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Sight-saving procedure available to children in a first for Wales

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Children across Swansea Bay are the first in Wales to be offered sight-saving treatment which will prevent them from needing a transplant.

Youngsters with keratoconus, where the cornea bulges into a cone shape and makes it difficult to see, can now undergo a procedure to stabilise their eye.

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Corneal cross-linking is the only treatment that can stop progressive keratoconus from getting worse.

Previously it was only available to adults but is now being offered to children and young people in the Swansea Bay and Hywel Dda health board areas.

The single-visit procedure involves using a machine that focuses UV rays onto the cornea, along with eye drop medication. These combine to make chemical bonds on the cornea to strengthen it and prevent any further misshaping.

The only option for children had been to have a corneal transplant or wait until they reached the age of 18, by which time many would have lost the vision in one eye.

Pictured left to right: Specialist nurse Hermenegildo Zamora, Mr Mario Saldanha, Charlie Wiltshire, and nurse practitioners Melvin Cua and Bethan Lopez-Thomas. (Image: Swansea Bay NHS)

Ophthalmology consultant Mr Mario Saldanha, based at Singleton Hospital, in Swansea, said: “We received the machine in 2017 but have only been able to do the treatment for adults.

“The real need was in paediatric age groups where the disease can be quite aggressive and by the time they reach the age of 18 they will almost definitely lose vision in one eye completely.

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“The only option before this treatment for these cases used to be a corneal transplant.

“For a young individual that is a major operation which has implications for completing their education, becoming independent, getting job prospects and further moving ahead in life.”

Earlier this year, Health Technology Wales, a Welsh Government funded organisation which works to improve health technology, approved the treatment and made it available to children as young as 11.

Charlie Wiltshire, aged 11, was one of the first patients to undergo the corneal cross-linking procedure at Morriston Hospital, in Swansea, after his eyesight suddenly deteriorated during the pandemic.

His mum, Sarah Wiltshire, said Charlie had been complaining his vision had become blurry and he struggled to use the laptop during home-schooling.

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“I thought he was pulling my leg because he could play his Xbox but couldn’t see his laptop for the home-schooling so there was a bit of back and forth for a while,” said Sarah, who lives in Neath.

“Due to lockdown we couldn’t get his eyes tested until one day he told me how bad it was so we managed to book an eye test.

“They told us that he had gone legally blind in his left eye since his last eye test. It had gone very quickly.

“It went from having no glasses to him needing such a strong prescription that it had to happen over three stages. He couldn’t have his glasses straight away because it had become very bad, very quickly.”

After being referred to the ophthalmology department at Singleton Hospital, Sarah was told that Charlie, whose dad has the same condition, would need to undergo orneal cross-linking.

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She added: “When we came for our first appointment with Mr Saldanha I realised how bad Charlie’s eyes were as he couldn’t even see the top line of letters on the board.

“We were a lot more informed on our first appointment and we were told there and then that he would need the surgery.

“We only had two appointments before the surgery itself. It was very quick.”

Mr Saldanha with Charlie Wiltshire (Image: Swansea Bay NHS)

Since the treatment on both of his eyes, Charlie can now read several more lines on the eye chart and no longer suffers with headaches or blurred vision.

Sarah added: “There’s nothing scarier than being told your child has gone blind in one eye.

“It was a massive relief. It was nerve-racking when he had it done because when he woke up he couldn’t see, which you expect because he had both of his eyes done.

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“Even then we were reassured constantly by the doctors, nurses and surgeons.

“We are really grateful and it was amazing from start to finish. We felt prioritised straight away because clearly it was needed.”

Brooklyn Sadler is another young patient to have benefited from the corneal cross-linking treatment.

The 14-year-old, from Port Talbot, had started to keep her left eye closed after developing keratoconus but her vision has noticeably improved following the treatment.

Her mum, Julie Thomas, said: “She’s always had eye conditions and last year she was told she had the start of keratoconus, which I have got.

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“Her right eye was bad enough that she couldn’t have any treatment for it so it was very important to rush and treat her left eye to protect it from getting any worse.

“She had cross-linking treatment and it saved her sight so we are very happy.

“She was keeping her left eye closed but now she’s opening it and with the condition she always wanted to scratch her eyes but that’s gone now too.

“On the vision chart she can see and read a lot more. She’s smiling again whereas before she was very upset because her eyesight had deteriorated.”

