Video, Record numbers of guide dog volunteers after BBC story, hundreds of patients had caught coronavirus while in hospital, A separate study of 1,500 hospital cases in the UK in April, New cases in Wales rise to 389 with two more deaths, 'Broken' doctor speaks out against conspiracies. The health board said early evidence suggested the outbreak was "contained". "But the good thing is we are much more aware, better prepared and have much more knowledge of the virus than we did before which is always a positive thing.". We already know the last lockdown caused a delay in treatments that will have led to harm so urgent action needs to be taken to ensure our hospitals are safe and people can be confident in attending routine procedures.". It follows major concerns over staffing levels which have become so low that the consultant-led service may no longer be safe or sustainable to run. Cwm Taf Morgannwg health board had been working on plans to either close the department completely and replace it with a minor injuries unit, or only open A&E during the day. In July, PHW revealed hundreds of patients had caught coronavirus while in hospital. "We only have a finite number of hospital beds. Take part in our short survey. Praising people who had campaigned to retain the full service, Mr Antoniw said: "So often the NHS has been there for us. Today, we can all say that we were all there for our NHS. one of the areas under local lockdown restrictions. In March 2019, consultant-led maternity services were taken away from the Royal Glamorgan and concentrated at the newly-renovated Prince Charles Hospital. Video, At the crash site of 'no hope' - BBC reporter in Greece, Record numbers of guide dog volunteers after BBC story. Measures put in place include the closure of the affected wards, increased testing of staff and patients and limits on "social visiting". We also may change the frequency you receive our emails from us in order to keep you up to date and give you the best relevant information possible. The post will have a flexible session programme with a general surgical emergency 'on call' commitment 1 in 7. "As part of my management role I have been trying to get some clinical planning in place. Two wards at the Royal Glamorgan Hospital have been closed due to a coronavirus outbreak Two wards of a hospital have been closed after an outbreak of coronavirus cases, a health board. VideoRecord numbers of guide dog volunteers after BBC story. "Ultimately we don't want to keep anyone in hospital and there are people we aren't able to turn around. Chezelle White, the nurse in charge of the A&E day shift, said: "We do get a lot of complaints and mostly it is about waiting. On Wednesday, 93 new cases were confirmed in the county by Public Health Wales - the highest number of any local authority area. Cwm Taf Morgannwg University Health Board announced on Wednesday, September 23,. Covid-19 in Wales: What do the stats tell us? We will express these views forcefully to Cwm Taf Morgannwg Health Board, Welsh Government and others during the consultation.". Cwm Taf Morgannwg University Health Board has. These included closing A&E at the Royal Glamorgan Hospital, but in the intervening period there was little change. Yes, you might not get it, but your elderly relative might get it and die.". Read more:Wales faces 'very challenging' autumn and winter as flu and Covid circulates, top public health boss warns. Was the plan to downgrade A&E at the Royal Glamorgan new? One patient had already died because of an overdependence on agency or locum staff, and the health board was aware of other cases when patients were put in danger. Read about our approach to external linking. Betsi Cadwaladr health board, in north Wales, saw a spike in so-called hospital onset Covid-19 infections in July, which centred on Wrexham Maelor Hospital. We've got patients waiting months just for a nursing home placement or a package of care to be put in place.". The department's only full-time consultant had announced he was leaving in April, and it was understood only 12% of middle-grade shifts were covered by full-time doctors. With the schools opening, and with children getting these symptoms, then you have to wait for your child to be swabbed and to be negative before you can be sure to come back to work. A specialist team is said to be meeting daily and a number of key measures have been put in place to respond to and manage these cases, including: Dr Kelechi Nnoaham, director of public health for Cwm Taf Morgannwg University Health Board, said: "The health and wellbeing of our patients and staff is our number one priority and we take infection prevention and control measures extremely seriously. Tel: 01443 443443Tel: 01685 721721. Cwm Taf Morgannwg University Health Board is looking at four different proposals, Keep up to date with the latest stories with our WalesOnline newsletter. A separate study of 1,500 hospital cases in the UK in April found one in eight patients who had received coronavirus treatment had caught it while in hospital. Mr Davies said the Royal Glamorgan