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Recruitment policy plays with patient safety

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IN A hard-hitting interview with The Pembrokeshire Herald, a veteran health campaigner has revealed that the

Unable to cope: Glangwili Hospital

Unable to cope: Glangwili Hospital

Board’s recruitment policy runs the risk of putting patients at risk as additional duties are placed on already overstretched staff. Retired surgeon, Peter Milewski calls the Board’s approach a “disestablishment policy” and said that services have been “pared to the bone.” He reveals that the Board deliberately delays recruitment, even when it knows well in advance of future vacancies. Last week, The Herald wrote about the way in which Glangwili Hospital is unable to cope with the influx of patients from Pembrokeshire. In the second of our two-part report on how local health services are coping with change, we turn to how staff at Withybush are coping with the strain.

In 2010, the health board introduced a formal policy that no vacancy was to be filled without jumping through lots of hoops. In practice the Board’s recruitment policy was found regularly to result in about six months’ delay, as shown by the gross delay this year in replacing Dr Anne Barnes MBE, with the result Dr Barnes had to come out of retirement to ‘hold the fort’ for inpatient cancer care. No advertisement was placed to replace Dr Barnes until after her departure, which was closely followed by the departure of the only remaining specialist doctor located permanently at Withybush. Health campaigner Peter Milewski told us: “I don’t know if the ‘disestablishment policy’ is still being applied across Withybush, but just before I spoke with you I heard that – certainly in theatre – people who leave are not being replaced, or if they are, only after a long interval.

“The Board even produced a flowchart showing all the stages to be followed before a recruitment advert could be placed.” Peter Milewski continued: “If, say, 50 posts a year have been managed like this for four years, and the result in each case is a delay of six months, how much money has been saved? Let’s say the relevant incomes were, as a conservative estimate, £15,000 – then you’re talking about 200×7500 = £1.5 million saved in four years. “Of course, it could be a great deal more than that. The saving on a consultant post, for example, would be £40-50k in six months. I think my own post wasn’t filled after I retired for about a year.” Meanwhile the remaining staff – already pared to the bone – have been placed under great stress.

The Herald understands that there are many examples of the stress under which frontline staff are working. One nurse has left a surgical ward saying she is so overworked that she is worried she will make a mistake and lose her registration. Theatre nurses are routinely told to work on the wards at night, though many of the more experienced ones have lost their familiarity with ward work. We asked Mr Milewski about these incidents and he confirmed that he had heard similar complaints from nursing staff: “One experienced nurse recently complained to the Nursing Council about this, and named those at the hospital who were ordering her to go to the wards. Another experienced theatre nurse has previously launched a grievance process about being ordered to work on Intensive Care when she had no intensive care skills, which would put her in a vulnerable position.

“The Nursing Council advice on this, I understand, is quite clear. That is, you should not undertake work for which you are not fully qualified.” Peter expressed his personal concern that if and when things do go wrong, it will be staff who take the blame: “I have become more and more convinced over the last few years that the basic strategy is to squeeze the system till it squeaks. When it squeaks is when mishaps occur. But they don’t care because those mishaps can nearly always be attributed to human error, and not systemic failure. “There is no acknowledgment that what they are doing increases the chance of human error. “The only thing that can then reverse the situation is if the failings are as grotesque as at Stafford in England: only then does an inquiry identify the link between system and humans.”

 

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Farming

Plaid urged to move faster on farming reforms amid subsidy concerns

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Welsh Conservatives accuse Plaid Cymru of failing farmers as ministers call for patience over changes to agricultural support

CONCERNS over the pace of farming reforms in Wales have intensified after the Welsh Conservatives accused the Welsh Government of failing to act quickly enough on promised changes to agricultural subsidy schemes.

The criticism comes after Welsh Government Rural Resilience and Sustainability Minister, Llyr Gruffydd, urged farmers to be patient as major changes to support payments continue to be developed.

Speaking to ITV Wales, Mr Gruffydd acknowledged that “change is difficult” as the government seeks to reshape agricultural support across rural Wales. The comments come at a time of growing unease among parts of the farming community over the future of post-Brexit subsidy arrangements and concerns about financial pressures facing farms.

The reforms centre on replacing previous support systems with a new approach intended to balance food production, environmental sustainability and rural resilience. However, some farmers and unions have warned that uncertainty over payments and policy changes risks damaging confidence in the sector.

Reacting to the minister’s remarks, Welsh Conservative Shadow Farming Minister, Andrew RT Davies, said Plaid Cymru was not moving quickly enough to deliver on commitments made to Welsh farmers.

