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Cancer care chaos

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• Specialist beds lost in further cuts to Withybush General Hospital

LOCAL healthcare services have been cut again. The Herald can reveal that specialist inpatient cancer care has ended at Withybush, with cancer patients now being treated in general medicine. 

Withybush HospitalOncology and palliative care beds have been re-designated which means that patients needing urgent cancer care cannot be admitted direct to Ward 10. Instead, patients face assessment in A&E before admission before being shared around noncancer specialists to supervise their care. It appears as though despite hundreds of thousands of pounds being raised for Ward 10, the Board is rapidly retreating from its commitment to maintain cancer care services in Pembrokeshire.

As from Friday September 19, there is no longer an on-site consultant oncologist at Withybush for the foreseeable future. Instead of specialist care, cancer patients will be allocated to other physicians and trainees within cancer care will be palmed off onto other consultant physicians. The Pembrokeshire Herald has been informed that a potential consultant oncologist, who has settled in the area, has instead gone to Bronglais where he can achieve certainty and security in his career. The Health Board has been obliged to apply a “sticking plaster” solution by asking Dr Anne Barnes MBE to come out of retirement and work part-time to provide oncology support.

Dr Barnes, awarded an MBE for her services to cancer care in Pembrokeshire, announced her retirement at the beginning of 2014. The Board failed to advertise for a replacement until shortly before she left the Board’s employment in June this year. The Pembrokeshire Herald understands that while doctors are prepared to take up the training of those student doctors previously assigned to cancer care, no cancer training will take place in Haverfordwest. The Board was informing the Deanery of its position this week.

It is understood the one senior doctor has expressed major concerns, in particular criticising the Board for allocating a locum oncologist to Bronglais for a year and not having an oncologist based at Withybush. The Herald believes that the acute intake at Bronglais for cancer care is under half of that at Withybush. The staffi ng issue is understood to be a substantial worry for those concerned in and about cancer care in Pembrokeshire. It is diffi cult to see how advertising a solitary post for one of the sites will attract applicants if there is no proper planned service. There are clinical concerns about inferior care being provided to Pembrokeshire cancer patients if there are no oncologists to look after them.

The Herald spoke to local campaigner Lyn Neville, who said: “It’s crazy. The Board told me that the change might be because of refurbishment, but this is just mad. It is completely wrong that bearing in mind the number of people who need treatment that the Board has withdrawn this specialist service. I am gobsmacked that Bernadine Rees told us all about a refurbished Ward and new Oncology Lounge and failed to tell us this was coming. Is she as bad as the last bloke?” Anne Barnes commented: “The situation currently is that as from last Monday (Sept 22), there are no longer any dedicated inpatient cancer care services at Withybush. There are no longer any palliative, haematology or oncology beds.

They have been re-designated. They Health Board have their reasons, and have expressed a rational but we feel that things could have been handled differently. I am looking forward to meeting with Acute Services Clinical Director, Dr Sian Lewis, on Monday in the effort to resolve the situation satisfactorily and reinstate services at Withybush for the benefi t of patients in Pembrokeshire.” Ms. Barnes added: “I would encourage patients and their families to make their views known to both the Board and their local and national representatives.”

 

Challenge to Board: Where is Pembrokeshire’s money?

CHRIS EVANS THOMAS of Adam’s Bucketful of Hope and Anne Tadman of Cancer C.O.P.S. were appalled at the Board’s conduct. They said as follows: “On September 8 we were at a meeting chaired by Paul Hawkins, the Board’s Chief Operating Offi cer. At that meeting we were told the Board was committed to providing specialist care. We were told of a green light for a new Ward 10 and Cancer Day Unit. “Now this! Does the right hand not know what the left hand is doing, or is the Board treating us like mushrooms? “Well, enough is enough. If the Board cannot or will not provide the care it has failed to deliver for so long, if the Board cannot keep its promises, we will have the money we have raised back so we can do it. “The Board took £3.9m of money raised in Pembrokeshire and dumped it into a central pot. That money was raised in Pembrokeshire to be spent in Pembrokeshire. All the clever, clever bookkeeping in the world cannot hide that. “So we say: ‘Show us the money!’ “We want to see the books to fi nd out where Pembrokeshire’s money went. We challenge the Board to show us. If they won’t, it will show that the Board has something to hide. If they have been honest and straightforward, they have nothing to fear.”

