Wales is a country, part of the United Kingdom and the island of Great Britain. It is bordered by England to the east, the Irish Sea to the north and west, the Bristol Channel to the south, it had a population in 2011 of 3,063,456 and has a total area of 20,779 km2. Wales has over 1,680 miles of coastline and is mountainous, with its higher peaks in the north and central areas, including Snowdon, its highest summit; the country has a changeable, maritime climate. Welsh national identity emerged among the Britons after the Roman withdrawal from Britain in the 5th century, Wales is regarded as one of the modern Celtic nations. Llywelyn ap Gruffudd's death in 1282 marked the completion of Edward I of England's conquest of Wales, though Owain Glyndŵr restored independence to Wales in the early 15th century; the whole of Wales was annexed by England and incorporated within the English legal system under the Laws in Wales Acts 1535 and 1542. Distinctive Welsh politics developed in the 19th century. Welsh liberalism, exemplified in the early 20th century by Lloyd George, was displaced by the growth of socialism and the Labour Party.
Welsh national feeling grew over the century. Established under the Government of Wales Act 1998, the National Assembly for Wales holds responsibility for a range of devolved policy matters. At the dawn of the Industrial Revolution, development of the mining and metallurgical industries transformed the country from an agricultural society into an industrial nation. Two-thirds of the population live in South Wales, including Cardiff, Swansea and the nearby valleys. Now that the country's traditional extractive and heavy industries have gone or are in decline, Wales' economy depends on the public sector and service industries and tourism. Although Wales shares its political and social history with the rest of Great Britain, a majority of the population in most areas speaks English as a first language, the country has retained a distinct cultural identity and is bilingual. Over 560,000 Welsh language speakers live in Wales, the language is spoken by a majority of the population in parts of the north and west.
From the late 19th century onwards, Wales acquired its popular image as the "land of song", in part due to the eisteddfod tradition. At many international sporting events, such as the FIFA World Cup, Rugby World Cup and the Commonwealth Games, Wales has its own national teams, though at the Olympic Games, Welsh athletes compete as part of a Great Britain team. Rugby union is seen as an expression of national consciousness; the English words "Wales" and "Welsh" derive from the same Germanic root, itself derived from the name of the Gaulish people known to the Romans as Volcae and which came to refer indiscriminately to all non-Germanic peoples. The Old English-speaking Anglo-Saxons came to use the term Wælisc when referring to the Britons in particular, Wēalas when referring to their lands; the modern names for some Continental European lands and peoples have a similar etymology. In Britain, the words were not restricted to modern Wales or to the Welsh but were used to refer to anything that the Anglo-Saxons associated with the Britons, including other non-Germanic territories in Britain and places in Anglo-Saxon territory associated with Britons, as well as items associated with non-Germanic Europeans, such as the walnut.
The modern Welsh name for themselves is Cymry, Cymru is the Welsh name for Wales. These words are descended from the Brythonic word combrogi, meaning "fellow-countrymen"; the use of the word Cymry as a self-designation derives from the location in the post-Roman Era of the Welsh people in modern Wales as well as in northern England and southern Scotland. It emphasised that the Welsh in modern Wales and in the Hen Ogledd were one people, different from other peoples. In particular, the term was not applied to the Cornish or the Breton peoples, who are of similar heritage and language to the Welsh; the word came into use as a self-description before the 7th century. It is attested in a praise poem to Cadwallon ap Cadfan c. 633. In Welsh literature, the word Cymry was used throughout the Middle Ages to describe the Welsh, though the older, more generic term Brythoniaid continued to be used to describe any of the Britonnic peoples and was the more common literary term until c. 1200. Thereafter Cymry prevailed as a reference to the Welsh.
