The Covid-19 pandemic has caused significant disruption to our NHS services. We have continued to provide care as normal to patients who need urgent treatments (through A&E, Cancer services etc) although many routine appointments and treatments have been postponed.
As we see fewer Covid-19 cases in our hospitals, we will restart many of the routine services that have been put on hold. If you are required to attend one of our Hospital Sites or Community Clinics, you will find that the way they are run has now been altered slightly to accommodate Social Distancing Regulations.
Please click on a service below to check for the latest updated information.
If you have a specific question relating to your personal circumstances, please call the number on your appointment letter. To enquire about or change an appointment date, please call our Booking Centre on 01495 765055.
Please note- if you are having Elective Surgery at one of our Hospitals, you will be given a Covid-19 test and then asked to self-isolate before your admission into Hospital.
Anyone who is referred into a service from their GP will receive an appointment letter as usual.
Whilst some adult mental health services have changed the way they deliver care, all services have remained open throughout the pandemic. All of our inpatient wards are open to admissions. There is general rule of no visitors being allowed onto wards at present unless there are exceptional circumstances.
The Crisis Resolution Home Treatment Teams based in St Cadoc’s Hospital, Ysbyty Ystrad Fawr and County Hospital remain open. Patient assessments are carried out face to face and ongoing treatment is delivered either face to face or via telephone, or virtual appointment, dependent on the needs of the patient.
The Out of Hours crisis service remains open with patients being assessed within Kemeys at St Cadocs Hospital.
The Community Mental Health Teams based within each borough remain open and are accepting referrals, with assessments being carried out face to face where possible, or via telephone or virtual appointment. Existing patients are continually reviewed and offered either face to face, telephone or virtual appointments, dependent on the needs of the patient.
All specialist services remain open. Many appointments are delivered via telephone or virtually. Patients are continually reviewed and if required will be seen face to face.
We are continuing to offer online or telephone appointments for Pre-Assessment Clinic and Obstetric Pre-Assessment Clinic patients but hope to be able to offer face-to-face appointments shortly. Anaesthetic Notes Reviews are also being undertaken online.
Pain Services Outpatient appointments for new and follow up patients will continue to be conducted over the telephone and online and face-to-face consultations have restarted based on clinical priority.
The Pain Service has recommenced some of its injection lists in Nevill Hall and County Hospitals. Unfortunately the service is unable to offer appointments for acupuncture at the current time.
The Audiology Service has been redesigned following patient & staff feedback during the pandemic.
We have increased the number of clinical staff available on phone lines to advise and support you. We have also included options of text message and email contact so you can choose the best option for you!
Following a consultation with one of our clinicians you can now be triaged to booked appointments at certain hospital and community sites for a face to face consultation.
We are offering remote consultations, where suitable, so we can support you from the comfort of your own home.
We recognise it is no longer suitable or safe for you to enter busy, overcrowded drop-in repair clinics and have moved to booked appointments so you are seen on time, without the overcrowded waiting rooms and the long wait times you may have previously experienced. The pandemic has shown us many patients who contact us can have the issues dealt with without coming in to the hospital e.g., video remote consultation, troubleshooting issues with advice from an audiologist as well as postal replacement hearing aids and accessories.
You can contact us using the options below:
Phone: 0300 303 5651
Phones are manned Mon-Fri 9am- 4pm
Text only: 07814 610 009
If you use mobile text or email to contact the department, please include your full name & date of birth in the message and when emailing please confirm that you consent for transfer of personal information via email.
If you want Replacement batteries or tubing
Contact your local audiology service by telephone, text, email or via online form: https://abuhb.nhs.wales/hospitals/a-z-hospital-services/audiology/ to request postal batteries/tubes Please be aware that these can take up to 10 days to arrive.
Clinic accommodation is being sourced to restart face to face clinics. However, face to face appointments have continued in residential and nursing homes and at private residential addresses when deemed clinically urgent.
Plans are progressing to reintegrate staff that are currently supporting District Nursing Teams to return to the Bladder and Bowel Nursing Service, so the service can be delivered at full capacity once again.
All urgent elective inpatient services have relocated to The Grange University Hospital.
The following Cardiology Outpatient Services are taking place as indicated below:
- Consultant Clinics - Telephone and Attend Anywhere (video calling system) clinics continue to take place. Face to face clinics are being held in Royal Gwent Hospital, Nevill Hall Hospital, Ysbyty Aneurin Bevan and County Hospital;
- Heart Failure Clinics - Telephone clinics and Attend Anywhere (video calling system) clinics continue to take place. Face to face clinics are being held in Chepstow Hospital, County Hospital and the Royal Gwent Hospital;
- Cardiac Rehabilitation Clinics - Telephone clinics and Attend Anywhere clinics continue to take place and patients will also be issued with guidance manuals for remote sessions where appropriate. Some individual exercise assessments have also been started where appropriate.
The following Cardiology Diagnostic Services are taking place at the sites indicated below:
Plans are being worked through for Cardiac Rehabilitation individual face to face assessments.
Face to face clinics are restarting in the next week in the Day Hospital Nevill Hall for the most clinically urgent patients.
The Care Of The Elderly service continues to review and treat patients with the most clinical need.
The service is conducting face to face appointments for clinically urgent patients at both Royal Gwent Hospital and Nevill Hall Hospital. Virtual and Telephone clinic sessions have also been restarted at Ysbyty Ystrad Fawr.
Eating Disorder clinics commenced on Saturday 19th June
Additional hours via a Waiting List Initiative will support this recovery method with appointments for children and young people currently on the ND waiting list. The timescale of this recovery plan is scheduled from June until August 2021.
Additional Easting Disorder clinics are being arranged to start mid June and run for 6 – 8 weeks to provide brief intervention to those identified as being most suitable. These will run on Saturdays and provide joint dietetic and therapy sessions with the aim of increasing the confidence of the families in managing the changed eating behaviours.
CAMHS continues to offer a service to children and young people. We are fortunate to be able to continue to meet with our young people and families face to face, however, this must be governed by clinical need with the use of remote platforms of communication, assessment and intervention being fully utilised where appropriate.
