Health
‘Enough is enough’ amid fears over loss of Pembrokeshire hospital services
FEARS that yet more services could be cut at Pembrokeshire’s Withybush hospital as part of a raft of health board proposals which include an option of patients needing specialist critical care being transferred to Glangwili has led to calls of ‘enough is enough’.
Hywel Dda University Health Board yesterday, May 29, launched a public consultation, running to August 31, into potential changes after classifying nine key services as ‘critical’, stating that urgent reorganisation is necessary.
The services identified are: critical care, dermatology, emergency general surgery, endoscopy, ophthalmology, orthopaedics, radiology, stroke, and urology.
There are no changes to how people access emergency care (A&E) or minor injury care.
It has raised concerns that some services currently provided at Withybush Hospital could be relocated to other hospitals in the health board area.
In the case of critical care, one option of three is detailed below.
- Intensive care units kept at Bronglais and Glangwili. An enhanced care unit would be provided at Withybush and Prince Philip. Patients at Prince Philip or Withybush needing specialist critical care would be transferred to Glangwili.
Currently, full emergency general surgery services, including surgical operations, for adults are provided at Glangwili, Bronglais and Withybush. Patients from Prince Philip are taken to Glangwili.
The consultation list two options.
- Emergency general surgery consultant surgeons would be based at Bronglais and Glangwili, providing full emergency general surgery services including surgical operations. Patients at Withybush needing surgery would be transported to Glangwili for their operation, before returning to Withybush when fit to do so to recover.
- Emergency general surgery consultant surgeons would be based at Bronglais, and at either Glangwili or Withybush on alternate weeks to provide surgical operations.
Local Senedd Members Paul Davies MS and Samuel Kurtz MS have underlined the vital importance of Withybush Hospital, with Paul Davies, a longstanding campaigner against the downgrading of services at Withybush Hospital, saying: “This consultation is the latest in a long line of consultations that have all resulted in vital services being cut at Withybush hospital – and enough is enough.
“It is not acceptable for the people of Pembrokeshire to have to travel further for vital health services and I will be fiercely campaigning against Hywel Dda University Health Board’s latest proposals.
“Withybush hospital has been under attack for years because of the Health Board’s ideological pursuit of a shiny new hospital elsewhere in west Wales. Withybush hospital and the people it serves deserve support and investment, not more cuts. The Welsh Government should intervene and ensure that services stay put at Withybush hospital.”
That potential new ‘super hospital is not expected to be built within the next decade, the health board has previously said.
Sam Kurtz MS, who was born in Withybush, said: “The loss of vital services at Withybush, including SCBU, consultant-led maternity, and children’s A&E, remains deeply felt by local people. The removal of one service often renders others unviable.
“If any further service loss were to threaten the viability of the A&E department, that would be wholly unacceptable and would be a red line. It would be met with fierce opposition from the community, and I will be standing shoulder to shoulder with them in that fight.”
Pembrokeshire Cabinet Member for Finance Cllr Alistair Cameron, who has previously raised concerns about the proposals at full council, said: “We all know the health board is struggling to deliver many of its services and it has described nine of its services as fragile.
“It has now issued a 44-page summary document on the future of these fragile services. The board needs to clearly explain the options it is looking at and make sure everyone gets a chance to have a say.
“I can see some options involve patients having to travel further for essential treatments and that will be a major concern. There will be 11 consultative events in West Wales plus online events. However, the Board needs to reach out to those who cannot make the events and do not have access to a computer.”
At the May 29, meeting, Medical Director Mr Mark Henwood said: “No decisions have been made on the options presented, and there are currently no preferred solutions. The changes we are looking to make are to ensure we have safe, high-quality services and affordable healthcare in the future, and have at their heart the best interests of the people of west Wales and their patient experience.”
Health
‘Children spending more time in digital worlds than the real one’
CHILDREN are spending more time in digital worlds than the real one, the Senedd has heard, with excessive screen use shaping behaviour and health in ways society cannot ignore.
Labour’s John Griffiths expressed concerns about the impact of smartphones and online gaming on young people amid an “epidemic of screen use” in Wales.
Mr Griffiths titled the debate “Locked in, Bruh!” – “the state of playing a video game while oblivious to anything else” – on the suggestion of Tom, a teenager from Newport.
He raised research from the Centre for Social Justice, a thinktank, which estimates that up to 814,000 UK children aged three to five are already engaging with social media.
The Newport East Senedd Member told the chamber two-thirds of primary school pupils in Wales have their own smartphone by the age of 11.
Mr Griffiths said boys spend two hours more a day on online gaming while girls spend more time on social media and “reel scrolling” which has been linked to damaging self-esteem.
