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The NHS is ‘worth fighting for’

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New Boss: Steve Moore, Chief Executive of Hywel Dda University Health Board

New Boss: Steve Moore, Chief Executive of Hywel Dda University Health Board

IN HIS first interview with a Pembrokeshire newspaper since taking up his post, Steve Moore, Chief Executive of Hywel Dda University Health Board, told the Pembrokeshire Herald that he wanted to involve pressure groups, clinicians and the public in the debate about what Withybush Hospital can do to support the local population and revealed what motivated him to return to the NHS as Chief Executive of the Local Health Board.

“I moved out of the NHS for a while to get a different perspective and refresh.” Steve told us. “While I was away from the NHS, I realised that it was in my blood and I enjoyed working within it. The NHS is an institution that I am passionate about: It is hugely important and faces big challenges. I think it is worth fighting for.”

Considering why he had elected to return to NHS management through Hywel Dda UHB, Steve expressed his desire that the Board provide an integrated service: “Looking at England, there are many people there who believe that an integrated model, where we have acute, community and primary care working together will solve a lot of problems. What I see in Hywel Dda is a lot of the building blocks are in place to enable that; in a very rural community, and I come from a rural background, I want to develop that model where we have the means at hand to do so. I’m five weeks in. I am still finding my way around. But I am really positive and excited about how we can move services on. That is why I am here.”

Asked whether he could draw a line under the past, move on and be categorical about the future of service provision, Mr Moore told us: “I’m hearing the concern. I have been to two public meetings over the last two weeks. It needs a line drawing under it. The clinical reasons underlying those decision have not changed. However, we do have the review going on, we need to acknowledge that we might not have got it entirely correct, right up front. We are keen to work with pressure groups, clinicians and the public to learn whether the transfers have happened in the way we planned them. I am sure there are things we can do to improve things for patients who have to move further for treatment than before; however, the clinical argument for changing services and transferring them remains the same. We need to move on, but we need to continue the discussion about what clinical models ought to look like. For me and the Board, having been very clear that each of our hospitals has a sustainable future, we no need to debate how those hospitals best serve the communities in which they sit.”

Steve was clear that he had not come across a situation where the Welsh language had discouraged recruitment, as claimed by the Welsh Deanery. Revealing that he was eager to learn the language, he went on to say: “We need to ensure that where patients’ first language is Welsh we can communicate effectively with them. I have not been here long, but I have not come across the Welsh language dissuading people from applying. There are far more significant things locally affecting recruitment that we need to deal with, such as setting out our positive vision for the future. I would rather get on with tackling those things.”

Responding to criticism by Simon Hart MP that the Board’s communication had been poor, the new CEO was clear: “We need to be clear about our overall aim, that patients can get prompt treatment. That might not always be in their local hospital. Clinical practice changes all the time. There is a danger in having a blueprint which needs constant amendment. There are some ‘red-line’ issues, such as the provision of 24/7 A&E, where we need to be open and transparent with the public about the issues we face regarding recruitment. The Board’s approach is how we build an ongoing relationship. We have had a couple of public meetings already and we have learned from those, so that we changed the format of the second meeting at Letterston to be less one of us telling than of us listening. We got it wrong, the public told us we had got it wrong, so we changed the format. We need to continue to flex and also to hear from people that we sometimes do not hear from. We have a strong desire to be out there talking, listening: we are facing big challenges and we need to be honest and open about that. We won’t find all the answers sitting around a board table, we need to communicate and the more we do that, the better it will be for the future of health services in our local area.”

Refusing to be drawn on past issues with communication between the Board and the public, Mr Moore was, however, very clear on his position and that of the Board generally: “The ethos we have is that it is not our health service, it belongs to the taxpayers. I can’t see a more important job for the Board than to engage with the public. We’re not going to solve the problems we face unless we have the public on board, both understanding the challenges and helping us deliver the solutions. You will see our clinicians out there more often: they are the experts and I think it is important the public know their viewpoint and their views. It is also important that clinicians get to hear the public’s point of view.”

Reflecting on the sometimes difficult relationship the Board has had with the media: “I’m looking forward to having a strong relationship with the press, who can help us reach members of the public we do not reach through our efforts alone. There needs to be a positive – and critical – relationship between the media and the Board. We need to celebrate the good news stories about the way our staff deliver services under great pressure and in the face of great challenges.”

Concluding he said: “I am genuinely positive for the future. You only have to visit our hospitals, to sit in a public meeting and feel the public’s passion. The NHS is a great institution. We will have to find new solutions, the world has changed since 1948. I am positive about that change and feel we have a strong platform to work from.”

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Education

Second Pembrokeshire Chess Tournament celebrates youth and skill

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THE SECOND Pembrokeshire Chess Tournament drew participants from 21 schools across the region, culminating in a day of intense competition and camaraderie.

The tournament, reported by Vicky Brown, saw young chess enthusiasts gather for a day marked by strategic gameplay and exceptional talent. Henry Burton from Redhill emerged victorious, claiming the top spot in a closely contested field. The duo of Steffan Hughes and Huw Holliday, also from Redhill, followed closely in second place, while Osian Griffiths (Ysgol Caer Elen), Bryn Williams (Milford Haven Community School), and Iolo Hughes (Redhill) shared the third place, showcasing the depth of talent present among the participants.

