Skip to main content

Restarting our Services during the Covid-19 Pandemic

Friday 11th December 2020

The increasing transmission of COVID-19 within our communities, together with the usual winter demand on our emergency care is having a significant impact on our ability to provide normal services. It has therefore become necessary to make some changes to our services from Monday 14th December 2020. You can read further details about this on our Coronavirus Official Information page.


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.

Current status as of 3rd May 2021

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.

Current Status as of 3rd May 2021

We are continuing to offer online or telephone appointments for Urgent Pre-Assessment Clinic and Urgent Obstetric Pre-Assessment Clinic patients.  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.

 


Future Plans

The Pain Service is looking to increase the number of treatment sessions offered to urgent patients and is in the process of securing suitable theatre space.  The service is unable to offer appointments for acupuncture at the current time.

 

Current status as of 3rd May 2021

The Bladder and Bowel Nursing Service has currently suspended routine services in line with recent Welsh Government advice and Health Board communication.


Future Plans

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.

 

 

Current Status as of 3rd May 2021

All urgent elective inpatient services have relocated to The Grange University Hospital.

Outpatients

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:

  • Urgent and Routine Echocardiogram appointments - Royal Gwent Hospital, County Hospital, Chepstow Hospital, Nevill Hall Hospital, Ysbyty Aneurin Bevan and Ysbyty Ystrad Fawr.
  • Urgent face-to-face Pacing clinics- County Hospital, Ysbyty Aneurin Bevan, Nevill Hall Hospital and Royal Gwent Hospital. Pacing clinics continue to take place as telephone clinics also.
  • Urgent Transoeophageal Echocardiogram (TOEs), Dobutatamine Stress Echocardiogram (DSE's) and Physical Stress Echocardiography (PSEs) - The Grange University Hospital
  • Exercise Tolerance Tests (ETTs)- Cardiology Unit, Royal Gwent Hospital
  • TILT (Tilt Table Tests)- Cardiology Unit, Royal Gwent Hospital.
  • Elective Diagnostic Angiograms - The Grange University Hospital
  • Elective Pacemakers - The Grange University Hospital
  • Ambulatory Monitoring Clinics - Royal Gwent Hospital, County Hospital, Nevill Hall Hospital and Ysbyty Ystrad Fawr
  • Implantable loop recorder (ILR) - Commenced at County Hospital. Follow up appointments available for urgent patients experiencing symptoms.

 


Future Plans

Plans are being worked through for Cardiac Rehabilitation individual face to face assessments.

Current Status as of 3rd May 2021

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.

 

Current Status as of 3rd May 2021

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:
ABB.SPACEWellbeingND@wales.nhs.uk 

 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.

Future Plans

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.

 

 

Current Status as of 3rd May 2021

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 over the telephone.

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.

Flu vaccination service – NHS funded vaccination for patients over 18 in eligible risk groups and care home/domiciliary care workers (including people aged 50 and over)

Please see the 111 Wales website for more details or contact your local pharmacy.

Current Status as of 3rd May 2021

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: 

  • - Patients that attended urgent dental care centres or patients that contacted their dental surgery and require follow up care 

  • - Patients with incomplete dental treatment from March 2020 

  •  

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.  

 

Please note that patients are no longer ‘registered’ with dental practices and therefore patients can seek dental treatment from any dental practice. If you do not regularly attend a dental practice for treatment and wish to receive ongoing dental care please access Dentist - Aneurin Bevan University Health Board (nhs.wales) where a list of practices within your area of residency will be displayed.  

 

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. 

Current Status as of 3rd May 2021

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 reccommenced as planned in Nevil Hall Hospital.

The Thursday am clinic has recommenced as planned in Nevill Hall Hospital.

A Paediatric clinic is currently held on the Dermatology unit in St Woolos Hospital.


 

 

Current Status as of 3rd May 2021

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.


Future Plans

We are currently working through our plans to evaluate how our Diabetes Education group training can be conducted in an online setting.

Current Status as of 3rd May 2021

Some clinically routine Dietetics Outpatient services have stopped running. However, all clinically urgent patients will be still offered an appointment.

We are offering Attend Anywhere or telephone consultations for the following services:

- Ante Natal Diabetes;

- Community Nutrition Support;

- Complex Nutrition Clinics (including Gastroenterology);

- Diabetes Specialist Clinics (including new diagnosis, remote education and support for complex patients, insulin pump clinics);

- Urgent Primary Care Dietetics;

- Home enteral feeding;

- Cancer Patients

- all Paediatric Dietetics appointments

If deemed necessary, face-to-face appointments are available for Ante Natal diabetes patients, Home Enteral feeding, Paediatric Diabetes, urgent Paediatric endocrine and Paediatric weight checks.

Virtual Diabetes structured education groups (XPERT) have restarted with the diabetes specialist nurses.

