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Ambulances at breaking point

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ambulancesWHILE controversy continues about the tragic death of Wayne Young (see page x) on New Year’s Day, The Herald has spoken to several sources who have told the same story again and again: that the Ambulance Service has been pushed to the breaking point and beyond over recent weeks. One concerned member of staff told us that ambulances based in Pembrokeshire have been forced to cover incidents in Ceredigion and as far afi eld as Llandeilo, as Carmarthenshire-based ambulances have been overwhelmed by calls to Swansea and beyond.

AMBULANCES FILL THE GAPS’ 

Five ambulances are rotated to cover Pembrokeshire. However, demands from outside the County and long waits at Glangwili for ‘emergency admissions’, mean Pembrokeshire has been left hopelessly exposed with fewer available than are required to be on duty. Pictures have appeared in the Welsh media of a dozen ambulances queued up outside Morriston, each with a patient waiting for admission to Accident & Emergency. A similar, but less dramatic situation has recently occurred at Glangwili, with a Pembrokeshire ambulance waiting for more than two hours to unload an ill patient. The Herald has also uncovered that in Christmas week only one third of the most urgent ‘Red’ cases were reached within the eight minutes target set by the Welsh Government. The problems with the Ambulance Service have called into question the viability of the Board’s ‘Designated Ambulance Vehicle’ (DAV). The Herald understands that although twelve vacancies were advertised to crew the DAV, there has been difficulty in acquiring long term staff for the service and that at least two replacement posts have recently gone out to advertisement.

LOCAL GP VOICES CONCERNS

Dr Dan Weaver, a GP at the Robert Street practice in Milford Haven, posted his family’s experience on the Save Withybush Hospital Team’s (SWAT) Facebook page: “One of my children has been really poorly recently. “At the weekend they had been really wheezy with a croupy upper respiratory tract infection, but abruptly got a lot worse and they went into a degree of respiratory distress, really struggling to breath to the point where they were vomiting with the effort and lips had bluish tinge. “We live approximately 12 minutes from Withybush and last year in a similar situation I would have run her to the car and driven to A&E in case she needed nebulising/oxygen support etc. This was not an option as it was after 10pm. “West Wales General is more like a 45-50 minute drive. “I am medically trained but would not have fancied risking her worsening further in a cold car while I drove to Carmarthen as I could still be potentially over half an hour from help – additionally I realised that I would need to fi ll up with petrol to get to Carmarthen as my tank was virtually empty. I gave her oral steroids and salbutamol, we tried to keep her calm and called an ambulance. “The ambulance took over 30 minutes to come because it had to come from Carmarthen. Apparently all the Pembrokeshire ambulances were in Carmarthenshire and stuck in Llanelli (this was according to the crew who attended who were fantastic). “She was already starting to improve a little when the ambulance crew arrived thankfully as the steroids were beginning to kick in. She’s still pretty poorly but breathing better than a couple of days ago. “I felt it important to share this as I think there are two key points about the current situation that I think are worth underlining: Firstly it does not seem that ambulance provision is anything like appropriate considering the increased demands on the ambulance service from reduced local jobs & gynae/paediatric services. Ambulances from the county seem routinely being used to cover other regions which leaves Pembrokeshire very exposed. “Secondly I think it may be worth anyone who looks after a child (or is pregnant or knows someone who is pregnant) in Pembrokeshire making sure they always have enough fuel to get to Carmarthen quickly in the event of an unforeseen emergency. This is not something which I had really clearly thought about before Saturday night; but I think is increasingly relevant and could make the difference between recovery and tragedy.”

CONCERNS FOR EXPECTANT MUMS 

An expectant mum contacted The Herald this week and told us that mums to- be are being told to consider opting to give birth in Withybush to ease pressures on the DAV and ensure that maternity services remain in Pembrokeshire. She told us that she feels midwives have been trying to plant the seed for mums to stay in Pembrokeshire, despite accepting that birth at Withybush might be no safer than having a home birth attended by a midwife. She also said that midwives have been telling expectant mothers that staff shortages at Glangwili mean that aftercare is poorer than at Withybush and that there is pressure on staff to turnaround beds too quickly. Rebecca (name changed) said: “I made the to decision to go to Carmarthen early on in my pregnancy, but when I went to a recent appointment, I felt very confused afterwards after feeling pressured to agree that I would be better off going to Withybush due to the poor aftercare, even though if I needed an emergency caesarean or even an epidural, I wouldn’t be able to have one due to there being nobody qualifi ed to perform the procedure.” Rebecca also reported that she had been led to understand that if people do not use the midwife led unit, it will close all together and there will be nowhere at all to have a baby in Pembrokeshire. The Pembrokeshire Herald reported staff fears on that very point last summer, when the Board closed Withybush’s Special Care Baby Unit and ended consultant-led care at the hospital. Rebecca continued: “I’ve also been told to call the midwife when I go into labour so I can be checked to see when I should go to the hospital, but whenever I call them, whether it be at the doctors surgery or the midwife led unit, nobody has ever answered the phone to me when I call, and I have to leave a message to be picked up later. “The Midwife Led Unit never goes to answerphone and never stops ringing. “What worries me most is that problems can’t always be detected until they’re happening in labour. Expectant mothers in labour are expected to wait until contractions are fi ve to six minutes apart, despite having to travel for up to an hour or even more, with the risk of waters breaking in the car on the way.”

2 Comments

2 Comments

  1. tomos

    January 23, 2015 at 9:01 pm

    welcome to the 19th century service level, on the positive side those in charge will earn £200k salaries and get private medical care to protect them from their own inefficiencies IF they live in the area they are destroying

  2. Mr Williams

    March 8, 2015 at 1:45 pm

    Most of the ambulance drivers and paramedics are having affairs which each and screwing in the back of the ambulances at many lay-bys around the county, rather than concentrate on providing a decent service and arriving to incidents promptly.