 

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Business

Plaid energy policy challenged by Labour after Adam Price interview

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LABOUR SAYS MINISTERS MUST EXPLAIN COST AND TIMETABLE FOR PYLON PLANS

PLAID CYMRU’S approach to energy infrastructure has come under scrutiny after Energy Minister Adam Price was challenged over plans to reduce the use of overhead pylons in Wales.

Mr Price defended the Welsh Government’s position during an appearance on BBC Radio Wales’ Sunday Supplement, arguing that communities must have greater confidence in how major grid projects are handled.

Plaid Cymru has pledged to give communities a stronger voice over energy developments and to look more closely at alternatives to overhead transmission lines, including underground cabling where possible.

The issue has become increasingly sensitive in rural parts of Wales, where proposed pylon routes linked to renewable energy schemes have raised concerns about landscape impact, tourism and local consultation.

However, Welsh Labour said the minister had failed to explain when any restriction on pylons would take effect, or who would pay the additional cost of placing cables underground.

A Welsh Labour spokesperson said: “Adam Price keeps saying how clear their manifesto was and yet he won’t say when they’re banning pylons. They won’t say who is paying for the extra cost of undergrounding cables.

“Without certainty, companies won’t invest. That’s thousands of clean, green energy jobs at risk. Plaid need more than a plan to have a plan.”

Labour said the Welsh Government must now set out how its policy would work in practice, including whether it amounts to an outright ban, what exemptions would apply, and how any extra costs would be funded.

The debate highlights the challenge facing ministers as Wales seeks to expand renewable energy generation while addressing public opposition to large-scale grid infrastructure.

 

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Community

Pembroke Fair praised as well-organised community event

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HORSES, STALLS AND FAMILY CROWDS RETURN TO MONKTON

FAMILIES, horse owners and visitors turned out in force for Pembroke Fair on Saturday (May 23), with many praising the event as one of the best organised in recent years.

Held at the Community Centre Field in Monkton, the annual fair brought together horse owners, traders and local families for a traditional day centred around horses, ponies, stalls and socialising.

Coloured cobs, heavy horses, ponies and horse-drawn traps attracted attention throughout the day, with many visitors gathering around the field to watch the animals being shown and led around the site.

A variety of stalls selling everything from clothing and ornaments to tack and second-hand goods helped create a lively market atmosphere, while food vendors kept visitors fed throughout the day.

Despite overcast conditions at times, the event remained busy, with many attendees staying for several hours to enjoy the traditional fair atmosphere.

Community members later took to social media to praise the smooth running of the event, with several publicly thanking organiser Charlie Price for his efforts in bringing the fair together.

Comments described the day as “well organised” and praised the welcoming atmosphere, with many saying it was encouraging to see a long-standing local tradition continuing to thrive.

The fair once again brought together members of the travelling community, local residents and horse enthusiasts from across west Wales.

A horse drive was also due to take place on Sunday (May 24), continuing the weekend’s celebrations.

Photo captions:

Traditional gathering: Horses, ponies, horse-drawn carts and market stalls drew crowds to Pembroke Fair in Monkton on Saturday (Pic: Herald).

 

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News

Watchdog criticises health board over £10m GP contract checks

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A HEALTH board has been criticised by Audit Wales after GP contracts worth more than £10m were awarded without sufficient due diligence checks.

Aneurin Bevan University Health Board allowed a GP partnership associated with eHarley Street Primary Care Solutions to take on eight GP contracts in south-east Wales, with a combined annual value of around £10.1m.

Audit Wales said the board should have carried out greater scrutiny before approving the arrangements, including checks on financial resilience, workforce plans, business risks and the partnership’s ability to manage several practices at once.

However, the watchdog found no evidence of fraud and noted the board was dealing with significant pressure in general practice, including vacant contracts and limited interest from other bidders.

The report said weaknesses in governance and scrutiny contributed to later disruption and uncertainty for patients and staff when problems emerged.

Concerns included financial and workforce pressures, unpaid invoices, and issues relating to tax and pension payments. Some contracts were later handed back, requiring the health board to step in to protect services.

Natasha Asghar MS, Welsh Conservative Shadow Cabinet Minister for Health and Social Care, said the findings were “deeply concerning”.

She said: “Patients and staff were left facing disruption and uncertainty because proper scrutiny was not carried out before these contracts were awarded.

“The Welsh Conservatives believe lessons must be learned to ensure robust checks are in place, protect frontline services and restore confidence in primary care across Wales.”

Aneurin Bevan University Health Board accepted the recommendations and said it had already strengthened its processes.

Audit Wales said the case highlighted the need for stronger checks before GP contracts are transferred, particularly when a single partnership is taking on multiple practices in a short period.

 

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