He told Senedd Members: “Boys are becoming more short-tempered and violent when exposed to violent video games and there is, rightly, much concern that children in more deprived families are particularly vulnerable.”
Mr Griffiths, who was first elected in 1999 and will stand down in 2026, said children aged five to 16 spend at least six hours a day looking at a screen. He added that for children, aged 11 to 14, that figure rises to nine hours a day.
He pointed to research showing more than 70% of young people in the UK do not undertake an hour of physical activity a day yet have at least six hours to spend looking at a screen.
He said: “Children are sat inside with a screen at the end of their nose and are not spending time outside enjoying their local communities or playing and interacting with friends.”
Mr Griffiths warned of increasing levels of obesity and rising numbers of young people reporting vision problems, with one in three children globally now short-sighted.
He told the Senedd: “As for the mental health and wider social impacts, anxiety and depression are increasingly linked to excessive screen use as is sleep disruption – with social media interfering with rest and emotional development.”
He raised a New Zealand study of more than 6,000 children that found a correlation between excessive screen time and below-average performance in literacy and numeracy. He warned children have increasingly shortened attention spans and an inability to concentrate.
Mr Griffiths shared the case of his constituent, Danielle, who said her son becomes more aggressive and snappier after a significant time gaming. Lucy, another constituent, explained how her children find the endless reels on social media addictive.
“Once they start scrolling, it’s hard to break that cycle,” the Senedd Member said. “And when she and her husband take the devices away, it often results in tantrums and tears.”
Mr Griffiths raised the example of countries such as Australia, France and Italy which have introduced strict age checks and bans on social media for under 16s.
He acknowledged such a policy would need to come from the UK Government because powers over internet services are not devolved. But he said Wales has the authority to introduce measures through education policy on, for example, smartphones in schools.
The Tories’ Sam Rowlands warned algorithms are having a “sickening” effect on teenagers who are eight times more likely to act on self-harm urges when exposed to such content. “TikTok users with eating disorders receive over 4,000% more toxic content,” he warned.
Responding to Wednesday’s (December 17) debate, Jane Hutt recognised how so-called doom scrolling can have a detrimental impact on young people.
Wales’ social justice secretary said: “We are living through profound change. Childhood today is shaped by technology in ways that were unimaginable a generation ago… For many young people, screens, smartphones and online gaming are part of everyday life.”

Health
New research centre launched to tackle historic gender health gap in Wales
A NEW £3m research centre has been launched to tackle long-standing health inequalities faced by women in Wales.
The Women’s Health Research Centre – the first of its kind in Wales – aims to close the historic gender health gap by strengthening investment in women’s health research and improving representation in clinical trials.
The centre was launched to mark the first anniversary of the Women’s Health Plan for Wales, with First Minister Eluned Morgan and Minister for Mental Health and Wellbeing Sarah Murphy visiting staff, researchers and community partners involved in the project.
Led by Women’s Health Research Wales, the centre brings together researchers, NHS organisations, industry, policymakers and communities to develop more effective treatments and ensure health services meet women’s needs throughout their lives.
Its work will cover prevention, early-onset conditions, rare diseases and care for under-served communities.
Projects currently in development include research into symptom-reporting tools to improve the management of conditions such as diabetes, heart failure and chronic obstructive pulmonary disease – areas where the specific impact on women has historically been under-researched.
Researchers are also examining the potential health effects of chemicals used in menstrual products, how best to support young people to stay active during periods, and improved care pathways for people with polycystic ovary syndrome to reduce the risk of developing diabetes and heart disease later in life.
Other projects focus on fertility, including a decision-making tool for women with kidney disease who are considering having children.
One study is working directly with women undergoing fertility treatment to understand why the process can lead to mental health conditions such as post-traumatic stress disorder, with the aim of producing guidance to support trauma-informed fertility care.
First Minister Eluned Morgan said: “I am passionate about improving women’s healthcare. To do that, we must invest in research to gather the evidence we need.
“I am delighted to see how the Welsh Government’s £3m investment, through Health and Care Research Wales, is supporting research based on the experiences of women. This will result in better care and better health outcomes for women.
“This innovative new research centre is a key part of the Women’s Health Plan and will help us better understand women’s experiences. It will lead to more effective treatments and ensure our health service delivers improved outcomes for women in Wales.”
Sarah Murphy, Minister for Mental Health and Wellbeing, said the early progress had been encouraging.
“I’m thrilled the investment we’ve made in this research centre is already delivering projects in such important and under-researched areas of women’s health,” she said.
“The pioneering work I’ve heard about today – including the impact of infertility on women’s mental health – is exactly what we want the Women’s Health Plan to influence and deliver.
“All of this has been achieved in the first 12 months, and I look forward to seeing what can be delivered over the next year.”