Until c. 1560 the word was spelt Kymry or Cymry, regardless of whether it referred to the people or their homeland. The Latinised forms of these names, Cambrian and Cambria, survive as lesser-used alternative names for Wales and the Welsh people. Examples include the Cambrian Mountains, the newspaper Cambrian News, the organisations Cambrian Airways, Cambrian Railways, Cambrian Archaeological Association and the Royal Cambrian Academy of Art. Outside Wales, a related form survives as the name Cumbria in North West England, once a part of Yr Hen Ogledd; the Cumbric language, thought to
Porthmadog, known locally as "Port", is a small coastal town and community in the Eifionydd area of Gwynedd, in Wales. It has been so spelt since 1974. Before 1972 in the administrative county of Caernarfonshire, it lies 5 miles east of Criccieth, 11 miles south-west of Blaenau Ffestiniog, 25 miles north of Dolgellau and 20 miles south of Caernarfon, it had a population of 4,185. It developed in the 19th century as a port exporting slate to England and elsewhere, but since the decline of the industry it has become a shopping centre and tourist destination, it is the terminus of the Ffestiniog Railway. The 1987 National Eisteddfod was held in Porthmadog; the community includes the nearby villages of Morfa Bychan and Tremadog. Porthmadog came into existence after William Madocks built a sea wall, the Cob, in 1810 to reclaim a large proportion of Traeth Mawr from the sea for agricultural use; the diversion of the Afon Glaslyn caused it to scour out a new natural harbour which had a deep enough draught for small ocean-going sailing ships, the first public wharves were built in 1825.
Individual quarry companies followed, building a series of wharves along the shore as far as Borth-y-Gest, slate was carted from Ffestiniog down to the quays along the Afon Dwyryd boated to Porthmadog for transfer to seagoing vessels. In the second half of the 19th-century Porthmadog was a flourishing port, its population expanding from 885 in 1821 to over 3,000 by 1861; the expanding cities of England needed high quality roofing slate, transported to the new port by tramway from the quarries in Ffestiniog and Llanfrothen. The Ffestiniog Railway opened in 1836, followed by the Croesor Tramway in 1864 and the Gorseddau Tramway in 1856, by 1873 over 116,000 tons were exported through Porthmadog in more than a thousand ships. A number of shipbuilders were active at this time, were well known for the three-masted schooners known as Western Ocean Yachts, the last of, built in 1913. By 1841 the trackway across the reclaimed land had been straightened out and was to be developed as Stryd Fawr, the main commercial street of the town.
Along this street were a range of shops and public houses and a post office, with the open green retained. A mineral railway to Tremadog ran along. To the north was an industrial area where foundries, timber saw mills, slate works, a flour mill, soda-pop plant and gasworks were constructed. Porthmadog's role as a commercial port reduced by the opening of the Aberystwyth and Welsh Coast Railway in 1867, was ended by the First World War, when the lucrative German market for slate disappeared; the 19th-century wharves still survive, but the slate warehouses have been replaced by holiday apartments, the harbour is used by leisure yachts. The earliest documented references to the name "Port Madoc" are in the 1830s, coinciding with the opening of the Ffestiniog Railway and the subsequent growth of the town; the first Ordnance Survey map to use the name was published in 1838. The name derives from the founder William Madocks, though there is a belief that it is named after the folklore character Madog ab Owain Gwynedd who gives his name to "Ynys Fadog".
The town was called "Portmadoc" until 1974, when it was renamed with the Welsh spelling. Ynyscynhaiarn was a civil parish in the cantref of Eifionydd. In 1858 a local board of health was established under the provisions of the Public Health Act 1848, from 1889 this formed a second tier of local government in Caernarfonshire. Under the Local Government Act 1894 the local board became an urban district, which by 1902 had changed its name to Portmadoc. In 1934 part of the area was transferred to Dolbenmaen, a smaller area was taken in from Treflys, abolished. Porthmadog Urban District was abolished in 1974, the town became part of Dwyfor District in the new county of Gwynedd, though it retained limited powers as a community. Dwyfor itself was abolished when Gwynedd became a unitary authority in 1996; the town now forms three electoral divisions of each electing one councillor. In 2012 Jason Humphreys, representing Llais Gwynedd, was elected in Porthmadog East. Selwyn Griffiths of Plaid Cymru, retained his seat in Porthmadog West, unelected.
