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Health

Cleft lip research may reduce childhood operations

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RESEARCH could help children born with a cleft lip and palate to avoid multiple operations as they grow up.

Around one in every 700 babies worldwide is born with a cleft lip or palate and reconstructive surgery is usually required during the early months.

As they grow and develop, some children may require additional surgery to improve facial appearance and function or the alignment of the jaw.

In a bid to reduce the need for multiple operations, computer scientists at Aberystwyth University are working with clinical experts to better forecast growth patterns in a baby’s mouth.

They are using 3D models and machine learning techniques to accurately predict what the outcomes of surgery will look like in five or ten years’ time.

Speaking during Cleft Lip and Palate Awareness Week 2025, lead investigator Professor Reyer Zwiggelaar from the Department of Computer Science at Aberystwyth University said:

“We want our research to lead to better outcome for patients born with a cleft lip or palate. Although corrective surgery for the majority of cleft lip or palate patients is successful, some require further intervention as they grow older. Using state-of-the-art deep learning technologies, we aim to provide surgeons with the tools they need to make precision-informed decisions before operating. We hope our work will help avoid the need for some children to go through additional operations.”

Cory Thomas, a research software engineer in the Department of Computer Science at Aberystwyth, said: “We are developing algorithms which will be able to identify six significant points in a baby’s mouth and these annotations can then be used to predict future growth. The software will help avoid what is referred to in clinical terms as “bad growth” which requires further surgical intervention, for example, to address a flattening of the face.”

The research at Aberystwyth is being informed by the expertise and experience of a clinical surgeon and an orthodontist who have been working with young cleft lip and palate patients for many years.

Bruce Richard, a retired plastic surgeon who specialised in cleft and palate surgeon at Birmingham Children’s Hospital for over 30 years, said:

“About 25% of children born with a complete cleft lip and palate end up with poor mid-face growth by the age of 16 and can choose to have a major bony operation to pull the mid face and the upper jaw teeth forward to correct the ‘caved in’ mid-face look.

“If we could predict which children are at the highest risk of experiencing this poor growth, then we could develop new strategies with dental appliances to try and reduce the issue before the child reaches 5-8 years of age. Success would mean fewer teenagers having to go through a major operation in young adulthood.”

Lars Enocson, lead Cleft Orthodontic Consultant at Birmingham Children’s Hospital, said: “The way the face grows in childhood depends on your genes and the world around you, like good food or pollution levels. If a child with a cleft lip and palate never has an operation to repair the cleft, then the face grows normally. Our study is looking at the shape of the baby’s upper jaw at birth to see if there is any particular 3-D shape that predicts those who get poor growth after surgery. Knowing this would allow choices about how we care for the child as they are growing.” 

The next stage of the research will focus on building 3D prediction models, and a series of clinical trials will be required before the technology can be used in a medical setting.

The research has received funding from the VTCT Foundation, a charity that funds research for people living with a visible difference, in addition to funding from Aberystwyth University.

Medical Imaging

The work on cleft lip or palate builds on years of medical imaging processing expertise in the Department of Computer Science at Aberystwyth University.

The technique allows for in-depth but non-invasive exploration of internal anatomy and has led to a significant number of healthcare developments, particularly for image analysis of breast and prostate cancer cases.

Other applications include using the software to examine Multiple Sclerosis lesions, stroke rehabilitation, and the diagnosis and management of endometriosis. 

 

Charity

Local St John Ambulance cadets confirmed national first aid champions

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ST JOHN AMBULANCE is proud to share that three local St John Ambulance cadets have been crowned National First Aid champions after competing against eight other cadet teams representing counties across Wales.

The team, comprising Emily Williams (Yr 10, Ysgol Bro Gwaun), Ruby Collins (Yr 10, Ysgol Henri Tudor), and Gemma Tilbury (Yr 11, Ysgol Henri Tudor) represented the whole of Dyfed, and demonstrated exceptional skill, teamwork, and composure throughout three demanding rounds.

The competition consisted of a first aid knowledge quiz and exam, followed by a practical skills challenge assessing communication, teamwork, and the ability to perform under pressure—an area in which they excelled. The final round featured a complex, theatrically produced first aid scenario. Here, the team showed remarkable calm and professionalism as they stabilised a casualty with a severe compound bleed involving a large object lodged in the wound.  They also managed distressed and aggressive members of the public, and successfully resuscitated an unresponsive, non-breathing casualty using CPR and a defibrillator—all completed in record time.

In Pembrokeshire, cadets train every Monday evening during term time from 5:45–7:15pm, with sessions focussing on practical, hands-on learning of real-life first aid skills, including CPR, defibrillator use, treatment of severe wounds, allergic reactions, choking, strains and sprains, head injuries, heart attacks, hypothermia, and much more. Training is engaging and interactive, often involving active, game-based learning, ensuring there is rarely a dull moment.

 Cadets also have the opportunity to support a wide range of events delivered by St John Ambulance Cymru. Working alongside adult volunteers and healthcare professionals, they engage with the public at events of all sizes, applying their skills in real-world, and sometimes life-saving, situations.