Debbie Shaffer, founder and director of Fair Treatment for the Women of Wales and chair of the Women’s Health Wales Coalition, said partnership working would be key to success.
“Research into health issues experienced by women throughout the life course is vital,” she said.
“By working co-productively, in partnership with women and communities, we have a real opportunity to reduce health inequalities and improve treatment options and support.
“We look forward to helping create more opportunities for people with lived experience – whose voices may not have been heard before – to get involved.”
The Women’s Health Plan for Wales was published in December 2024 and sets out a 10-year approach to improving health outcomes for women, ensuring they are listened to and their health needs properly understood.
Health
Welsh Government intervenes as Gwent health board’s finances ‘deteriorate rapidly’
THE WELSH Government has escalated intervention at Aneurin Bevan University Health Board to one step short of special measures, amid concerns about an £18m deficit and A&E failures.
Jeremy Miles, Wales’ health secretary, announced the Gwent health board will move to level four for finance and emergency care on the government’s five-point scale.
In an update on escalation at each NHS organisation in Wales, Mr Miles warned the health board’s financial position has “deteriorated rapidly” over the past year.
“It is forecasting an £18.3m deficit by the end of March. This is not acceptable,” he said, announcing he will revoke approval of the health board’s three-year plan.
Mr Miles said the health board had been at level three due to concerns about emergency care at the Grange hospital in Cwmbran but will move to level four.
He told the Senedd: “The health board has failed to deliver the required improvements… This will result in direct intervention by the Welsh Government… to improve the timeliness and quality of urgent and emergency care for people living in the Gwent region.”
Mr Miles announced Betsi Cadwaladr Health Board, in north Wales, would remain at level five or special measures. He pointed to interventions including a review of planned care, cancer and emergency services as well as an investigation into management of waiting times data.
But he raised “considerable” progress on governance and leadership at Hywel Dda Health Board following the appointment of a new chair and chief executive.
He announced Hywel Dda will be de-escalated to routine, level-one arrangements for governance and leadership. However, the west-Wales health board remains at level three for planned care and cancer as well as level four for finance and A&E performance.
He told Senedd members he was appointing a “senior turnaround director” to provide support to Cardiff and Vale Health Board, which was placed into level four in July.
Mr Miles said the escalation levels of Cwm Taf Morgannwg, Swansea Bay and Powys health boards, as well as other NHS bodies such as the ambulance services trust, will not change. All seven health boards in Wales remain in some form of escalated status.
In today’s (December 16) statement, Mr Miles said long waits are falling as he pointed to a 43% reduction in lost ambulance hours since the last six-monthly update in July.
But James Evans, the Conservatives’ shadow health secretary, questioned whether intervention is delivering meaningful improvements for patients and staff.

Pointing out that Betsi Cadwaladr Health Board has been “trapped” in special measures for most of the past decade, he told the Senedd: “It is deeply concerning that, once again, we see multiple health boards at levels four and five.”
Mr Evans urged ministers to publish performance metrics, risk assessments and evidence used to assign escalation levels to enable decisions to be properly scrutinised.
He warned focusing on local financial mismanagement of health boards risks ignoring wider, systemic challenges driven by the Welsh Government’s policy and funding decisions.
Plaid Cymru’s Mabon ap Gwynfor agreed with his Tory counterpart about “deeper and more systemic” failures becoming a “constant feature” of the government’s record.

“Measures that should be exceptional, temporary and used only as a last resort have instead become routine,” he said. “It is the people of Wales who are paying the price for that failure.”
The Plaid health spokesperson said Betsi Cadwaladr Health Board has come to “embody the Welsh Government’s failure to embed lasting performance improvement”.
Mr ap Gwynfor told the Senedd: “This situation suggests one of two things: either the special measures system itself is not working or there’s no ceiling to Labour’s mismanagement.”
Mr Miles emphasised that escalation is about supporting health boards, not punishing them. The health secretary also pointed to challenges in other parts of the UK, with 12 of the 14 health boards in Scotland also in escalation.

Speaking ahead of the Senedd debate, South Wales East MS Natasha Asghar said: “This serious intervention is a damning indictment of Labour’s track record when it comes to the health service here in Wales and it is my constituents who are paying the price.
The Conservative MS continued: “Our dedicated NHS staff go above and beyond day in, day out, often under unimaginable pressure, but they are being let down by the chaos and mismanagement from the Labour Welsh Government.
“The problems within our health service have been known for quite some time, yet it appears Labour politicians in the Senedd are either reluctant or totally incapable of doing anything to fix the system.
“The Welsh Government must now finally declare a health emergency and focus all efforts on improving outcomes for patients, driving down shamefully high waiting lists, and turning our health service around.”
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