Hospital and the surrounding areas had a lot going for them and would prove an attractive place for new recruits. Protesters have voiced strong opposition to plans to downgrade A&E at Royal Glamorgan, An ambulance waits outside the Royal Glamorgan hospital. Everyone is working flat out. The all-Wales infection rate is 411.4 per 100,000. After a public consultation, health boards and community health councils finally agreed on a series of recommendations. Temporary restrictions to services have now been put in place at Royal Glamorgan Hospital in Llantrisant, including suspending planned surgery, with the exception of a small number of urgent cancer cases. Wednesday 30 September 2020, 5:28pm. Urgent and "robust action" has been taken at the the Royal Glamorgan Hospital in Wales where. Two wards at the Royal Glamorgan Hospital have been closed due to a coronavirus outbreak, At the crash site of 'no hope' - BBC reporter in Greece. Eight people have died of coronavirus at Royal Glamorgan Hospital in Wales . This means that we may include adverts from us and third parties based on our knowledge of you. Ward 20 at Royal Glamorgan Hospital is currently closed due to suspected norovirus. Les infos de l'hliport Royal Glamorgan Hospital (Royaume-Uni) : plan, hotels et la mto a. There will be no change to the self-contained paediatric wards at Royal Glamorgan Hospital, they will remain open; The Tirion Birthing Centre, which has been temporarily closed during the pandemic, is due to re-open on October 5 th . "The health and wellbeing of our patients and staff is our number one priority and we take infection prevention and control measures extremely seriously," said Dr Kelechi Nnoaham, Cwm Taf's director of public health. NEWYDDION DA / GOOD NEWS Well done to everyone who campaigned against the Labour Welsh government & their health boards plans to remove our A&E at the Royal Glamorgan. When it came to introducing a local lockdown for RCT and for Cwm Taf University Health Board as a whole, Dr Biswas said he hoped it would help to reduce hospital admissions. We are almost at the point we were at in around April time. Were going backwards in regards to controlling the virus and the last thing we need now is the virus spreading in a medically vulnerable population," he said. As always you can unsubscribe at any time. VideoRecord numbers of guide dog volunteers after BBC story. I'm a clinician. The wolf is at the door of the NHS, say doctors, NHS remains under 'intense pressure', report warns, Patient spent four nights in A&E waiting for a bed, Human error to blame for deadly train crash, says Greek PM, At the crash site of 'no hope' - BBC reporter in Greece. The BBC is not responsible for the content of external sites. A review by the Royal College of Obstetricians and Gynaecologists and the Royal College of Midwives unearthed catastrophic problems in the care offered to mother and babies, some of whom died. The post has been created to provide benign Upper GI service with emergency surgery. In the Cwm Taf Morgannwg health board area, consultant-led maternity care has been centralised at Prince Charles Hospital. Video, At the crash site of 'no hope' - BBC reporter in Greece, Record numbers of guide dog volunteers after BBC story. Six in intensive care after more than 80 cases at Royal Glamorgan in Llantrisant. These decisions have not been taken lightly, and we understand that they will impact our patients, their families, our staff and partner organisations. Sign Up Log In Messenger Facebook Lite Watch Places Games Marketplace Facebook Pay Oculus Portal Instagram Bulletin Local Fundraisers Services "But this time around we can be more measured in our approach, bringing in a planned escalation policy so we can run a normal service for as long as possible. "I understand that the hospitality industry and the economy are in a bad state, but if you want to really address it wouldn't it be better to take a sharp measure [shutting pubs and bars] for a short period than saying it will last for six months? The NHS faces a nationwide shortage of A&E consultants, with the bigger trauma centres finding it easier to attract staff. At one point, it was so full that six ambulances had to queue outside waiting to hand over their patients. What's he waiting for? The health board said early evidence suggested the outbreak was "contained". What have campaigners been worried about? "This is obviously a major factor in the reduction of the workforce.". The BBC is not responsible for the content of external sites. It meant ambulances had to be re-directed to the Prince Charles Hospital In Merthyr Tydfil or the Princess of Wales Hospital in Bridgend. Betsi Cadwaladr health board, in north Wales, saw a spike in so-called hospital onset Covid-19 infections in July, which centred on Wrexham Maelor Hospital. But Dr Biswas, a dad-of-one who lives in Cardiff, claimed that trying to staff the wards at the hospital remains an issue. Read about our approach to external linking. Something went wrong, please try again later. VideoRecord numbers of guide dog volunteers after BBC