Single Point of Access for Neuro-developmental (ND) Referrals
A single point of access mailbox for ND referrals has been developed aligning ND with SPACE Wellbeing processes. From 1st April 2021 professionals are required to email ND Referrals to:
Referrals will be triaged and ensure seamless forwarding to SPACE / (Early Help) Wellbeing, ISCAN Community Embedded team and ND assessment as appropriate. This system should provide less confusion as to which service to refer to or the need to make multiple referrals for children with co morbid presentations and professionals will have better access and communication with partner agencies to work jointly to support families.
Whilst a proportion of our appointments occur as either an Attend Anywhere virtual appointment or a telephone consultation, we have continued to offer a large number of face to face appointments in those cases where there is clinical need.
Clinicians have continued to undertake a number of telephone appointments offering a range of options to patients for clinical work. Our operating procedure is in place with rooms set up to support social distancing for staff and families and we are continuing to use PPE.
CAMHS are continuing to offer a range of remote and face to face appointments , and those young people and families in greatest need will continue to receive a good service. This will continue throughout the lockdown . We are of course adhering to all of the guidance regarding COVID-19, in order to keep families, young people and staff as safe as possible throughout this period and beyond.
We are still receiving higher than normal numbers of referrals for young people experiencing difficulties, and are looking at trends and data in order to continue to ensure that we are meeting the needs of young people. We continue to offer appointments and intervention using a range of approaches and platforms, including face to face when clinically indicated. Our young people and families are given choices regarding how they can access help - this can be via telephone , virtual platforms or face to face meetings. We would like to reassure families and young people who are struggling that we are here for them, and that all our interventions are carried out according to COVID guidelines.
Virtual group work has started and we are actively looking at increasing access to this safely in order to increase the therapeutic choices for young people. For example, alongside DBT groups, we are organising Family Therapy Clinics remotely and carrying out other systemic, family orientated group work.
With the recent COVID-19 localised lockdowns and following an increase in the number of referrals coming into the service, we have begun to re-visit discussions and planning on the provision of virtual therapeutic group work.
Community Pharmacies continue to provide prescription dispensing services for all patients across Gwent. However, because of the need for social distancing, access to pharmacies may be limited. Please allow plenty of time when requesting repeat prescriptions, ideally ordering 7 days before you need your next supply. My Health Online offers a convenient way to order repeat prescriptions and book appointments with your GP online. Please see more details.
If you are taking regular medication, repeat “batch” dispensing may be suitable for you and provide prescriptions for up to a year’s medication at a time. Please see more details.
Both My Health Online and batch prescribing can help cut down the visits you need to make to your GP and pharmacy and help with social distancing.
The following non-prescription services continue to be available from pharmacy, with consultation being provided in person, over the telephone or video call.
Common Ailments – Providing NHS funded treatment for 28 common conditions without the need to see your GP
Smoking Cessation – A 12 week, one to one programme of support and nicotine replacement therapy to help you quit
Emergency Contraception – Confidential provision of emergency contraception without the need to see your GP
Emergency Supply – Provides an emergency supply of most previously prescribed medication if you run out and your GP isn’t available.
Lateral Flow Test– Provides free rapid lateral flow COVID-19 test kits (LFTs) for people eligible for asymptomatic testing to collect and test themselves at home. Please note, rapid lateral flow tests are only for people who do not have coronavirus symptoms. Please do not go to your community pharmacy for lateral flow test kits if you have symptoms.
Please see the 111 Wales website for more details or contact your local pharmacy.
NHS dental practices across Aneurin Bevan University Health Board will continue to provide dental care in accordance with Welsh Government Dental guidance. We are currently in “Amber Phase” and dental practices are able to provide a wider range of care and treatment for patients.
Dental practices will be able to provide appointments that are not just for urgent dental problems. Dental practices have been advised to prioritise:
Dental practices have been asked to delay routine dental checks for low risk patients so that they have appointment slots available for those who need urgent treatment or treatment that was delayed. At this time, it is important that those most in need of dental care receive it ahead of those with no problems. Practices will provide dental recalls once all urgent and essential patient needs are addressed.
If you have a dental problem that has not improved with painkillers, a dental infection or a lump, swelling or ulcer that has not disappeared after 2 weeks you are advised to phone your dental practice or local dental helpline on 01633 744387.
Since 2006 patients are not ‘registered’ with dental practices and therefore patients can seek dental treatment from any dental practice. This is not a new change and if you regularly attend a dental practice for treatment, you do not need to do anything. However, please be mindful that it is your responsibility, as a patient, to attend regular appointments at your chosen dental practice to remain on the practices patient list. Your dentist will advise how regular you need to attend.
If you do not attend a dental practice regularly and wish to access dental care please email ABB.DentalHelpline@wales.nhs.uk to obtain contact details of NHS dental practices within Aneurin Bevan University Health Board. Please note that dental practices are currently prioritising patients that require urgent/essential dental care. If you do not routinely access dental care and require an urgent dental appointment, please contact the Dental Helpline on 01633 744387.
In addition, if you, or a family member or someone you live with has COVID 19, the dental practice can provide advice over the phone, and write a prescription for medication if it is required. If you need urgent dental care you may need to be seen in one of the COVID 19 dental centres which has the right PPE (masks, gowns, visors) to protect the dental team. The dental helpline or your dentist are able to refer you if it is required.
We have now re-instated Urgent Patch Testing and a telederm session to appoint our routine lesions.
Urgent skin lesion patients are being seen in one stop lesion clinics or via the telederm service. Services are currently only in place at Newport Hospitals. Patients attending one stop lesion clinics may be offered treatment on the day if appropriate. Patients being seen via the telederm service will attend the Clinical Photography department for images of the lesion to be taken. They will then receive a report from a Consultant Dermatologist and information about any further treatment that may be necessary.
Some telephone clinics and face to face clinic appointments are in place for urgent lesion follow up patients.
Minor procedures using Local Anaesthetic are being undertaken at St Woolos Hospital.
Urgent general dermatology (e.g. skin rashes) services for both adults and children are being provided via telephone consultations. Where this is not appropriate urgent patients are being seen face to face in outpatient clinics. Telephone consultations are also in place for follow up patients and those on the routine waiting list.
