News

Recruitment policy plays with patient safety

Published

9 years ago

January 23, 2015

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

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.”

Health

Pembrokeshire residents suffer severe health decline ‘due to landfill gases’

Published

6 hours ago

April 24, 2024

Tom Sinclair

A PEMBROKESHIRE couple, Mr Richard and Revd Patricia Rogers of Crud yr Awel, are experiencing severe health issues attributed to emissions from the Withyhedge Landfill, resulting in drastic lifestyle changes and severe symptoms.

Revd Rogers, who has managed asthma since childhood, reported a significant deterioration in her condition following exposure to landfill gases. Despite having controlled her asthma with minimal medication for years, she now requires intensive treatment including increased doses of Symbicort and Salbutamol Sulfate inhalers, alongside courses of steroids and antibiotics. Her symptoms have escalated to include extreme breathlessness, a hacking cough, frequent nosebleeds, continual headaches, and vertigo, culminating in a severe impact on her ability to perform daily tasks and care for her disabled daughter.

The couple’s health is closely monitored through their doctor’s surgery, and they attend the asthma clinic regularly. However, feeling powerless to directly change the situation, they have taken a stand by cancelling their council tax payments, a decision they plan to maintain until the landfill issue is resolved.

Revd Rogers has also prepared a letter to the Coroner, outlining the severity of her health issues as potentially life-threatening due to the landfill’s impact. This dramatic step underlines the gravity of their situation and their desperation for a resolution.

The Rogers’ story is not just a personal tragedy but a stark example of the broader environmental and health challenges faced by the community surrounding the Withyhedge Landfill.

They are calling for punitive measures against those responsible, including compensation for the financial impacts of their ordeal.

Their story has surfaced on the same day we reported that Natural Resources Wales is taking further enforcement action against the firm running the site.

NRW has issued site operators Resources Management UK Ltd (RML) with a further Regulation 36 Enforcement Notice which requires the operator to deliver a series of actions by specified deadlines to address ongoing smells from the landfill.

You can read more about the Enforcement Notice on the NRW website.

Outgoing Council Leader, Cllr David Simpson, said in a statement this week: “The smell from Withyhedge is having a major impact on residents and visitors. This situation has gone on too long and it is unacceptable.

“We now need to see RML act on the demands of the Notice and within the deadlines.

“The Council fully backs NRW’s stance that nothing is off the table in terms of further enforcement, including suspending the site’s environmental permit if appropriate, and we remain committed to working with NRW to ensure a long term solution to these issues.”

NRW issues new enforcement notice at Withyhedge

Entertainment

Fishguard Festival of Music launches at the Senedd in Cardiff

Published

7 hours ago

April 24, 2024

Tom Sinclair

Paul Davies MS for Preseli Pembrokeshire hosts event to promote major programme of summer concerts.

THIS year’s Fishguard Festival of Music/Gwyl Gerdd Abergwaun was officially launched at the Senedd in Cardiff Bay this week (Wednesday) in an event hosted by Paul Davies MS Preseli Pembrokeshire. Guests attending heard from the festival’s artistic director Gillian Green MBE about the 18 events extending over three weeks that will be staged at venues across Pembrokeshire from 18 to 31 July, including a concert by the Welsh National Opera Orchestra at St David’s Cathedral.

Paul Davies MS, said: “I’m truly honoured once again to sponsor the launch of the Fishguard Festival of Music. Over the summer, Fishguard will host world-famous musicians like harpist Catrin Finch and fiddle player Aoife Ní Bhriain, and the festival also includes performances from the National Youth Orchestra of Wales, the National Youth Choir of Wales and the Welsh National Opera Orchestra – so there really is something for everyone! Tickets to these performances sell out quickly and so make sure to head over to the Festival’s website and secure your tickets before it’s too late.”

Gillian Green MBE, Artistic Director of the Fishguard Festival of Music, added: “The Fishguard Festival plays a significant role on the cultural map of Wales and our mission to bring world-class music to Pembrokeshire is as strong as ever. This year we will have a real feast of music awaiting audiences in West Wales. The local community’s work in producing this fantastic festival is nothing short of a small miracle.”

Artists performing at this year’s festival include Peter Donohoe, Catrin Finch and the Marmen String Quartet. The full programme is available to view on the festival’s website www.fishguardmusicfestival.com

Climate

NRW to reduce mowing in May to help pollinators

Published

7 hours ago

April 24, 2024

Tom Sinclair

NATURAL Resources Wales (NRW) will reduce mowing as much as possible on the land in its care during May to help tackle the nature emergency and in support of Plantlife’s ‘No Mow May’ campaign.

The scale and rate of biodiversity loss across Wales is accelerating. Every third mouthful of food we eat has been created by pollination, and without pollinators our food supply would collapse.

Half of the UK’s 27 bumblebee species are in decline, and of the 43 species of butterfly seen in Wales, 10 are in severe decline and 17 are declining.

There are several reasons for the decline in pollinators, such as climate change, pollution and pesticides, and change in how land is managed.

Throughout the growing season, NRW cuts grass and vegetation in areas such as forests, nature reserves, river banks, flood defences and reservoir embankments.

Reducing mowing in May will help biodiversity by allowing spring plants to set seed and grow to provide nectar and pollen for pollinators, such as bees and butterflies.

NRW will reduce its mowing activities in May as much as possible, but essential grass cutting will continue in some areas across Wales.

There are several reasons for this, for example:

to manage access to forests and nature reserves to make sure people are safe when they visit.
to easily inspect flood defences and repair them if needed, helping to reduce flood risk to communities.
for nature conservation, for example to manage an invasive species or to benefit species in a certain area by cutting the vegetation.

David Letellier, NRW’s Head of Operations South Wales Central, said: “We’re committed to tackling the climate and nature emergencies and helping nature and people thrive together.

“We will reduce our mowing activities in May as much as possible to support pollinators, but we want people to understand that we may carry out essential grass cutting to benefit certain communities or species.

“For example, we may continue mowing flood defences to make sure they are in good working order, or if mowing some sites in May would leave wildflowers to recover and bloom throughout the late summer to benefit certain pollinators.

“We need to act now to protect our pollinators. This is why we manage all of our sites to make them as pollinator friendly as possible and to provide food and shelter for other species.

“There are things we can all do to make it easier for pollinators to survive. These can be relatively simple, such as managing grass verges in a more sensitive way, or leaving wild areas around our offices, homes and public buildings.

“We can all help by making our gardens pollinator-friendly by not using pesticides, not mowing the lawn as often, and growing pollinator-friendly plants.”