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‘Fog of confusion’ about Withybush Plans

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fog of confusionUNCERTAINTY CONTINUES to dog the future of maternity, paediatric and specialist baby care at Withybush General Hospital, Haverfordwest.

Speaking to The Pembrokeshire Herald, Stephen Crabb, the MP for Preseli Pembrokeshire, said:

“In recent weeks the fog of confusion around the future of vital services at Withybush has got worse, with neither the Hywel Dda Health Board nor the Welsh Health Minister being willing or able to come clean on their true intentions. The Pembrokeshire rumour mill is in overdrive about changes at Withybush and the local community is rightly concerned and angry. This is the biggest issue facing our County and it is time for Welsh Government in Cardiff to hold the Health Board to account and provide certainty and assurance.”

As The Pembrokeshire Herald revealed last week, staff have already been consulted about a planned shift of services from Withybush to West Wales General Hospital, Glangwili. BBC news picked up the story this week and confirmed with Hywel Dda Local Health Board that talks were taking place with hospital staff.

Campaign groups set up

SEVERAL campaigning groups have been set up on Facebook to fight the closures and a public meeting is to be held at The Picton Centre in Haverfordwest this evening (Thursday, November 21) with a view to setting up a fighting fund to resist any closures or relocation of maternity and paediatric services.

The number of people who have joined the on-line campaign groups at the time this article goes to press is just under 20,000.

In January 2013, Pembrokeshire’s Best Magazine revealed that out of 1,567 responses to the ORS consultation on the Health Board’s plans for Withybush, only 9% of respondents in Pembrokeshire (150 people) favoured the Board’s proposal to close SCBU and transfer all care for high dependence neonates, complex ante-natal and perinatal care out of the County to Glangwili. In spite of the level of opposition shown to their plans, the Local Health Board’s decision announced on January 15 was to proceed with its plans, but to retain some paediatric and obstetric services at Withybush “subject to recruiting staff”.

Speaking to The Herald last week with reference to the potential loss of services due to loss of birth numbers at Withybush, the a spokeswoman from the Hywel Dda Health Board said:

“We are at significant risk of losing training posts if we cannot find solutions. Services may become too fragile unless we plan for the future.

“The neonatal element was referred to Welsh Government and the Health Board was requested to provide further details on our models for gynaecology and obstetrics which is being addressed by this ongoing planning work.”

Further criticism of LHB

THE HEALTH BOARD has been separately criticised by Ceredigion AM for delays in recruitment:

“I have been made increasingly aware of recruitment delays across the Hywel Dda region. In some cases such as recently at Ysbyty Bronglais I’m told of instances where six months after the employment process began, nurses have still not been able to take up new posts.

“Delays in appointing key staff members undermine the vital services offered by the Health Board, increase waiting times, erode public confidence and make it even harder to recruit staff in the future.

“The Welsh Government must work closely with the Local Health Boards across Wales to ensure the process is expedited and that residents get the health service they need and deserve.”

AM’s request for scrutiny denied

A REQUEST from local Assembly Member Paul Davies to publicly scrutinise the future of services at Withybush hospital has been denied.

This follows the latest news that overnight paediatric services at the Withybush hospital could be closed. Mr Davies tabled an urgent question to the Welsh Health Minister given the substantial knock-on effect that this closure would have on the hospital’s obstetrics department, A & E department and the Special Care Baby Unit.

Mr Davies said, “This latest news has further escalated concerns in Pembrokeshire that Withybush hospital is signalled for downgrading. Sadly, my request to scrutinise the Health Minister on this has been turned down. Unfortunately, I have repeatedly called for statements from the Welsh Government in relation to Hywel Dda Health Board’s plans, all of which have been denied.”

He added, “This news will once again renew fears over the hospital’s future, and it’s time that the Welsh Government provided certainty and reassurances for west Wales patients. Anything less is unacceptable. Residents will rightly be worried about the potential closure of overnight paediatric services and the effect that it will have on the sustainability of other core services at Withybush. I will of course, keep raising these issues in the Assembly Chamber in the hope that Welsh Labour Ministers will come clean on the future of Withybush hospital as soon as possible.”

Concern from Haverfordwest Town Council

AT THE Haverfordwest Town Council meeting last night councillors discussed the situation regarding Withybush Hospital.