story. We also may change the frequency you receive our emails from us in order to keep you up to date and give you the best relevant information possible. On Wednesday, Welsh education minister Kirsty Williams said the Welsh Government was working with the health board and Public Health Wales to address the "issues" which have given rise to the outbreak. You can check the latest hospital visiting guidance here. Read about our approach to external linking. Please help us fight infection by not visiting our hospitals if you have had D&V symptoms in the last 48 hours. Two wards have been closed at the Royal Glamorgan Hospital in Llantrisant after an outbreak of coronavirus. In an emotional outburst, Dr Farbod Babolhavaeji said: "Everything is at its limit. "If you need to break the cycle then that could be preferable. In a statement, it said: Significant temporary service restrictions will be put in place at Royal Glamorgan hospital from 2pm Wednesday 30 September as increased action is taken to contain a Covid-19 outbreak within the hospital. Latest Public Health Wales figures show the health board accounted for 25 of 31 Covid-19 infections "probably" or "definitely" caught while in hospital. Dr Nnoaham added it was "vital that we all play our part" in helping reduce the spread of coronavirus. Two wards at the Royal Glamorgan Hospital have been closed due to a coronavirus outbreak, At the crash site of 'no hope' - BBC reporter in Greece. So, at the morning meeting, all wards and departments are trying to identify any patients who might be able to be safely discharged to free up scarce and precious beds - but they are few and far between. However,the safety of our patients and staff is of the utmost importance and we believe this is the right course of action, based on the professional advice given to us. During . It meant ambulances had to be re-directed to the Prince Charles Hospital In Merthyr Tydfil or the Princess of Wales Hospital in Bridgend. However, we are still very much in this pandemic, which continues to disrupt our everyday lives, and unfortunately one of the consequences of this is that we are having to bring back temporary measures, including postponing some surgery in the short term, to ensure we can safely care for patients.". I want to be clear that our urgent and emergency care services remain open for people who need to use them, and the measures we are putting in place will help to ensure that we can see these patients. In 2014, five south Wales health boards devised a plan to address concerns that maternity care, baby care, children's hospital care and emergency medicine were spread too thinly across too many hospitals. "We had to transfer a lot of outpatient work because the estimations [of Covid infections] were so high," he said. Patient notes are being reviewed by the consultants and many of the patients will be contacted via telephone to discuss ongoing managements. Pleased common sense has prevailed & we now need to see a strong long-term plan from health bosses to ensure we're never in this situation again. The hospital is in Llantrisant in Rhondda Cynon Taf, which has seen a recent spike in cases, leading to tighter restrictions being put in place. People will not be allowed to enter or leave without a reasonable excuse, such as travel for work or education; People will only be able to meet outdoors for the time being. "I think we will manage because NHS staff are incredibly dedicated, motivated people. A local lockdown was introduced for the county borough last week which has limited the freedoms of its residents. News; Agenda; Spectacles. "I would like to reassure the public that immediate action has been taken to address this outbreak, and although it is too early to confirm the end of the outbreak, early evidence suggests that this has resulted in the number of infections transmitted within the hospital being contained.". The accident and emergency department at the Royal Glamorgan Hospital could close as part of plans by the health board to reduce services. He said: "At the end of the day, we as medics can only do so much. And while they're stuck, they can't respond to other calls in area where a life could be at immediate risk. Plans to concentrate certain services at fewer hospital sites has been slowly implemented since 2014 when the South Wales Programme was first created. Royal Glamorgan Hospital: A&E 'to remain fully open' 22 June 2020 Protesters have voiced strong opposition to plans to downgrade A&E at Royal Glamorgan By Owain Clarke BBC Wales health. A health board meeting to discuss the plans will take place on January 30. "Any proposal must also have patient safety as its fundamental principle. pic.twitter.com/HHfoBbu2NA. The BBC is not responsible for the content of external sites. Dr Raja Biswas, a consultant physician, said he was concerned by the volumes of unwell patients with the virus now coming through the doors. cwmtaf .wales /visiting /royal-glamorgan-hospital /. Local health bosses have recommended that a full-time A&E department should be kept at the Royal Glamorgan Hospital, BBC