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Crisis? What crisis?

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nhssaveTHE HERALD can reveal that in recent days, expectant mums expecting to deliver their babies at West Wales General Hospital, Glangwili, were turned away and sent to Withybush Hospital instead. A shortage of maternity beds meant that patients could not be admitted at the Carmarthen Hospital. 

• As SCBU cut looms, Glangwili can’t cope

• Transport plans questioned

In addition, the Herald understands that four C-sections, two elective and two emergency, were recently performed at Withybush within one twentyfour hour period. In the case of the emergency C-sections, Welsh Health Minister Mark Drakeford’s purported “safety net” would have been of no use at all in keeping mums and babies safe. The Herald has been told that such was the shortage of SCBU spaces in the Local Health Board area that a baby from Carmarthen requiring special care had to be transported to North Wales to receive appropriate treatment, while another mum had to be transported to Bridgend to have her baby delivered. We spoke to Peter Milewski, retired consultant surgeon and health campaigner: “As a result of the service cuts, I dread to think what is going to happen if the Withybush SCBU is closed in August. The Board will probably find that it’s full and there’s nowhere for the babies to go, so it won’t be able to close it (or relocate the staff that run it). “For many years, significant numbers of Grade 1 or 2 Caesarean sections have taken place each week at Withybush. Grade 1 or 2 means 15 minute urgency so obviously wouldn’t reach Carmarthen. Some of them occur out of the blue in low-risk multiparous women of exactly the type who would be considered (by the health board, not by me!) suitable for an isolated midwifery unit. “These are the women who will lose their babies, and, occasionally, their lives. “On top of that, there are the women who develop their complication at home and will be supposed to be taken to Carmarthen. That can never be eradicated. It’s clear that some will not make it, whereas they would have to Withybush. “It is common for babies to be shifted in various directions between SCBUs. For example Swansea may be full and transfer their babies to Withybush (I’ve seen that happen myself, and it’s not an isolated incident). Again, what’s going to happen to them?” Another confidential source working in the Health Board has confirmed that in 2012 there were 60 Grade 1 (immediate) or Grade 2 (within half an hour) emergency Caesarean sections. That’s at least one expectant mum and baby each week who would not make it to Carmarthen. There were 120 less urgent C-sections. Even some of those may not have made it to Carmarthen. While under the new arrangements, some of those 60 will have been recognized as high risk and sent to Carmarthen, ostensibly low risk and unpredictable patients would not have been sent there. There is no indication that that 2012 was different from any other year. We asked Peter Milewski about the figures and he told us: “It certainly accords with my impression when I was working. When I was in theatre it was not uncommon for me to have to postpone a case to make way for an emergency Caesarean Section.” Patient transport, a major issue which is yet to be resolved has also been thrown into sharp relief with the revelation that expectant mums cannot be transported by Air Ambulance in an emergency. David Williams, from Pembrokeshire Health Concern said: “It has always been the case that women in labour or likely to go into labour cannot be transported by air ambulance for lack of room, equipment and expertise. “Patients are loaded feet towards the tail of helicopter so no room to work at business end and currently helicopter staff are not allowed to go below waist. The Health Board – apparently – did not know this. When challenged it said the Board would get bigger helicopter. However, due to the new A & E, dialysis unit and car park changes nothing bigger than current helicopter can land at Withybush, anyway. To use a larger helicopter, the Board would either have to build bigger helipad or land at Withybush airport and have patients transferred to that location by road ambulance, assuming one is available. “When it comes to emergency consultant cover, the Welsh Government has said that it is not how far away a consultant can live from the relevant site but the time taken to be able to return for emergency work purposes. It is for local employers to consider service needs and establish local limits. “The Deanery requirement for full A & E cover, which is required to meet the out-of-hours paediatric plan, is that the consultants are to be within 20 minutes of hospital 24/7. Therefore transferring to Glangwili, which is minimum of 45 minutes away, means A & E cover will be lacking. “The Health Board may try to say all consultants will have to live around Whitland (!), but as the Board claims to have a recruitment problem (disputed and shown to be contrived). So, telling consultants where to live will not making recruitment easier. “How many are you going to need to keep on call 24/7, as those on duty at Glangwili will be more than twenty minutes away from of Withybush and those off duty surely cannot be on call 24/7 – and that’s without factoring in staff sickness, absence, or holiday cover. A Health Board spokesperson told The Pembrokeshire Herald: “I can confirm that nobody was transferred to another Health Board due to capacity issues. “We would like to reassure the public when our obstetric services is on one site there will be no reduction in beds. Locating our obstetric services on one site is only part of the service modernisation of our maternity services. “In addition to the obstetric service there will be a midwifery led unit on both the Glangwili Hospital and Withybush Hospital sites.”

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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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Charity

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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Crime

Brian Davis: Wanted on suspicion of commercial burglary

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POLICE are appealing for information to find Brian Davis, from the Pembroke Dock area.
The 53-year-old is wanted on suspicion of commercial burglary and fail to appear at court.
Have you seen Brian, or do you have information that might help us find him? Please, let the police know:
🖥️ | https://orlo.uk/wr13X
📧 | [email protected]
💬 | Direct message us on social media
📞 | 101
Alternatively, contact the independent charity Crimestoppers anonymously by calling 0800 555111, or visiting crimestoppers-uk.org.
Quote reference: BRC818624

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