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A letter from the frontline

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aandeLOCAL GP, Dr Daniel Weaver gave The Herald his view of what seems to be the annual crisis in A&E. The problem, he says, is not limited to Pembrokeshire: “The pressures on A&E, GP and the hospital are complex. We have a time of year, in the winter, when there are lots of severe infections both in the form of viral and bacterial infections. This means there are a lot more ill people out there at this time of year. “Added to this we have an ageing population with large numbers of frail elderly with multiple chronic illnesses, often on many medications.

“When these patients get unwell they can get very unwell quickly to the point of requiring hospital attention despite significant GP and district nursing input. “There are more resistant infections around year by year so some people end up needing intravenous antibiotics in hospital or become more seriously unwell despite strong antibiotics in community for instance.

“Apart from the fact that there are more infections around, there are still also all the usual A&E type problems occurring: for example, heart attacks; injuries; alcohol and drug intoxication. The same goes for General Practice. We have all the usual problems we normally see but with increased seasonal demand due to more mental health issues and infections in the winter months.

“A GP will often see up to 50 patients a day in surgery when it is busy in addition to home visits, analysing results, writing and dealing with letters to and from the hospital, arranging investigations, making phone-calls and signing hundreds of repeat prescriptions each week. Staffing is increasingly problematic in the NHS nationwide both for hospital departments and in General Practice, this is particularly problematic with A&E doctors as there is a worldwide shortage in this speciality.

“Wales (particularly rural Wales) especially struggles to attract doctors due to many issues, including lower pay then other parts of the UK; issues with airport/transport links; many doctors not wanting to work in rural areas; as well as, in more recent years, more barriers being erected preventing non- EU doctors from working in the UK.

I think there is a lot of work going on behind the scenes to find solutions and hopefully these will be successful. “I know people can get frustrated by delays within the NHS especially at this time of year, I share the frustrations but I also know how hard everyone is working throughout Withybush and in the community despite the ongoing pressures, and I am proud work alongside them and the public in my home county.”

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Business

Castell Howell Foods highlights sector concerns over Covid recovery

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THE HOSPITALITY sector may be opening up, but transport and supply issues are hampering the industry’s recovery – according to Castell Howell Foods.

One of the UK’s largest independent food wholesalers, Castell Howell, has taken the step of contacting customers to highlight the significant challenges faced by the sector as it recovers from the pandemic.

While there is relief at easing lockdown and optimism for a busy summer with bookings for UK ‘staycations’ and leisure activities, pressing issues remain.

Shortages of key staff and problems faced by some suppliers have resulted in the Welsh wholesaler being forced to make some “uncomfortable” decisions and changes to its operation, including having to pass on some supply chain price increases.

In particular, a shortage of qualified delivery drivers has meant the Cross Hands based business has had to be resourceful to maintain its delivery frequency to its customers. To help bridge the gap in the short term, other Castell Howell staff who hold an HGV licence have been temporarily redeployed to the transport department. Among them are area sales managers.

Castell Howell Sales Director, Kathryn Jones, said “Unfortunately, due to the drastic reduction in sales in 2020, our workforce decreased by over 100 colleagues. Whilst we now need most to return to the workplace, many have found alternative employment; this is a common theme across the supply chain.

“We have been actively advertising and recruiting for several months. However, as highlighted in the press, there are over 75,000 vacancies across the UK for HGV drivers alone.

“We too are currently short of drivers, especially Class 2 HGV. Driving a multi-drop vehicle for Castell Howell is a very different proposition to driving a limited drop schedule. Consequently, as you can imagine, it has been challenging to fill these vacancies.”
Stock availability is also an issue, as some suppliers struggle to manufacture under new social distancing rules. Delivery to Castell Howell from suppliers is also being affected by the UK-wide shortage of haulage drivers.