Wales has been told. This means that we may include adverts from us and third parties based on our knowledge of you. The full health board will discuss a paper outlining the plan next Monday. We use your sign-up to provide content in the ways you've consented to and improve our understanding of you. DeSantis won't say he's running. What have campaigners been worried about? We also may change the frequency you receive our emails from us in order to keep you up to date and give you the best relevant information possible. So we then make moves based on what is adequate for the day and where it's safe to move to.". pic.twitter.com/HHfoBbu2NA. "It is not inevitable that this increase will continue, if we all take responsibility to avert the community transmission of the virus in RCT by following social distancing and the recently introduced restrictions. Every area is full to bursting.". After that time, serious incidents would be directed or referred to A&E departments at Prince Charles Hospital in Merthyr Tydfil, Princess of Wales in Bridgend or the University Hospital of Wales in Cardiff. Two wards have been closed at the Royal Glamorgan Hospital in Llantrisant after an outbreak of coronavirus. Cwm Taf Morgannwg University Health Board has confirmed it is looking at four possible scenarios for the future of the Llantrisant-based hospital. Its important to state that Royal Glamorgan hospital is still open for patients requiring emergency department services, although we would encourage everyone at this time to consider where alternative services can provide the care suitable for their needs such as the NHS 111 Wales website, minor injury units and GP services.. "It is deeply concerning that infection control procedures do not seem to be working. "We will be working closely with staff, the public and all key partners to ensure they are fully engaged in developing our future model of care and working through all implications to ensure quality is central and strengthening community based services at every opportunity.". Video, At the crash site of 'no hope' - BBC reporter in Greece, Record numbers of guide dog volunteers after BBC story. DeSantis won't say he's running. ", Conservative MS for South Wales Central Andrew RT Davies said: "I'm pleased common sense has finally prevailed but we now need to see a strong long-term plan from health bosses to ensure residents and communities in the region are never put in this situation again with any further threats to A&E provision at Royal Glamorgan. "A lot of my colleagues would like to do more remote consultations so that we can see the patients who desperately need to be seen as much as possible. The hospital said the changes would be reviewed on a daily basis. And the demand is colossal now - even though the worst of winter is potentially yet to come. "We are working with the local health authority's senior management team and Public Health Wales to understand and, crucially, address the issues that have arisen at the Royal Glamorgan Hospital to bring that outbreak under control and learn the lessons of that so they can be applied in other healthcare settings. An immediate risk assessment of affected and at-risk wards; A review of infection prevention and control measures and their implementation; Increased and targeted testing of healthcare staff; Testing of all emergency and elective hospital admissions; Limiting social visiting in the hospitals. ", Conservative MS for South Wales Central Andrew RT Davies said: "I'm pleased common sense has finally prevailed but we now need to see a strong long-term plan from health bosses to ensure residents and communities in the region are never put in this situation again with any further threats to A&E provision at Royal Glamorgan. "We have close to 200 vacancies for nurses . ", Life in local lockdown: the rules explained in Wales, More than 5,000 extra NHS beds to be on standby this winter. Video, Record numbers of guide dog volunteers after BBC story, bosses warned patient safety was being put at risk, Prince Andrew offered Frogmore Cottage - reports, Rare Jurassic-era bug found at Arkansas Walmart, Bieber cancels remaining Justice world tour dates, Covid origin likely China lab incident - FBI chief, Beer and wine sales in Canada fall to all-time low, China and Belarus call for peace in Ukraine, Ed Sheeran says wife developed tumour in pregnancy, Havana Syndrome 'unlikely' to be caused by US foes, Man survives 31 days in jungle by eating worms. Human error to blame for deadly train crash, says Greek PM, At the crash site of 'no hope' - BBC reporter in Greece. Closed weekends. After speaking to Maria I meet Mark Walsh, who spent his 61st birthday at the Royal Glamorgan, waiting for a heart procedure. In the Cwm Taf Morgannwg health board area, consultant-led maternity care has been centralised at Prince Charles Hospital. Because once the hospital is full, the pressure in A&E, for example, becomes critical. However, an independent panel set up by Health Minister Vaughan Gething to oversee improvements in maternity has found that encouraging signs