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Withybush baby unit future in doubt

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CONSERVATIVE politicians have reacted angrily to the news that Mark Drakeford, Minister for Health in the Welsh Labour Government, has endorsed the “underlying model” set out in a health review that looks certain to result in the closure of the Special Care Baby Unit (SCBU) in Withybush Hospital.

The Scrutiny Panel Report on service change proposals to neonatal services across three hospitals, which looks likely to be fully endorsed by the Welsh Government, recommends that ‘the provision of neonatal special care facilities across all Hywel Dda hospitals is neither safe nor sustainable, given the low volume of patient throughput’.

Just this week, speaking with the BBC, Labour leader Ed Milliband, praised the Welsh Government’s handling of the NHS, stating that they were doing an ‘excellent job’ and blaming ‘cuts’ on Westminster. The Labour run Welsh Government has chosen, controversially, not to protect the health element of its budget, in contrast to the UK government’s policy in England. The health element of the Welsh Government’s budget amounts to 40% of its overall expenditure, as opposed to 18% in the UK overall.

Stephen Crabb, MP for Preseli Pembrokeshire, which is the constituency in which the Withybush hospital resides, commented on the Labour decision to adopt the Scrutiny Panel Report, saying,

“I was very disappointed by the Minister’s statement. Although no firm plans were confirmed, it is clear that the Welsh Government will be centralising specialist baby care services at one site in the Hywel Dda region. This leaves SCBU in Withybush Hospital in the same uncertain position. Although the Minister explained that he would make a final decision after Christmas, having asked for more information, this announcement will be unsettling for local people. As a longstanding campaigner to save this vital service for our community, I remain anxious that the decision has effectively been taken to close the unit at Withybush. I hope that the further information he receives will convince the Minister not to push forward with such a closure.”

The Assembly Welsh Conservative Group claim that Carwyn Jones’s Labour Government will cut the Welsh NHS budget by over £800 million, in real terms, over five years, which they say equates to £5 a second.

However, Joyce Watson, Labour AM for Mid and West Wales, denied that a cost cutting exercise was to blame for the imminent closure of the SCBU. Speaking with The Herald she said that, “This is not about cost; it is about sustainable care for now and the future.”

In a statement released by her office she stated that, “We want the best for patients in Wales. Clearly what we want is an improvement on the present state of affairs. Those of us who have fought for the maintenance of the existing provision at these hospitals are not stick-in-the-muds. If what is proposed is better, we’ll have it”.

She told The Herald that she had sought assurances from the Minister that Withybush would be able to deal with emergency births where the mother/child needed immediate care, which he had confirmed to be the case. When pressed on what that would mean if the current SCBU were to be closed she said that, “A stabilisation unit will remain in Withybush”, that would, “provide adequate care in case of an emergency”.

The Conservative Shadow Minister for Health, Darren Millar, did not share the Labour AM’s optimism, saying, “Labour has confirmed more hospital downgrading in Wales, despite previous assurances that this would not happen”

Preselli Pembrokeshire AM, Paul Davies, said, “It seems it’s clear that calls to save Withybush Hospital’s SCBU have fallen on deaf ears. This Labour Government still appears to advocate a closure that many believe would be both dangerous and unsafe. There are deep concerns surrounding the potential axing of this unit; not least the effect it will have on an already strained ambulance service, the lack of suitable transport services within our communities, and the knock-on effect on other services at the hospital”.

Angela Burns, AM for Carmarthen West and South Pembrokeshire issued a statement to The Herald saying, “The Minister must remember the recommendation made by the CYP (Children and Young People) Committee into Neonatal Care that spoke of the need to ensure adequate transportation systems if everything is to be dragged eastwards. We have a fairly poor road network in Pembrokeshire with a great many single carriageways, an overstretched ambulance service, and it is not advised that premature babies go anywhere by helicopter. My overall view is that this is a long kick into the deep grass but what it leads to is more worry and uncertainty for the public, for staff, for recruitment and for doctors and nurses thinking of training in Hywel Dda”.

The Herald invited further comment from local Councillor and leader of the County Council’s Labour Group, Paul Miller. He said he was unable to comment and directed all enquiries to Joyce Watson or the Labour Health Minister.

Pembrokeshire residents must now wait to see if there is any hope of a change of heart by the Welsh Government before a final decision is made on the future of the Special Care Baby Unit at Withybush.

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Community

County Hall to offer space for community banking

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A CALL for Pembrokeshire County Council to potentially change its banking arrangement with Barclays, after it closed its Haverfordwest branch has been turned down, but County Hall is to offer space for community banking.

Barclays Bank, on the town’s High Street, is to close on May 10.

The council has had a banking services contract with Barclays since 2013.

Councillor Huw Murphy, in a notice of motion heard by Pembrokeshire County Council’s Cabinet meeting of April 22, asked the council to review its banking arrangements with Barclays following the announced closure.

e said the loss of a branch “not only impacts upon town centres and businesses but also disproportionately impacts the elderly who are less likely to embrace on-line banking options”.

A report for Cabinet members said, in terms of the impact on Pembrokeshire residents, Barclays has said that it is “not leaving Haverfordwest and [will] continue to provide face-to-face support for those who need it” via community locations.

Two options were presented to Cabinet: to retender the banking services contract, and, the favoured, to work with Barclays to ensure a community location is set up in Haverfordwest.

Members heard the costs associated with moving to a new banking service provider could be in excess of £50,000.

For the second, favoured option, members heard Barclays was in discussions with the council about a location for potential community banking.

Cabinet Member for Corporate Finance Cllr Alec Cormack, after outlining the risks in the report for members, and moving the notice be not adopted, said he had “considerable sympathy” with Cllr Murphy’s notice.

