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Care home funding crisis worsens bed-blocking at Withybush Hospital

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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.

 

Community

Loose horse sparks police response in Pembroke

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Animal seen galloping through residential streets and towards main road

POLICE are reportedly tracking a loose horse which strayed into a residential area of Pembroke.

The animal was first spotted in Gatehouse View before making its way onto a nearby main road.

A post on the Pembroke and Pembroke Dock Citizens’ Forum said the horse had left Gatehouse View and was seen heading towards the road by Pembroke Leisure Centre.

The resident wrote: “Anyone recognise it? Police following it.”

The horse was later reported to be galloping down Buttermilk Lane in the direction of Martha’s.

Stray horses are not uncommon in the area. In January, several animals were reported loose around Pembroke and along the A477, particularly near Buttermilk Close and the Cleddau Bridge.

Those incidents created a hazard for motorists, prompting Pembrokeshire County Council to step in and return the animals. Drivers were advised to take extra care and avoid startling them.

 

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international news

Britain exposed: UK has no real shield against long-range Iranian missile threat

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Reliance on US interceptors leaves gaps as Iran’s reach grows

BRITAIN would struggle to defend itself against a long-range ballistic missile attack and would instead rely heavily on American systems based in Eastern Europe and at sea — with no guarantee of success.

That is the stark reality emerging after Iran’s attempted strike on a UK–US base at Diego Garcia on Saturday (March 21), a move that caught many world leaders off guard and marked a significant escalation in capability.

Defence analysts say that its possible for Iran to hit targets of up to 4000 miles away

Concerns are further heightened by Iran’s development of larger space launch vehicles, including the Simorgh, Zuljanah, Ghaem-100 and Qased systems, which on paper demonstrate ranges of between 2,200 km and up to 6,000 km, with payload capacities of up to 1,000 kg. While these rockets are officially designed to place satellites into orbit rather than deliver warheads, they use the same multi-stage technology and propulsion systems found in long-range ballistic missiles. Defence analysts have long warned that such programmes provide a clear pathway to intercontinental strike capability, raising the prospect that parts of Europe — and potentially even the UK — could fall within reach if these technologies are adapted for military use.

No UK shield over Britain

The UK has no dedicated system to shoot down long-range ballistic missiles over its own territory.

While RAF Fylingdales provides early warning and tracking, it cannot intercept incoming threats. Britain’s air defence network — including RAF jets and ground systems — is designed for aircraft, drones and cruise missiles, not high-speed ballistic weapons.

In simple terms, if a missile were heading toward a target such as Milford Haven’s energy facilities, there is no British-operated system that could reliably stop it at the last moment.

America would have to act

Instead, any interception attempt would fall to the United States.

Key assets include:

  • Aegis Ashore missile defence bases in Romania and Poland
  • US Navy warships equipped with SM-3 interceptors
  • Wider NATO tracking and coordination systems

These systems are capable of striking a missile in space during its midcourse phase, long before it reaches the UK.

But there is a crucial limitation: they can only engage if the missile passes within range of those systems.

If the trajectory falls outside that envelope — or if no US ship is positioned correctly — there may be no interception at all.

A probability, not protection

Even when an intercept is attempted, success is far from certain.

Testing data for the SM-3 system suggests success rates of roughly 50 to 80 per cent per engagement, depending on conditions. In practice, multiple interceptors are often fired at a single target to improve the odds.

That still leaves a significant margin for failure.

In a real-world scenario involving countermeasures, technical faults or multiple missiles, the chances of at least one getting through rise sharply.

Gaps in coverage

The NATO missile defence network is not a continuous shield.

It is a patchwork of coverage zones tied to specific systems:

  • Romania and Poland provide fixed land-based interception capability
  • US warships offer flexible but limited coverage depending on deployment

There is no permanent protective umbrella over the UK itself.

If a missile does not pass through one of those defended zones, Britain would effectively be relying on luck and geometry.

Deterrence, not defence

Ultimately, the UK’s primary protection is not interception — it is deterrence.

Any successful strike on British soil would almost certainly trigger a major NATO response, making such an attack extraordinarily risky for any adversary.

But deterrence does not equal defence.

A growing concern

Iran’s attempted long-range strike on Diego Garcia has shifted the debate sharply.

The use of a missile capable of travelling thousands of kilometres surprised many Western leaders, who had not expected Tehran to demonstrate that level of reach in the current crisis. Although one missile failed and another was intercepted, the incident has raised fresh questions about how far Iran’s capabilities have advanced.

For years, the idea of a missile threat to Europe — let alone Britain — was largely theoretical. Now, defence analysts are treating it as a credible future risk, even if capability remains limited today.

The bottom line

The UK can detect a missile, track it, and coordinate a response — but when it comes to actually stopping it, the country would be dependent on American systems operating at distance, with no certainty of success.

If a missile ever did get through, there would be little standing between it and its target.

And that is the uncomfortable truth behind the headlines.

 

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Entertainment

Tenby steams up in spectacular style as crowds flock to festival

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Colourful parade, towering creations and Victorian flair bring town centre to life

TENBY was transformed into a vibrant Victorian fantasy on Saturday (Mar 21) as hundreds of visitors descended on the town for the annual Steampunk Festival.

The highlight of the day came with the much-anticipated Peacock Parade, which saw elaborately dressed participants wind their way through Tenby’s narrow streets, drawing large crowds of spectators.

Residents and visitors lined the route, many stopping to take photos as performers in eye-catching costumes passed by. From brass goggles and top hats to military-inspired uniforms and elegant gowns, the outfits on display reflected the creativity and theatrical spirit of the steampunk scene.

Among the most striking sights were the towering pink flamingo creations, which rose high above the crowds and became an instant talking point. Musicians in period costume added to the atmosphere, playing lively tunes as they marched through the town.

Families were out in force, with children and adults alike enjoying the spectacle. Many visitors had travelled from across Wales and beyond to attend the event, which has grown in popularity in recent years and is now firmly established as a key date in Tenby’s events calendar.

The Herald understands that local businesses also benefited from the influx of visitors, with cafés, pubs and shops seeing a steady flow of customers throughout the day.

In addition to the parade, a range of activities were taking place across the town, including markets, performances and themed entertainment centred around the De Valence Pavilion.

Organisers have worked to create an inclusive and welcoming event, with many people choosing to dress up while others simply come along to enjoy the unique atmosphere.

The festival continues on Sunday, with further events planned as Tenby remains firmly in the grip of steampunk fever for the weekend.

Photos: Colourful characters take part in the Peacock Parade through Tenby on Saturday (Pic: Gareth Davies).

 

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