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Centralising care causes Carmarthen chaos

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swatGLANGWILI Hospital , Carmarthen is creaking under the strain of delivering services on its already crowded site. Parking at West Wales General Hospital is chaotic and little thought has been given to accommodating those with relatives who need long term care and who do not have an endless supply of cash to pay for overnight stays in hotels. Social media abounds with the stories of many Pembrokeshire parents who have been less than impressed with the services provided for their sick or injured children and are calling for the return of 24 hour paediatric care – as a minimum – to Haverfordwest.

We spoke with health campaigner David Williams and young mum Jamie-lee Irving about their experiences at West Wales General Hospital. “The truth about the safety net” The transfer of services from Haverfordwest to Carmarthen has caused and continues to cause serious problems at West Wales General Hospital with no end in sight, as the Board continues to force more services away from Pembrokeshire and up to Carmarthen. Before services were moved, Welsh Health Minister Mark Drakeford promised a “robust safety net” would be in place before services were transferred.

Earlier this year, we revealed that Mr Drakeford’s idea of a safety net was a solitary “dedicated” ambulance for which staff– at that time – had not been recruited. Since that time, the Board has transferred 24 hour paediatric care from Haverfordwest, again with the re-assurance that service levels would not be affected and patients would experience little or no change in their experience of care. Ina letter to a local health campaigner, Mark Drakeford has claimed that a “park and ride” scheme will alleviate problems at the cramped Carmarthen site.

A letter to the minister

 David Williams of Pembrokeshire Health Concern became aware of problems with overcrowding at Glangwili Hospital, and began compiling a dossier of issues that have arisen since the Board pressed on with its cuts to Pembrokeshire’s essential services. Mr Williams told The Herald: “I was recently in Carmarthen so drove around Glangwili to see for myself and it was unbelievable.

To mention a few issues, there were cars parked on yellow lines, half on and half off pavements, and double parked. “I mentioned this to shop keepers in Carmarthen town and they said it has become horrendous with many nurses going in 2 hours before shift just to try and get a parking space. “When consultant-led maternity services were moved, the refurbishment of existing wards at Carmarthen was incomplete. I have been told alterations will take up to 2 years to complete. “It seems pretty obvious that the Local Health Board pushed ahead with changes in the full knowledge that everything was not in place.”

Appalled, David wrote to Mark Drakeford and suggested he paid an unannounced visit to Glangwili to see the chaos for himself. Mark Drakeford’s reply revealed the extent of the Welsh Government’s indifference to the effects its policies are having and the truth about the much-lauded “safety net”. Far from there being a safety net in place, it is only now – after the transfer of vital services – that the Board and the Welsh Government are doing what Mark Drakeford assured everyone would be in place BEFORE that transfer took place.

After receiving Mark Drakeford’s response, David Williams wrote again to the Minister and told The Herald: “I went to Glangwili after car parking had been maximised. Judging by posts on Facebook pages many members of the public are unaware of social care vehicles or “dedicated discharge vehicles”; either because they are not informed by staff, or because none is available when needed.

“I am concerned that the Minister thinks that an arrangement that might be acceptable for visitors is also acceptable for women in labour, sick children, or the elderly & infirm. Those people, having been transported by car drivers appear to be expected, after a long journey of possibly over an hour’s length, to park at the showground, wait up to ½ an hour for bus and then another 15 minutes in bus to get to hospital. Alternatively those without cars take a train and bus ride from train station!” He continued: “Unfortunately the Minister did not reply to my question, ‘what went wrong?’.

Things were definitely not in place before moving services from Withybush as he promised and it now seems to be a catch up situation due to poor planning, no understanding of knock on effects and indecent haste in implementing.”

Drakeford’s response

“Following the decision to concentrate inpatient obstetric, neonatal and paediatric services at Glangwili Hospital, car parking at the site has been maximised, with additional spaces having been made available in October. “Hywel Dda University Health Board already has a number of measures in place to alleviate pressures on parking availability. For instance, at both Prince Philip and Glangwili Hospitals, there are social care vehicles, which transport patients for outpatient appointments as part of local partnership agreements.

