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Former NHS manager moving to England due to health care concerns

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Siobhan McClelland: Moving to England

A FORMER senior NHS manager intends to move to England following failures in her husband’s treatment for prostate cancer.

Professor Siobhan McClelland, who lives in Manorbier and is a former Vice Chair of Aneurin Bevan Health Board, said: ‘There is neither capacity nor capability in Welsh Government to be making really good health policy.”

When it comes to health policy, Professor McClelland knows the subject well. She formerly held senior positions as a health economist and health manager. Her experiences of working within the Welsh NHS is substantial.

Apart from her experience on the Aneurin Bevan health board, she chaired the Welsh NHS’s emergency ambulance services committee.

Hywel Dda UHB acknowledges ‘shortcomings’ in Professor McClelland’s husband’s treatment.

Speaking to BBC Wales’ Wales Live programme broadcast on Wednesday (Oct 17) Prof McClelland outlined the successive difficulties in getting GP appointments, referrals for diagnosis, and the failure to spot the spread of her husband’s cancer.

She blamed those failings for making an already difficult situation worse.

Siobhan McClelland continued by observing there was ‘a massive disconnect’ between the experience of being a member of a Health Board or – as in her own experience – being Chair of the Emergency Ambulance Committee and the state of services being delivered to the public.

Prof McClelland told the BBC that she and her husband had lost confidence in the healthcare available and that was one of the reasons they placed their house on the market and were looking to move away from the area.

“We’ve got a fundamental problem here with health boards – not in terms of geographical boundary – but in the autonomous way in which they act.”

Professor McClelland’s most telling criticisms were of the way in which Health Boards lacked leadership from the Welsh Government and local accountability.

She told BBC Wales: “We have a void in Welsh Government where robust, rigorous, innovative health policy should be made.”

Her scorn for the Welsh Government’s ‘nothing to do with me, guv’ approach led straight to the door of current Health Secretary Vaughan Gething and his predecessor Mark Drakeford. Both Mr Gething and Prof Drakeford are candidates to lead the Labour Party in Wales and to succeed Carwyn Jones as First Minister.

Claiming that the current organisational setup was convenient for the Welsh Government as it ‘abdicated responsibility for health board services’, Siobhan McClelland said that both Mark Drakeford and Vaughan Gething ‘struggled to implement policy’.

In the Senedd, however, Vaughan Gething rejected Prof McClelland’s criticism out of hand.

Faced with Rhun ap Iorwerth’s assertion that the words of someone as respected as Professor McClelland were ‘about as damning an indictment as you could hear of your running of the Welsh health service’, Vaughan Gething said he did not accept the system-wide criticism that she makes of Welsh health services.

Pressed by Mr ap Iorwerth, Mr Gething sought refuge behind a Parliamentary Review and an OECD report which he claimed justified his response.

Plaid’s health spokesperson mordantly observed that ‘Professor McClelland has looked at the NHS in Wales and how it’s run probably more forensically than anybody else’ and repeated her criticism of a lack of central direction and asked whether the recently announced increase to the health and social care budget would simply be lost in Boards’ poor financial management.

Instead of answering his opposite number, Labour’s Health Minister suggested that Mr ap Iorwerth seemed to be suggesting a cut in health budgets and said: “I am content with the fact that we understand there are real challenges, and we’re not complacent about actually managing and meeting those.”

Having rubbished Professor McClelland’s substantive complaints about the Welsh Government’s mismanagement of the health service and repeating the line that they operated accountably, the Cabinet Secretary lauded the model for the delivery of social care that had been agreed with third sector bodies, local government and health boards.

Bearing in mind the content of most recent local government discussions on that vexed subject, the casual observer might wonder to which local authorities the Welsh Government had been speaking.

Equally, in highlighting the extent of central control and monitoring and by the way he addressed some of Rhun ap Iorwerth’s points, Vaughan Gething appears to have laid the way for future difficulties in claiming the planned cuts to health services by Hywel Dda UHB are nothing to do with him or the Government he wants to lead.

By claiming to have his hands on the levers of healthcare’s delivery, Mr Gething can hardly now claim they are clean when it comes to decisions about the future of West Wales’ health services.

 

Education

Final closure decision set for Clydau and Manorbier schools after earlier vote

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Extraordinary council meeting will consider objections before final ruling

THE FUTURE of two Pembrokeshire schools will be decided in June, despite councillors already backing plans in principle to close them.

Pembrokeshire County Council has confirmed that an extraordinary Full Council meeting will take place on Monday (June 15) to consider objection reports relating to the proposed discontinuation of Ysgol Clydau and Manorbier Church in Wales VC School.

The meeting represents the final stage in the statutory process, where councillors will decide whether to proceed with closure after reviewing formal objections.

The Herald understands that the extraordinary session has been called because the timetable for the proposals does not align with regular council meeting dates.

Last chance to overturn decision

Although councillors have already voted in favour of closure in principle, the June meeting is not a formality.

Campaigners still have a narrow window to influence the outcome, with councillors able to change their position after considering objections and any new evidence.

In rare cases, proposals have been halted or reversed at this final stage — particularly where strong community opposition or concerns over the accuracy of data have been raised.

However, the earlier vote means the schools remain at significant risk, with the council having already indicated its preferred direction.

Political pressure building

The confirmation comes amid growing community concern and a mounting campaign to save Ysgol Clydau.

Campaign group Save Ysgol Clydau – Cadw Clydau yn Gadarn has described the situation as a “critical moment,” urging residents to challenge political parties ahead of the upcoming elections.

Supporters argue that the future of the school is closely tied to the survival of rural communities and the Welsh language.

The group has also thanked councillors — particularly members of the Independent group — for their support.