Tremadog is included in the Porthmadog-Tremadog division, which includes Beddgelert and part of Dolbenmaen. In 2012 Alwyn Gruffydd, for Llais Gwynedd, retained the seat. Porthmadog Town Council has 16 elected members. In the 2008 elections 12 councillors were elected unopposed: seven Independents, four for Plaid Cymru and one representing Llais Gwynedd. There were four unfilled seats; the town is divided into six wards: Gest, Morfa Bychan, Porthmadog East, Porthmadog West and Ynys Galch. Since 1950 Porthmadog has been part of Caernarfon parliamentary constituency, has been represented by Hywel Williams of Plaid Cymru since 2001. In the National Assembly for Wales it has since 2007 formed part of Dwyfor-Meirionnydd constituency, represented by Dafydd Elis-Thomas, the Presiding Officer of the assembly, from Plaid Cymru; the constituency forms part of the electoral region of West Wales. Porthmadog is located in Eifionydd on the estuary of the Afon Glaslyn where it runs into Tremadog Bay; the estuary, filled with sediment, deposited by rivers emptying from the melting glaciers at the end of the last ice age, is a haven for migrating birds.
Oystercatchers and curlews are common and, in summer, there are flocks of sandwich terns. To the west looms Moel y Gest, which rises 863 feet above the town
Criccieth is a town and community on the Llyn peninsula in the Eifionydd area of Gwynedd in Wales. The town lies 5 miles west of Porthmadog, 9 miles east of Pwllheli and 17 miles south of Caernarfon, it had a population of 1,826 in 2001. The town is a seaside resort, popular with families. Attractions include the ruins of Criccieth Castle, which have extensive views over the town and surrounding countryside. Nearby on Ffordd Castell is Cadwalader's Ice Cream Parlour, opened in 1927, whilst Stryd Fawr has several bistro style restaurants. In the centre lies Y Maes, part of the original medieval town common; the town is noted for its fairs, held on 23 May and 29 June every year, when large numbers of people visit the fairground and the market which spreads through many of the streets of the town. Famous people associated with the town include the British prime minister, David Lloyd George, who grew up in the nearby village of Llanystumdwy, poet William George. Group Captain Leslie Bonnet, RAF officer and originator of the Welsh Harlequin Duck and his wife Joan Hutt, artist.
Criccieth hosted the National Eisteddfod in 2003 was granted Fairtrade Town status. It won the Wales in Bloom competition each year from 1999 to 2004; the town styles itself the "Pearl of Wales on the Shores of Snowdonia". The earliest recorded form of the place name Criccieth in Welsh is found in Brut y Tywysogion where reference is made to the imprisonment of Gruffudd ap Llywelyn in the'castle of Cruceith'; the form Cruciaith was used by Iolo Goch in a famous 14th century poem addressed to Sir Hywel y Fwyall, custodian of the castle. There are a number of theories as to the meaning, but the most popular is that it comes from Crug Caeth: caeth may mean'prisoner' and thus the name could mean prisoner's rock, a reference to the imprisonment of one of Llywelyn ab Iorwerth's sons in the castle by his brother. However, caeth has the primary meaning in Middle Welsh of'serf' and the name could refer to a bond community nearby. In medieval times the settlement was known as Treferthyr a reference to Saint Catherine, after whom the parish church is named.
The spelling of Criccieth remains controversial today. Many regard this version as an anglicism, arguing that the Welsh form Cricieth should be used instead. Others argue that Criccieth is an anomaly in the Welsh language, in which there is no double C, that the spelling should be preserved; the dispute has resulted in the vandalising of road signs at the entrance to the town. The area around Criccieth was settled during the Bronze Age, a chambered tomb, Cae Dyni, survives on the coast to the east of the town. Evidence from other sites on the Llŷn Peninsula suggests that the area was colonised by a wave of Celtic settlers, who explored the Irish Sea around the 4th century BC. Ptolemy calls the peninsula Ganganorum Promontorium. Although it is thought that Criccieth Castle was built around 1230 by Llywelyn ab Iorwerth, who had controlled the area since 1202, the first record of the building was in 1239, when the administrative centre of Eifionydd was moved from Dolbenmaen. In the years of his life, Llywelyn turned his attention to his successor.
