me? pages that have been designed to help you think about what matters to you. If you need any help, let us know A Company limited by guarantee 3522144 Registered in Wales | Registered Charity No: 1069557 Dewis Cymru has been developed to help people using the ‘Contact Dewis’ link on the website and we’ll find information about organisations and services be happy to help you. that can help them take control of their own well-being, so Dewis Cymru is for YOU! It is also How to contact us useful for people like GPs, Librarians, Social Workers and lots of local organisations who offer You can contact us by: information to the public as part of their work. So Dewis Cymru is for everyone! z using the ‘Contact Dewis’ link on the website z emailing us at [email protected] What sort of information does Dewis Cymru hold? z visiting our Facebook page z contacting us via our Twitter page Dewis Cymru provides a place for any local or national organisation to share information about the services they have to offer. The services listed might be provided by your local authority, the @dewiswales /dewiswales Health Board, a local or national charity or a community group, club or society (we share services with ‘Infoengine’ - a third sector directory, and with the NHS in Wales as part of the ‘Health and well-being Wales partnership). Some services may be provided free of charge, others may charge for their service. Dewis allows you to understand

16 17 Nevill Hall Hospital is changing Nevill Hall Hospital is changing Council Services How we can keep Wales safe

AskSARA Information and advice from Powys County AskSARA is an easy to use, self- Council about care and support for adults assessment tool that provides expert ASSIST is Powys County Council’s As this newsletter goes to print in mid- You must self-isolate if you or anyone in your advice and information on products and information and advice service for adult October, COVID-19 continues to affect extended household has symptoms. If you equipment for older and disabled adults care and support. If you are looking for all of us and the NHS. Thank you for have symptoms, you must get a test. and children to make your daily life easier: information or advice for adult care and support in your area, please call ASSIST doing all you can to keep Wales safe. The impact of COVID-19 does continue • Visit www.pthb.nhs.wales/find/asksara on 0345 602 7050. Please remember to: to change. So, please check the latest • Choose a topic, including medication, information when you receive this newsletter: mobility, memory, hearing & vision, An experienced contact officer will be • Observe social distancing shopping and personal care able to support you to access a range of • Wash your hands regularly • Current information from Welsh • Answer some questions to identify services, including those for adults, older • Work from home if you can Government is available from areas you need support with people or people with sensory impairment • Wear a face covering in indoor public www.gov.wales/coronavirus • Get advice on products and equipment and learning or physical disabilities. spaces, including public transport that can aid with independent living • Follow Welsh Government guidelines NHS staff and services are still under For more information on services for and restrictions huge pressure and we can all do our bit adults in your area, you can head to: by choosing the right service for our needs. www.pthb.nhs.wales/find/adultservices The main symptoms of COVID-19 are recent You can find out more about this on page 15. onset of one or more of the following:

Supporting children and young people’s emotional health and wellbeing • a new continuous cough Knowing how to talk to your child about their emotional health and wellbeing, and • high temperature recognising the signs that they might be worried, anxious or stressed can be really hard. • loss of or change to your normal sense of smell or taste (anosmia) Here’s a few signs to look out for:

• Low mood, sadness, frequent tearfulness • Voicing / showing feelings of hopelessness and helplessness Contact us • Irritability, intolerance of others • Lack of enjoyment in things that were once interesting to them • Increasing social isolation (including online socialising) If you would like to share your You can also share your feedback • Disturbed sleep patterns feedback about the changes with Powys Community Health Council, outlined in this booklet: which is the independent watchdog For more information and support: to represent the interests of patients Email us at: and the public in the NHS. Kooth Online Counselling [email protected] www.kooth.com Email them at: Write to us at: [email protected] Powys County Council Early Help Team 01597 827 666 or visit www.pthb.nhs.wales/find/childservices Engagement Team, Powys Teaching Health Board, Bronllys Hospital, Bronllys, Brecon, Powys LD3 0LU Write to them at: Pupils can also access support through Hwb Powys Community Health Council, Brecon Find out more at: Office, 1st Floor, Neuadd Brycheiniog, Cambrian Way, Brecon LD3 7HR If you or someone you know is in immediate danger you should dial 999 www.pthb.nhs.wales/nevill-hall

