News

‘Once in a lifetime’ reorganisation planned by Health Board

Published

8 years ago

January 19, 2018

THE LOCAL Health Board is embarking on a ‘once in a lifetime’ reorganisational plan which is looking at all potential options to ‘change the status quo and focus on improving health’ of locals.

This will involve, a press release has revealed, transferring more hospital services into the community where appropriate.

This is part of a strategy that the Health Board is looking into, to help solve an acute recruitment problem which is putting a great deal of pressure on the way that the Heath Board operates – and is leading to an untenable level of use of costly temporary staff to plug gaps and services.

In the summer of 2017, the Health Board embarked in an engagement with the public called ‘The Big Conversation’ which involved public workshops and drop-ins being held across the three counties of Pembrokeshire, Carmarthenshire and Ceredigion.

The Health Board now says the it has independently analysed opinions of the general public and has been using that data to explore, challenge and test different scenarios.

It is yet to be seen what these changes will mean for end service users.

The Herald understands it is likely to mean hospital services being reduced or cut, and replaced with community alternatives.

The Health Board has said it will not make any changes, unless it can guarantee the safety of the people which it serves.

The Health Board has insisted that no preferred option for change has yet been determined, and nothing has been signed off or agreed at this stage.

Medical Director Dr Philip Kloer said: “This is a once in a lifetime opportunity for our health service and community to work together to design an NHS which is fit for our generation and beyond. It has been acknowledged for some time across the UK that healthcare services are challenged like never before and we need significant change. Indeed this has been recognised in the recently published ‘Parliamentary Review of Health & Social Care’ here in Wales.

“We need to develop more proactive, resilient and better resourced local community services to support and improve people’s health and wellbeing, and avoid deterioration where possible. This will involve closer working with our partners, particularly colleagues in social care. We are also looking at ways of providing the most modern clinical practice, using the latest digital, technological, and new scientific developments, in fit for purpose facilities to provide better patient outcomes and experience.

“A number of our services are fragile and dependent on significant numbers of temporary staff, which can lead to poorer quality care. For us specifically in Hywel Dda, the geography we cover is large, with many scattered communities that are getting older, needing more holistic health and social care treatment and support. Because of this, we need to better resource our community based care, which is where most of our patient contact is, and help people manage their health conditions. We also need to evolve traditional ways of working and provide a more proactive approach. This should give patients – young, older and frail and everyone in between – the services they need when the need it, so people do not have to wait too long.

“This will mean changing hospital-based care, as well as community care, and we appreciate the attachment local people and our own staff have for their local hospitals. They have been cared for in them, or work in them, and they also play an important role in our wider communities. The options may propose change to a local hospital; however this is about more than the buildings. This is about investing in our communities, attracting doctors, nurses and therapists by operating a modern healthcare system and keeping hospitals for those who really need hospital care.

“We will not put in place any change that isn’t safe for our patients and population. And we will look at all the impacts from ensuring services are safer with better patient outcomes, to considering the wider impact on people, including the most vulnerable.”

Dr Kloer added: “The potential options are evolving, with changes to them on almost a daily basis. Many will never even reach public consultation, for a variety of reasons including safety, accessibility and affordability, or will change significantly as they are tested against population needs and healthcare standards.

“We will be coming back to the public in the spring with fewer options that have been more rigorously tested and we will open and honest about what we think our preferred option is and why. We would not, and cannot, propose something that would not be safe for our population.

“We live in this community, use our NHS and work for our NHS and we want to work with our patients, staff, partners and public to ensure it is the best it can be.”

Meanwhile, Elin Jones, Ceredigion’s Assembly Member, has called for urgency in the implementation of electronic records for NHS patients in Wales, following the publication of a report by the Wales Audit Office, ‘Informatics systems in NHS Wales’.

The report outlines several of the opportunities that electronic patient records can bring to patients and health boards, as well as the current obstacles to achieving this goal.

Elin Jones, who has long-called for a paperless NHS has welcomed the report, saying: “This is an important step in the development of health services in Wales, which is long-overdue. It would make our NHS more sustainable and more flexible to every patient’s needs.

“I have heard of many instances where patients have turned up to appointments in Llanelli, Swansea or Cardiff, only to find that their medical records have not arrived. These are people who have, in some cases, had to wait a long time for a specialist appointment, and have had to travel long distances, sometimes leaving very early in the morning or have arranged overnight accommodation in order to get to a 9 am appointment.

“Being turned away because their paper record has not arrived is a failure in the current system, and would be addressed directly by electronic records.

“The technology is available, it’s just a case of putting the funding in place.

“With the proper investment into the Welsh NHS by the Welsh Government, electronic patient records can help the NHS to deliver better outcomes for patients and to make more efficient and effective use of scarce financial and human resources.”