Welsh law stipulated. On Llywelyn's death in 1240, Dafydd sought to secure his position. Dafydd was half English and feared that his pure Welsh half-brother would be able to gather support to overthrow him. Gruffydd was held prisoner in Criccieth Castle, until he was handed over to Henry III of England in 1241, moved to the Tower of London. Dafydd ap Llywelyn died in 1246, without leaving an heir, was succeeded by Llywelyn ap Gruffudd, his nephew. Edward I had inherited the English throne in 1272, in 1276 declared Llywelyn a rebel. By 1277, Edward's armies had captured the Isle of Anglesey, were encamped at Deganwy. Dafydd ap Gruffydd, Llywelyn's younger brother, attacked the English forces at Hawarden in 1282, setting off a widespread rebellion throughout Wales. With the final defeat of Gwynedd, Edward set about consolidating his rule in Wales. Criccieth Castle was extended and reshaped, becoming one of a ring of castles surrounding Edward's newly conquered territories. A township developed to support the garrison and a charter was granted in 1284.
Weekly markets were held on Thursdays and there were annual fairs on 25 April and 18 October, the evangelical feasts of Saint Mark and Saint Luke. The new administration soon proved unpopular among the native Welsh, in 1294, Madog ap Llywelyn led a national revolt against English rule. Criccieth was besieged for several months over the winter.
Dolgellau is a market town and community in Gwynedd, north-west Wales, lying on the River Wnion, a tributary of the River Mawddach. It is traditionally the county town of the historic county of Merionethshire, which lost its administrative status when Gwynedd was created in 1974. Dolgellau is the main base for climbers of Cadair Idris; the site of Dolgellau was, in the pre-Roman Celtic period, part of the tribal lands of the Ordovices, who were conquered by the Romans in AD 77–78. Although a few Roman coins from the reigns of Emperors Hadrian and Trajan have been found near Dolgellau, the area is marshy and there is no evidence that it was settled during the Roman period. There are, three hill forts in the vicinity of Dolgellau, of uncertain origin. After the Romans left, the area came under the control of a series of Welsh chieftains, although Dolgellau was not inhabited until the late 11th or 12th century, when it was established as a "serf village" by Cadwgan ap Bleddyn — it remained a serf village until the reign of Henry Tudor.
A church was built in the 12th century, although Cymer Abbey, founded in 1198 in nearby Llanelltyd, remained the most important religious centre locally. Dolgellau gained in importance from this period onwards, was mentioned in the Survey of Merioneth ordered by Edward I. In 1404 it was the location of a council of chiefs under Owain Glyndŵr. After a visit by George Fox in 1657, many inhabitants of Dolgellau converted to Quakerism. Persecution led a large number of them to emigrate to Pennsylvania in 1686, under the leadership of Rowland Ellis, a local gentleman-farmer; the Pennsylvanian town of Bryn Mawr, home to a prestigious women's liberal arts college, is named after Ellis's farm near Dolgellau. The woollen industry was long of the greatest importance to the town's economy; the industry declined in the first half of the 19th century, owing to the introduction of mechanical looms. Another important contributor to the local economy was tanning, which continued into the 1980s in Dolgellau, though on a much reduced scale.