18 19 Cyrraedd yr Ysbyty

Mae Traveline Cymru yn cynnig gwybodaeth Ysbyty Cyffredinol Bronglais a chyngor ar drafnidiaeth gyhoeddus. Bronglais General Hospital Teithio i’r ysbyty yng Nghymru: Aberystwyth, SY23 1ER www.fynhaithiechyd.traveline.cymru 01970 623131 Ysbyty Trefyclo Gwybodaeth Teithio Cyhoeddus: A&E CLU MLU www.cymraeg.traveline.cymru Knighton Hospital Knighton, LD7 1DF Ymholiadau dros y ffôn: 01547 528633 0800 464 0000

Ysbyty Llandrindod MLU Gwasanaeth Cludo Cleifion Mewn Llandrindod Wells Hospital Achosion Nad Ydynt yn Rhai Brys Llandrindod Wells, LD1 5HF Mae Gwasanaeth Ambiwlans Cymru 01597 822951 yn cynnig Gwasanaeth Cludo i gleifion MIU: 01597 828735 ledled Cymru nad ydynt yn gallu teithio i’w hapwyntiadau ysbyty eu hunain am (07:00-00:00, 7 diwrnod/days) resymau meddygol.

MIU MLU Dysgwch fwy yn: www.ambulance.wales.nhs.uk neu ffoniwch 0300 123 2303

Mae rhagor o wybodaeth am yr ysbytai hyn ar gael ar ein gwefan yn: Yr Ysbyty Sirol www.biap.gig.cymru/neuadd-nevill County Hospital Ysbyty Aberhonddu Hereford, HR1 2BN Getting to Hospital Brecon Hospital 01432 355444 Brecon, LD3 7NS Traveline Cymru provides information 01874 622443 CLU MLU and advice on public transport. MIU: 01874 615800 (24/7) Journeys to hospital in Wales: MIU MLU www.myhealthjourney.traveline.cymru

Ysbyty Cyffredinol Glangwili Public transport information: Glangwili General Hospital www.traveline.cymru Carmarthen, SA31 2AF Telephone enquiries: 01267 235151 Ysbyty Ystradgynlais 0800 464 0000 Ystradgynlais Hospital A&E CLU MLU Ystradgynlais, SA9 1AU Non-Emergency Patient Transport Service 01639 844777 Welsh Ambulance Service provides a MIU: 01639 844777 Ysbyty Neuadd Nevill Transport Service for patients across (08:30-16:00, Llu-Gwe/Mon-Fri) Nevill Hall Hospital Wales who are unable, for medical reasons, to make their own way to MIU Abergavenny, NP7 7EG hospital appointments. Ysbyty Treforys 01873 732732 Morriston Hospital Find out more from: MIU MLU Swansea, SA6 6NL www.ambulance.wales.nhs.uk or call 0300 123 2303 01792 702222 More information about these hospitals A&E is available from our website at: Ysbyty’r Tywysog Siarl www.pthb.nhs.wales/nevill-hall Prince Charles Hospital Merthyr Tydfil, CF47 9DT Allwedd | Key 01685 721721 Damwain ac Argyfwng A&E Ysbyty Singleton A&E CLU MLU Accident & Emergency Singleton Hospital Uned Mân Anafiadau Swansea, SA2 8QA MIU Ysbyty Athrofaol y Faenor Minor Injury Unit 01792 205666 Grange University Hospital Uned dan Arweiniad Ymgynghorwyr Cwmbran, NP44 8YN CLU CLU MLU Consultant-Led Maternity Unit A&E CLU MLU Uned dan Arweiniad Bydwragedd MLU Midwife-Led Maternity Unit 20 21