Our 'Nutrition Skills for Life' community nutrition training is also being developed as a virtual course for community staff.

 

Face to face Paediatric rapic access for urgent reviews and Paediatric endocrine appointments have restarted.


Future Plans

Diabetes education for patients with Type 1 Diabetes (DAFNE) will be restarting from February 2021  via Teams Videocall.

Current status as of 3rd May 2021

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;

- Diagnostics;

- 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 injuriesand 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.

Current Status as of 3rd May 2021

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:

  • Suspected broken small bones, fractures, dislocations
  • Wounds, grazes and minor burns
  • Head and face injuries provided there has been no loss of consciousness and not taking blood thinning drugs
  • Minor neck and back injuries provided the patient is mobile, has no pins and needles in the arms or legs and has not fallen from a height greater than 5 stairs or 1 metre
  • Eye, ear and nose injuries and foreign bodies
  • Rib injuries
  • Insect, animal and human bites

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.

 

 

Current Status as of 3rd May 2021

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


Future Plans

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.

Current Status as of 3rd May 2021

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;

Dr Goel

Wednesday clinic

Friday Alt clinic 

Dr Somasekar

Tuesday clinic 

Dr Yeoman

Thursday clinic 

Dr Balaratnam

Thursday 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, including Clinical Nurse Specialise clinics for our IBD patients.

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. Th 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.abb@wales.nhs.uk   

Personal Protective Equipment (PPE) is being utilised where necessary.

 


Future Plans

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.

 

Current Status as of 3rd May 2021

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.


 
Current Status as of 3rd May 2021

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 by telephone.  

  

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. 

  

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.  

  

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.  

 

 

 

Current Status as of 3rd May 2021

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.


Future Plans
We are currently working through our plans to re-start the following treatments:

- 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)

Current Status as of 3rd May 2021

All Outpatient appointments and treatments are now being offered.


 
Current Status as of 3rd May 2021

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.


Future Plans

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.

 

Current status as of 3rd May 2021

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

  • Blaenau Gwent CLDT, The Bridge Centre, Abertillery – 01495 354666
  • Caerphilly CLDT, Woodfieldside Business Park, Blackwood – 01495 235532
  • Monmouth CLDT, County Hall, Usk – 01873 735412
  • Newport CLDT, Civic Centre, Newport – 01633 238656
  • Torfaen CLDT, Torfaen Business Centre, Pontypool – 01633 624101

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.

Current Status as of 3rd May 2021
 

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.

Antenatal Services

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:

  • Booking appointment (12-14 weeks)

Virtual Clinics

  • Consultant reviews (face-to-face where clinically necessary)

Face-to-face appointments and care are currently being conducted for the following pregnancy stages:

  • Dating Ultrasound Scan between 10 and 14 weeks gestation
  • Anomaly Scan at 20 weeks
  • Antenatal care from 25 weeks
  • Antenatal visits at 25,28,32, 36, 38, 40 and 41 weeks
  • Access to emergency care from weeks 20 to 40

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.

Birth Options

The following four choices remain an option for women:

  • Obstetric Unit
  • Birthing Unit
  • Freestanding Birthing Unit
  • Home

Postnatal Services

  • Telephone consultations continue to be offered where appropriate.

Face-to-Face appointments and care are currently being conducted for postnatal services:

  • First day after birth – home visit from a midwife (if home is Covid-19 symptom free)
  • Day 3 of life – weight check for baby
  • Day 5 – New-born screening
  • Personalised face-to-face care as clinically indicated and agreed with the Women.

 


Visiting Update:

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.

 There are no changes to scans and antenatal appointments a present (currently a partner for the 12 week and 20 week scan only, and for early pregnancy scans and complex fetal medicine appointments where there are concerns with mothers or baby’s health)

 We hope this update is welcoming and appreciate your on-going understanding during these difficult times.

 

Current Status as of 3rd May 2021

We are currently only offering face-to-face appointments for urgent cases, such as end stage kidney failure.

For all other cases, we are offering virtual and telephone clinics where possible.


Future Plans

We are working through our plans to restart treatments and diagnostics.  

Current Status as of 3rd May 2021

Telephone appointments only are currently being offered to:

- Epilepsy;

- 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. 

 

Community Neurological Rehabilitation Service

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.


Future plans

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.

Current Status as of 3rd May 2021

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.

 

Current Status as of 3rd May 2021

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.

Current status as of 3rd May 2021

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

 

 

Current Status as of 3rd May 2021

 

Optometry practices are open for urgent and essential appointments and can also provide routine sight tests to patients.  

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.  

  

If you are experiencing eye problems, please contact your local optician or 111. 

Current Status as of 3rd May 2021

PAEDIATRICS

Acute Services

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

Outpatient Services

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.

NEONATES

Acute Care

The Neonatal Units at the Royal Gwent and Nevill Hall Hopitals have relocated to the new specialist Grange University Hospital in Cwmbran.