The town was the centre of a minor gold rush in the 19th century. At one time the local gold mines employed over 500 workers. Clogau St. David's mine in Bontddu and Gwynfynydd mine in Ganllwyd have supplied gold for many royal weddings. Dolgellau was the county town of Merionethshire until 1974 when, following the Local Government Act of 1972, it became the administrative centre of Meirionnydd, a district of the county of Gwynedd; this was abolished in 1996 by the Local Government Act 1994. Today, the economy of Dolgellau relies chiefly on tourism, it is believed that Dolgellau Cricket Club, founded in 1869 by Frederick Temple, is one of the oldest cricket clubs in Wales. For nearly a century Dolgellau was the home of Dr Williams School, a pioneering girls' secondary school; this was funded from the legacy of Daniel Williams the Welsh nonconformist of the 17th/18th century. The name of the town is of uncertain origin, although dôl is Welsh for "meadow" or "dale", gelli means "grove" or "spinney", is common locally in names for farms in sheltered nooks.
This would seem to be the most derivation, giving the translation "Grove Meadow". It has been suggested that the name could derive from the word cell, meaning "cell", translating therefore as "Meadow of cells", but this seems less considering the history of the name; the earliest recorded spelling is "Dolkelew", although a spelling "Dolgethley" dates from 1285. From until the 19th century, most spellings were along the lines of "Dôlgelly" "Dolgelley", "Dolgelly" or "Dolgelli". Thomas Pennant used the form "Dolgelleu" in his Tours of Wales, this was the form used in the Church Registers in 1723, although it never had much currency. In 1825 the Registers had "Dolgellau", which form Robert Vaughan of Hengwrt adopted in 1836. While this form may derive from a false etymology, it became standard in Welsh and is now the standard form in both Welsh and English, it was adopted as the official name by the local rural district council in 1958. Shortly before the closure of the town's railway station it displayed signs reading variously Dolgelly and Dolgellau.
Dolgellau is home to Coleg Meirion-Dwyfor. The site it occupies was home to Dr Williams' School, a direct grant grammar school for girls aged 7–18 established in 1875, it was named after its benefactor Dr Daniel Williams, a Nonconformist minister from Wrexham, who gave his name to Dr Williams's Library in Euston, London. The school closed in 1975. Dolgellau Grammar School, a boys' school, had been established in 1665 by the Rector of Dolgellau, Dr John Ellis, at Pen Bryn, before moving to its present site on the Welshpool road. In 1962, it became a comprehensive school under the name Ysgol y Gader, it has 310 pupils and, according to the latest inspection report by Estyn, it has a GCSE pass rate of 75%, which puts it in joint 11th place in Wales, makes it o
Caernarfon is a royal town and port in Gwynedd, with a population of 9,615. It lies along the A487 road, on the eastern shore of the Menai Strait, opposite the Isle of Anglesey; the city of Bangor is 8.6 miles to the north-east, while Snowdonia fringes Caernarfon to the east and south-east. Carnarvon and Caernarvon are Anglicised spellings that were superseded in 1926 and 1974, respectively; the villages of Bontnewydd and Caeathro are close by. The town is noted for its high percentage of native Welsh speakers. Due to this, Welsh is the predominant language of the town. Abundant natural resources in and around the Menai Strait enabled human habitation in prehistoric Britain; the Ordovices, a Celtic tribe, lived in the region during the period known as Roman Britain. The Roman fort Segontium was established around AD 80 to subjugate the Ordovices during the Roman conquest of Britain; the Romans occupied the region until the end of Roman rule in Britain in 382, after which Caernarfon became part of the Kingdom of Gwynedd.
In the late 11th century, William the Conqueror ordered the construction of a motte-and-bailey castle at Caernarfon as part of the Norman invasion of Wales. He was unsuccessful, Wales remained independent until around 1283. In the 13th century, Llywelyn ap Gruffudd, ruler of Gwynedd, refused to pay homage to Edward I of England, prompting the English conquest of Gwynedd; this was followed by the construction of Caernarfon Castle, one of the largest and most imposing fortifications built by the English in Wales. In 1284, the English-style county of Caernarfonshire was established by the Statute of Rhuddlan; the ascent of the House of Tudor to the throne of England eased hostilities between the English and resulted in Caernarfon Castle falling into a state of disrepair. The city has flourished, leading to its status as a major tourist centre and seat of Gwynedd Council, with a thriving harbour and marina. Caernarfon experienced heavy suburbanisation, its population includes the largest percentage of Welsh-speaking citizens anywhere in Wales.