Similarly there are ‘dedicated discharge vehicles’ available to support their Welsh Ambulance NHS Trust colleagues. “As part of the ongoing work of the Transport Accessibility Group, there is membership from the confederation of patient transport to ensure there is regular dialogue with bus companies to enhance local public transport provision. “Discussions have taken place between the Health Board and Carmarthenshire County Council, who are keen to progress this issue.

“The current Park and Ride facility at Nantyci (Carmarthen Showground) has 400 car parking spaces, of which there is 75% capacity available. A proposal has been put forward to extend the current Park and Ride service to Glangwili Hospital, to run every half hour from 7am to 6.30pm which will take approximately 15 minutes, at a cost of £1 per day for patients and members of staff (or free for those in receipt of concessionary fares).

“In addition, the proposal will also explore the greater use of rail links into Carmarthen and the potential to include the railway station with the proposed hospital shuttle service. “Given the cost elements involved, once the proposal has been fully worked up, it will be submitted to the health board’s strategy and planning committee for approval, and it is anticipated this will take place by the end of March 2015.

“The new central transport unit in the health board will be taking stock of all current car parking arrangements in the coming months. “I hope this response is helpful. Should you have any additional concerns, I am sure the health board would be happy to discuss them with you further.”

THE GLANGWILI EXPERIENCE

The Pembrokeshire Herald contacted one mum, after her story appeared on the SWAT Facebook page. Jamie-lee Irving is a young mum with twins. We asked Jamielee could we use her story, one of many on the SWAT Facebook page, as a representative of the many there. The below are her words, her story: “I have twins. One of which was very poorly earlier this year. “Over the past 4 weeks, one of the twins has been poorly pretty much constantly.

Initially being diagnosed with tonsillitis on Ward 9. “After suffering a febrile convulsion at home due to a soaring temp, I took him to A&E at Withybush by car. “After 2 courses of antibiotics, he seemed to be getting better. Towards the middle of last week (the week ending Sunday, Dec 14) he totally went off his food/milk. He wouldn’t take more than 2-3oz and every time he managed to take a feed, he was vomiting.

This went on for 3 days solid. “He awoke at 12:15am, Saturday morning (Dec 13), I assumed for a feed. He was very unhappy, grizzly and generally not himself. He took 2oz and I put him back to bed. He began coughing violently, so I picked him up: he vomited everywhere. “I rang care on call who advised me to go straight to Glangwili. As I was packing a bag, he was sat on the sofa with my husband. He had another febrile convulsion.

This time I rang 999 straight away. “Then the ‘Glangwili Experience’ began. “The ambulance arrived. The paramedic took my son’s temperature, which had gone up since I’d taken it myself. They were very blasé about the whole thing and not overly concerned about the situation. “I was told I’d have to go to Glangwili, which I knew anyway. So off we went. I was strapped to a stretcher holding my 10 month old baby.

Everyone knows how rough a ride is in an ambulance… I almost dropped him 4 times as he wasn’t secured at all! “His oxygen SATS were taken with an adult probe, and therefore showed a terribly low reading, causing me to panic. I was told not to worry as the probe wouldn’t give a true reading anyway!! “I have to ask: why use it in the first place if this is the case?!

“The paramedic fell asleep for a lot of the journey and the ambulance was ill-equipped to deal with a child, let alone a baby. “I cannot fault the night staff at Glangwili at all. “We were seen almost immediately, given a side room as soon as one was available and brought tea and coffee by the nurses. The rest of the night my son was observed and allowed to sleep. The changeover happened around 8:00am, though we hadn’t seen a doctor or nurse since 5am “We were left in a side room not knowing what was happening.

We only saw a nurse at 11:30am because I enquired about what was happening. “I was told three different things by three different doctors, and finally told – by the most awfully rude nurse I’ve ever met: ‘You can go now as we need this bed’. “No medicine, no explanation… nothing. “I was still worried so took him to Withybush Ward 9 on Sunday. “We were seen immediately by the most amazing consultant I’ve ever met. She explained to me in 15 minutes what I’ve been wanting someone to tell me for almost 9 months; namely, what’s wrong with my son and how to manage it.

“He spent a few hours on Ward 9 and was then sent home with a special pump to help his cough/ breathing and has kept all his food and drinks down since. “Such a shame that this has happened to our hospital at Withybush. Bring back Ward 9 and its nurses and doctors and stop this silliness!” The Pembrokeshire Herald would like to hear your experiences of Glangwili Hospital since the transfer of services from Withybush. Whether negative or positive, please send your stories to [email protected].