The Phototherapy Service restarted as planned in St Woolos Hospital and Ysbyty Ystrad Fawr.
The Patch Testing Service restarted as planned in St Woolos Hospital.
For urgent patients a Phototherapy Service at St Woolos Hospital was reinstated on 3rd August; telederm appointments at Nevill Hall Hospital were reinstated on 10th August.
General dermatology clinics are being held at St Woolos Hospital
Teledermatology sessions for routine lesion patients have commenced as planned.
One stop lesion clinics recommenced as planned in Nevil Hall Hospital.
The Thursday am clinic has recommenced as planned in Nevill Hall Hospital.
Paediatric Dermatology will return to the Maple Centre.
A selection of face-to-face clinics for clinically urgent Diabetes and Endocrine patients have commenced in Nevill Hall Hospital, Ysbyty Aneurin Bevan and Royal Gwent Hospital .
A number of Diabetes and Endocrine Consultant clinics will continue operating via telephone consultations across all sites.
Most of the Diabetes Specialist Nurse clinics will continue to operate via telephone or video consultations. Face to face consultations will be offered to clinically urgent patients.
We are currently working through our plans to evaluate how our Diabetes Education group training can be conducted in an online setting.
Dietetic outpatient services and community clinics are running. We are able to offer telephone or video appointments and groups. In addition, some clinics are running face to face and this will gradually increase as able to. Please discuss with our booking centre at the time of booking and check your clinic letter for details.
Adult Dietetics - 01633 431644
Paediatric Dietetics - 01633 431642
The Grange University Hospital is open and our Emergency Department is now based here. If you have a life threatening injury or serious illness you can call 999 or attend the Emergency Department for treatment.
The following services will be available at the Grange University Hospital:
- Emergency admissions for major illnesses or injuries and those in need of resuscitation;
- Emergency surgery and trauma care;
- Major and co-morbidity (more than one serious condition) surgery;
- Emergency Assessment Unit;
- Critical Care;
- Acute Cardiac Unit;
- Cardiology Inpatients;
- Hyper Acute Stroke Unit;
- Acute Medicine;
- Obstetric inpatients and high risk births;
- Childrens Assessment Unit;
- Neonatal Intensive Care and Special Care Baby Unit;
- Paediatric inpatients and Paediatric inpatient surgery;
- Emergency endoscopy.
For a minor injury, our Minor Injury Units are ready to welcome you at Nevill Hall Hospital (24/7), the Royal Gwent Hospital (24/7), Ysbyty Ystrad Fawr (24/7) and Ysbyty Aneurin Bevan (Monday to Friday 9am-7pm). Adults and children over one year old with a wide range of injuries can be treated at our Minor Injury Units. These units are run by an experienced team of highly skilled, specially trained Emergency Nurse Practitioners, Triage Nurses and Healthcare Support Workers. You can visit one of our units for:
- Limb injuries which includes broken bones, fractures and dislocations to fingers and toes;
- Wounds, grazes and minor burns;
- Head injuries (providing there is no loss of consciousness or the patient is taking blood thinning medications);
- Face injuries (providing there is no loss of consciousness);
- Minor back and neck injuries (providing the patient is mobile, there is no pins and needles in arms or legs and has not fallen from a height greater than five stairs or 1metre);
- Eye, ear and nose injuries and foreign bodies;
- Rib injuries;
- Insect , animal or human bites.
The following services can be provided at our Minor Injury Units:
- Access to x-rays for injuries;
- Wound closure including stitching and gluing;
- Application of dressings;
- Application of plaster casts, splints, strappings and slings;
- Reduction of minor joint dislocations;
- Removal of foreign bodies;
- Eye washouts;
- Administration of medication to treat the injury.
In order to ensure we have sufficient capacity and resources to safely care for our patients we have centralised our emergency surgery and trauma services at the Grange University Hospital.
This means if you need to attend an Emergency Department by ambulance with abdominal pain, major broken bones or anything that may require emergency surgery, you will be safely directed to the Grange University Hospital.
Our Minor Injury Units at Ysbyty Ystrad Fawr, Ysbyty Aneurin Bevan, Nevill Hall and Royal Gwent hospitals are functioning as normal and generally the waiting times there are much shorter. Our team of Emergency Nurse Practitioners are waiting to treat you.
We would encourage you to attend your Minor Injury Unit for any minor injuries such as:
For minor ailments such as colds, earache, rashes, temperatures please use the symptom checker on the NHS 111 website to Choose Well how best way to access the most suitable healthcare for you. If you are unsure and need advice then phone 111 who will direct you to the most appropriate place for you to attend.
The ENT service continues to review and treat patients with the most clinical need. These include patients that are suspected or confirmed cancers or on an existing cancer pathway. The service are conducting face to face appointments for those patients that have been deemed the most clinically urgent. Work has been undertaken to improve the outpatient environment to be able to increase the numbers of patients that can safely be seen in a face to face setting. We have, in the last few weeks, restarted some urgent services in Nevill Hall Hospital. Virtual and telephone review sessions have been created where it is deemed more appropriate to review patients 'at home' as opposed to with the hospital setting.
The service continues to develop and implement plans, in accordance with current clinical and infection control guidance, to increase capacity to review patients as quick as possible. The service will continue to review and treat patients based on their clinical need.
All routine Audiology Services, including the Drop-in Repair Clinic, are closed. However, staff are available to provide support and advice. The following details can be used to contact the department, and you can also order new Hearing Aid batteries via these contact numbers:
- 01633 234 390
- 01443 802 446
- 01873 732800
Text: 07814 610 009, E-mail: gwentrghaud.ABB@wales.nhs.uk
We are currently revising our plans to offer routine appointments once the urgent and priority patients have been seen. All routine patients will be seen in waiting time order, with those who have been waiting the longest seen first.
