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RAAC problems to persist at Withybush General Hospital

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WITHYBUSH Hospital in Haverfordwest is facing ongoing challenges due to reinforced autoclaved aerated concrete (RAAC), with management acknowledging the issue “will not go away, ever.” Malcolm Arnold, estates manager, stated that the hospital must continually monitor and manage RAAC throughout the building’s lifespan.

The problem first emerged last year, prompting the closure of six wards in the 12-ward facility. Though these wards reopened in April, Hywel Dda Health Board announced that further closures will be necessary for re-surveying by year-end. Despite these temporary shutdowns, Chief Operating Officer Andrew Carruthers reassured that this round of work will be “nothing like the scale” seen previously.

Shoring props have been used as a temporary measure (Pic: Herald)

Responding to the hospital manager’s statement, Welsh Conservative Shadow Health Minister Sam Rowlands MS expressed concern, calling for more comprehensive support for Welsh hospitals. He stated: “Hospitals in Wales need regular surveying, otherwise we will continue to see further capacity lost and patient lives put at risk. With our hospitals crumbling and leaking across Wales, the Labour Welsh Government needs to get real and put serious capital investment on the table to repair the NHS’ infrastructure.”

Steel polls are also in use in treatments rooms and in sterile areas (Image: Herald)

Raac, a cost-effective but less durable alternative to standard concrete, was commonly used in construction between the 1950s and 1990s. It poses structural concerns due to its limited lifespan, impacting numerous buildings in Wales, including schools, markets, and hospitals like Withybush. The Welsh Government allocated £12.8 million to address affected areas in the hospital.

Crowd barriers, usually used outdoors, have been used to create ‘safe areas’ for staff and patients (Image: Herald)

Following the major incident last year, departments such as outpatient clinics and kitchens have resumed operations, with physiotherapy and pharmacy expected to reopen soon. Nurse Sarah Davies, now working on a reopened ward, remarked on the positive atmosphere, saying: “It feels so good to be back… It’s just nice to have noise here.” However, she acknowledged the frustration that further closures would mean “one step forward, two back.”

The health board plans additional ground floor surveys in 2025 and 2026, with the expectation that Raac management will be an ongoing process. Carruthers commented, “The hospital is over the worst of it… [the re-surveying] will be for a very short period of time in small areas of the facility.” However, for Withybush, Raac is now a “business as usual” concern.

In addition to Withybush, Raac has been found in non-patient areas of Nevill Hall Hospital in Abergavenny, suggesting the material’s widespread reach across healthcare facilities in Wales.

Hywel Dda University Health Board’s Chief Operating Officer Andrew Carruthers said: “We are really pleased that most of the Outpatients services which were relocated while we worked to repair the RAAC-affected outpatients’ clinical areas have now returned to Withybush.”

Because of the return of outpatient consultations to Withybush, patients are being asked to check their appointment correspondence to ensure that they attend the correct venue for their appointments.

Mr Carruthers said that the health board would write to patients to confirm the date, time and location of appointments or ring patients whose appointments are imminent.

“We urge everybody to please read the appointment letter carefully and note any change of venue, as appointments previously held at a community-healthcare sites may now have returned to Withybush,” said Mr Carruthers.

RAAC is a material that was commonly used in the construction of buildings between the 1960s and 1990s. Its presence was confirmed at Withybush Hospital in January 2022.

Although all wards affected by RAAC planks were re-opened in April this year, work will continue until April 2025 on remedial work to the hospital’s ground floors and affected wards will need to be temporarily closed while re-surveying work takes place at the end of this year and in to 2025.

Re-inspection surveys will begin on the ground floor areas affected by RAAC across 2025 and into 2026.

However, the kitchen has now re-opened and the Therapies area – including Physiotherapy – is on schedule to re-open in mid-November.

Work began on the Same Day Emergency Care (SDEC) area in August with the work expected to be finished by the end of the month and operational for mid-November.  Work on the Pharmacy area is expected to begin in November and completed within the month.

“We know that the survey work and remedial action has caused considerable disruption and concern among members of our community, and we apologise for any inconvenience caused,” said Mr Carruthers.

