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Politics

‘Sort finances before service changes’

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Proposals must be financially sound: Dinah Mulholland, Ceredigion CLP

ONE ​of​ ​w​est Wales’ Labour Constituency Parties has called for the Health Board not to proceed with its plans for major health service change until its long-standing financial crisis has been resolved.

On Friday, May 25, Ceredigion Constituency Labour Party passed a motion calling on the Board to think again.

In the last financial year the health board overspent its £760m budget by £70m, or ​9%​, and the board itself describes its regular overspends as ​’​growing year on year​’​.

Ceredigion Labour Party points out that although the changes in service provision which are being proposed may provide better patient care, they cannot also be expected to deliver savings if standards of care are intended to be maintained.

Dinah Mulholland, spokesperson for CCLP, said: ​”​We welcome all attempts to improve local health services. But acceptable proposals must be based on sound financial projections and dependable financial commitments.

“For instance, all three of the board’s alternative proposals for the delivery of clinical services involve the building of a new major urgent and planned care hospital `between Narberth and St Clears’, to replace other hospitals that would be closed or downgraded. Yet the Welsh Government has offered no commitment to provide capital funding for this scheme.

“We are calling for a `Stop and Fix’ approach because unless the financial arrangements are stabilised we see a very real threat that at some point during the next few years progress with major changes in service provision could be overtaken and overwhelmed by a sudden financial collapse.

“And if the board is preoccupied with delivering major changes in service provision it will be paying less attention to managing its ongoing financial problems.

“We would welcome a commitment from Hywel Dda not to proceed with any major reconfiguration of clinical services until it has secured resources to remedy the chronic and ingrained underfunding of health services in mid and west Wales. This proposed reconfiguration cannot and should not be expected to solve Hywel Dda’s long-standing problem with underfunding.”

Last week (May 23) the Welsh Health Secretary announced an annual increase of £27m in Hywel Dda’s revenue funding, but CCLP describes this as “sticking plaster” as it represents only 39% of the deficit in the last financial year.

The Health Secretary has said that this new funding puts Hywel Dda on a “fair funding basis”, but CCLP points out that if the board’s funding has only just become “fair” this raises additional questions about how much the local NHS budget has been “short-changed” in every year since the National Assembly began.

A review by the Welsh Government, as part of the Targeted Intervention support provided to Hywel Dda Health Board, found that two factors, demographics and scale, generated excess costs that were unavoidable to the Board.

The review, undertaken by Deloitte LLP, confirms the view held by many people in Ceredigion and mid and west Wales that Hywel Dda faces a unique set of healthcare challenges.

Hywel Dda is consulting the public on three alternative proposals for providing clinical care, closing and/or downgrading Withybush Hospital, Prince Philip hospital in Llanelli and Glangwili hospital in Carmarthen. In all three proposals community care would be strengthened so that more people can be treated and supported closer to home. In all versions Bronglais hospital in Aberystwyth would remain as a District General Hospital.

The 12-week public consultation began on 19 April and will end on 12 July. Ceredigion CLP is also critical of the board’s plans for obtaining the views of the public, which it points out do not include any meetings with platform speakers open to the general public. CCLP says this is unacceptable.

Politics

WG ends right to buy

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HOUSING association and local authority tenants in some parts of Wales have until January 26 to use the Right to Buy and associated Schemes after which they will be abolished in Wales.

People who are eligible and wish to buy their own home must have completed an application form available from their landlord or the Welsh Government website and submitted it to their landlord before the upcoming deadline of 26 January 2019.

Housing and Local Government Minister Julie James said: “We passed the Abolition of the Right to Buy and Associated Rights Act to protect the stock of social housing in Wales from further reduction, so it is available to provide affordable housing for people who need it. This legislation is one of a range of actions we are taking to increase the supply of housing in Wales.

“Between 1981 and 2016, over 139,000 local authority and housing association homes were sold under the Right to Buy. This has led to many people, many of whom are vulnerable, waiting longer to access a home they can afford. Abolishing the Right to Buy is also giving social landlords more confidence to invest in building new social housing by removing the risk of these homes being sold after only a few years.

“We are committed to creating 20,000 more affordable homes by 2021 and we are supporting social landlords to help us to achieve this.”

Right to Buy has already been suspended in Anglesey, Carmarthenshire, Denbighshire, Flintshire, Powys, Swansea and Cardiff. Following the one year allowed under the Act to exercise their rights, the Right to Buy and associated rights will finally be abolished throughout Wales on the 26 January 2019.

Further information is available from housing associations and local authority housing teams. Information on the legislation and how it will affect tenants is available on the Welsh Government website

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Politics

Brexit bots increased division

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A RESEARCH collaboration from academics at Swansea University and the University of California, Berkeley suggests that information automated software agents or ‘bots’ were used to spread either ‘leave’ or ‘remain’ social media stories during and after the Brexit referendum which drove the two sides of the debate further apart.