We are offering some weekly face-to-face Hepatology Outpatient appointments and Fibroscan clinics for Urgent patients at County Hospital, and routine/ non-urgent clinics are being conducted via telephone. We will be restarting face to face clinics at The Royal Gwent Hospital at a reduced capacity to comply with social distancing guidance for Dr V Goel, Dr N Balaratnam, Dr A Somasekar and Dr A Yeoman as below;
Friday Alt clinic
We have restarted a clinic on a Friday afternoon for our IBD patients at Nevill Hall Hospital.
All other standard outpatient appointments are being undertaken either virtually or by telephone, at a reduced capacity.
Fibroscan clinics, Endoscopic Retrograde Cholangiopancreatography (ERCP), Endoscopic ultrasound (EUS), Capsule Endoscopy appointments and Diagnostic Endoscopy services at the Royal Gwent, Nevill Hall and Ysbyty Ystrad Fawr Hospitals are all running daily, but at a reduced capacity. Bowel Screening Wales services have restarted, with reduced activity at Ysbyty Ystrad Fawr Hospital.
An Endoscopy service currently takes place at St Joseph's Hospital. We are also providing some outpatient activity at St Josephs Hospital.
The Gastroenterology and Medical Ambulatory Care Unit has now returned to C4 West at the Royal Gwent Hospital. There is now a larger area to allow for patient safety and for future expansion of the service. The Unit continues to provide nurse led care and follow ups, IBD infusions, blood transfusions and assessment and management of ascites as well as many more interventions helping keep patients well and out of hospital. Any queries please email GAU.firstname.lastname@example.org
Personal Protective Equipment (PPE) is being utilised where necessary.
We are reviewing our plans to reinstate our Blood Borne Virus (BBV) service for treatment of Hepatitis, as well as the booking of urgent and routine, repeat and surveillance Endoscopy appointments.
Urgent Suspected Breast Cancer Surgery has continued throughout the Pandemic, with an additional all day Tuesday list commencing at St Josephs Hospital.
We are currently offering reduced clinics for all face-to-face diagnosed Colorectal Cancers. Urgent Paediatric Surgery has now been started once again, and Endocrine Surgery has been re-instated at the Royal Gwent and Nevill Hall Hospitals, with follow up appointments happening over the telephone.
Some Oupatient appointments have restarted for Upper Gastrointestinal at Ysbyty Aneurin Bevan. Consultations have been taking place over the telephone, unless physical examinations are required. Telephone Consultations are also taking place for all Urgent Suspected Cancer, and urgent and routine colorectal referrals (including Hernias, Bleeding Haemorrhoids). In addition to telephone consultations, urgent Upper Gastrointestinal and urgent colorectal face-to-face outpatient appointments have commenced at St Joseph's Hospital.
Telephone consultations for Vascular Surgery are encouraged wherever possible, however face-to-face appointments and hot clinics are available if preferred.
The following treatments have resumed, with reduced lists re-instated:
- Laparoscopic Cholecystectomy for Pancreatitis and other urgent conditions;
- Laparoscopic cholecystectomy following certain illnesses (considered on a case by case basis);
- Rectum Examinations Under Anaesthetic for anal pain/anal mass/ Crohn’s sepsis/ Crohn’s resections;
- Colonoscopy (reduced lists)
We have now introduced a reduced outpatient service at Nevill Hall Hospital, in addition to the outpatient clinics already being undertaken Monday to Friday at St Joseph's Hospital. These are face to face clinics for Upper Gastrointestinal and Lower Gastrointestinal patients. The appointments are booked for patients who have been referred to the service and prioritised as urgent and also for the longest waiting routine patients.
All routine patients will be treated in turn, with those waiting the longest treated first.
GP practices are open and can provide telephone triage and remote consultations (video or telephone) where appropriate, with the facility to see you face to face where clinically necessary. Where possible appointments are limited to one person.
If you require an urgent or routine medical appointment, please contact your GP practice either by telephone or via their online platforms such as E-Consult. Please check your GP practice website to identify the best way to access their services.
If you require a home visit, please telephone your GP practice where your enquiry will be triaged. Home visits will only be carried out where deemed clinically appropriate.
You don't always need to see your GP and your practice may recommend that you see another health professional who is part of the practice team.
GP practice receptionists throughout Gwent have been trained in care navigation. This training allows reception staff to advise callers of the health care professional or service best placed to treat them, ensuring patients effectively navigate the services they need. This might include the Practice Nurse, Advanced Nurse Practitioner, local Pharmacist or indeed a Practice-Based Pharmacist who can treat you without necessarily seeing your GP.
If you are displaying symptoms of COVID-19 and have a pre-booked face-to-face appointment, please advise your GP practice before attending your appointment.
Visiting your GP practice may look and feel very different to before. Practices will ensure that social distancing measures are met and are providing hand sanitising stations within the practice. Please ensure you comply with government guidelines and wear an appropriate face covering when visiting the practice unless you are medically exempt. If you are offered a face to face appointment please do not arrive ahead of your appointment time so that practices can manage numbers in waiting areas to adhere to social distancing.
If you are experiencing health problems, please contact your GP practice or 111.
It is important that you are registered with a GP practice to ensure your medical needs are addressed when required. Every GP practice has its own boundary area where patients are accepted from. If you have recently moved house please contact your GP practice to discuss your registration status. In addition, if you are not registered with a GP practice, please access GPs - Aneurin Bevan University Health Board (nhs.wales) where a list of practices within your area of residency will be displayed. Please note that in order to register with a practice, you must contact the practice direct.
We are running outpatient clinics from w/c 07/06/21 in both Nevill Hall and the Royal Gwent Hospital to reduce the waiting times for new referrals.
Treatment lists with local anaesthetic continue to be held in the Women’s Health Ambulatory Care Unit at Nevill Hall Hospital thereby reducing the wait for treatment.
Gynaecology has currently suspended routine services in line with recent Welsh Government advice and Health Board communication.
Urgent Suspected Cancer activity, including Post-Menopausal Bleeding and Colposcopy appointments, will now be delivered from Ysbyty Ystrad Fawr and Ysbyty Aneurin Bevan. Urgent Suspected Cancer diagnostic procedures continue to be delivered at Nevill Hall Hospital.