Town Clerk David Williams said “There are serious concerns about what is happening at Withybush Hospital. We don’t know what the proposals are at the moment and the future of the hospital is in the balance.

“Our intentions are to write to the trust and health minister to clarify what the situation is”.

SWAT has suggested that the situation is the thin end of the wedge in relation to other services. A SWAT leaflet sent to The Pembrokeshire Herald claims, amongst other things:Emergency cover for ALL specialities may reduce to 16 hours each day. Date of implementation unknown at present but maybe January 1, 2014. This would mean patients already in hospital would be safe as on call doctors would be on site but with no A&E facility from perhaps midnight people who became ill overnight or have an accident in the community would be taken directly to Glangwili.

SCBU, Paediatrics and Obstetrics will move to Glangwili in March 2014. This means that there will be NO beds to admit children, babies or pregnant women at Withybush except for very low risk mothers to be.

Anyone needing admission will have to be taken to Glangwili.

A&E will be reduced to 12 hours during the day from April 1, 2014. This means that Withybush will not be able to take any emergency patients overnight and they will all have to be taken to Glangwili for assessment and admission if appropriate.

The leaflet calls on people to demonstrate in support of maintaining services at Withybush outside the hospital every Saturday morning at 11:00 am from January 4, 2014. It also asks for support for a potential legal action to prevent the Health Board’s plans from proceeding.

Joyce Watson AM told us: “I totally support the plan for a Level 2 neo-natal unit in the Hywel Dda area, as we do not currently have one. Withybush maternity unit is the crucial missing piece of the puzzle, however. Until Hywel Dda submits its proposal to the Welsh Government we cannot assess the overall plan.

“What is clear is that Withybush must retain a service that can stabilise mother and baby when complications occur. That is absolutely critical – a red line – and I have consistently urged that point in my discussions with both the Health Board and the Government.”

The Local Health Board responds

In response to the BBC News story, the Health Board released a statement saying:

“The health board can confirm that no instruction has been given to book expectant mothers due in March or April into Glangwili Hospital instead of Withybush Hospital. If any mother has any queries about their booking they are advised to speak to their midwife directly.

“The health board was instructed by the Health Minister in September to clarify the delivery model for obstetric and paediatric services that would be provided to support a Level 2 neonatal unit before a final Ministerial decision is made in relation to new born services.

“The health board is committed to openly discussing the current situation with staff and so meetings are taking place at a hospital, county and health board-wide level.

“The ongoing work with our clinical teams is based on clarifying the service model, taking into account the many service inter-dependencies.

“Proposed models will be submitted to Welsh Government in the next few weeks…the health board’s position [is] that members of staff have not been informed of any final decisions as none have been made.”
Chris Overton of SWAT told The Herald

“Last Tuesday morning the midwifery manager told midwives on the wards that from March there would be a midwifery led service at Withybush. At the same time, the Paediatric Manager told staff that SCBU, paediatric services and Ward 9 admissions would all go to Carmarthen, as that was where paediatric trainee doctors would be based.”

The Pembrokeshire Herald asked for a response from the Welsh Government, shortly before we went to press a spokesperson for Health Minister Mark Drakeford told The Herald:

“This is a matter for the Local Health Board and we have no comment to make on it, at this time.Rebecca Evans AM, Assembly Member for Mid and West Wales said:

“I am obviously concerned by the recent reports, and am seeking clarity from the Health Board because continued speculation and rumour is unhelpful for both patients and our NHS staff.

“The Health Board is due to submit its detailed proposed models to Welsh Government in the next few weeks, and I would expect that those plans should be clinically robust and developed in close collaboration with clinicians and expert obstetricians. I look forward to scrutinising the plans.

“Patient safety – both for the expectant mother and the baby – has to be the overriding concern.”

Mrs Evans is currently seeking reassurances from the Health Board on a number of matters, including that that there is no truth in the reports that all expectant mothers due to give birth after 1 April are being booked into Glangwili Hospital.

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Covid-19 vaccination venues and timeline announced for everyone locally over 50

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EVERY person in JCVI priority groups 5 to 9 will be offered a COVID-19 vaccination by 18 April, Hywel Dda University Health Board has confirmed.

While the health board’s vaccination programme has the capacity to offer a vaccine to everyone in groups 5 to 9 by the original target date of 4 April, the delivery plan has had to be adjusted based on confirmed vaccine deliveries.