Research by Professor Talavera Professor, and PhD student Tho Pham from the School of Management, in collaboration with Professor Yuriy Gorodnichenko, at University of California, Berkeley, focused on information diffusion on Twitter in the run-up to the EU Referendum.

Professor Talavera said: “With the development of technology, social media sites like Twitter and Facebook are often used as tools to express and spread feelings and opinions. During high-impact events like Brexit, public engagement through social media platforms quickly becomes overwhelming. However, not all social media users are real. Some, if not many, are actually automated agents, so-called bots. And more often, real users, or humans, are deceived by bots.

TWITTER ANALYSIS
Using a sample of 28.6 million #Brexit-related tweets collected from 24 May 2016 to 17 August 2016, researchers observed the presence of Twitter bots that accounted for approximately 20 per cent of total users in the sample. Given the preponderance of re-tweets from bots by humans, a key question is whether human users’ opinions about Brexit were manipulated by bots.

Empirical analysis shows that information about Brexit is spread quickly among users. Most of the reaction happened within 10 minutes, suggesting that for issues critically important to people or issues widely covered in the media, informational rigidity is very small. Beyond information spread, an important finding is that bots seem to affect humans.

However, the degree of influence depends on whether a bot provides information consistent with that provided by a human. More specifically, a bot supporting leaving the EU has a stronger effect on a “leaver” human than a “remain” human.

‘ECHO CHAMBER’
Further investigation shows that “leavers” were more likely to be influenced by bots compared to “remainers”. These results suggest that dissemination of information is consistent with what is frequently referred to as an ‘echo chamber’ – a situation in which information, ideas, or beliefs are amplified or reinforced by communication and repetition inside a defined system, revealing that the outcome is that information is more fragmented rather than uniform across people.”

Professor Talavera said: “Social bots spread and amplify the misinformation, thus influencing what humans think about a given issue. Moreover, social media users are more likely to believe (or even embrace) fake news that is in line their opinions. At the same time, these users distance themselves from reliable information sources reporting news that contradicts their beliefs. As a result, information polarisation is increased, which makes reaching consensus on important public issues more difficult.”

“It is now vital that policymakers and social media should seriously consider mechanisms to discourage the use of social bots to manipulate public opinion.”

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Politics

WG gets help on regional development

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THE ORGANISATION for Economic Co-operation and Development (OECD) will lead a new project to support the development of regional economic development policy in Wales, Economy Minister Ken Skates and Brexit Minister Jeremy Miles have announced.

The Paris-based experts will use their extensive international experience of regional economic development to provide rigorous challenge and advice to the Welsh Government as it implements its new Economic Action Plan and develops new plans for Regional Investment in Wales after Brexit.

As world leaders in their field, the OECD’s input will help ensure that Wales’ future regional economic development model embeds international best practice.

The internationally-renowned body has provided advice to the Welsh Government before. In 2014, it produced a major report to help improve schools in Wales. In subsequent years it has also supported Welsh Government work on schools reform.

This new project will see international experts visit Wales and discuss regional economic challenges and opportunities with partners. This, in turn, will help the Welsh Government to develop a new toolkit for action as well as clear international benchmarks to monitor performance.

Minister for Economy and Transport Ken Skates said: “Our new Economic Action Plan is a major public policy reform and I want to ensure we receive the very best advice and strongest international challenge to help us achieve our economic ambitions.

“The changes we have outlined through the Economic Action Plan to boost regional economies across Wales are profound, as is our ambition for stronger regional partnership working in Wales to boost inclusive and sustainable growth. There is no-one better to help us deliver this than the OECD.

“We have asked the OECD to advise us on ways to strengthen regional economic governance, build capacity, and support more joined up economic policymaking, including through developing a practical toolkit for both us and our partners to use to support those changes.
“We must ensure Wales remains competitive and that we benchmark ourselves against the best and learn from great ideas and new innovation across the world.”

Minister for Brexit Jeremy Miles said: “EU regional investment has helped improve our economy, but Wales needs further investment to address the structural economic challenges we continue to face. We continue to press the UK Government for the £370m annually we receive for our European Structural and Investment funds in Wales in keeping with promises made during the referendum campaign that Wales would not be worse off and for regional economic development in Wales to remain with the Welsh Government after we leave the EU.

“Our project with the OECD will play an important part in Wales’ development of the right policy and structures for a successor regional investment approach to replace EU regional funds, closely aligned to our Economic Action Plan. We are not looking to simply replicate the EU model in Wales, and are committed to creating a new, made in Wales approach that reflects international best practice, builds on Wales’ distinctive legislative and policy landscape, and delivers for our people, businesses and communities.

“This partnership with the OECD will help strengthen that work and give confidence to our partners that new and dynamic partnerships can be formed to innovate and link policies in fresh and imaginative ways.”

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