News
Care home funding crisis worsens bed-blocking at Withybush Hospital
PEMBROKESHIRE CARE HOMES STRUGGLING AS ELDERLY PATIENTS REMAIN IN HOSPITAL BEDS
A MAJOR investigation has revealed a direct link between underfunded care homes and a worsening bed-blocking crisis at Withybush Hospital, exacerbating an already critical healthcare situation in Pembrokeshire.
Research by Care Forum Wales (CFW) highlights how elderly patients who should be discharged to care homes remain in hospital due to a lack of available spaces. This is worsening overcrowding, ambulance delays, and treatment backlogs at Withybush Hospital.
Care homes underfunded, causing NHS gridlock

According to CFW, local authorities under Hywel Dda University Health Board pay some of the lowest fees for care home placements in Wales. This has resulted in fewer available care home beds, leaving elderly patients stuck in hospital for weeks or even months, increasing pressure on the NHS.
Care Forum Wales Chair, Mario Kreft MBE, said: “There is a clear link between underfunded care homes and high levels of delayed hospital discharges.
“Local authorities are prioritising budget protection over patient care, and the result is a catastrophic breakdown in the system.
“At Withybush Hospital, ambulances queue outside while patients who could be safely placed in care homes are taking up hospital beds.
“Elderly patients are occupying hospital beds at a cost of £500 a day, while care home places cost less than £200 a day. It makes no financial or moral sense to continue this way.”
Care home closures could worsen crisis in April
The situation could deteriorate further in 2025. Care homes in Pembrokeshire and across Wales face potential closures due to the UK Government’s increase in National Insurance contributions, which will drive up staffing costs and put struggling homes out of business.
“We fear more care home closures and redundancies from April,” Mr Kreft said. “The care sector is the solution to the NHS crisis, but it’s being neglected. If homes shut down, where will these elderly patients go?”
Withybush Hospital’s bed-blocking crisis: Local impact
Withybush Hospital has been severely affected by bed-blocking, losing over 100 beds following the discovery of Reinforced Autoclaved Aerated Concrete (RAAC) in its structure in 2023. With fewer hospital beds available, the problem has escalated:
- Elderly patients waiting for care home places are trapped in hospital.
- Emergency Department (ED) overcrowding is at breaking point, with patients waiting in chairs or corridors for treatment.
- Ambulances queue for hours outside Withybush, unable to admit patients due to a lack of available beds.
A recent report found that over 1,500 patients across Wales are currently waiting for discharge because social care and community care services lack the capacity to take them.
Council funding disparities: Where does Pembrokeshire stand?

A CFW league table ranking Welsh councils by the amount they pay for care home places shows Pembrokeshire County Council among the lower funders. In contrast, areas like Newport and Torfaen, which pay higher rates, experience fewer hospital bed-blockers.
Based on historical data and broader trends in the Hywel Dda University Health Board (HDUHB) area, it’s reasonable to estimate that around 65–75% of bed-blocked patients in Pembrokeshire are awaiting discharge to a care home or social care setting.
This estimate aligns with previous reports indicating that Hywel Dda and Betsi Cadwaladr University Health Boards have some of the highest rates of delayed discharges in Wales.
We do know that:
- In Gwynedd and Anglesey, where care home fees are among the lowest, over 80% of bed-blocking patients are waiting for a care home place.
- In Neath Port Talbot, Swansea, and Carmarthenshire, where fees are also low, care home patients account for over 75% of those awaiting discharge.
- In Newport, Torfaen, and Blaenau Gwent, which pay higher care home fees, less than 18% of delayed discharges are linked to care home wait times.
Mr Kreft said: “The NHS is haemorrhaging money, paying £500 a night for people to stay in hospital when care home beds costing £200 a night are sitting empty.
“We need to fund social care properly and fix this mess before it’s too late.”
What is being done to fix the crisis?
Several measures are being introduced to reduce bed-blocking at Withybush Hospital, but experts warn that without proper care home funding, these changes won’t go far enough.
NHS discharge planning initiatives

- Hywel Dda University Health Board is using the SAFER patient flow model to speed up discharges.
- Frailty screening is being used to identify patients who could be safely moved to care homes or community care.
Reconfiguration of Withybush Emergency Department (ED)
- An ambulatory care unit and rapid assessment system are being developed to reduce ED overcrowding.