He told councillors there was a glimmer of light for banking arrangements in the county, with an agreement now signed for two ground floor rooms at County Hall, Haverfordwest, to be used for community banking.

From April 25, the rooms will be available on Wednesdays, Thursdays, and Fridays, members heard.

Cabinet Member for Planning & Housing Delivery Cllr Jon Harvey also said he had “a lot of sympathy” for the motion, adding: “It’s excellent news a deal has been struck to occupy the ground floor rooms three days a week; hopefully this will mitigate, to a certain amount, the closure.

“If we can work with the respective banks to get a community-type approach let’s move forward.”

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Haverfordwest interchange: Next stage of £19m project backed

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The second stage of building Haverfordwest’s near-£19m transport interchange has been backed, with senior councillors hearing it could cost the council more to not support it.

The transport interchange, which includes an integrated bus station and construction of a new multi-storey car park, is part of a wider series of regeneration projects in the county town.

The total cost of the scheme in the approved budget is £18.881m, £1.987m from Pembrokeshire County Council; the remainder, £16.894m, from an already-awarded Welsh Government grant.

To date, £3.425m has been spent on advanced works, including the demolition of the old multi-storey car park and a temporary bus station.

Members of Pembrokeshire County Council’s Cabinet, meeting on April 22, were recommended to approve the award of the Stage 2 construction contract for the Haverfordwest Transport Interchange.

The report for members listed two simple options for Cabinet, to authorise the award of a contract, recommended, or to not.

For the latter it warned: “It is envisaged Welsh Government will withdraw the funding awarded and the council would need to repay grants received to date; £10.322m has been received to date of which £3.376m has been offset against expenditure.”

It added: “Cost to cease this project could cost PCC more in terms of grant repayment and any capital work required to make good. PCC match contribution for the project is forecast as £1.987m of the £18.881m.”

Planning permission for the interchange was granted in 2022, with a temporary bus station constructed that year and the old multi-storey building demolished in 2023.

That year, members of the county council’s Cabinet agreed a temporary car park will be sited on the demolished remains of the old multi-storey car park until the Haverfordwest Public Transport Interchange – delayed as no compliant tender had been found at the time – is built.

Speaking at the meeting, Deputy Leader Cllr Paul Miller said: “The interchange is an important part of the regeneration of Haverfordwest, it will not regenerate Haverfordwest on its own, it is part of a wider process. The alternative to us being engaged is we simply allow it to decline and fail.”

He said the interchange was about “making it easier to visit Haverfordwest,” making parking provision “really straightforward, making it easy and convenient as possible”.

Cllr Miller said not progressing with the scheme would risk the grants already obtained, meaning the council could potentially foot the bill for costs to date, at a greater level than progressing.

He said the cost options were a near-£2m subsidised council involvement for the whole scheme or the £3m-plus spent to date if the scheme was ended, which would leave the car park as it is now.

“It’s pretty reasonable that if they give us the money and we don’t build a transport interchange they’ll be looking for that money back,” Cllr Miller said.

He said previous figures from parking revenue – back in 2019 – amounted to £100,000 a year; and could be expected to at least double on a “like-for-like” basis following the increase in parking charges.

Members, after a private and confidential session over the actual contract details, agreed to proceed with the scheme, awarding the contract to Kier Construction Western and Wales.

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RNLI prepare for summer with medical training exercise in Pembrokeshire

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RNLI lifeguards from the north Pembrokeshire team, volunteers from St Davids RNLI and St Davids Coastguard Rescue Team came together at Whitesands beach on Thursday (18 April), for a multi-agency medical training exercise. Pembrokeshire RNLI lifeguards and St Davids volunteer lifeboat crew took part in a multi-agency medical training exercise alongside St Davids Coastguard Rescue Team in preparation for the upcoming summer season.

The Coastal Medicine programme was set up six years ago at the suggestion of clinicians from Hywel Dda University Health Board. The aim of the programme is train lifeguards, lifeboat crews and HM Coastguard teams in working collaboratively when responding to medical incidents on the coast.

Clinicians from Hywel Dda work with RNLI staff to design exercises simulating mass-casualty incidents on land and afloat. The exercises allow lifeguards, lifeboat crews and Coastguard teams to practise and test their rescue response and casualty care.

The simulated incident at Whitesands involved a medical incident at sea leading to a boat going out of control and ploughing through a group of swimmers causing multiple injuries. RNLI lifeguards responded to casualties on the beach while St Davids inshore and all-weather lifeboat crews dealt with the situation at sea. St Davids Coastguard Rescue supported RNLI colleagues as they would in a real-life scenario.

In total there were six casualties to treat, all of whom were given the immediate medical care by the teams on scene. As in a real-life scenario, they were then prepared to be handed over to the care of the Ambulance Service.

Roger Smith, RNLI Area Lifesaving Manager said: ‘The scenario was based on a real-life incident, it’s so important that we train in dealing with challenging situations.

‘The RNLI lifeguards, lifeboat crew, and the Coastguard rescue team worked really well together collaborating together to achieve the best possible result.

‘The feedback from all the participants was really positive, and our medical colleagues were very complimentary about the competence shown and the inter-agency co-operation.

‘This scenario training gives confidence to our lifeguards and lifeboat crews, and ensures the teamwork and communication is already in place ready for real-life incidents.’

Martin Charlton, an RNLI lifeguard in north Pembrokeshire said:

‘Last night’s exercise was a great opportunity for me and my colleagues on the lifeguard team to upskill ahead of the summer season.

‘We regularly attend incidents in the season that require a multi-agency response. These scenarios are a brilliant opportunity to prepare for the the most challenging situations.

‘The team and I thoroughly enjoyed the exercise and feel better prepared for the season as a result.

‘It’s always a pleasure working alongside the Coastguard rescue team and the lifeboat as one crew.’

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