Mr Saldanha explained that three hubs offering corneal cross-linking are planned for the future in north, south-east and south-west Wales so that the treatment can become more accessible.

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He added: “This treatment hadn’t been approved in Wales and there were many children and young adults who were losing their vision because this sight-saving treatment wasn’t available.

“Before this, the only form of treatment used to be in the community with contact lenses and, because not every child is happy handling a contact lens, quite a lot of them adapted to living with poor vision.

“This is a one-time treatment that aims to stabilise the cornea and improve their vision so each patient can get better glasses or contact lenses so that their vision ends up being a lot better.

“This treatment is completely nurse-led and delivered so it doesn’t actually cause an extra strain on hospital services.

“It’s a fantastic development that we can provide this service to the population of Swansea, Neath Port Talbot and neighbouring Hywel Dda University Health Board patients.”

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(Lead image: Swansea Bay NHS)

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Dance

Doctors prescribe dance classes to keep patients on their feet

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Over 65s in Swansea Bay are being encouraged to attend dance classes in a bid to keep them on their feet.

Five of the health board’s clusters – groups of GP surgeries working together within a geographical area – are backing the scheme as the exercise to music is proven to aid falls prevention.

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Each class is led by a trained dance teacher with participants encouraged to follow a range of routines, designed to develop their strength and balance, with the option of using a chair for support if their mobility is limited.

The Dance for Health programme is a collaboration between the health board, clusters, local authorities, and Aesop, an arts focused charity.

Alyson Pugh, Programme Manager at Aesop, said: “We are delighted to be working with our partners in the health sector to improve the health and wellbeing of people aged over 65 through the medium of dance.

“During each class participants will move to a variety of music from all around the world. The classes are fun and vibrant, increasing fitness, mobility and strength.

“Afterwards, participants will have a good chance to get to know one another over a cup of tea or coffee. No previous experience is needed, everybody is welcome.”

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So far classes are held in Pontardawe, Morriston, Seven Sisters, Cwmavon and Briton Ferry, Upper Killay, Reynoldston, Mumbles and the Waterfront Museum.

Alyson said: “The health board asked for 12 classes across Swansea Bay and funded the management side while the GP clusters are funding the delivery of the classes. They wanted it to be grass roots up.

“Anyone can walk in but they wanted the main referrals to come from the virtual wards and local area coordinators and social prescribers, a whole community approach.”

Lizzie MacMillan (Image: Swansea Bay HNS)

Dance artist Lizzie MacMillan (left), a development officer for Dance for Health, said: “It’s for older people and people who are struggling a little bit with perhaps balance issues, mobility issues as well, so we are not expecting them to foxtrot along the floor on the first class or anything like that. It builds up over the weeks.

“We start off quite gently, just seeing where everyone is in the class – I like to gauge the class first of all to see if people are having problems with balance or perhaps giddiness or joint problems. I like to get to know each person in the class so that I can look after them and know their capacity for movement.

“We use the chairs quite a lot if someone is unsteady on their feet. They can still do a variation using the chair for support. We also do a standing variation if people are a little fitter or a little bit more able to push themselves further in the class.”

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Over 65s in Swansea Bay are being encouraged to attend dance classes in a bid to keep them on their feet. (Image: Swansea Bay NHS)

Mike Garner, Cwmtawe Cluster lead, said: “We are delighted to be participating in this programme as it fits in perfectly with our goal of improving well-being and helping people remain fit and healthy.”

One participant, Pauline Anderson, said: “I’ve been to four or five classes. I thought I would try it to see what it’s like and it’s been very good.

“As you get older you become more immobile. I’ve been struggling with my knees and joints, so I have found it helpful.

“I would advise anyone thinking about it to just come along.”

Another participant, Betty Didcock, said: “I try to keep active as much as I can. I used to enjoy dancing when I was younger. I’ve made friends here. If you’re a bit shy, it’s a wonderful place to come to get used to talking to people. I’m a quiet one. I don’t always do it right but I have a go.”

While Amber Davies said: “I thought I’d come along to see what it was like. It’s important to keep busy and remain active. It’s also a good way of meeting new people.”

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(Lead image: Swansea Bay NHS)

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One-in-a-million nurse bids farewell to NHS after epic 46 year career

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A “one in a million” nurse is saying his final goodbye to the NHS after 46 years.

When Martin Green hangs up his scrubs for the final time on Sunday (May 15th) it will signal the end of an epic career which has spanned several hospitals and services dealing with everything from birth to death.