The status of Royal Borough was granted by Queen Elizabeth II in 1963 and amended to Royal Town in 1974. The castle and town walls are part of a World Heritage Site described as the Castles and Town Walls of King Edward in Gwynedd; the present city of Caernarfon grew up around and owes its name to its Norman and late Medieval fortifications. The earlier British and Romano-British settlement at Segontium was named for the nearby Afon Seiont. After the end of Roman rule in Britain around 410, the settlement continued to be known as Cair Segeint and as Cair Custoient, of the History of the Britons, cited by James Ussher in Newman's life of Germanus of Auxerre, both of whose names appear among the 28 civitates of sub-Roman Britain in the Historia Brittonum traditionally ascribed to Nennius; the work states that the inscribed tomb of "Constantius the Emperor" was still present in the 9th century. The medieval romance about Maximus and Elen, Macsen's Dream, calls her home Caer Aber Sein and other pre-conquest poets such as Hywel ab Owain Gwynedd used the name Caer Gystennin.
The Norman motte was erected apart from the existing settlement and came to be known as y gaer yn Arfon, "the fortress in Arfon". A 1221 charter by Llywelyn the Great to the canons of Penmon priory on Anglesey mentions Kaerinarfon. In 1283, King Edward I completed his conquest of Wales which he secured by a chain of castles and walled towns; the construction of a new stone Caernarfon Castle seems to have started as soon as the campaign had finished. Edward's architect, James of St. George, may well have modelled the castle on the walls of Constantinople being aware of the town's legendary associations. Edward's fourth son, Edward of Caernarfon Edward II of England, was born at the castle in April 1284 and made Prince of Wales in 1301. A story recorded in the 16th century suggests that the new prince was offered to the native Welsh on the premise "that was borne in Wales and could speake never a word of English", however there is no contemporary evidence to support this. Caernarfon was constituted a borough in 1284 by charter of Edward I.
The charter, confirmed on a number of occasions, appointed the mayor of the borough Constable of the Castle ex officio. The former municipal borough was designated a royal borough in 1963; the borough was abolished by the Local Government Act 1972 in 1974, the status of "royal town" was granted to the community which succeeded it. Caernarfon was the county town of the historic county of Caernarfonshire. In 1911, David Lloyd George Member of Parliament for Caernarfon boroughs, which included various towns from Llŷn to Conwy, agreed to the British Royal Family's idea of holding the investiture of the Prince of Wales at Caernarfon Castle; the ceremony took place on 13 July, with the royal family paying a rare visit to Wales, the future Edward VIII was duly invested. In 1955 Caernarfon was in the running for the title of Capital of Wales on historical grounds but the town's campaign was defeated in a ballot o
Arfon (Assembly constituency)
Arfon is a constituency of the National Assembly for Wales, created for the 2007 Assembly election. It elects one Assembly Member by the first past the post method of election. However, it is one of nine constituencies in the North Wales electoral region, which elects four additional members, in addition to nine constituency members, to produce a degree of proportional representation for the region as a whole; the constituency has the boundaries of the Arfon Westminster constituency within the preserved county of Gwynedd, which will come into use for the 2010 United Kingdom general election. The new constituency merged areas within the Caernarfon constituency and the Conwy constituency; the Caernarfon constituency was within the preserved county of Gwynedd. The Conwy constituency was a Gwynedd constituency and within the preserved county of Clwyd; the North Wales region was created for the first Assembly election, in 1999. For the 2007 election, however, it had new boundaries, it includes the constituencies of Aberconwy and Deeside, Clwyd South, Clwyd West, Vale of Clwyd and Ynys Môn.