Technology solutions
- New bedside apps like SPARK Fusion® are being trialled to track bed availability and speed up discharges.
Increased funding – but will it be enough?
- The Welsh Government has announced a care home fee increase, raising the standard weekly nursing home rate from £235.88 to £254.06 in April 2025.
- Care providers warn this is not enough to prevent closures and further staff redundancies.
More hospital beds at Withybush?
- Three of the six closed hospital wards at Withybush are expected to reopen by mid-2025, adding desperately needed capacity.
Conclusion: Care home funding must be fixed – before it’s too late
The bed-blocking crisis at Withybush Hospital is not just an NHS problem – it is a social care crisis caused by underfunded care homes.
Without urgent intervention, the lack of care home spaces will:
- Continue to trap elderly patients in hospital unnecessarily.
- Cause longer A&E and ambulance waits.
- Lead to more Pembrokeshire care home closures.
The system is failing both patients and the NHS. Unless decisive action is taken, the crisis will only deepen.
Crime
Emergency bags rolled out to support domestic abuse victims across Dyfed-Powys
Thirty packs provide immediate help for families fleeing dangerous situations
A NEW initiative aimed at supporting victims of domestic abuse has seen thirty emergency bags distributed for use across the Dyfed-Powys Police area.
The bags, which contain essential items including toiletries, non-perishable snacks and emergency supplies, are designed to offer immediate practical support to individuals and families forced to flee abusive situations, often with little or nothing.
The scheme forms part of the Police and Crime Commissioner’s wider commitment to improving outcomes for victims and is being delivered in partnership with Dyfed-Powys Police and Dal i Godi, the commissioned Independent Domestic Violence Adviser (IDVA) service.
Dal i Godi provides specialist support to victims at high risk of serious harm, including safety planning and advocacy through the criminal justice process.
Police and Crime Commissioner Dafydd Llywelyn said the initiative was already proving its value.
“This is an incredible initiative that I’m proud to support,” he said. “It provides meaningful help to those experiencing trauma and reflects our ongoing work to put victims first.
“Within just a few days of the bags being distributed to the Dal i Godi service, one was given to a victim fleeing a domestic abuse situation, along with a children’s pack to support their young family. That shows just how essential this support can be and how quickly it can make a difference.”
Detective Chief Inspector Llyr Williams, from the Dyfed-Powys Police Vulnerability Hub, said the emergency bags could provide a vital lifeline at critical moments.
“These emergency bags offer support at some of the most difficult moments in a person’s life,” he said.
“The contents provide immediate comfort, dignity and practical help for those leaving their homes in crisis. While simple, they represent an important first step towards safety and recovery.
“We are proud to be working with partners across the Dyfed-Powys area to ensure this support reaches people when they need it most.”
Anyone experiencing domestic abuse, or concerned about someone else, is encouraged to seek help. In an emergency, call 999.
Domestic abuse can also be reported online via Dyfed-Powys Police.
Support services available include Victim Support Dyfed-Powys, which offers free and confidential help to anyone affected by crime, whether or not it has been reported, and Dal i Godi, which provides specialist IDVA support for high-risk victims.
The Live Fear Free Helpline offers 24-hour support for those experiencing domestic abuse or sexual violence across Wales.
If you or someone you know is a victim of domestic abuse, please consider reporting it. If you are in danger or need support right away, please call 999.
You can report domestic abuse through the online crime reporting service here: Report domestic abuse | Dyfed-Powys Police.
Support is also available via the below support services:
Victim Support Dyfed-Powys
Free, independent support for anyone affected by crime in the Dyfed-Powys area, whether or not it has been reported to the police.
0300 123 2996
Dal i Godi (IDVA Service)
Specialist support for victims of domestic abuse at high risk, offering safety planning, emotional support, and advocacy with agencies such as police and courts.
01267 221194
Live Fear Free Helpline
24/7 support for anyone experiencing domestic abuse or sexual violence.
0808 80 10 800 | Text 07860 077333
News
Welsh-language school praised for ‘happy, proud and friendly community’
Estyn highlights strong leadership, positive attitudes and a clear curriculum vision at Ysgol Bro Preseli
A WELSH-medium all-age school in Crymych has been praised by inspectors for fostering a “happy, proud and friendly community,” according to a recent Estyn report.
