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Health

Patients praise neurorehabilitation gardening group in Pembrokeshire

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PEOPLE living with the effects of brain injury and neurological conditions have praised the positive impact of Pembrokeshire’s first therapeutic neurorehabilitation gardening group.

The group is run by Hywel Dda University Health Board’s (UHB) community neuro-rehabilitation service, an inter-disciplinary team always looking at ways of improving a person’s health, recovery, and rehabilitation.

In a partnership between Scolton Manor Park and the community neurorehabilitation service, the group provides adapted gardening and outdoor activities for eligible patients as part of their community neurorehabilitation.

Following a successful six-week pilot in 2021, participants named themselves the Heads-Up Gardening Group – or HUG – with further seasonal groups continuing throughout 2024 with varied gardening activities.

Occupational therapy staff from the community neurorehabilitation service have been pivotal in initiating and developing the therapeutic gardening group, alongside invaluable input and support from Scolton Manor Park staff and the wider multidisciplinary team.

This has included physiotherapy, neuropsychology, speech and language therapy, Neuro nurse specialist and therapy assistant practitioners and the head gardener at Scolton Manor Park.

The pilot project in 2021 was led by Phillippa Lee, Clinical Lead Occupational Therapist at Hywel Dda UHB, who said: “It has been an absolute pleasure and privilege to be able to facilitate a local therapeutic group, bringing people together to develop themselves, learn to self-manage their symptoms and support each other’s rehabilitation journey.

“The team felt people’s needs and rehabilitation goals could be met in a therapeutic group setting, which had proved successful in other counties.

“We work as a team with a shared purpose, modifying therapeutic activities within a nourishing environment, to work on individual needs and goals as part of their community neuro-rehabilitation plan.

“We have seen positive patient outcomes, with people moving on from the HUG group to voluntary roles, returning to work and embarking on other life goals.

“We are now in the process of evaluating the impact on people’s recovery and rehabilitation as HUG approaches its eleventh cohort and is due to restart again in spring 2025.”

The gardening group activity is led by Scolton Manor Park’s head gardener, Simon Richards, alongside occupational therapists and therapy assistant practitioners, with support from the community neurorehabilitation service.

Participants of the group have opportunities to become mentors or move onto the voluntary roles and opportunities at Scolton Manor Park, such as being part of the ‘Green Team’. These opportunities can then lead to paid employment.

Here is some feedback from people who have attended the group, highlighting the positive impact HUG has had on their lives:

“When I first went to the group, I felt a bit nervous and awkward to meet new people and I didn’t know what we were going to do. But it only took a few sessions to feel at ease. The staff were very helpful, and it was great to meet people that understand similar situations.”

“Such a brilliant group to be involved with. It’s so helpful to spend time with people who have similar issues. I’ve learnt a lot about gardening and moved forward a lot as a person.”

“I have enjoyed the group very much; it has helped me with my confidence. Thank you all so much for giving me my life back and all the support everyone has given me. A big thank you to Simon for all the help he has given me on this journey of life.”

“Positive supportive environment to learn more about nature and how to manage fatigue and other symptoms of brain injury. Great way to meet and enjoy time with others affected by Brain Injury and make new friends. Diolch o’r galon to Simon and the neurorehab team for great outdoor experiences.”

Phillipa concluded: “We hope to be able to continue this joint venture with Scolton Manor Park and would like to thank all those involved for making this rehabilitation opportunity possible.

“A special thanks to our partners at Scolton Manor Park, Mark Thomas and Simon Richards, and to all the staff working within the community neurorehabilitation service for their enthusiasm and commitment to continuing with this valuable group.

“We would like to especially thank our patients for inspiring us to develop HUG, for all their hard work, dedication and creativity.”

Health

Welsh Lib Dems launch major survey on health and social care

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Party seeks 100,000 responses to shape future NHS reform in Wales

THE WELSH LIBERAL DEMOCRATS have launched a nationwide survey to gather public views on the state of the NHS and social care system in Wales.

Aiming for 100,000 responses, the NHS and Social Care Survey is designed to uncover what is working — and what is not — within Welsh healthcare. The results will help the party develop what it describes as a bold, evidence-based plan to reform services ahead of the 2026 Senedd elections.

Launching the initiative, Welsh Lib Dem leader Jane Dodds MS said: “Despite the incredible dedication of our doctors, nurses and care workers, after 25 years of Labour rule the NHS and social care system here in Wales simply isn’t working for too many people.

“Whether it’s unacceptable waits for surgery or the growing crisis in NHS dentistry, people are being let down — and it’s time for change.

“That’s why we’re asking people across Wales to share their experiences and ideas. Your voice will help shape a bold, evidence-led plan to fix our health and social care services and ensure they’re fit for the future.”

The survey is available online and in print, with party volunteers distributing copies in communities across Wales. The party is encouraging anyone living in Wales to take part.

Health and social care reform is expected to be a key pillar of the Welsh Liberal Democrats’ manifesto for 2026.

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Entertainment

Flu-like outbreak forces Eisteddfod cancellation amid public health scare

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Emergency declared as festival-goers fall ill — site cleared to reopen Thursday

THE LLANGOLLEN International Musical Eisteddfod was forced to cancel its headline event on Wednesday evening (July 9) after a sudden outbreak of illness prompted the Welsh Ambulance Service to declare an extraordinary incident.

Multiple attendees fell ill with flu-like symptoms, leading to the cancellation of the evening concert — which was set to feature Sir Karl Jenkins conducting One World, his symphonic celebration of peace.

Festival organisers said the nature and scale of the incident meant it was the first time in the Eisteddfod’s history an event had been cancelled in this way.