“The health board would like to thank hospital staff, patients and visitors for their patience and understanding over the last months while we have been carrying out this essential work.”

If patients have any concerns or need further information, they are being advised to please contact the Waiting List Support Service by telephone 0300 303 8322 and choose option 3 or e-mail [email protected].

Further information on the RAAC issue at Withybush Hospital can be seen on our dedicated page on our website – RAAC – Hywel Dda University Health Board (nhs.wales).

Health

Concern over ‘green light’ for NHS privatisation

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SENEDD Members quizzed Wales’ health secretary about long NHS waits amid concerns about health boards getting the “green light” to commission private sector services.

Jeremy Miles, who was appointed health secretary in September, told the Senedd an extra £22m, on top of £28m announced last month, will go to tackling the longest NHS waits.

In a statement on November 19, Mr Miles said the £50m will be made available to health boards immediately and “where necessary” will be spent on private hospital capacity.

Mabon ap Gwynfor, his Plaid Cymru opposite number, raised concerns about privatisation.

He said: “We have yet another example of the government having to absorb added costs from their mismanagement of existing NHS capacity, something we’ve seen before with respect to the spiralling bills associated with agency staffing.

“From a broader perspective, this also speaks to the false economy on which the government’s funding of the health service has been based for some time, which is to throw money at the front line without dealing with the issues upstream.”

Mr ap Gwynfor pointed to a backdrop of two-year waiting time targets being dropped by the Welsh Government, with one in five people now on a waiting list.

He said: “Back in September, the solution … was to offer treatments in England. By October, the solution was to pay £28m to tackle waiting lists. Now we’re in November, the solution is to increase that £28m to £50m. I wonder what the next statement will be next month.”

Mr ap Gwynfor said the £50m will not be used to address a recruitment and retention crisis, nor boost student placements on medical training courses following an “alarming” slump.

The Dwyfor Meirionnydd Senedd member, who published a report on NHS governance earlier the same day, asked how much will go to private providers.

But Sam Rowlands, the Tories’ shadow health secretary, welcomed ministers “encouraging” health boards to commission services from the private sector.

He said: “I’m not sure if some of your colleagues will approve of that but it’s something we’ve long called for: cross-sector collaboration to tackle waiting lists here in Wales.”

The North Wales representative raised concerns about a “staggering” 619,200 patients awaiting treatment, with 24,000 people waiting two years compared with 124 in England.

Warning of systemic failure, Mr Rowlands said: “The 95% target for patients spending less than four hours in A&E in Wales has never been met. The 95% target of patients waiting fewer than 26 weeks in Wales hasn’t been met in more than 10 years.

“The 75% target for cancer patients to start treatment within 62 days of cancer being suspected has never been met in Wales.”

Mr Miles cautioned against cross-border comparisons, saying waiting time measures in England are “very much narrower” than in Wales.

He said the £50m will see 16,000 more people treated, an extra 14,000 tests carried out and up to 20,000 more outpatient appointments by March 2025.

Mr Miles told the Senedd that £3m will go towards reducing the longest waits for autism and ADHD assessments amid exponential growth in demand.

He said: “In six months alone, waiting lists for neurodevelopmental assessments have increased by more than 2,000. Assessments can be complex and reductions to the waiting lists have been quickly subsumed by new referrals.”

The health secretary recognised that short-term measures will be insufficient on their own, stressing: “I have been clear with the NHS: we need to transform the way we deliver services while we focus on clearing the backlog. Our funding is intended to support this.”

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Health

Eluned Morgan on NHS: ‘I’ve listened, I’ve heard, I’m making it happen’

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FIRST Minister Eluned Morgan is set to announce an additional £22 million to tackle NHS waiting lists, bringing the total funding commitment to £50 million in a bid to address the longest delays in NHS Wales.

The announcement will form a key part of her speech at the Welsh Labour Conference on Saturday in Llandudno, marking her first as Welsh Labour Leader. Morgan will emphasise the strength of partnership between the Welsh and UK Labour Governments, showcasing their shared commitment to delivering for the people of Wales.

