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Oncology cancer services in crisis

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MANY PEOPLE have used the cancer services at Withybush Hospital over the years and have got used to the “glue” which sticks it together, namely Dr Anne Barnes MBE.

 Not many people are aware that she has decided to leave in July of this year. Dr Barnes is a true professional and when questioned is not one to complain, but when reading between the lines it is obvious that Dr Barnes has reached the end of her tether. A total lack of support from the Hywel Dda Health Board has left Dr Barnes close to exhaustion and burn out. Many cancer patients will be aware she rarely takes leave, gets in early and leaves late, comes in to work on days off etc. Yet Dr Barnes is treated with contempt by the ‘powers that be’ because they know she will not let her patients down and they take advantage of her goodwill. In short, the health board is aware that she will go the extra mile and are happy to take advantage of this. She has been working alone in Ward 10 for far too long and when the palliative care consultant left it was just expected that she would take up the slack and do that job as well. A job advertisment for a consultant was drawn up, agreed and then left unadvertised so that the time limit lapsed. I am informed that a new advert was sent for approval at regional level, and after nearly two years without a consultant, has just been advertised. On April 6 I received a letter from the vice-chair of Hywel Dda Health Board, Mrs Sian-Marie James after I asked her what happens when Dr Barnes leaves? The letter said: “Whilst it is not possible for us to discuss with you the detailed personal arrangements affecting members of staff, I do know that Dr Barnes has been very open regarding her intention to retire this year. Because of this, and other challenges affecting our oncology service, we have therefore set up a review group to look at the best service model for the future. We face serious recruitment challenges. At present, we have visiting consultants from Abertawe Bro Morgannwg University Health Board who are working significantly above normal capacity and we are unable to offer appropriate sub-specialisation opportunities for existing consultants. There are also other issues, including capacity problems related to pharmacy services.” It has now come to light that one of the visiting consultants mentioned above, Dr Maung Moe, is also leaving his position which leaves us in an even bigger hole. The letter went on to say: “Dr Barnes is a key member of this review group, which includes membership from the Hywel Dda Community Health Council, as well as public health professionals and clinicians from ABMU Health Board. The future arrangements for supporting oncology services at Withybush Hospital will therefore depend on the output from this group.” From the outset, it was agreed that any developments proposed by this project group would be in line with the Calman-Hine principles, in particular that ‘care should be provided as close to patient’s home as is compatible with high quality, safe and effective treatment’. The areas the review group will focus on include: • Staffing issues: including inequity of staffing provision across the three counties, review of job plans, improved ways of working alongside current capacity issues; • Aseptic unit provision: issues being experienced around activity, patient waiting times and staffing pressures; • Information management: ensuring activity is consistently monitored; • Cross border working arrangements: maximising the way Hywel Dda works with its partners; • Transport issues: service pressure for those travelling to Singleton for radiotherapy, ensuring safe transfer of patients back from Cardiff (for those having pet scans or nuclear medicine); • Development of an acute oncology service/developing a new service model: updating services, consideration of patient pathways, shared post opportunities, repatriation issues, etc. I know this group was not set up because Dr Barnes announced that she was leaving. This group was announced before Dr Barnes informed them that she was going, and now visiting consultant Dr Moe is going as well. The group was set up because the Hywel Dda Health Board knows that they have let things slide and now we face a crisis with the delivery of services for cancer patients at Withybush Hospital. Some Cancer Patients are already facing journeys to Prince Philip Hospital in Llanelli to see Consultants they would recently have seen locally. The wig service at Withybush Hospital for chemotherapy patients was removed and the contract given to a local hair salon. As a private company this obviously made the cost much more expensive for patients. After a fight this service was reinstated at Withybush Hospital, but not sure for how long as an all-Wales Review is taking place into this service. If you have concerns about cancer services or any other services at Withybush Hospital I urge you to contact your MP, your assembly member, local councillor, the community health council, Hywel Dda Health Board.

 

1 Comment

1 Comment

  1. Tomos

    June 1, 2014 at 8:18 pm

    One can understand why senior managers in the NHS insist on getting private health insurance as part of their remuneration package, it’s immoral, it’s wrong but you can understand their reasons :((

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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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