Cervical Screening services and Fertility Clinics have also recommenced, with face-to-face Fertility consultations available and women age 38+ prioritised. Insertion of pessary has now restarted.
The service will be utilising capacity at St Joseph's Hospital to increase the number of operations being performed.
- Urodynamics diagnostics;
- Any laparoscopic procedure;
- Anterior and posterior repair and urogynaecology procedures including TVT/TOT insertions and other repairs;
- Total Abdominal Hysterectomy (including Bilateral Salpingo-Oophorectomy;
- Oophorectomy (benign conditions);
- Sterilisation or fertility investigations;
- Hysteroscopy (benign conditions)
North and South day units have been combined into RGH and we are now looking at moving our north treatments back to NHH. All services continue as normal.
All Outpatient appointments and treatments are now being offered.
In all areas we have ongoing support from our Responsive Feeding Teams who are making contact with all parents/carers within 72 hours of birth discharge to provide telephone support and advice. There is a New Birth Home Visit from a named Health Visitor for every family when their baby is 10 to 14 days old and again at 4 to 6 weeks and also a home visit by a Health Visitor at 6 months and 15 months. Health Visitors are also seeing face to face at home or at a local venue for those families requiring extra support and advice. Our skill mix staff are commencing home visits to weigh and measure children at 27 months following a telephone contact and will continue to provide a telephone contact at 3 and a half years. All Health Visiting staff will wear the required COVID-19 protective equipment for home visiting and face to face contacts.
If a family does not wish for a home visit to go ahead or to attend a local venue then the contacts could be completed as much as is possible over the telephone or via Whats App.
Flying Start services are also providing extra contacts and support to their families.
For more information and any related query, families are advised to contact the central Health Visiting advice line on 01633 618010 for advice and support.
We are planning to provide the Attend Anywhere video calling system (which is being rolled out in the Health Board area) to facilitate future group work.
The Learning Disability Directorate has continued to provide services for adults with a Learning Disability throughout the pandemic. These include:
Community Learning Disability Teams (CLDT) continue to receive referrals and undertake assessments and interventions as required.
Teams can be contacted directly or referrals can be emailed to ABB.LDCLDTReferrals@wales.nhs.uk
All of our clinicians are offering appointments by telephone or remotely using Attend Anywhere/ Microsoft Teams. Face to face appointments including home visits continue to be undertaken where the clinical need requires this. We are of course adhering to all of the guidance regarding COVID-19, in order to keep everyone as safe as possible throughout this period and beyond.
Our inpatient unit Ty Lafant, Llanfrechfa Grange continues to provide admission to individuals with a Learning Disability who are known to our CLDTs and require assessment and treatment in a hospital environment.
Nevill Hall Hospital Midwife-Led Birth Centre has now re-opened.
The Royal Gwent Hospital Midwife-Led POD has re-opened following a refurbishment.
As always, women have the option of choosing to have their baby at home, at one of our 4 free standing midwifery led birth units, our alongside midwifery led unit , or our obstetric unit. Further information about each birth area is available on the Aneurin Bevan University Health Board website.
All antenatal appointments and scans appointments also remain unchanged.
Most appointments are going ahead as usual, however we are offering virtual and telephone for some allocated appointments so as to limit face-to-face contact.
Telephone Clinics are currently being conducted for the following pregnancy stages:
Face-to-face appointments and care are currently being conducted for the following pregnancy stages:
It has been agreed by the Board that women attending for dating anomaly scans and fetal medicine can now be accompanied by one person from the same household.
The following four choices remain an option for women:
Face-to-Face appointments and care are currently being conducted for postnatal services:
We know it has been a very difficult time for families during the pandemic and we are now in a position to make some changes to our visiting restrictions.
From 8am on the 13th of April 2021, partners are able to be with you in the hospital on the antenatal and postnatal ward from 8am – 8pm in addition to being with you in the birthing areas for established labour and caesarean.
We do need to ask partners to wear masks, be free of any symptoms of COVID 19, to be tested for COVID 19 on arrival and to stay in the room with you at all times. Therefore we recommend that partners bring food, hand sanitiser and as mask with them. It needs to be one birthing partner only for the whole duration of a stay – no changing/swapping of partner/support person. Partners will be asked to provide contact details.
The restrictions on visitors attending for scans and antenatal appointments have been reviewed following the announcement from WG on 18th June 2021. Partners can now attend appointments/scans following COVID guidance set out in ABUHB.
We hope this update is welcoming and appreciate your on-going understanding during these difficult times.
Face to face clinics have restarted in the Royal Gwent Hospital for the most clinically urgent patients.
For all other cases, we are offering virtual and telephone clinics where possible.
We are working through our plans to restart treatments and diagnostics.
Telephone appointments only are currently being offered to:
- Multiple Sclerosis;
- Motor Neurone Disease;
- General Neurology;
- Parkinson’s patients
We are offering weekly face-to-face clinics for Urgent Epilepsy and Urgent Suspected Relapse Multiple Sclerosis patients.
Tysabri infusions for MS patients are ongoing as usual, and Neurotoxin treatment is being offered to Dystonia patients every other week.
Face-to-face appointments are available for Motor Neurone Disease and General Neurology patients requiring urgent Botox treatment. We are also offering urgent face-to-face consultations for General Neurology patients requiring lumbar puncture to diagnose Idiopathic Intracranial Hypertension (IIH) and/or Motor Neurone Disease (MND).
All infusions (other than Tysabri) for MS patients have recommenced.
Patients with stroke and brain injury are being provided with an early supported discharge service and offered telephone or video assessment, coaching and support where clinically appropriate.
For domiciliary visits staff will be wearing Personal Protective Equipment (PPE) for in house sessions or will offer sessions in outside areas where space and weather allows.
The Acquired Brain Injury Service will be contacting all patients by telephone to determine levels of support required.
The Clinical Psychology In-reach Service to the Stroke Units is operating as normal.
Clinical Psychology Outpatient Clinics are being undertaken virtually.
Fore referral information and contact details for the Community Neurological Rehabilitation Service please telephone 01495 363461 Monday to Friday between 8am and 5pm.