 Beyond events, cadets are encouraged to share their knowledge within the community, helping to lead first aid demonstrations and inspire others. Previous outreach has included sessions with Scouts, Cubs, Brownies, and Girlguiding groups, as well as senior community organisations such as the Pembroke Lions and specialist charities like Pembrokeshire People First. On a larger scale, cadets played a key role in organising and delivering “Defibruary,” where they helped lead a team of St John first aiders to train over 950 students at Henri Tudor in a single day in February 2026.

If you are interested in volunteering, opportunities are available for cadets aged 11–16 and adults aged 16+. We are always keen to welcome new members and are happy to discuss opportunities for adults to support the cadet programme as youth leaders.    

To find out more visit https://www.sjacymru.org.uk/volunteer

 

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Charity

Paul Sartori receives generous support from the James Tudor Foundation

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Paul Sartori Hospice at Home is celebrating a major support package from The James Tudor Foundation thanks to an unrestricted grant to help fund the charity’s vital end-of-life care services throughout the county. 

The £46,364 grant award ill be paid over three years.

Commenting on the windfall, the new Chief Executive Officer, Laura Hugman, said, “At a time where funding and funding partnerships are challenging, we’re very grateful to The James Tudor Foundation in helping us achieve our aims and passion for supporting and bringing reassurance to the local families who need us.” 

Paul Sartori Hospice at Home provides an holistic approach to end-of-life care, which encompasses home nursing, equipment loan, complementary therapies, bereavement and counselling support, physiotherapy, future care planning, and training. The team provides thousands of hours of day and night respite care each year, ensuring that patients can receive the support they need, complementing the statutory provision within the comfort of their own homes.

Judith Williams, Grant Development Officer at Paul Sartori Hospice at Home, expressed the charity’s gratitude: “We’re incredibly thankful to The James Tudor Foundation for their continued generosity. Their support helps us maintain our nursing service, which is a lifeline for many families facing end-of-life care challenges.”

Paul Sartori Hospice at Home offers a comprehensive range of services to individuals with life-limiting illnesses, ensuring they can be cared for at home with dignity, independence, and comfort.

 

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Health

FOI raises fresh questions over plan to close Pontyates GP surgery

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Health board accused of misleading claims over recruitment as pressure mounts ahead of final decision

A FREEDOM of Information disclosure has raised serious questions over plans to close Meddygfa’r Sarn in Pontyates, with claims the health board failed to properly attempt to recruit permanent doctors before recommending its shutdown.

The row centres on Hywel Dda University Health Board, which is due to make a final decision on the surgery’s future later this month.

An FOI response reveals that while the board cited a “lack of recruitment interest” in its January report, there is limited evidence of any recent, targeted recruitment campaign specifically aimed at the Pontyates practice.

Instead, the board confirmed that salaried GP roles were advertised in 2020 across its wider portfolio of managed practices — rather than as a focused effort to fill posts at Meddygfa’r Sarn itself. Those vacancies did not result in successful appointments.

‘No real attempt’

Independent Senedd candidate Carl Peters-Bond, who is also a patient at the surgery, has strongly criticised the health board, accusing it of presenting a misleading picture to justify closure.

He said: “They cited a lack of recruitment interest as justification for closing this surgery — but they never actually ran a proper recruitment campaign for it.

“Sending out general adverts years ago is not the same as making a serious, targeted effort to keep a vital community service alive.”

He also raised concerns about the consultation process, claiming it focused on the impact of closure rather than asking whether closure should happen at all.

Fully reliant on locums

The FOI confirms that Meddygfa’r Sarn currently has no salaried GPs and is entirely dependent on locum doctors.

While the health board says this model is unsustainable in the long term, the same disclosure shows several other managed practices across the region also rely heavily on locum staff — some to a significant degree.

Cost data included in the response suggests Meddygfa’r Sarn is not the most expensive practice per patient within the health board’s area.

Alternative options unclear

Another key issue raised by campaigners is the apparent lack of explored alternatives.

The FOI response indicates that the health board does not hold information on alternative local solutions, including potential relocation or different service models within the Pontyates area.

Campaigners argue this suggests closure was considered before all options had been properly examined.

A 52-page independent report submitted as part of the consultation process states that dispersing patients to other surgeries should only be considered as a last resort, after full recruitment efforts and capacity assessments have been carried out.

Health board position

Hywel Dda University Health Board maintains that the surgery, which serves around 4,350 patients, has faced long-standing recruitment difficulties and increasing reliance on temporary staff.

It says a Vacant Practice Panel concluded that dispersing patients to neighbouring surgeries would provide a more sustainable long-term solution.

The board has also acknowledged that transport and access concerns are likely to be a major issue for patients if the closure goes ahead, with a full Equality Impact Assessment expected to be considered before a final decision.

Decision later this month

The future of Meddygfa’r Sarn will be decided at a meeting of Hywel Dda University Health Board on Wednesday (May 28) at Yr Egin in Carmarthen.

With local anger growing and new questions emerging from the FOI disclosure, pressure is mounting on board members to reconsider the proposal.

Campaigners say the case now hinges on a simple question: whether enough was done to save the surgery before moving to close it.

 

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