 

 

2 Comments

2 Comments

  1. tomos

    January 10, 2015 at 9:02 am

    glangwili can’t cope with the sick of carmarthensire and now some overpaid greedy manager thinks by sending Pembs sick ppl there his balance sheet and pay packet at the year end will look “healthier” – surely that’s all that matters? 🙁

  2. Indianref

    November 15, 2025 at 1:47 pm

    IndiavaMeds: online medicine sale – pharma online

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Community

Walk the Path for Wellbeing to span three counties in 2026

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THE PEMBROKESHIRE COAST NATIONAL PARK AUTHORITY is inviting communities, workplaces, families and friends to take part in the 2026 Walk the Path for Wellbeing challenge, with this year’s event expanding across three counties for the first time.

Taking place on Sunday, May 10 and Monday, May 11, the challenge will bring people together to celebrate the spectacular West Wales coastline through walking and other forms of active travel, while highlighting the strong links between nature, movement and wellbeing. A reserve weekend of May 17 and 18 has also been set aside in the event of severe weather.

Building on feedback from last year, the event will now take place over two days rather than one, giving more people the opportunity to get involved and creating a longer window for celebration, storytelling and community spirit.

While last year’s challenge focused on the 186-mile Pembrokeshire Coast, this year’s event will also include sections of Carmarthenshire and Ceredigion, bringing even more communities into the shared coastal celebration.

The two-day event will feature self-led sections for group entry. With the focus firmly on enjoyment, there is no pressure to complete every stage, and participants are encouraged to do only as much as they feel comfortable with. Together, those individual efforts will contribute to a shared goal of covering the full 313 miles of coastline.

Angela Robinson, Health and Wellbeing Officer at the Pembrokeshire Coast National Park Authority, said: “The coast has an extraordinary ability to lift people, connect communities and create lasting memories. By extending the event across two days and into neighbouring counties, we’re opening the door to even more people to celebrate that connection together and share their experiences on social media.”

 

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Health

Nursing graduate jobs crisis warning as NHS pressures deepen

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THE ROYAL COLLEGE OF NURSING WALES has warned of a growing jobs crisis for newly qualified nurses, saying a shortage of Band 5 posts could leave up to half of this year’s nursing graduates without work when recruitment opens.

The union said the situation was particularly alarming given the severe pressures already facing NHS Wales, with staff continuing to report overcrowded wards, unsafe conditions and unmanageable workloads across multiple health boards.

RCN Wales said the lack of available jobs for newly trained nurses pointed to a serious failure in workforce planning. It warned that losing new entrants to the profession would place even more strain on already overstretched services and could further affect patient care.

The organisation said the situation also undermined the Welsh Government’s and NHS Wales’ duty to improve the quality and safety of care.

RCN Wales is calling on the Welsh Government to provide urgent clarity on the scale of the shortfall, set out credible long-term workforce planning, and introduce immediate system-wide measures to recruit, retain and deploy the nursing workforce Wales needs.

The union said it had received assurances that students would not be penalised if posts were unavailable. That includes being released from any obligation to work in Wales and not being required to repay tuition fee support where workforce shortages prevent them from securing employment.

Professor Sandy Harding, Associate Director of Nursing at RCN Wales, said: “The situation facing newly registered nurses is deeply concerning and exposes serious failures in workforce planning.

“It is becoming increasingly clear that this situation is being driven by financial constraints, including the freezing of vacant posts within local health boards. Our NHS is under intense pressure, yet hundreds of newly qualified nurses may have no posts to enter. This is simply unacceptable.

“These students stepped forward for Wales, trained through immense challenges, and now face uncertainty at the very moment the system needs them most. They deserve far better.

“Every newly qualified nurse will be vital to meeting Wales’s care needs. The RCN will continue to demand transparency, accountability and long-term planning from the system. We will not stop speaking up for students, for our safety-critical nursing workforce, and for the people who rely on safe, high-quality care.”

 

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Charity

Rescue centres overwhelmed as mass animal incidents rise in Wales

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Public urged to adopt as RSPCA says large-scale cases are putting growing strain on services

THE RSPCA is urging animal lovers in Wales to consider adopting a rescue pet as new figures show a sharp rise in large-scale incidents involving 10 or more animals at the same address.