This can be considered a safe Plaid Cymru seat having a 20.8% majority of the Welsh Labour Party. Party averages from 5 elections: Plaid Cymru - 54.6%, Labour - 29%, Conservative - 10.1%, Lib Dem - 4.9% In general elections for the National Assembly for Wales, each voter has two votes. The first vote may be used to vote for a candidate to become the Assembly Member for the voter's constituency, elected by the first past the post system; the second vote may be used to vote for a regional closed party list of candidates. Additional member seats are allocated from the lists by the d'Hondt method, with constituency results being taken into account in the allocation
Welsh Ambulance Service
The Welsh Ambulance Service, formally the Welsh Ambulance Services NHS Trust, is the national ambulance service for Wales and one of the three NHS trusts in the country. It was established on 1 April 1998 and has 2,576 staff providing ambulance and related services to the 3.1 million residents of Wales. The Welsh Ambulance Service's headquarters is located at H. M. Stanley Hospital, St Asaph, Denbighshire; the service is divided into three regions: Central and West Region – based at Ty Maes Y Gruffudd, Cefn Coed Hospital, Swansea North Region – based at H. M. Stanley Hospital, St Asaph, Denbighshire South-East Region – based at Vantage Point House, Ty Coch Industrial Estate, CwmbranThe service is investing as part of a five-year modernisation plan, this will see the end of Regions and management will be via Heads of Services aligned to the Health Board areas along with a Head of Service for the Clinical Contact Centres and Head of Service for Production which oversees the resources available within the geographical areas.
The Welsh Ambulance Service provides: Emergency Medical Services - This service responds to emergency 999 calls and GP's urgent calls. A standard crew combination for this service would consist of a Paramedic and an Emergency Medical Technician; however double Paramedic / double Technician crews are not uncommon. As of 2013, the majority of the EMS fleet consists of Wilker Mercedes Benz 519 Sprinter Ambulances and Honda CRV / Ford Focus Rapid Response Vehicles. Non Emergency Patient Transport Service - This service deals with the planned care aspect of ambulance work. NEPTS staff provide transport between home and healthcare facilities or some inter-hospital transfers. Urgent Care Service - This service bridges the gap between NEPTS and EMS, allowing for patients to be transferred between home and hospital or hospital to hospital while meeting the advanced needs that some of these patients may have. UCS ambulance crews may be allocated to EMS calls at times of high demand and following clinical telephony triage by a nurse or face to face triage by Advanced Paramedic Practitioners or Paramedic Practitioners working from a Rapid Response Vehicle.
NHS Direct Wales / 111 Wales is a 24-hour telephone and internet health advice service provided by NHS Wales to enable people to obtain advice when use of the national emergency telephone number does not seem to be appropriate but there is some degree of urgency. NHS Direct Wales / 111 Wales supports EMS Operations by providing clinical triage for "Green 3" calls that are deemed suitable. More than 45% of 999 calls have a disposition of not requiring 999 conveyance. In addition during times of escalation other calls deemed suitable are triaged, it does not replace any of the existing emergency or non-emergency medical services but complements those existing and enables callers who might not be able to diagnose themselves to be directed to care of an appropriate level of urgency, including transport to hospital if the diagnosis merits that action. Community First Responders - CFRs are volunteers from the community trained in basic first aid, oxygen administration and the use of an Automated External Defibrillator.
They are used by the ambulance service in rural areas to provide basic care, such as Cardio-Pulmonary Resuscitation before an EMS crew arrives. As CFRs are only sent to local calls in specified communities, they arrive before an EMS ambulance crew without the use of blue lights and sirens. Whilst most CFR teams are the sole responsibility of WAST, a number of teams are made up of regular divisions from St John Ambulance in Wales although this does not give them any exemptions. There are developing numbers of Advanced Paramedic Practitioners in the service who through their extended scope of practice are working toward advancing the service their patients receive with "see and treat" and "see and refer" models of care; this removes the need for some patients to travel in an ambulance to A&E. In 2012 a strategic review of the service was commissioned by the Welsh Government and was conducted by Professor Siobhan McClelland and published in April 2013. National Health Service NHS Direct Wales Welsh Ambulance Service NHS Direct Wales