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“I have done my fair share,” said the Morriston Hospital bed site manager, who turns 66 next week.

“I left school at 15 without any qualifications and had to work my way up the hard way. I often sit there and reminisce.

“One of the things I will miss is the team I am with at the moment. We have been together a while and have been through quite a bit.”

Martin is a valued member of a team right at the heart of the incredibly busy Swansea hospital, monitoring patient movements and bed capacity across the site.

It is the type of role which did not exist when Martin joined a very different NHS in May 1976.

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Having left his native Ebbw Vale, where he had volunteered at the local hospital, he joined a nurse training programme at Frenchay Hospital in Bristol when he was just 18.

As a pupil nurse working towards qualification as an enrolled nurse, Martin had to live in the hospital accommodation and obey strict rules.

“I must admit it was a strict but wonderful training school at Frenchay,” said Martin, who lives in Port Eynon, Gower, with long-term partner Wayne.

“If you came onto the ward and your uniform wasn’t up to scratch you were sent back to your room.

“We didn’t wash our uniforms ourselves. They went to the hospital laundry and came back starched stiff as a board. You could stand them up on your own.

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“If you couldn’t wear a starched uniform you had to get a special note from the doctor.”
Martin added: “The uniforms have changed a bit since then. I think the scrubs we have now are the most comfortable.”

Once qualified, Martin worked in the intensive care unit in Frenchay for a short period, then Singleton Hospital in Swansea before moving to mental health at Pen-y-Fal Hospital in Abergavenny.

After that he took an interest in urgent care and worked first in the accident and emergency department at the Royal Gwent Hospital in Newport before joining A&E at Morriston for its opening in late 1985.

While there he went back to being a full-time student for a year on a course that enabled him to progress from enrolled to registered nurse.

“The course was birth to death,” he said.

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“You started in maternity because you had to see so many deliveries and worked up from there.

“A few years later, when I was back in A&E at Morriston, a mother came in with a boy of about five or six years and asked if I remembered him.

“Turned out I had witnessed his birth while on my course.”

There can be few nurses who have worked across such a wide range of services as Martin.

But whatever he has done, he has done so with compassion and it is for that his colleagues will remember him most.

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Colleagues gathered outside the main entrance of Morriston Hospital to bid farewell to nurse Martin Green, centre, and presented him with gifts including John Lewis vouchers. (Image: Swansea Bay NHS)

Carol Doggett, Interim Director of Nursing at Morriston Hospital, said Martin’s colleagues have dubbed him “one in a million”.

Summarising some of the many compliments that have been paid to Martin, she said: “Being a nurse is much more than wearing a uniform. It is being kind, compassionate, professional and recognising it’s a privilege to work with people from all walks of life and provide them with care.

“I’ve been told that Martin is unique – one of a kind. He is there for everyone as a friend and a nurse who will always go the extra mile.

“His closest colleagues have called him in Welsh, halen y ddaer, which means salt of the earth. He really is one in a million.”

Lead image: Left, Martin Green as a pupil nurse during his first month of training at Frenchay Hospital in Bristol in 1976, and right, working his last few days before retirement from his role as bed site manager at Morriston Hospital in Swansea. (Image: Swansea Bay NHS)

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Overseas nurses made huge personal sacrifices to strengthen workforce

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International nurses spent up to two years away from their own families after relocating to Swansea Bay during the Covid pandemic.

These are among the huge sacrifices made by more than 130 nurses who were recruited from around the world in the past two years to boost the workforce and improve the level of care during a hugely challenging period Swansea Bay University Health Board have said.

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Many came from India, Philippines, the Caribbean and Africa, spending months – years in some cases – without seeing their families in order to continue their development in nursing in Swansea Bay.

The level of sacrifice has been more than first anticipated for some of the nurses recruited from overseas.

For Susan Mhlahleli, the start of the Covid pandemic coinciding with her arrival from Zimbabwe meant she spent two years away from her husband and two children – one of whom has cerebral palsy – before they finally reunited in March this year.

Susan, who is a staff nurse on Morriston Hospital’s Pembroke Ward, said: “I came in March 2020 right at the start of Covid.

“The plan was for my family to come here two or three months after I arrived, but Covid hit and it wasn’t possible.

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“There was a chance for them to come here, but I didn’t want them to spend 11 hours on a plane in a confined space in the heat of Covid.