Charity

Bassetts Motor Group donates electric van to support lifesaving charity

Published

4 hours ago

March 28, 2026

Tom Sinclair

BASSETTS Motor Group has donated an electric van to support the vital work of Wales Air Ambulance, providing a major boost to the charity’s day-to-day fundraising operations.

The South West Wales-based company has gifted a Citroën e-Berlingo for use until the end of the year — marking the first time the business has made a significant gift in kind to the charity.

Staff from Bassetts recently visited the charity’s headquarters in Dafen to hand over the vehicle, where they met with a medic and were given an insight into the critical care delivered by the service, including a tour of a rapid response car.

Ashley White, of Bassetts Motor Group, said: “Being a South West Wales-based business, we’ve seen first-hand the incredible work that Wales Air Ambulance does.

“We knew the charity relies heavily on fundraising and donations, so when we were looking for a cause to support, it felt like a natural choice.”

The van has been branded with the charity’s logo and information on how the public can support its lifesaving lottery.

Explaining the choice of vehicle, Ashley added: “We’re strong advocates of electric vehicles. Getting people behind the wheel often changes perceptions and helps overcome misconceptions about going electric.

“Citroën offered us a deal that made it possible for us to provide the van in this way, and we felt it would be perfectly suited to the charity’s fundraising needs.”

The Wales Air Ambulance delivers consultant-led emergency care across the country, bringing hospital-level treatment directly to patients and, where necessary, transferring them swiftly to the most appropriate specialist centres. This approach can save critical time and significantly improve survival and recovery outcomes.

The service operates through a unique partnership between the charity and the NHS, with the Emergency Medical Retrieval and Transfer Service providing highly skilled consultants and critical care practitioners who work onboard its aircraft and rapid response vehicles.

As a pan-Wales service, its crews cover the entire country, delivering emergency care wherever it is needed.

Nina Rice, Head of Fundraising High Value Partnerships at Wales Air Ambulance, said: “We are incredibly grateful to Bassetts Motor Group for this generous gift in kind.

“The use of the electric vehicle will make a real difference to our fundraising efforts, helping us reach more communities and raise vital funds.

“As a local company, Bassetts understands just how important our service is to people across Wales. This support will directly help us continue our lifesaving work.”

The charity must raise £13 million every year to keep its helicopters in the air and its rapid response vehicles on the road.

For more information, visit the Bassetts Motor Group website.

Community

Residents return home after major Carmarthenshire fire as probe continues

Published

5 hours ago

March 28, 2026

Tom Sinclair

RESIDENTS forced to evacuate their homes following a major fire in Kidwelly have now been allowed to return, as emergency services confirm the scene has been stood down.

The blaze broke out at a property on Lady Street in the early hours of Tuesday (March 24), with emergency services called at around 4:20am. Several neighbouring homes were evacuated as a precaution while firefighters tackled the incident and assessed the safety of surrounding buildings.

In the latest update, Dyfed-Powys Police confirmed that officers have now left the scene and displaced residents were able to return to their properties on Thursday evening (March 26), following work to make the affected building safe.

The incident caused significant disruption in the town, with Lady Street remaining closed while further work is carried out to ensure the safety of the highway and surrounding structures.

Emergency services, including Mid and West Wales Fire and Rescue Service, were on the scene for several hours during the initial response. Crews were understood to have dealt with a serious property fire, prompting a large-scale emergency operation in the centre of the town.

While the immediate danger has now passed, authorities have confirmed that investigations into the cause of the fire are ongoing. Police are continuing to appeal for witnesses or anyone with relevant information to come forward.

Officers are particularly keen to hear from anyone who may have CCTV, doorbell, or dashcam footage from the area between 11:00pm on Monday (March 23) and 4:00am on Tuesday (March 24).

Anyone with information is urged to contact police quoting reference 027 of 24/3, either via 101, online, or anonymously through Crimestoppers.

Authorities thanked residents and the wider community for their patience during the incident, which saw homes evacuated and roads closed while emergency services carried out their work.

Further updates are expected as the investigation progresses.

Community

West Wales fire crews sharpen skills in major training exercise

Published

5 hours ago

March 28, 2026

Tom Sinclair

FIREFIGHTERS from across west Wales took part in a large-scale training exercise designed to sharpen operational skills and strengthen teamwork.

Crews from the Western Division of Mid and West Wales Fire and Rescue Service attended the development day at Earlswood Training Centre on Sunday (March 22).

Personnel travelled from stations including Carmarthen, Tumble, Newcastle Emlyn, Milford Haven, Narberth and Pontyates to take part in the exercise.

Realistic scenarios

Firefighters were put through a series of realistic scenarios designed to reflect incidents they may face on duty.

These included house fires with people reported inside, kitchen fires, and multi-vehicle road traffic collisions. Crews also carried out specialist line rescue exercises as part of the day.

Support staff played the roles of casualties and members of the public, adding to the realism and allowing firefighters to test their responses in lifelike conditions.