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Cancer care investment promise

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Commitment from Health Broad: Major improvements need to happen to give cancer patients the care they deserve

Commitment from Health Broad: Major improvements need to happen to give cancer patients the care they deserve

RADICAL plans to change the way in which cancer services are delivered at Withybush will mean that 24-hour inpatient paediatric care will be unlikely ever to return to Withybush Hospital. The planned reshuffle of cancer services sets out that Oncology will stay in its current location within the hospital building, whereas Ward 10 will move to Ward 9. Under that scheme, Paediatrics would move to Ward 14 and the Cancer Day Unit (CDU) to the current Ward 10 location.

There is now a 73-week programme from start to finish for the service reconfiguration. The projected costs of the move to Ward 9 is believed to be in excess of £880K, while the CDU projected cost is in excess of £900K. Last week, the Board unveiled a second project board for its plans for the new Cancer facilities at the Hospital. That unveiling took place ahead of a meeting of a stakeholder group that discussed the Board’s new development plans. Speaking afterwards, Chris Evans- Thomas MBE of Adams Bucketful of Hope said: “This is the biggest statement you could wish for this Christmas!

I asked for a sign the same size as the one that was erected to announce the Kidney Dialysis Unit and bingo! – it was up in plenty of time for Christmas. Thank you Sue Lewis and Paul Hawkins. Things are definitely moving!” Lyn Neville, of Pembrokeshire Cancer Support, told The Herald: “I am concerned that staff have still not been asked for their views and advice on a move for CDU. “Surely that have the knowledge and expertise to know best what is required of a new unit. I know we are at planning stage but there is no point drawing plans if you do not know exactly what is required of them. I hope the Health Board allow the staff to be involved in the project.”

Sue Lewis County Director & Commissioner said: “This was a really positive meeting. The new development is supported by the ongoing efforts of our local charities and the generous donations of the people of Pembrokeshire and we will be working in partnership to deliver the new service. Work on the project will commence in 2015.” The Board also announced that it and fundraising groups are meeting on a regular basis to progress these developments in areas including recruitment and retention of specialist staff; and reviewing other modern healthcare facilities developed with community and patient representatives, such as the Renal Unit at the hospital.

The two cancer charities have also celebrated their own recent successes. Lyn Neville, Pembrokeshire Cancer Support Coordinator was recently awarded the Pembroke Dock Town Council Award of Merit and Bucketful of Hope organised a well-attended Christmas Ball, which has raised further charitable funds for the group. The erection of the Board and the announcement of the new plans’ scope, follows a recent Welsh Government announcement that it would not create a specialist fund for cancer drugs in Wales, as the NHS has in England.

In November, Health Minister Mark Drakeford rejected the need for a cancer drugs fund, saying the system in the Welsh NHS was ‘fair to all patients, is clinically driven, provides good outcomes at a cost effective price – and that is the right way to do it.’ On that occasion, the minister was being challenged by the Conservatives to respond to a nearly 100,000-signature petition calling for one to be set up in Wales. Instead, Welsh patients suffering from all illnesses, including cancer, must apply for health board funding for the drugs through the Individual Patient Funding Request (IPFR) system.

Research by the Rarer Cancers Foundation in 2013 found patients in Wales are four times less likely to receive new treatment than those in England. In addition, the Welsh Government has come in for strong criticism on the issue of cancer patients’ waiting time for treatment. In May, the Welsh Government changed the way that cancer waiting times were calculated, conceding that early intervention was vital to successfully tackle the disease. However, cancer waiting time targets have been missed every month since 2008, continue to be missed, despite the Welsh Government’s attempt to adjust how waiting times are reckoned.

Plaid Cymru’s Elin Jones, the Shadow Health Minister told The Herald: “The Labour Welsh Government cancer target is still not being met. Early diagnosis and prompt treatment can make a vital difference to people with cancer, but in Wales too many patients are having to wait too long. “The First Minister promised that the Welsh Government would meet its cancer treatment target by October 2013, but more than a year later that still hasn’t happened. Major improvements need to happen if we are to give cancer patients the care they deserve. This must start with strong leadership from the Welsh Government.”

In the Hywel Dda Health Board area, the percentage of cancer patients’ starting treatment within 62 days of urgent referral is 87.6%, a marginal but significant improvement on the national average of 85.1%. The number of patients starting treatment in 31 days on a non-urgent referral route is slightly worse than the Welsh national average at 96.6%.

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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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