Outpatient Services

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.

 


Future Plans

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.

 

Current Status as of 3rd May 2021

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 a limited number of face to face consultations, however our capacity to do this is still limited by the social distancing guidelines.   A face to face appointment will only usually be offered following a telephone or video consultation. 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:


Future Plans

We will review our plans to reinstate group therapy and hydrotherapy appointments, when appropriate.

Current status as of 3rd May 2021

Emergency face to face appointments are available to patients with Urgent Active Foot Disease and to those at high risk of developing ulcers, however this service is available at a reduced number of sites.  We are also inviting these patients for telephone review appointments where appropriate.

The service is providing virtual appointments for those with musculoskeletal and/or orthotic requirements.

The service is open to provide advice to patients seeking support - both urgent and non-urgent patients.

If you require urgent 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.RiscaPodiatry@wales.nhs.uk   

Orthotics Email: ABB.OrthoticAdmin@wales.nhs.uk 

Additional resources are available on our website: https://abuhb.nhs.wales/hospitals/a-z-of-services/podiatry-orthotics/


Future Plans

We are currently planning to restart non–urgent appointments.

Current status as of 3rd May 2021

The Primary Care Mental Health Support Service has continued to offer its services and receive referrals via your GP throughout this year.

We are currently offering online virtual or telephone appointments for assessment and therapy to patients.  Virtual sessions are also in place for our therapy groups, which include Living Life to the Full; Compassion Focused Therapy and Mindfulness Based Cognitive Therapy.

If you would like to access any of our online resources and self-help information, that form part of our Road to Well-Being offering, please visit our Mental Health and Well-being web pages

We have also re-instated a number of face to face appointments for one to one therapy. This is currently limited to certain venues in Gwent, where these sessions can be run in line with social distancing requirements.

Current Status as of 3rd May 2021

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


Future Plans

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.

 

 

Current Status as of 3rd May 2021

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;

- COPD;

- Oxygen

- Sleep

- Asthma

Current status as of 3rd May 2021

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 our website: https://abuhb.nhs.wales/healthcare-services/community-services/sexual-health-services


Future Plans

We are currently working through our plans to resume all routine services.

Current Status as of 3rd May 2021

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.


Future Plans

We are working through our plans to resume face-to-face appointments for services currently only available via telephone/ video consultations as soon as we are able to do so. To accommodate Social Distancing measures, staff will wear 'communication friendly' clear face masks and screens will be used where appropriate.

Current Status as of 3rd May 2021

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.

 


Future Plans

We are currently reviewing our plans to offer routine CT scans, ECG and Doppler diagnostics for TIA patients.

Current Status as of 3rd May 2021

Outpatients:

Trauma treatments and Wound Clinics are currently running as normal.

Hand fracture clinics are running at the Royal Gwent Hospital on Tuesdays.

All other fracture clinics are running at Ysbyty Ystrad Fawr, Monday to Friday.

Urgent elective Paediatric clinics are running Ysbyty Ystrad Fawr on Tuesdays.

Urgent elective clinics have returned to normal service with limited capacity due to social distancing at the following locations:

- Fracture and Orthopaedic Unit, Royal Gwent Hospital.

- Ysbyty Aneurin Bevan.

- Morgan Therapy Unit, St Woolos Hospital.

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 Royal Gwent Hospital

If you need to contact us, please use the following email address: OrthopaedicOutpatients.ABB@wales.nhs.uk and we will aim to reply within 72hours.

Every patient will be telephone booked into an appointment slot. As part of the booking process, patients will be asked a series of questions in relation to COVID symptoms before any appointment is arranged. A further questionnaire will need to be completed the day before your appointment.

We have instituted a pilot project 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.

Treatments:

Major emergency procedures are being undertaken at the Grange University Hospital.

Minor / Planned emergency procedures are being undertaken at the Orthopaedic Surgical Unit, St Woolos Hospital

Elective surgery has resumed at the Royal Gwent Hospital for the most urgent elective patients.

All patients are being reviewed by their consultants and booked 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.

 

 

Current Status as of 3rd May 2021

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;

- Lithotripsy;

- Intermittent Self-Catheterisation;

- Catheter changes;

- Stent insertion/ changes

Rheumatology

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

The following services are taking place:

- Botox;

- Lithotripsy;

- Trial Without Catheters and

- Intermittent Self Catheterisations


Future Plans

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.

Current Status as of 3rd May 2021

The Adult Weight Management Service is curently 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:

https://forms.office.com/Pages/ResponsePage.aspx?id=uChWuyjjgkCoVkM8ntyPrs4KSRwJRIVFkOwM23kb6QNUQ0RBN0dHNlA5TjIzMjRTNE9QSVBSNTlORy4u

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.

Future Plans

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.