Carmarthenshire, Ceredigion, and Pembrokeshire residents in priority groups 5 to 9 can expect to receive their vaccine as follows:

  • Group 5, people aged 65 – 69 years – delivered by GP practices between 15 February and 12 March
  • Group 6, people aged 16 years to 64 years with underlying health conditions and unpaid carers – delivered by GP practices between 22 February and 4 April
  • Group 7, people aged 60 – 64 years – delivered by mass vaccination centres starting 8 March
  • Group 8, people aged 55 – 59 years – delivered by mass vaccination centres starting 22 March
  • Group 9, people aged 50 – 54 years – delivered by mass vaccination centres starting 5 April

The health board currently has mass vaccination centres located in Aberystwyth, Cardigan, Haverfordwest, Tenby, Carmarthen and Llanelli.

Group 6 is significantly the largest cohort to be vaccinated to date and we understand that many in this group will be anxious to receive a vaccine. Please do not contact your GP or the health board to ask about your appointment, you will be contacted directly when it is your turn and we thank you for your patience.

People in groups 7, 8 and 9 will receive a letter with an appointment date and time. Please arrive as close to your appointment time as possible. The letter will include a phone number to contact the health board should you need to rearrange or cancel your appointment but please make every effort to keep your allocated appointment time.

Steve Moore, Chief Executive of Hywel Dda UHB, said: “While  our programme has had to slow  due to supplies, we want to reassure everyone in groups 5 to 9 that our amazing teams of vaccinators and GP practices have the capability and flexibility to deliver our vaccine supplies as they arrive into the region.

“Vaccine supplies will start to increase again from mid-March, and we are confident that everyone living in our three counties in the top 9 priority groups will be offered a vaccine by mid-April.

“In Hywel Dda we have an older population compared to some other health boards and so over 50% of our adult population will have been offered a vaccine by milestone 2.

“To be able to say that as we approach the anniversary of the first national lockdown is nothing short of extraordinary.

“And again, I must say thank you to everyone living in our three counties who continue to come forward in substantial numbers for the vaccine. Uptake remains remarkably high and we hope to see this continue through groups 5 to 9 and into group 10.”

People are asked, wherever possible, to use their own private transport to attend an appointment. Lifts can be accepted from someone in their household or support bubble, but not from anyone else due to the risk of transmission of the virus.

The health board has put in place transport support for anyone who may have difficulty attending their vaccination appointment. If you have no other means of travel, please contact the health board on 0300 303 8322 and we will be happy to assist.

Everyone in priority groups 1 to 4 should have received an offer of a vaccination. If you have not been contacted, or have changed your mind, please contact your GP at the earliest opportunity. No one will be left behind.

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Nolton Haven: Man hospitalised after getting into difficulties in sea

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A MAN was taken to hospital after getting into difficulties in the sea off Nolton Haven on Friday.

Emergency services were alerted at 2.40pm on February 26 by a 999 call to the control centre.

The Little Haven RNLI lifeboat, Broad Haven Coastguard, an ambulance crew and a Coastguard rescue helicopter assisted police in the operation.

The male casualty was stabilised on the beach and shortly before 4.30pm, was then transported to Withybush Hospital.

A police spokesman told The Herald: “We were called to a male who had got into difficulties in the water at Nolton Haven shortly before 3pm.

“He was taken to hospital by ambulance.”

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Cyclist killed on A40 was serving police officer, force confirms

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A CYCLIST who died after a crash with a van on the A40 in Carmarthenshire was a serving police officer with Dyfed-Powys Police, the force has confirmed in a statement to Herald.Wales.

The driver of the van involved in the crash, which happened on Thursday (Feb 25) has been arrested on suspicion of causing death by dangerous driving, it was confirmed on Friday (Feb 26).

Police are investigating the fatal collision, which caused the road to be closed for 12 hours, and are asking for any witnesses to come forward by calling 101.

37-year-old Lynwen Thomas, who is a former student at Ysgol Bro Myrddin, Croes-y-Ceiliog, Carmarthen, was a sergeant and a very well-respected member of Dyfed-Powys Police.

A spokesperson for the police said in a statement: “Our thoughts are with her family, friends and colleagues, who have all been offered specialist support. We ask that family members are given the privacy they need at this difficult time.”

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