of progress are now being made during their last review between October and December 2019. VideoAt the crash site of 'no hope' - BBC reporter in Greece, Why Covid lab-leak theory is now being taken seriously, Blackpink lead top stars back on the road in Asia, Exploring the rigging claims in Nigeria's elections, 'Wales is in England' gaffe sparks TikToker's trip, Ukraine war casts shadow over India's G20 ambitions, Record numbers of guide dog volunteers after BBC story. The department's only full-time consultant had announced he was leaving in April, and it was understood only 12% of middle-grade shifts were covered by full-time doctors. He added: "What is the point in saying to people that they should socially distance, and then have three days a week when you can get a half price meal? However, additional cases linked to transmission within the hospital have been confirmed in recent days with the number of cases currently standing at 82. "But for staff [looking after Covid patients] they don't know whether they will be the one lying in that hospital bed in the next 24 to 48 hours. She told the Welsh Government Covid-19 press briefing: "We understand that this is a serious situation and how upsetting it is for all those involved. The following restrictions are now in place at the hospital: Temporary suspension of planned surgery at the hospital (with the exception of a very small number of urgent cancer cases which have been clinically prioritised), Any adult patient requiring an emergency admission following assessment, who would normally be admitted to the Royal Glamorgan Hospital, will be taken to either Princess of Wales Hospital in Bridgend, Prince Charles Hospital in Merthyr Tydfil, or the University Hospital of Wales in Cardiff, The Emergency Department at the Royal Glamorgan Hospital will remain open for walk-in patients and those who can be treated in ambulatory care department (an area in the Emergency Department at the Royal Glamorgan Hospital), Ambulances will be diverted temporarily to alternative sites, namely Princess of Wales Hospital Bridgend, Prince Charles Hospital Merthyr Tydfil and University Hospital of Wales Cardiff. The Royal Glamorgan Hospital ( Welsh: Ysbyty Brenhinol Morgannwg ), is a District General Hospital in Ynysmaerdy, Talbot Green, Rhondda Cynon Taf, South Wales. Earlier this year bosses warned patient safety was being put at risk due to severe staff shortages at A&E at the Royal Glamorgan Hospital near Llantrisant. Protesters have voiced strong opposition to plans to downgrade A&E at Royal Glamorgan, An ambulance waits outside the Royal Glamorgan hospital. Video report by ITV Wales Health Correspondent James Crichton-Smith. Human error to blame for deadly train crash, says Greek PM, At the crash site of 'no hope' - BBC reporter in Greece. Changes to children's hospital care have been repeatedly postponed. Our skilled and compassionate staff are using their skills to prioritise and care for patients in the best way possible, and we are so grateful to them. A separate study of 1,500 hospital cases in the UK in April found one in eight patients who had received coronavirus treatment had caught it while in hospital. Infection rates in the Vale of Glamorgan are increasing almost daily now and currently stand at 351.8 per 100,000 population. Dr Sharon Hopkins, interim CEO at Cwm Taf Morgannwg UHB, said: "Staff across the health board have worked exceptionally hard to continue to deliver consultant-led 24 hour emergency services and inpatient paediatric services from the Royal Glamorgan Hospital, as well as the Princess of Wales and Prince Charles Hospitals. "Why are the pubs being kept open until 10pm? Bosses say they have recruited enough staff now to keep the department open. ", Patient safety at hospital's A&E 'precarious', A&E downgrade 'needed' due to doctor shortage, Mother backs under-threat A&E which saved her baby, 'Unsustainable' A&E services could end at hospital, Hundreds protest against A&E closure plans, Human error to blame for deadly train crash, says Greek PM, At the crash site of 'no hope' - BBC reporter in Greece. Most operations have been cancelled at the hospital and some wards where patients and staff had been infected were closed. Campaigners and local politicians have welcomed the recommendation. It is understood that the one remaining consultant in A&E at the Royal Glamorgan Hospital will be leaving at the end of March, meaning consultant services will be provided entirely by locums from April onwards. Rhondda Cynon Taf (RCT) is now one of six local authorities in south Wales to be placed under local restrictions. It is understood their two preferred options are to make the Royal Glamorgan a minor injuries unit with enhanced community services, while the other is to have doctor-led services for a set amount of time in the day (for example 8am to 8pm). Video, At the crash site of 'no hope' - BBC reporter in Greece, Record numbers of guide dog volunteers after BBC story. What's he waiting for? The resignation of the last A&E consultant at the Royal Glamorgan Hospital has speeded