Kathryn Jones said, “To build up buffer stocks, we are increasing our volume of orders, especially for commodity lines. We aim to mitigate future stock shortages the best we can. We are constantly seeking substitute products from manufacturers who have the capacity to deliver. However, this is becoming increasingly more difficult.”

Castell Howell has made changes to its ordering process to improve its own deliveries, with earlier cut-off times.

“These changes go against the grain and were extremely difficult decisions to take. However, it is imperative to implement these in order to continue operating under these difficult circumstances whilst still maintaining a high level of service. We are very grateful to our customers for their support, patience and understanding.”

For Castell Howell, the difficulties arising from the pandemic were exacerbated by the loss of business with SA Brain & Co. This loss occurred following the Welsh company’s deal with brewery giant Marston’s to operate SA Brains pubs from January 2021.

Before that date, Castell Howell had been the sole supplier to SA Brain since 2008, including supplying 80 of the Welsh brewery’s managed public houses.

Kathryn Jones said, “However, despite the challenges in the supply chain and deliveries, we remain optimistic that the sector in the UK will work together to navigate through these unprecedented times and have a successful summer.”

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Port boss: Pembroke Dock development full permission an ‘important step’

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THE CHIEF EXECUTIVE of the Port of Milford Haven has welcomed a decision of “non-intervention” by the Welsh Government over plans to re-vamp Pembroke Dock’s historic port facilities.

The redevelopment scheme, approved by Pembrokeshire County Council’s Planning Committee in May, will see some areas such as a dock covered with sand and “infilled”.

Plans also include the demolishing of some buildings, erection of buildings and ancillary works.
Despite planning being granted at council level, full authorisation to go ahead with the development was not to be issued until the Welsh Government made its decision regards the matter.

More about the planning application can be read here: https://www.herald.wales/west-wales/pembrokeshire/major-marine-project-causes-concern-about-visual-impact-and-heritage-loss/

Now that the Welsh Government has decided not to interfere with Pembrokeshire County Council’s grant of planning permission, the Port’s boss, Andy Jones, expressed his delight, saying: “This marks an important step forward in the development of Wales’ clean energy centre at Pembroke Dock.

“It will provide sustainable opportunities for the many people who rely on the activity along the Milford Haven Waterway for employment.

CEO: Port Authority’s Andy Jones (Pic MHPA)

“Pembroke Dock Marine will unlock new opportunities for young people to enter the maritime, renewable and engineering sectors, build resilience within Pembrokeshire’s business community, and make a positive contribution to our natural environment as we transition to a low carbon energy generation.”

Tim James, head of commercial and energy at the Port of Milford Haven called the project a “once in a generation opportunity to improve Pembrokeshire’s economy for years to come”.

Objectors had complained that the plans were too large and would damage the historic dockyard, as well as having a visual impact on the dock.

The was opposition from local heritage campaigners, with complaints over the size of two huge proposed hangars which the project’s critics said would impact adversely the landscape.

The economic benefits of the £60 million marine energy “far outweigh” any impact on the historic environment, a report earlier this year to council planners said.

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Medical evacuation from LPG tanker off St Ann’s Head

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ANGLE Lifeboat was launched on service at 12:59pm on Thursday afternoon (Jun 10) to assist in a medical evacuation from a LPG tanker 13 miles SSW off St Ann’s Head.

The coastguard helicopter from Newquay in Cornwall was also on route. With the poor visibility due to fog, Angle all-weather lifeboat was to stand by the vessel to provide an alternative route for evacuation if needed.

After a choppy route in the poor visibility the RNLI volunteers arrived on scene at 2:07pm.

At the time of their arrival, the paramedic from the coastguard helicopter was aboard the vessel preparing the casualty to be winched to the helicopter.

In less than ten minutes the casualty was winched up to the helicopter and flown to hospital, at which point the lifeboat and crews were stood down and headed back to the station.

After rehousing shortly after 3:30pm the lifeboat was washed fuelled and made ready for service shortly after.

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