The charity said there were 344 such incidents in Wales in 2025, up from 214 in 2022 — an increase of 61 per cent. Across England and Wales, the RSPCA responded to 4,200 incidents last year involving at least 10 animals at one property.

The warning comes as the charity says its centres are already over capacity, with more animals in care than there is space to house them.

RSPCA Superintendent Jo Hirst said: “We are struggling with rising reports of cruelty and neglect and, over recent years, more and more of those reports involve 10, 20, even 100 animals. Because they have often been living in large groups, they may need extra support before they are ready to find a new home.”

She added: “We currently have more animals in our care than space in our centres. These large animal rescues are adding to already overwhelmed animal centres and local charities.

“We really need help from animal lovers. If you are considering adding a pet to your home, please consider rescuing. We need extra special homes for some of our animals.”

The RSPCA said it dealt with 1,752 mass cat incidents across England and Wales last year — almost five every day — along with 1,119 incidents involving dogs, the equivalent of three every day.

In 75 of the cases, 100 or more animals were rescued from the same property. Thirteen of those incidents involved cats and three involved dogs. Many required multi-agency operations involving other charities and public bodies.

The charity said cases involving large numbers of animals at one address can be linked to mental health struggles, the cost-of-living crisis, or breeders operating with poor practices. Experts say situations can quickly spiral out of control, even where owners were initially well-meaning.

Across Wales, the highest number of incidents in 2025 were recorded in Rhondda Cynon Taf with 32, followed by Carmarthenshire with 29, Swansea with 26, and both Neath Port Talbot and Cardiff with 23. Wrexham recorded 22 cases and saw the biggest year-on-year rise, climbing from seven incidents in 2024 to 22 in 2025.

Pembrokeshire recorded 19 large-scale incidents in 2025 involving 10 or more animals at the same address. While that was slightly down from 20 in 2024, it remained above the 15 incidents recorded in 2022, showing the issue is still a significant concern locally.

The RSPCA said Welsh cases have involved a wide range of animals, including horses, donkeys, cats and dogs. In one case in recent years, almost 50 dogs were rescued from one property, many suffering with dirty coats, fleas and skin disease.

Among the animals in Wales now looking for new homes are several cats at RSPCA Newport Animal Centre.

Reid is described as a cat whose fun-loving personality is shining through more each day. Staff say she would benefit from a quiet home where she can settle at her own pace with patient adopters.

Cookie, also at Newport, was initially nervous and shy after coming from a multi-animal home, but has since grown in confidence and now enjoys fuss and attention. She could live with older children.

Luna, another cat at the centre, is said to need a calm home with no children, allowing her time to settle. Staff say she becomes very affectionate once comfortable and would suit a household where someone is around much of the time.

Jo Hirst said: “Rescues involving lots of animals are often very complex and can include very difficult family circumstances, mental health problems, or be linked to irresponsible pet breeding.

“People accumulate animals for a multitude of reasons, but the welfare risks for these poor animals are always the same.

“We have already had two incidents involving hundreds of pets this year. Those sorts of rescues put strain on our services and are extremely harmful to the animals involved. It is vital we work with external partners when dealing with these types of incidents to ensure support is in place where appropriate.”

She added: “Often, animals rescued from crowded environments are undersocialised and require a long period of rehabilitation before being rehomed, which puts even more strain on an already stretched rescue centre.

“We are encouraging people to contact an animal rescue organisation if they are at a stage where they, or someone they know, is struggling with the numbers of animals they have in their household. Often, problems escalate because people do not reach out early enough.”

The RSPCA said hoarding is only one cause of these cases, with some incidents involving breeders who become overwhelmed by the numbers of puppies or kittens in their care. In many situations, the charity said, the best outcome is achieved through early advice and support to protect the animals and prevent future harm.

Jo added: “Serious mental health issues and complex situations involving animal hoarding are in part driving these figures. It is vital that people are able to contact us — or another animal charity — where they have too many pets and are unable to cope.

“These situations put massive pressure on our national centres, which have limited space for housing animals. That is why we are asking people with space in their home for a pet to consider adopting — it frees up space so we can rescue more animals in need.”

People interested in adopting can visit the RSPCA website at rspca.org.uk/findapet.

 

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