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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.

Health

Resident doctors in Wales vote to accept new contract

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RESIDENT doctors across Wales have voted to accept a new contract, with 83% of those who took part in a referendum backing the agreement, according to BMA Cymru Wales.

The contract includes a four per cent additional investment in the resident doctor workforce and introduces a range of reforms aimed at improving training conditions, wellbeing and long-term workforce sustainability within NHS Wales. The BMA says the deal also supports progress towards pay restoration, which remains a central issue for doctors.

Key changes include new safeguards to limit the most fatiguing working patterns, measures intended to address medical unemployment and career progression concerns, and reforms to study budgets and study leave to improve access to training opportunities.

Negotiations between the BMA’s Welsh Resident Doctors Committee, NHS Wales Employers and the Welsh Government concluded earlier this year. Following a consultation period, a referendum of resident doctors and final-year medical students in Wales was held, resulting in a clear majority in favour of the proposals.

Welsh Resident Doctors Committee chair Dr Oba Babs Osibodu said the agreement marked a significant step forward for doctors working in Wales.

He said: “We’re proud to have negotiated this contract, which offers our colleagues and the future generation of doctors safer terms of service, fairer pay, and better prospects so that they can grow and develop their careers in Wales.

“This contract will help to retain the doctors already in training, and also attract more doctors to work in Wales, where they can offer their expertise and benefit patients.”

Dr Osibodu added that the BMA remains committed to achieving full pay restoration and acknowledged that challenges remain for some doctors.

“Whilst this contract sets the foundations for a brighter future for resident doctors in Wales, we recognise that there are still doctors who are struggling to develop their careers and secure permanent work,” he said. “We need to work with the Welsh Government and NHS employers to address training bottlenecks and underemployment.”

The Welsh Government has previously said it recognises the pressures facing resident doctors and the importance of improving recruitment and retention across NHS Wales, while also highlighting the need to balance pay agreements with wider NHS funding pressures and patient demand.

The new contract is expected to be phased in from August 2026. It will initially apply to doctors in foundation programmes, those in specialty training with unbanded rotas, and new starters, before being rolled out to all resident doctors across Wales.

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Crime

Swansea man jailed for online child sex offence dies in prison

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A SWANSEA man who was jailed earlier this year for attempting to engage in sexual communication with a child has died while in custody.

Gareth Davies, aged 59, of the Maritime Quarter, was serving an 18-month prison sentence after being convicted in May of sending sexually explicit messages to what he believed was a 14-year-old girl. The account was in fact a decoy used as part of an online safeguarding operation.

The court heard that Davies began communicating with the decoy between November and December 2024 and persistently pursued the individual, later attempting to arrange a face-to-face meeting. He was arrested after being confronted by the decoy operators.

Davies had pleaded not guilty but was convicted following a trial. At the time of sentencing, police described the messages as extremely concerning and said his imprisonment was necessary to protect children.

It has now been confirmed that Davies died at HMP Parc on Wednesday (Nov 27) while serving his sentence.

The Prisons and Probation Ombudsman has launched an independent investigation into the death, which is standard procedure in all cases where someone dies in custody. No cause of death has been released at this stage.

A coroner will determine the circumstances in due course.

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Farming

Welsh Conservatives warn climate plans could mean fewer livestock on Welsh farms

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THE WELSH CONSERVATIVES have challenged the Welsh Government over climate change policies they say could lead to reductions in livestock numbers across Wales, raising concerns about the future of Welsh farming.

The row follows the Welsh Government’s decision, alongside Plaid Cymru and the Welsh Liberal Democrats, to support the UK Climate Change Committee’s Fourth Carbon Budget, which sets out the pathway towards Net Zero greenhouse gas emissions by 2050.

The Carbon Budget, produced by the independent Climate Change Committee (CCC), states that meeting Net Zero targets will require a reduction in agricultural emissions, including changes to land use and, in some scenarios, a reduction in livestock numbers.

During questioning in the Senedd, the Welsh Conservatives pressed the Deputy First Minister and Cabinet Secretary for Climate Change and Rural Affairs on whether the Welsh Government supports reducing livestock numbers as part of its climate strategy.

Speaking after the exchange, Welsh Conservative Shadow Cabinet Secretary for Rural Affairs, Samuel Kurtz MS, said the Welsh Government could not distance itself from the implications of the policy it had backed.

Mr Kurtz said: “By voting in favour of these climate change regulations, Labour, Plaid Cymru and the Liberal Democrats have signed up to the UK Climate Change Committee’s call to cut livestock numbers in Wales, and they cannot dodge that reality.

“The Deputy First Minister’s smoke-and-mirrors answers only confirm what farmers already fear: that Labour, along with their budget bedfellows in Plaid and the Lib Dems, are prepared to sacrifice Welsh agriculture in pursuit of climate targets.”

He added that the issue came at a time of growing pressure on the farming sector, pointing to uncertainty over the proposed Sustainable Farming Scheme, the ongoing failure to eradicate bovine TB, nitrogen pollution regulations under the Nitrate Vulnerable Zones (NVZs), and proposed changes to inheritance tax rules affecting family farms.

The Welsh Government has repeatedly said it does not have a target to forcibly reduce livestock numbers and has argued that future emissions reductions will come through a combination of improved farming practices, environmental land management, and changes in land use agreed with farmers.

Ministers have also said the Sustainable Farming Scheme, which is due to replace the Basic Payment Scheme, is intended to reward farmers for food production alongside environmental outcomes, rather than remove land from agriculture.

The UK Climate Change Committee, which advises governments across the UK, has stressed that its pathways are based on modelling rather than fixed quotas, and that devolved governments have flexibility in how targets are met.

However, farming unions and rural groups in Wales have warned that policies focused on emissions reduction risk undermining the viability of livestock farming, particularly in upland and marginal areas where alternatives to grazing are limited.

The debate highlights the growing tension between climate targets and food production in Wales, with livestock farming remaining a central part of the rural economy and Welsh cultural identity.

As discussions continue over the final shape of the Sustainable Farming Scheme and Wales’ long-term climate plans, pressure is mounting on the Welsh Government to reassure farmers that climate policy will not come at the expense of the sector’s survival.

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