We are currently unable to offer routine face-to-face appointments for:
- Motor Neurone Disease;
- General Neurology; and
- Parkinson’s patients
However, we are working through our plans to resume these as soon as we are able to do so.
The Acquired Brain Injury Service Team is developing online groups to support patients living with stroke and brain injury.
Occupational Therapy referrals are now being accepted. Patients will be triaged and risk assessed via the telephone, and appointments will then take place either virtually or face-to-face.
Urgent and emergency memory and mental health assessments for older people have continued throughout the pandemic, either by home visit or attendance at one off clinics.
We have continued to review existing patients, either by telephone or face to face.
Routine non-urgent face to face Memory Clinics have resumed across all localities. In all areas, virtual consultations will be the initial offer with face to face appointments offered as clinically appropriate
Due to infection control and social distancing restrictions these will be running at reduced capacity.
Any new patients referred to our memory clinics will be offered telephone or Attend Anywhere (virtual) assessments in the first instance, however if either of these are not appropriate or not possible for the patient and their carer a face to face appointment will be made available.
Face to face clinics are recommencing on different dates due to local arrangements and this information will be made available here as soon as things are confirmed.
Memory clinics are based out of Ysbyty Ystrad Fawr (YYF); Ty Siriol; Ysbyty Tri Cwm; St Cadoc's; Chepstow, Monnow Vale and Mardy Parc.
Plans to restart outpatient clinics in YYF are being made.
The following services have continued to run throughout the pandemic, however, the way they are run has now been altered slightly to accomodate social distancing regulations:
- Ophthalmology / Emergency eye clinics at The Royal Gwent Hospital
- Ophthalmology / Wet Macular Degeneration clinics at Specsavers, Nevill Hall Hospital and Ysbyty Ystrad Fawr
- Ophthalmology Wet Macular Degeneration Referral Refinement clinics at Specsavers
- Retinopathy of Prematurity screening and clinics at The Grange University Hospital
- Bandage contact lens clinics at The Royal Gwent Hospital
The following services are operating at a reduced capacity at Nevill Hall Hospital for urgent / emergency cases only:
- General Ophthalmology clinics
- Ophthalmology Wet Macular Degeneration clinics
- Minor ops
- Orthoptist clinics
- Ophthalmology Pre Assessment clinic
We are currently working through our plans to resume the following services at Nevill Hall Hospital:
- Cataract clinics
- Cataract surgery
Optometry practices are open for urgent and essential appointments and can also provide routine sight tests to patients.
To find an optician you can search our directory of opticians, simply contact a practice to make an appointment. Depending on your requirements you may be seen by an:
Optometry practices will prioritise and schedule patient appointments based on clinical need and presenting symptoms relative to the risk of sight loss and harm.
Visiting the optometry practice may look and feel very different to before. Practices will ensure that social distancing measures are met and are providing hand sanitising stations within the practice.
To find out what optical care and services are available under the NHS please access the following link Free NHS eye tests and optical vouchers
If you require an urgent eye appointment or you are at a higher risk of eye disease, you can access the Eye Health Examination Wales (EHEW) Scheme free of charge. In addition, your GP or Pharmacist can also refer you to an optician that is EHEW accredited.
Please visit www.eyecare.wales.nhs.uk where a list of EHEW practices will be displayed or alternatively look for the following sign in optician’s windows.
A full acute Children’s Assessment Unit and ward service continues to operate at the Royal Gwent and Nevill Hall Hospitals but our hospital services for children have changed.
Children who require emergency treatment are cared for at the Grange University Hospital, Cwmbran NP44 8YN where specialist children's Doctors and Nurses, children's hospital beds and the Children's Emergency Assessment Unit are centralised.
Local Minor Injury Units for children (aged over 1 year) remain at the Royal Gwent Hospital , Nevill Hall Hospital, Ysbyty Ystrad Fawr and Ysbyty Aneurin Bevan. All children under 1 year old however, are seen at The Grange University Hospital.
St Woolos Hospital, Nevill Hall Hospital and Ysbyty Ystrad Fawr continue to provide a range of essential / urgent outpatient appointments for children.
For more information, please visit www.abuhb.nhs.wales
Telephone or Video Clinics are running weekly for newly referred and existing patients for most clinical conditions. Children are offered appointments in order of waiting time and/or clinical priority.
Currently, face-to-face consultations in Outpatient Departments are offered to clinically urgent patients only or those where attendance is deemed clinically necessary e.g. cardiology patients requiring echocardiography. Such clinics operate from a reduced number of sites.
Children’s Community Nursing Services
Respite Care and palliative nursing support continues.
The Neonatal Units at the Royal Gwent and Nevill Hall Hopitals have relocated to the new specialist Grange University Hospital in Cwmbran.
Telephone or Video Clinics are running weekly for newly referred and existing babies and infants. Patients are offered appointments in order of waiting time and/or clinical priority.
Currently, face-to-face consultations in Outpatient Departments are offered to clinically urgent patients only or those where attendance is deemed clinically necessary e.g. where physical examination is mandatory.
We are putting in place plans to increase the number of face-to-face clinics whilst ensuring appropriate social distancing measures in children's Outpatient Departments.
We are now providing support via telephone or virtual consultations to physiotherapy patients who have either an urgent or routine need for physiotherapy advice or treatment. We are also able to offer face to face consultations, however our capacity to do this is still limited by the social distancing guidelines. We are also now able to administer soft tissue or intra articular joint injections for musculoskeletal (MSK) patients, when appropriate.
Information is available via our Online Self-help Guidance by clicking on the relevant link below:
We will review our plans to reinstate group therapy and hydrotherapy appointments, when appropriate.
The Podiatry and Orthotics service remains open; although we are operating from a marginally reduced number of clinical sites at present.
If you require advice or have a query regarding your Podiatry or Orthotic treatment, please get in touch on the following number: 01633 615225 (Mon-Fri)
Select Option 1 for Podiatry or Option 2 for Orthotics
Or alternatively by e-mail:
Podiatry Email: ABB.Risca.Podiatry@wales.nhs.uk
Orthotics Email: ABB.OrthoticAdmin@wales.nhs.uk
Additional resources are available on our website: https://abuhb.nhs.wales/hospitals/a-z-hospital-services/podiatry-orthotics/
Emergency face-to-face appointments are available to patients with Urgent Active Foot Disease and to those at high risk of developing ulcers.