In recognition of outstanding sportsmanship, Carys Callan from Redhill was honoured with the ‘David Pinch Award’, embodying the spirit of fair play and respect that marked the tournament. A special mention was given to Tyler Davison-Hall from Johnston CP School for participating in the Game of the Tournament, further highlighting the event’s competitive yet friendly atmosphere.

The tournament benefitted significantly from the expertise of Ian Eustis from the Welsh Chess Union, who served as Arbiter, ensuring the smooth running of the games. The event was also supported by Martin Jones and Scott Hammett, who took on the roles of stewards, and the Friends of Redhill (FOR), who managed the refreshments, contributing to the day’s success.

The local chess community, including participants and spectators, expressed their appreciation for the organisational efforts that made the event possible. For those interested in furthering their chess skills, the Pembrokeshire Chess Club extends an invitation to meet on Tuesday evenings in Steynton. Martin Jones, contactable at 07884384131, is available for further details regarding membership and participation.

Looking ahead, Redhill is poised to host its next chess tournament on Saturday, 8th June, promising another opportunity for young chess players to demonstrate their skills and passion for the game. The success of this event not only highlights the thriving chess scene in Pembrokeshire but also sets the stage for future tournaments that continue to inspire and engage the youth in the noble game of chess.

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News

Rugby Weekly – Tenby’s promotion push continues

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It’s crunch time for all rugby clubs around the county, whether promotion is their aim or fighting relegation or even just trying to improve their league position, it’s now or never. 

Last weekend saw an important win for Fishguard in division two west which should put any relegation fears to bed completely. James Griffiths added an impressive 18 points for the Seagulls as they defeated Nantgaredig 33-19. 

Elsewhere in the second division, Milford were beaten 32-8 by a good Lampeter outfit. The Mariners are still a little too close for comfort with the drop zone but should have enough quality to see them safe. 

At the other end of the table Tenby sit in second place and have played fewer games than leaders St Clears and third place Lampeter. They won impressively again last weekend, beating Pontyberem 64-19 at Haywood Lane. Fletcher Broadhurst impressed with two tries as did Hywel Baker who also grabbed himself a brace. Another excellent performance in an outstanding season so far in which promotion would be the absolute icing on the cake. 

In Division Three West, Pembroke were well beaten by Laugharne 74-15 in which the outstanding Liam Price and Nico Setaro both crossed the whitewash 4 teams a piece. The latter also added 7 successful conversions. 

There was a local derby at Pill Parks where Llangwm hosted Pembroke Dock Quins and it was an exciting clash. The visitors won narrowly 28-23, Craig Barnett and Gethin Bradney both scored two tries for the Quins. The Wasps battled hard and will be proud of their performance, Gethin Thomas impressed for the hosts with two tries of his own but it wasn’t enough to secure the points. 

St David’s hosted the high flying Cardigan outfit and were unable to score in reply to the visitors 20 points, with it ending 20-0. The Saints however won’t be losing too much sleep over it as they have had a great season so far. 

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Business

Stephen Crabb leads inquiry on retaining community bank services  

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PRESELI Pembrokeshire MP, and Chair of the Welsh Affairs Select Committee Stephen Crabb is leading an inquiry in Parliament that will investigate the closure of high street banks in Wales, as well as access to cash.

In November 2023, Pembrokeshire saw the closure of Lloyds Bank in St Davids, and in the coming months both Barclays Bank and Halifax in Haverfordwest are set to close. In recent years, Wales has experienced a rapid decline in the number of high street banking services available to the public. Already in 2024, 23 high street bank closures have been announced in Wales, while automated teller machines (ATMs) declined by nearly a quarter between 2018 and 2023.

The Committee willconsider how declining high street banking services are impacting vulnerable people and small businesses across Wales, who are often more reliant on cash than digital banking. It will also examine how Wales is being affected by the loss of high street bank services, and whether the problem is worse in Wales than other parts of the UK.

Mr Crabb is a staunch advocate for retaining community banking facilities, especially in rural communities like Pembrokeshire where many local branches remain the only source of face-to-face banking provision for miles.

Recently Mr Crabb challenged Barclays Bank senior management on their decision to close the bank branch in Haverfordwest– a move that will see Barclays not only pull out of the county town, but means they won’t have a branch left anywhere in Pembrokeshire. He has also engaged with LINK – the UK’s largest cash machine network – and continues to campaign on the basis that a Banking Hub is established and that ATM machines should be retained or installed, especially in areas worst affected by the closures.  

Following the launch of the inquiry, MP Crabb added: “It is really sad to see so many banks across Wales closing as online banking grows in popularity. Despite the advantages of online banking, for a rural community with an ageing population like Pembrokeshire, bank branches hold huge importance as they offer face-to-face customer service.”

“I am acutely aware of the inconvenience that the bank closures locally have already caused following hundreds of replies from constituents to my ‘online banking survey’ ”

“I am looking forward to gathering further evidence on this subject through the committee’s inquiry, and will continue to put pressure on the relevant stakeholders to ensure that adequate alternative provisions are made through the establishment of banking hubs as well as the instalment of ATM machines where necessary.”

“In this inquiry, we are particularly keen to hear from those likely to be directly affected by the shift away from cash and physical banks. I encourage anyone with first-hand experience of losing banking services to give evidence to the Committee”

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