Mr Davies said: “Change is not difficult – contrary to Plaid Cymru separatists’ claims.

“If the will is there, there’s no reason reforms can’t be implemented immediately.

“Plaid Cymru separatists must fulfil their promises to Welsh farmers now.”

The comments reflect wider political tensions over the direction of farming policy in Wales, with opposition parties arguing that delays and uncertainty are creating anxiety for agricultural businesses already facing rising costs and economic pressures.

Farming remains a major part of the Welsh economy, particularly in rural counties such as Pembrokeshire, Carmarthenshire and Ceredigion, where many communities rely heavily on agriculture and associated industries.

The Welsh Government has previously said changes to support schemes are aimed at creating a more sustainable long-term future for farming, though ministers have acknowledged the transition period will take time and may prove challenging for some in the industry.

The debate over subsidy reform is likely to remain a key political battleground as the government finalises details of its future support model and seeks to reassure farmers concerned about their livelihoods.

 

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Community

Milford paddling pool could close after rowdy adults seen throwing glass bottles

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MILFORD HAVEN TOWN COUNCIL has warned that the town’s paddling pool could be drained and closed if anti-social behaviour continues.

The warning follows an incident today in which rowdy adults were reportedly drinking alcohol from glass bottles inside the pool enclosure and throwing a glass bottle around.

The council also said people were seen smoking cannabis just outside the gate.

In a statement, Milford Haven Town Council said the behaviour was “highly dangerous, irresponsible and inconsiderate” and “cannot and will not be tolerated”.

The council warned: “If this sort of behaviour continues we will have no choice but to consider draining and closing the pool.”

The paddling pool is run voluntarily by a dedicated group of councillors for the benefit of local families and visitors.

The council is now urging people to act responsibly so the facility can remain open and be enjoyed safely by everyone.

 

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Business

WestJet’s first Toronto flight lands at Cardiff Airport

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New seasonal service restores direct link between Wales and Canada after nearly 20 years

CARDIFF AIRPORT has welcomed the first WestJet flight from Toronto, marking the return of a direct air link between Wales and Canada for the first time in almost 20 years.

The inaugural service from Toronto Pearson International Airport landed at Cardiff on Saturday (May 23), officially launching a new transatlantic route between South Wales and North America.

Passengers on the first arrival were greeted with a traditional water cannon salute, while Penarth choir Criw Canu welcomed the crew and customers with Welsh songs at the aircraft steps.

The new route will operate four times a week using WestJet’s Boeing 737-8 MAX aircraft. Cardiff Airport said the service would open up new opportunities for tourism, business, investment and cultural links between Wales and Canada.

Toronto Pearson is also a major hub, offering onward connections to more than 100 destinations across Canada and the United States, including Calgary, Halifax, Vancouver and Florida.

Cabinet Minister for Enterprise, Connectivity and Energy, Adam Price MS, attended the launch alongside guests including Vale of Glamorgan Council leader Cllr Lis Burnett, Lord-Lieutenant of South Glamorgan Morfudd Meredith, Ontario’s Agent-General in London Sophia Arvanitis, Visit Wales and aviation industry partners.

Mr Price said: “WestJet’s inaugural flight from Cardiff to Toronto is a powerful signal to the world that our nation is open for business.

“Direct transatlantic connectivity like this is exactly what Welsh businesses need to reach new markets, attract investment and grow and it reinforces our ambition to make Wales one of the best-connected economies in the UK.

“Cardiff Airport is a vital piece of our economic infrastructure, and today’s milestone is something to celebrate.”

Jon Bridge, Chief Executive Officer of Cardiff Airport, described the launch as a landmark moment for the airport and for Wales.

He said: “The arrival of WestJet’s direct service gives customers easier access to Toronto and onward destinations across North America. It firmly strengthens Cardiff Airport’s position as the international gateway for Wales.

“We are proud to welcome WestJet and excited about the long-term potential of this partnership.”

Chris White-DeVries, WestJet Senior Manager Hub Strategy and Airport Affairs, said the route was an important addition to the airline’s transatlantic network.

He said: “WestJet’s new seasonal offering makes it easier for more people to discover everything South Wales and Canada have to offer, while staying closely connected to friends, family and business opportunities.

“Cardiff plays an important role in our growing transatlantic network, and we are proud to offer our guests from Wales more convenient access to Canada.”

The Cardiff to Toronto service departs Cardiff at 11:35am on Mondays, Tuesdays, Thursdays and Saturdays.

Toronto to Cardiff flights depart at 10:10pm on Mondays, Wednesdays, Fridays and Saturdays.

 

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