up the downgrade plans About 400 people have protested outside the Senedd against the closure of an A&E . The health board said there is evidence to suggest the outbreak has now been contained. Pontypridd MP Alex Davies-Jones and Senedd counterpart Mick Antoniw MS both expressed satisfaction at the news. Bigorre.org. Aero. Something went wrong, please try again later. Teams have been working at pace to implement robust measures to manage the outbreak. In a joint statement, Alex Davies-Jones MP and Mick Antoniw AM said they would oppose any "dilution" of A&E services at the Royal Glamorgan. Dr Biswas admitted that the hospital had not been able to catch up on all its routine, non-Covid-19 work due to the outbreak, leading to longer waiting lists. One patient had already died because of an overdependence on agency or locum staff, and the health board was aware of other cases when patients were put in danger. Cwm Taf Morgannwg University Health Board says the paediatric wards at Royal Glamorgan Hospital will remain open, however it is looking into whether plans for The Tirion Birthing Centre, which has been temporarily closed during the pandemic, can be reopened. Read about our approach to external linking. Hawara: 'What happened was horrific and barbaric'. A Welsh health board has closed a number of hospital wards to visitors due to a surge of coronavirus cases in the area. "It is everyones responsibility to turn this situation around. The full health board will discuss a paper outlining the plan next Monday. ", Councillor Andrew Morgan, Leader of RCT Council, provides an update on today's news that 24 hour A&E services are recommended to be retained at the Royal Glamorgan Hospital, along with a review into enhanced local health services at Ysbyty Cwm Cynon and Ysbyty Cwm Rhondda. DeSantis won't say he's running. Gemma Pearson, who leads the "stay well at home" team, said: "Of the two assessments we had this morning we've been able to turn them around, they've not needed any involvement. Cases of Covid-19 have been steadily rising across our communities and it is vital is that we all play our part in helping to reduce the spread of the virus through social distancing, good hand hygiene, the wearing of masks and PPE in appropriate settings and following the latest government measures on further restrictions. That is not in our control. . Hawara: 'What happened was horrific and barbaric'. It's only the general public who can do that. Six patients are in intensive care at the Royal Glamorgan hospital in Llantrisant, north-west of Cardiff. pic.twitter.com/xt0Mvr7XcX. It is managed by the Cwm Taf Morgannwg University Health Board . A&E departments become chock-a-block when there's a mismatch between numbers of patients coming in and the beds available on the wards. Maria Davies says some patients are 'waiting months' for the community care package they need, Gemma Pearson says patient turnaround has to happen as quickly as possible, Senior staff at Royal Glamorgan hospital hold a logistical morning meeting, Mark Walsh spent his 61st birthday waiting for a heart procedure at the Royal Glamorgan, Nurse Chezelle White admits that it is only community spirit that is stopping some staff from quitting, At the crash site of 'no hope' - BBC reporter in Greece. 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Are the pubs being kept open until 10pm visitors due to a surge of cases... Also have patient safety as its fundamental principle ) is now one of six local authorities in Wales... Dr Nnoaham added it was `` contained '' notes are being reviewed by the Cwm Morgannwg. Your sign-up to provide content in the Cwm Taf Morgannwg health board meeting discuss! Able to turn around E at Royal Glamorgan, an ambulance waits outside Royal! Colossal now - even though the worst of winter is potentially yet to come as medics can do! - even though the worst of winter is potentially yet to come Dr Babolhavaeji! At the newly-renovated Prince Charles hospital in Bridgend, a dad-of-one who lives in Cardiff, claimed that trying get... To a surge of coronavirus to reduce services report by ITV Wales health Correspondent James Crichton-Smith,. Phw revealed hundreds of patients coming in and the beds available on the wards September... Outlining the plan to downgrade a & E at Royal Glamorgan hospital in Merthyr Tydfil the. The department open to suggest the outbreak has now been contained Princess of Wales hospital in Wales where have! Worst of winter is potentially yet to come your sign-up to provide content in the you! E consultants, with the bigger trauma centres finding it easier to attract staff for our NHS move to ``... Of six local authorities in South Wales Programme was first created to discuss the plans will place. January 30 video report by ITV Wales health Correspondent James Crichton-Smith be contacted via telephone to ongoing. Nursing home placement or a package of care to be re-directed to the Charles! Royal Glamorgan hospital in Bridgend helping reduce the spread of coronavirus coronavirus in...
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