“I wanted to progress my career and coming here gave me the experience to work with equipment I had only heard and read about.

“I originally came here wanting to be a perfusionist, but there are so many other opportunities I can now pursue.”

Susan was among the 130 overseas nurses who were invited to an event at the Swansea.com Stadium to show appreciation for their efforts and sacrifice.

An event was held to mark International Nurses Day (Image: Swansea Bay NHS)

The event was held to mark International Nurses Day, which coincides with the birthday of Florence Nightingale, the founder of modern nursing.

Swansea Bay’s international nurses have predominantly gone into acute care settings in Singleton, Morriston and Neath Port Talbot hospitals.

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At the celebratory event, nurses were treated to an afternoon tea, with a number of senior health board officials in attendance.

Mark Hackett, Swansea Bay UHB Chief Executive, said: “It was a fantastic event. These people have come from the other side of the world to work for Swansea Bay.

“It’s really heart-warming to see people and talk to them about why they wanted to come to Swansea Bay, and what they can contribute.

“We want to see a far more diverse work force where everybody gets an opportunity to advance and succeed in their careers.

“We have a thriving health system and there are huge opportunities for everybody, particularly these nurses who are giving an enormous boost to our workforce.

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“We want to encourage more and more nurses to come here. By giving these international nurses a fantastic experience, what that will do is encourage their friends and colleagues to come to Swansea Bay.

“From our perspective, that will help us in delivering high-quality excellent patient care.”

Nurses came to Swansea from places such as India, Philippines, the Caribbean and Africa (Image: Swansea Bay NHS)

Gareth Howells, executive director of nursing and patient experience, said: “These nurses have travelled from all parts of the world to come to our health board to help our communities and help us care for people who need it.

“It’s exceptionally brave and we owe them support and respect.

“These nurses complement the quality nurses we already had in the health board.

“They have a high level of experience – they are exceptionally skilled nurses.

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“Whichever country these nurses have come from, they care and want to make a difference here.”

The influx of international nurses has helped fill a big void within the health board’s workforce.

Lynne Jones, heard of nursing education, has played a key role in the recruitment drive of international nurses.

“In what has been a very challenging time for the entire world over the past two years, these nurses have opted to continue their careers in Wales and our health board,” she said.

“They have made a huge contribution to filling vacancies and providing the level of care our patients require.

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“As a health board, we are well aware of the sacrifices they have made to come here. They’ve left their homes, they families and job, which isn’t an easy decision to make.

“We are really pleased with our recruitment of overseas nurses over the past two years, and this event has shown them our appreciation of what they’ve brought to our health board.”

Some nurses have spent months – years in some cases – without seeing their families in order to continue their development in nursing in Swansea Bay. (Image: Swansea Bay NHS)

Other overseas nurses who attended the celebration included Beulah Shenje, who arrived from Zimbabwe in January 2020 and works in cardiology in Singleton Hospital.

She said: “This event made me feel special and appreciated.

“I was honoured the health board took the time to hold this event for us, and for senior figures to be in attendance.

“It means a lot to me and shows they appreciate us.

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“This will certainly encourage more nurses from Africa to come to Swansea and help the health board even more.

“My friends in Zimbabwe have asked about coming here to work because they’ve heard so many good things.

“The exposure to more advanced technology here is a big thing because it helps you develop so you can help more people.

“Everyone shares the same goal here – helping people.”

International nurses spent up to two years away from their own families after relocating to Swansea Bay during the Covid pandemic. (Image: Swansea Bay NHS)

Dolapo Akinnayajo works in Morriston Hospital’s Intensive Therapy Unit following her arrival from Nigeria in September 2020.

She spoke about the sense of pride felt in working for the health board, and believes her experience will encourage more nurses to pursue a nursing career in Swansea Bay.

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She said: “I feel very proud to work for our health board. I believe we are all making a difference to the community.

“The reception we’ve received as nurses has been amazing. From the first impression onwards, what we’ve received is love and warmth. It has surpassed expectations.

“And now, to have an event like this put on for us international nurses really shows how much we are appreciated.

“I’ve been telling all my friends, family and former colleagues in Nigeria just how lovely Swansea and Wales is.

“It was a massive relocation but it was a huge opportunity.

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“I am from a developing country, but this is a developed country and the bar is set high. There is access to world-class equipment to help people, and it helps develop you in your role too.”

(Lead image: Swansea Bay NHS)

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