Inspectors said pupils at Ysgol Bro Preseli show pride in their local area, thrive both academically and socially, and are well prepared for the next stages of their learning.
The school currently has 932 pupils on roll, including 118 in the sixth form, and has operated as an all-age school since 2022.
Estyn found that most pupils demonstrate extremely positive attitudes to learning, treat staff with respect, and listen carefully to the contributions of their peers.
The report also notes that, in almost all cases, teachers show strong subject knowledge. Inspectors highlighted the close and supportive relationships staff build with pupils, alongside the creation of a safe learning environment where pupils are not afraid to make mistakes.
It states: “As a result of a clear strategic direction and detailed planning, teachers provide beneficial practical activities that allow pupils to develop purposeful oracy, reading and writing skills in language sessions and across the other areas of learning and experience.”
Inspectors also praised the school’s clear curriculum vision, rooted in its motto Gwreiddiau a Gorwelion (Roots and Horizons).
“Leaders and teachers provide a coherent curriculum and learning experiences that bridge the primary and secondary sectors effectively,” the report said. “Staff plan stimulating activities and experiences for pupils to learn and deepen their understanding within the areas of learning and experience. This contributes positively to the sense of belonging that permeates the whole curriculum of Ysgol Bro Preseli.”
Headteacher Rhonwen Morris said the report was a reflection of the collective effort across the school community.
“As a successful all-age Welsh-medium school, we are delighted that the report recognises our commitment to excellence and the unique identity that makes Ysgol Bro Preseli so special,” she said.
“Since becoming an all-age school in 2022, our cohesive leadership team and governing body have focused on building a strong foundation based on our values of Welsh ethos, kindness, community and responsibility.
“The report highlights the excellent strategic work of staff at all levels, which is a testament to the shared dedication and vision that drives our school forward.
“It is gratifying that the report reflects what we continuously aim to achieve day in and day out. This achievement belongs to our entire community — staff, pupils, parents and governors — and together we will continue to build on this success and provide the very best education for every pupil.”
Charity
Welsh opticians raise £1,600 for people experiencing homelessness
SPECSAVERS Pembroke Dock has helped raise £1,600 to support people experiencing homelessness this winter, with all funds going to The Wallich’s winter appeal.
Thirteen stores from North, South and West Wales donated £1 for every customer feedback form completed during November to help The Wallich, Wales’ largest homelessness and rough sleeping charity, continue its vital work.
Supporting more than 8,000 people experiencing or at risk of homelessness across the nation each year, The Wallich runs around 100 diverse projects across 20 local authorities to provide hope, support and solutions to end homelessness.
Funds raised by Specsavers will go directly to the Wallich’s Flexible Assistance Fund, which provides small but vital emergency grants. The grants support people at crucial turning points, helping cover essential costs such as phone credit, rent or food shops.
This initiative is a continuation of Specsavers’ wider homelessness programme, which sees over a hundred Specsavers stores and Home Visits services hold out-of-hours or pop-up clinics and invite people affected by forms of homelessness to use their services for free.
Specsavers’ North Wales regional relationship manager, Martin Lawrence, who helped organise the fundraiser, says: ‘We’re really proud to be supporting The Wallich’s winter appeal at a time when support is needed most.
‘Homelessness affects people in every community and as locally owned and run businesses, Specsavers stores are committed to raising awareness of the issue and supporting people through their toughest moments.
‘We’re excited to build on the success of this fundraiser and strengthen our partnership with The Wallich in the new year.’
Louisa Turner, head of fundraising at The Wallich, adds: ‘Winter can be an incredibly difficult time for people experiencing homelessness and this support from Specsavers will make a real difference.
‘The funds raised will help provide emergency grants at critical moments – whether that’s putting food on the table, helping someone stay connected with their loved ones or preventing someone from losing a safe place to live.
‘This kind of support creates vital turning points and helps people move towards a safer, more secure future.’
Specsavers works year-round with homelessness charities including Crisis, Vision Care and The Big Issue, to improve access to healthcare and advocate for policy change – ensuring people experiencing homelessness can receive free eye tests, glasses and hearing checks.
To find out more about Specsavers or to book an appointment at your local store, visit: https://www.specsavers.co.uk/stores.
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