A spokesperson confirmed: “Following Public Health Wales advice, the incident related to a flu-like outbreak and affected multiple people at one time. We take the safety of our audience, performers and volunteers extremely seriously.”

Medical teams on site were supported by the Welsh Ambulance Service, who confirmed the declaration of a public health incident due to the number of people affected simultaneously.

The festival had been running as normal throughout the day, with over 4,000 performers from 35 countries taking part in cultural performances, parades, and competitions.

Just hours before the cancellation, organisers had sent out a schedule for what was expected to be the busiest day of the event so far, celebrating the 80th anniversary of the United Nations.

Despite the disruption, organisers have now confirmed that the site has been declared safe to reopen on Thursday (10 July) from 9:00am.

“We are pleased to report our site has been cleared to reopen,” the Eisteddfod said in a further statement issued late Wednesday evening.

No further details have been released about the cause of the illness, but Public Health Wales is continuing to monitor the situation.

The Herald understands that stewards, medical staff and volunteers acted quickly and professionally to contain the incident and support those who were unwell.

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Health

Hundreds speak out as NHS waiting list scandal deepens in west Wales

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Patients say they were removed without warning, left in pain, or forgotten entirely – now they want answers

A WAVE of testimony from Pembrokeshire patients has revealed the true scale of the NHS waiting list crisis, with more than 100 people coming forward in just a few days to share stories of lost letters, cancelled appointments, and being removed from hospital care without ever being told.

Following a public appeal by The Pembrokeshire Herald, readers responded in force — describing what they call a “shambolic” system, in which patients are being quietly dropped from waiting lists, given incorrect or late information, and forced to chase departments that never answer the phone.

Letters never arrived — then the appointment was gone

One mother told the Herald she only discovered her young son had been removed from a waiting list for surgery after chasing a non-existent appointment.

“We never received the original letter. Then we turned up for a new date, only to be told it had been cancelled — but no one told us,” she said. “Later, they told me he’d been removed from the list for missing appointments we never knew about.”

In another case, a mother of a child with a rare genetic condition said her daughter was due annual dermatology reviews — but after a cancellation in 2023, she heard nothing for months. In February this year, she received a letter stating her daughter had missed an appointment and was being removed. She said: “We never got the original appointment, and when we finally got one for April, it was cancelled too. We’ve heard nothing since.”

Voicemail chaos and ‘no way to contact anyone’

A recurring theme in the responses was departments not answering their phones, and voicemail systems that lead nowhere.

One woman, removed from a physio course after a single missed session, said: “I rang three times that day, left a full message explaining I was unwell, but no one ever rang me back. Then a letter came saying I’d been removed from the course. I tried ringing again — just voicemail. After the second time, I gave up.”

In another case, a patient who had been waiting for diabetic retinopathy screening since before Covid told us: “I’ve phoned multiple times over three years. Every time they say they’ll send an appointment. I’ve given up.”

One former patient said he was moved to the back of the list after a missed telephone consultation — even though the doctor rang an hour early, and never called again.

GP failures and missed referrals

Many readers raised concerns about general practice as well as hospitals, claiming referrals were never sent or followed up.

One woman wrote: “If my old GP had referred me straight away, I wouldn’t be in the state I am now. As soon as I changed surgeries, I was seen — but by then the damage was done. My life’s been ruined.”

Another reader commented that her father never got the treatment he needed, and believes that delays in referrals contributed to his death.

Transport cancellations and “cheating the system”

Several readers also raised concerns about non-emergency ambulance transport being cancelled at short notice, leaving vulnerable patients unable to attend appointments.

One woman said: “My dad has had his transport cancelled the night before appointments. We had no backup, and he missed it.”

Another reader wrote: “It’s all about stats. They remove people from the list, say they’ve missed appointments, and it makes the waiting time numbers look better. It’s cheating, plain and simple.”

Health board responds — but no figures yet

Hywel Dda University Health Board has responded to the Herald’s request for comment, stating it follows strict national protocols and that any patient removed in error will be reinstated at their original place on the list.

In a statement, Director of Operational Planning and Performance Keith Jones said: “We make every effort to send appointment letters in a timely manner and it is part of our procedure to phone a patient should we need to see them at short notice or to cancel appointments.

We have received feedback from some patients of incidences where appointment letters have not been received in a timely manner. We are reviewing the factors which may lead to late receipt of appointment letters and will implement any necessary improvements.”

The health board also promotes a digital system, Hywel Dda Post, for accessing appointment details online. However, patients have reported issues with this too — particularly those without smartphones or digital literacy.

The board was unable to provide any figures on how many patients have been removed from waiting lists over the last five years and advised the Herald to submit a Freedom of Information request, which has now been done.

Public anger growing

With more than 100 people coming forward in less than 48 hours, public anger is mounting. Many say they are being pushed toward private treatment, or simply left to suffer for years.

“I’ve been in chronic pain for over a decade waiting for three surgeries,” one woman wrote. “I’ve lost 11 years of my life.”

Another added: “It’s not just the health board. Welsh Labour has failed us for years. They have money for road signs and tree projects abroad — but not for our surgeries.”

What’s next?

The Herald will continue to investigate this issue and publish further updates once the FOI response is received.

We are compiling a formal submission to both the Health Board and the Welsh Government, including anonymised patient testimonies, to call for a public explanation of how waiting lists are managed — and how many patients have been quietly removed.

If you or a family member has experienced anything similar — missed letters, unexplained removals, transport cancellations, or GP referral failures — you can contact us in confidence at:

📧 [email protected]

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