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	<h1 id="article-headline">Health chief tells Wrexham councillors there is a &#8220;desperate need&#8221; to change services</h1>
	
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	<p>A TOP health boss said there was a &#8220;desperate need&#8221; to change services as staff are struggling to cope with demand.</p>
	<p>Betsi Cadwaladr University Health Board executive director Geoff Lang was candid with his assessment of service delivery in hospitals and health centres.</p>
	<p>Mr Lang painted a picture of a creaking system in need of reform with some services &#8220;not currently meeting quality standards&#8221; and &#8220;little resilience&#8221; to cope with surges in demand and staff absences.</p>
	<p>Mr Lang told a Wrexham council scrutiny committee yesterday that waste and duplication was still a problem.</p>
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	<p>This was against a backdrop of increasing costs, public sector finance cuts and an ageing population.</p>
	<p>What was needed, Mr Lang said, was to concentrate services in key areas, and look at delivering care closer to home, rather than a hospital-centric model.</p>
	<p>In child care there needed to be better prevention and intervention at an early age to promote healthy living, and stop the problems before they arise.</p>
	<p>But there were still insufficient nurses, health visitors and junior doctors.</p>
	<p>There were still problems staffing maternity and neo-natal units and concerns about non-compliance with national standards.</p>
	<p>General surgeons were likely to become a thing of the past as specialists become more prevalent.</p>
	<p>There was also a forecast 30% increase in resources needed to deal with trauma and orthopaedics.</p>
	<p>&#8220;Doing nothing is not an option. We must move forward,&#8221; Mr Lang said.</p>
	<p>But Chirk councillor Terry Evans was upset by the prospect of moving more to a home care model and said he had heard horror stories of the elderly and infirm left with minimal care, and family carers at their wits end.</p>
	
	
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				<a href="http://trinitymirror.grapeshot.co.uk/northwest/redirect.cgi?target=http://ad.uk.doubleclick.net/jump/dailypost.5293/news;slot=bottom%5Fad;sect=north%2Dwales%2Dnews;templ=page;cat=News;reg=NW;st=other;oid=30340240;sz=255x90;gs_cat=GS_CHANNELS;tile=7;ord=410131657?" target="_blank">
				<img
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		</div><div class="ad0 ad-fireplaceright"
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		</div><!-- SiteCatalyst code version: H.17.
Copyright 1997-2009 Omniture, Inc. More info available at
http://www.omniture.com -->


<script type="text/javascript"><!--

var OMNI_DEBUG_LEVEL = 33; 



function GetURLVars()
{
	
	var args = new Object();
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function GetCampaign()
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var s_account;
s_account = s_account || "mgntrinitymirroraggregate,dailypostwales";
//--></script>

<script type="text/javascript"
	src="http://images.icnetwork.co.uk/js/stats/omniture_network_wide_code.js"></script>

<script type="text/javascript"><!--

var pageName = "dailypost/News/North Wales News"


if (typeof startLoadTime != 'undefined') {
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s.channel="News";
s.pageType="";
s.prop1="News|North Wales News";
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s.prop5 = "dailypost";
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s.prop9="page.cfm"
s.prop10="30340240"
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s.prop18="News"
s.prop19="30340240"
s.prop21="NW-Northwales"
s.prop24=""
s.prop27 = totalLoadTime
s.prop30="article"

s.hier1="dailypost|News|North Wales News"


s.campaign=s.prop14
s.state=""
s.zip=""
s.products=""
s.purchaseID=""
var eVar1Val=""
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var eVar3Val=""
var eVar4Val=""
var eventsList=""

s.prop15="dailypost_health-chief-tells-wrexham-councillors-there-is-a-desperate-need-to-change-services"
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	// for offers flyout
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}





s.events=eventsList
s.eVar1=eVar1Val
s.eVar2=eVar2Val
s.eVar3=eVar3Val
s.eVar4=eVar4Val
s.eVar5=""


s.pageName = setOmniturePageName(pageName);
if (typeof(statsPageProps)!='undefined' && typeof(statsPageProps.pageNameSuffix)!='undefined') {
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if (typeof(statsClassifiedCategory) != "undefined") {
	
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}
if (typeof(statsContentCategory) != "undefined") {
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if (s.prop4 != "" && s.prop5 != "") s.prop12 = s.prop5 + "_" + s.prop4;
if (s.prop4 != "" && s.prop16 != "") s.prop17 = s.prop16 + "_" + s.prop4;
var s_code=s.t();if(s_code)document.write(s_code);


var puffLinks = $('*[type=puff] a');
//Add click event
puffLinks.click(function(){
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	tm.logger.debug(['Puff Tracking:', 'objectId:', objectId, 
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	s.events = 'event17';
	s.t();
	
	tm.logger.info(['Puff Tracking:', 'Omniture event sent' ], OMNI_DEBUG_LEVEL);

	return tm.logger.debugLevel != OMNI_DEBUG_LEVEL; //if debug mode don't follow link
});
//Log to console if required.
tm.logger.debug( [ 'Puff Tracking: Links', puffLinks ], OMNI_DEBUG_LEVEL );




//--></script>
<script type="text/javascript"><!--
if(navigator.appVersion.indexOf('MSIE')>=0)document.write(unescape('%3C')+'\!-'+'-')
//--></script>
<!-- End SiteCatalyst code version: H.17. --><script type="text/javascript">
		//<![CDATA[
	
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	if (tm.defer) {tm.defer.renderDeferred();}
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if (typeof dartOrd == 'undefined') dartOrd=Math.random()*10000000000000000000;
if (typeof tm.zones == 'undefined') {tm.zones = "";}


document.write('<scr' +
	'ipt type="text/javascript" ' +
 'src="http://ad.uk.doubleclick.net/adj/dailypost.5293/' +
 'news;slot=contextual;cat=News;sz=1x1' + tm.zones  +
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 ';ord=' +
 dartOrd +
 
 '?"><\/scr' +
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				//]]></script>
			<noscript>
				<a href="http://trinitymirror.grapeshot.co.uk/northwest/redirect.cgi?target=http://ad.uk.doubleclick.net/jump/dailypost.5293/news;slot=contextual;cat=News;sz=1x1;ord=410131657?" target="_blank">
				<img
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