We are in the process of inviting existing patients for face-to-face Podiatry appointments based on their medical risk classification.
The service is providing a variety of face-to-face and virtual appointments for those with musculoskeletal and/or orthotic requirements, depending on clinical presentation and relevant risk factors.
MSK Shockwave clinics have restarted.
Injection Therapy is now possible for certain patients as part of MSK Podiatry treatment plans based on a clinical risk assessment.
Podiatric Nail Surgery is available for patients with urgent clinical need.
Joint Physiotherapy and Orthotics Clinics for neurological rehabilitation have restarted.
The service is open to provide advice to patients seeking support - both urgent and non-urgent patients.
We are reviewing the benefit of virtual appointments within MSK + Orthotics to see how this might be a part of our service going forward.
We are reviewing our clinical accommodation program across all sites.
The Primary Care Mental Health Support Service, Integrated Autism Service and Psychological Wellbeing Service remain open and are accepting referrals, with assessments being carried out face to face where possible, or via telephone or virtual appointment. Existing patients are continually reviewed and offered either face to face, telephone or virtual appointments, dependent on the needs of the patient.
If you would like to access any of our online resources and self-help information, please visit our Mental Health and Well-being web pages
The following Radiology Specialties are prioritised based on Urgent Suspected Cancer, urgent and routine requests:
- MRI Scans;
- CT Scans;
- CT Colonography at Ysbyty Ystrad Fawr and Nevill Hall Hospital;
- CT Cardiac scans at the Royal Gwent Hospital (In patients at the Grange University Hospital)
- Nuclear Medicine in the Royal Gwent Hospital and Nevill Hall Hospital;
- Paediatric Scoliosis X-Rays;
- Urgent Musculoskeletal Ultrasounds;
- Urgent Magnetic Resonance Enterography;
- DEXA Scans;
- Musculoskeletal Ultrasounds;
- Musculoskeletal imaging-guided steroid injections;
- Interventional procedures;
- Barium studies;
- HSG's at Nevill Hall Hospital.
The following Radiology Departments are providing a service for plain film referrals from Primary Care;
- County Hospital
- Ysbyty Aneurin Bevan
- Chepstow Community Hospital
- St Woolos Hospital
- Monnow Vale
We are currently working through our plans to re-start:
- Plain film referrals from Primary Care at Royal Gwent Hospital, Nevill Hall Hospital and Ysbyty Ystrad Fawr;
- Fibroid embolisationsand epidurals.
We are continuing with urgent face to face appointments in Nevill Hall Hospital, St Woolos and Ysbyty Aneurin Bevan hospitals. However these will be restricted due to COVID and therefore most appointments where appropriate will be carried out as a telephone appointment. Please note the hospital telephone numbers begin with 0330.
The Pleural Outpatient Service has continued throughout the Pandemic, however it is now run from the Chest Clinic.
Outpatient Cancer Clinics are continuing as normal activity in the Chest Clinic.
Lung Function Diagnostics, are operating at a reduced rate due to Social Distancing regulations and air flow requirements. We now have 2 lung function machines to increase capacity due to maximising air flow.
We are running face-to-face Clinics for new and existing Interstitial Lung Disease (ILD) patients.
We are offering face-to-face and telephone Clinics for Tuberculosis patients, and new and existing Asthma patients. For Asthma patients, Xolair injection clinics are taking place at Ysbyty Ystrad Fawr at normal capacity.
The Sleep Service is running telephone clinics for new and existing patients.
Urgent Continuous Positive Airway Pressure (CPAP) set ups are taking place in person, at a reduced capacity (full PPE worn), however less urgent CPAP set ups can be conducted via telephone.
Pulse Oximetry is running at increased capacity to reduce the backlog of patients, with the South patients being able to stay in their car whilst being handed equipment.
Pulmonary Rehab trials are being conducted virtually due to Social Distancing
Outpatient Appointments for Nevill Hall Hospital and Ysbyty Aneurin Bevan - Face to face clinics are taking place but running at reduced capacity due to social distancing. Telephone clinics are also continuing.
Outpatient Appointments at the Royal Gwent and St Woolos Hospitals - Face to face clinics are taking place but running at reduced capacity due to social distancing. Telephone clinics are also continuing.
Telephone clinics for new and existing patients are operating for the following services:
- General Respiratory;
There is a phased increase in Rheumatology face to face outpatient capacity with the aim of increasing this across all consultants on a weekly basis.
All patients requiring Sexual and Reproductive Health Services i.e. requiring contraception or management of sexually transmitted infections can call our triage line on 01495 765065. When you call you will be placed in a queue until the phone operator answers your call. Your details will be given to a nurse who will call you back to see if you need an appointment and will arrange this as required. They may also give you other advice e.g. how to access treatment at the pharmacy or your GP.
If you would like testing for sexually transmitted infections but have no symptoms you can access free testing by going to www.friskywales.org
The Unplanned Pregnancy Service; HIV and PREP Clinics are offering telephone and face to face consultations.
Patients requiring Menopause Services are being offered telephone and face to face consultation following the usual referral process.
Patients requiring Psychosexual Services are being offered telephone consultations following the usual referral process.
Vasectomy Services are now operating.
Further information can be found on the Sexual and Reproductive Health pages of our website.
Patients requesting Oral Contraception and Long Acting Reversible Contraception (LARC) Depo Provera Injection are being seen following triage and telephone consultation. Complex Contraception Services are continued at a reduced number.
Patients with symptoms of sexually transmitted infection are being seen following triage and telephone consultation, and being examined and treated as appropriate, including wart treatments.
The Unplanned Pregnancy Service; HIV and PREP Clinics are offering telephone and face to face consultations.
Patients requiring Menopause Services are being offered telephone and face to face consultation following the usual referral process.
Patients requiring Psychosexual Services are being offered telephone consultations following the usual referral process.
Vasectomy Services are suspended until further notice.