Decision looming

The June 15 meeting is expected to draw significant public attention, with strong attendance likely as councillors prepare to make a final, legally binding decision.

If approved, the proposal would result in the closure of both schools.

 

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Kurtz calls for urgent fuel duty freeze and support for off-grid homes

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SAMUEL KURTZ MS has called on the UK Government to take immediate action to ease mounting cost-of-living pressures, warning that families across west Wales are being “squeezed from all sides” by rising fuel and energy costs.

Writing to Chancellor Rachel Reeves, the Carmarthen West and South Pembrokeshire Senedd Member urged ministers to cancel planned fuel duty increases and introduce fairer, more effective support for rural households living off the gas grid.

Energy bills are forecast to rise to nearly £2,000 from July, while persistently high global oil prices continue to drive up costs at the pumps. Diesel prices have surged in recent months, with petrol also climbing—adding further strain to already stretched household budgets.

Kurtz warned that any increase in fuel duty later this year would hit rural communities hardest, where reliance on cars is unavoidable due to limited public transport.

In parts of west Wales, the challenges are even more acute. In Ceredigion, up to three quarters of households are not connected to the gas grid, while in Pembrokeshire around 40% rely on alternative fuels such as heating oil and LPG. Unlike mains gas users, these households are not protected by energy price caps and remain exposed to volatile global markets.

He also criticised existing support measures, describing them as “limited and reactive,” often only available once households reach crisis point. While recent funding announcements for off-grid households have been welcomed, concerns remain over delays and a lack of clarity around how the support will be delivered.

Kurtz pointed to the UK Government’s response during the 2022 energy crisis, which included the Energy Price Guarantee, £400 bill support, and a £200 Alternative Fuel Payment for off-grid homes.

He said: “Households across west Wales are under real pressure, and for many this is not about cutting back—it’s about keeping up.

“Rural families already face higher costs, whether that’s heating their homes or filling up the car. Increasing fuel duty now would only make that worse.

“Off-grid households are being overlooked. They don’t benefit from price caps and are exposed to volatile fuel costs.

“The UK Government acted decisively during the last energy crisis. The same level of urgency is needed again now.

“The Chancellor must act—cancel the planned fuel duty increases and reintroduce the £200 Alternative Fuel Payment to give households the support they need.”

He warned that without swift intervention, rural communities risk being left further behind as cost pressures continue to rise.

 

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Labour promises 48-hour GP access as manifesto faces questions over delivery

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WELSH Labour leader Eluned Morgan has pledged that patients with urgent health concerns will be seen within 48 hours, as the party launched its manifesto ahead of the 2026 Senedd election.

Speaking at an event in Swansea on Monday (Mar 30), Morgan said a re-elected Welsh Labour Government would guarantee access to a GP or other primary healthcare professional on the same day or the following day for pressing issues.

She said: “If you are worried about your child, if your elderly parent needs help, or if something does not feel right, you should be able to get help quickly – not weeks later.”

The pledge forms a central part of Labour’s health offer, alongside plans for same-day, open-access mental health services and a £4bn “Hospitals of the Future” investment programme.

Pressure on delivery

However, the announcement has already prompted questions about how the target would be delivered, given ongoing pressures across NHS Wales.

Latest figures show around 757,000 patient pathways remain on waiting lists, with approximately 38,000 people waiting more than a year for treatment. Previous Welsh Government targets to reduce long waits have also been missed.

The 48-hour target itself is less ambitious than proposals in England, where a 24-hour access standard has been discussed. Morgan has said the Welsh target reflects what is “realistic” given current pressures.

Critics argue the pledge risks repeating a familiar pattern of commitments that prove difficult to deliver in practice.

‘Plans to have plans’

Beyond health, scrutiny of the manifesto has focused on what some commentators have described as a lack of urgency in key policy areas.

Several flagship commitments involve future strategies or reviews, including a promise to publish a new industrial strategy within the first year of the next Senedd term, and proposals to “explore” ways to reduce teacher workload.

Opponents have characterised this approach as “plans to have plans”, questioning whether it reflects the scale of challenges facing Wales in areas such as healthcare, housing and education.

The First Minister has defended the approach, arguing that detailed proposals are set out across the manifesto and that flexibility is needed to respond to changing economic conditions.

Health investment under scrutiny

Labour’s £4bn pledge for new hospitals and infrastructure has also come under examination.

The party says the funding will support major developments, including replacing University Hospital Wales and Wrexham Maelor Hospital, as well as improvements in West Wales.

However, questions remain about whether the funding would be sufficient to cover large-scale rebuilds while also addressing existing maintenance backlogs across the NHS estate.

Morgan said the figure was based on previous capital projects and insisted the funding plans were “realistic”.

Cost-of-living commitments

Alongside its health pledges, Welsh Labour has committed not to raise Welsh rates of income tax during the next Senedd term.

The manifesto also includes a £2 cap on single bus fares, continued discounted travel for young people, free travel for over-60s, and plans to create 20,000 new childcare places.

Labour says the package is designed to ease cost-of-living pressures while supporting economic growth.

A ‘new chapter’ or more of the same?

At the launch, Morgan described the manifesto as the start of a “new chapter” for Wales, signalling a shift from what Labour describes as a period of “protection” through austerity, Brexit and the pandemic, towards a focus on growth and opportunity.

But with Welsh Labour having been in power for more than two decades, opponents argue the party faces a challenge in convincing voters that change will come from the same administration.

While the manifesto contains a range of policy commitments across health, the economy and the environment, the central question is likely to remain whether voters believe the pledges can be delivered.

As the campaign for the May 2026 Senedd election gathers pace, that question is set to dominate the political debate in Wales.

 

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