The funding pledge comes two weeks after Rachel Reeves unveiled a historic £21 billion funding settlement for the Welsh Government—the largest since devolution. Drawing on her summer listening tour, where she engaged with thousands across Wales, Morgan will declare: “I’ve listened, I’ve heard, I’m making it happen.”

Focus on NHS and Green Growth

During her tour, the First Minister heard the pride people feel for the Welsh NHS and its workforce, as well as the importance of safeguarding its future. Today’s funding boost underscores Welsh Labour’s commitment to addressing key issues, distinguishing it as the only party serious about governance and delivery.

In addition to NHS investment, Morgan will highlight her administration’s ambitions for green jobs and growth. Five new renewable energy projects are set to be unveiled, alongside plans to streamline infrastructure planning by 12 weeks—a move aimed at accelerating progress in Wales. These initiatives are expected to create hundreds of skilled jobs, reinforcing Labour’s commitment to a greener, more prosperous future.

Conservative Perspective on NHS Wales

The Welsh Conservatives have expressed concerns regarding the current state of NHS Wales. They have highlighted issues such as prolonged waiting lists and underfunding, attributing these challenges to longstanding Labour governance. In a recent statement, the Welsh Conservatives emphasized the need for increased investment and support for NHS staff, proposing the establishment of an NHS Covenant to guarantee such commitments.

Additionally, the Welsh Conservatives have criticized the Labour Government for not allocating the full Barnett consequential funding to the Welsh NHS, arguing that this shortfall has exacerbated existing challenges within the health service.

Delivering for Wales

The Conference will celebrate the achievements of the Welsh Labour Government while setting out its future priorities. From tackling NHS challenges to driving renewable energy development, the event will demonstrate Morgan’s focus on the issues that matter most to the people of Wales.

Eluned Morgan’s speech is expected to reaffirm Welsh Labour’s ambition to lead with purpose, listening to the public and working closely with the UK Labour Government to deliver tangible results.

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Health

Phone calls to reduce GP visits for 42% of patients this winter

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NEW research from the Royal Voluntary Service has shown that a simple phone call could significantly impact well-being, reducing GP visits by 42% among patients who receive regular telephone support.

The charity urges those feeling isolated this winter, particularly the elderly, to use telephone support services as a way to improve health and free up GP appointments, potentially reducing waiting times. It is estimated that if people experiencing loneliness in later life reduced their GP visits by just one appointment a year, this could free up 588,000 appointments annually.

As winter approaches, the Royal Voluntary Service reports that isolation can sharply increase, especially for adults over 75, with nearly half (47%) of people in this age group feeling lonelier in the colder months. Among those who live alone, one in six say they feel forgotten during winter, and 20% report having no one to turn to for emotional support.

In addition to loneliness, older generations face several winter worries, including increased heating costs, cited by 55% of respondents, and reduced ability to go out, which 29% said they dreaded as winter sets in.

To address these challenges, Royal Voluntary Service has launched the Stay Safe, Warm and Well campaign in partnership with Yakult. The campaign provides a guide for practical and emotional winter preparation, encouraging sign-ups for telephone support services and offering access to the Virtual Village Hall online community for events and activities. Practical advice on money-saving and energy-saving tips is also available through the guide.

Royal Voluntary Service Ambassador Elaine Paige, who has herself made support calls for the charity, described the positive impact these calls can have. “A warm, friendly phone call can transform someone’s day. Some conversations leave you smiling long after the call ends—something we could all use, especially in winter. For those facing the season alone, there are amazing people ready to remind you that you’re not alone,” she said.

The charity’s support services match volunteers with individuals across the UK for friendly chats, reducing isolation and boosting mental health. Catherine Johnstone CBE, Chief Executive of Royal Voluntary Service, said: “The feedback that conversations with volunteers are helping people to visit their GP less is testament to the value of connection.”

Yakult Marketing Manager Reshma Patel added: “Our research with Royal Voluntary Service shows that one in four adults over 75 feel they’d benefit from practical and emotional support over winter. We are committed to helping people access the Stay Safe, Warm and Well guide to support their overall well-being.”

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