Priority Smear Appointments are being offered.
Public Health Wales set up an Online Asymptomatic (not showing symptoms) Testing Service and patients are referred to this site through our triage system to access asymptomatic testing https://www.friskywales.org
Sexual and Reproductive Health Procedure Clinics to enable implants to be fitted / changed / removed are set up. A waiting list and prioritisation is taking place with clinically urgent cases being prioritised as appropriate.
Clinics for coil insertions / change are held. A waiting list and prioritisation is taking place with those deemed clinically urgent being seen following triage and telephone consultation.
Further information can be found on the Sexual and Reproductive Health pages of our website.
We are currently working through our plans to resume all routine services.
The following Speech and Language Therapy specialties are operating as usual for urgent and vulnerable patients, with staff wearing full PPE:
- Adult Outpatient Dysphagia (Swallowing);
- Children’s Outpatient Dysphagia;
- Instrumental Assessment of Dysphagia- Video Fluoroscopy and Fibreoptic Endoscopic Evaluation of Swallowing (FEES)
- Adult Outpatients ENT and Head and Neck Cancer
- Childrens communication (childcare, schools and home visits and clinic appointments)
The following specialties are continuing to be offered to routine patients through video or telephone consultations:
- Adult Head and Neck Cancer Outpatients;
- Adult Outpatient Communication;
- Children’s Outpatient Communication;
- Adult Outpatient Ear Nose and Throat (ENT)/ Transgender
For referral information and contact details for the Speech and Language Therapy department, visit the SLT pages on the ABUHB dedicated website.
The ABUHB Speech and Language Therapy team continue to provide services via video and telephone consultations in the first instance. Staff are commencing face to face clinic appointments alongside visits to schools, childcare settings and nursing homes in line with clinical need, clinical evidence and ABUHB infection control guidelines.
Community Neurological Rehabilitation Service
Patients with stroke and brain injury are accessing the early supported discharge service. Where home visits are required staff will be wearing Personal Protective Equipment (PPE) for in house sessions or will offer sessions in outside areas where space and weather allows . People are also offered telephone or video assessment, coaching and support where clinically appropriate.
The Acquired Brain Injury Service is assessing all referred people by telephone to determine levels of support required and is undertaking domiciliary visits with PPE and using telephone or video coaching support where clinically appropriate.
The Clinical Psychology In-reach Service to the Stroke Units is available but will seek to support remotely via ward based colleagues where clinically appropriate to minimize staff movement between wards, sites and community settings.
Clinical Psychology Outpatient Clinics are being undertaken virtually in most cases with domiciliary visits where clinically required using PPE.
For referral information and contact details for the Community Neurological Rehabilitation Service please telephone 01495 363461 Monday to Friday between 8am and 5pm.
We are currently reviewing our plans to offer routine CT scans, ECG and Doppler diagnostics for TIA patients.
All wound and fracture clinics including Hand fracture clinics are running as normal at The Royal Gwent Hospital.
Urgent elective Paediatric clinics are running Ysbyty Ystrad Fawr on Tuesdays.
Elective clinics have returned to normal service with slightly reduced capacity due to social distancing at the following locations:
Please be aware that patients are being booked in a strict order according to their urgency and waiting times.
If you need to contact the booking team, please use the following email address: OrthopaedicOutpatients.ABB@wales.nhs.uk and we will aim to reply within 72hours.
Fitness for surgery appointments are taking place both via telephone and face-to-face sessions with face-to-face sessions taking place at Ysbyty Aneurin Bevan and Belle-Vue Unit in The Royal Gwent Hospital.
Preadmission and consent appointments are taking place as face-to-face sessions across our outpatient sites at Belle-Vue clinic and The Fracture and Orthopaedic Unit at the Royal Gwent , Morgan Therapy Unit at St Woolos Hospital and at Ysbyty Aneurin Bevan.
We have instituted a pilot projct to text patients at the top of the waiting list if a slot becomes available at short notice due to a cancellation. This text will be sent from 07860 039 092. If you receive this text, please follow the instructions to contact the team and the slots will be allocated on a first come, first serve basis.
Major emergency procedures are being undertaken at the Grange University Hospital.
Hand trauma cases are being undertaken on Fridays at Ysbyty Ystrad Fawr.
All other minor trauma cases are being booked into elective lists following green pathway rules.
Elective surgery has resumed at the following sites:
All patients are being reviewed by their consultants and booked strictly according to clinical priority. Our phone lines are very busy at this time but if you do need to contact us for a routine query, please use the following email address: OrthopaedicTreatments.ABB@wales.nhs.uk and we will aim to reply within 72 hours.
Urgent and Urgent Suspected Cancer face-to-face Outpatient appointments are still going ahead as usual, however we are encouraging patients to undertake telephone appointments wherever possible.
We are performing the following treatments as usual:
-Major Urgent Suspected Cancer;
- Very urgent cases;
- Intermittent Self-Catheterisation;
- Catheter changes;
- Stent insertion/ changes
- Trial Without Catheters and
- Intermittent Self Catheterisations
We are still developing our plans for the re-starting of routine appointments for new patients and Urinary Flow Clinics.
Clinically Urgent Cases, Routine Inpatient and Routine Day cases will start as soon as the All Wales Guidance changes.
The Adult Weight Management Service is currently running at reduced capacity due to COVID-19 which may result in a delay receiving a new patient appointment . There is no change to the young person service.
The Adult Weight Management Service has changed its referral process to accepting self-referrals only. The easiest way to submit a referral is to fill in our online referral form by clicking the link below:
Referrals can also be made via our telephone referral line 0300 3034906 which is open Tuesdays and Thursdays between 9:00 – 12:30.
Please ensure you have a current height, weight and list of medications available.
We are currently offering online or telephone support to patients. Virtual Group sessions, including practical advice and support as well as our adult service Tier 3 Multi Disciplinary Team clinic are being offered via interactive sessions.
If you would like to access any online resources and self-help information, please visit our website.
We are currently unable to offer face-to-face appointments, but we are working through our plans to resume these as soon as we are able to do so. We are reviewing our plans to restart our tailored interventions for both children and adult services.