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Education

Stonehenge may have been built to unify the people of ancient Britain

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THE RECENT discovery that one of Stonehenge’s stones originated in Scotland supports a theory that the stone circle was built as a monument to unite Britain’s early farmers nearly 5,000 years ago, according to a new study by researchers at UCL and Aberystwyth University.

In a research article published in the journal Archaeology International, academics analyse the significance of the recent discovery of the Scottish origin of the six-tonne Altar Stone, which confirmed that all of the stones that make up Stonehenge were brought to Salisbury Plain from many miles away. 

In their new paper, the researchers say that Stonehenge’s long-distance links add weight to the theory that the Neolithic monument may have had some unifying purpose in ancient Britain.

Lead author Professor Mike Parker Pearson from the UCL Institute of Archaeology said: “The fact that all of its stones originated from distant regions, making it unique among over 900 stone circles in Britain, suggests that the stone circle may have had a political as well as a religious purpose – as a monument of unification for the peoples of Britain, celebrating their eternal links with their ancestors and the cosmos.”

Co-author Professor Richard Bevins of Aberystwyth University, said: “It’s really gratifying that our geological investigations can contribute to the archaeological research and the unfolding story as our knowledge has been improving so dramatically in just the last few years.

“Our research is like forensic science. We are a small team of earth scientists, each bringing their own area of expertise; it is this combination of skills that has allowed us to identify the sources of the bluestones, and now the Altar Stone.”

The study has been published (on 20 December) the day before the winter solstice, when the setting sun dips below the horizon over the middle of the Altar Stone and between the two largest upright stones (one of which is now fallen).  During this winter period, Neolithic people feasted close to Stonehenge at the great village of Durrington Walls, and the midwinter solstice was probably central to these events.

Stonehenge is famous for these solar alignments on the solstice and even today attracts large crowds to the site on the shortest and longest days of the year. In addition, it was also the largest burial ground of its age. Some archaeologists think it might have been a religious temple, an ancient observatory and a solar calendar, and this new research adds a political dimension.

Professor Parker Pearson, a Professor of British Later Prehistory, added: “We’ve known for a while that people came from many different parts of Britain with their pigs and cattle to feast at Durrington Walls, and nearly half the people buried at Stonehenge had lived somewhere other than Salisbury Plain.

“The similarities in architecture and material culture between the Stonehenge area and northern Scotland now make more sense.  It’s helped to solve the puzzle of why these distant places had more in common than we might have once thought.” 

Stonehenge’s 43 ‘bluestones’ were brought from the Preseli Hills in west Wales some 140 miles away, while the larger ‘Sarsen’ stones were hauled from their sources at least 15 miles away to the north and east of the stone circle.

Transporting these massive monoliths was an extraordinary feat. Although the wheel had been invented, it had not yet reached Britain so moving these massive stones must have required the efforts of hundreds if not thousands of people.

The researchers point to how Stonehenge’s horizontal Altar Stone is similar in size and placement to the large, horizontal stones of the stone circles of northeast Scotland, where the Altar Stone originated.

These ‘recumbent stone circles’ are found only in that part of Scotland and not in the rest of Britain, so there may have been close ties between the two regions. Megalithic stones had ancestral significance, binding people to place and origins. The Altar Stone may have been brought as a gift from the people of northern Scotland to represent some form of alliance or collaboration.

It is difficult to pin down a precise date when the Scottish Altar Stone was brought to Stonehenge, but it probably arrived around 2500 BCE around the time that Stonehenge was remodelled from its original form.

This is the timeframe when the Neolithic builders erected the large sarsen stones forming an outer circle and the inner horseshoe of trilithons – paired upright stones connected by horizontal ‘lintels’ – that is present today. The Altar Stone lies at the foot of the largest trilithon, which frames the midwinter solstice sunset to the southwest. This was the second stage of construction at Stonehenge, long after the first stage (around 3000 BCE) when it is thought the bluestones from Wales were erected.

This second iteration of Stonehenge was built at a time of increasing contact between the people of Britain and arrivals from Europe, mainly from what are today the Netherlands and Germany. The researchers suggest that this period of contact may have been what spurred this second-stage rebuilding, and the monument was a reaction to these newcomers meant to unite indigenous Britons.

The new arrivals brought with them knowledge of metalworking and the wheel and, over the next four hundred years, their descendants – known as the Beaker people on account of the distinctive pots they buried with their dead – gradually replaced the population of indigenous Britons, and people with this European ancestry became the dominant population across the island.

The geological research was supported by the Leverhulme Trust.

Ends

Picture: The Altar Stone, seen here underneath two bigger Sarsen stones. Credit: Professor Nick Pearce, Aberystwyth University.

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Community

Wales’ fire services respond to 26 Christmas incidents last year – stay safe!

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FIREFIGHTERS across Wales attended 26 incidents on Christmas Day last year, according to figures obtained through a Freedom of Information (FOI) request.

North Wales Fire and Rescue Service recorded the highest number of incidents with 21, while South Wales Fire and Rescue Service attended three, and Mid and West Wales Fire and Rescue Service responded to two.

SIX-YEAR OVERVIEW

Over the past six Christmases, Welsh fire services responded to 147 incidents on Christmas Day:

  • North Wales Fire and Rescue Service: 77 incidents
  • South Wales Fire and Rescue Service: 52 incidents
  • Mid and West Wales Fire and Rescue Service: 18 incidents

Incidents by Year:

  • 2018: 18 incidents
  • 2019: 27 incidents
  • 2020: 27 incidents
  • 2021: 27 incidents
  • 2022: 22 incidents
  • 2023: 26 incidents

COOKING AND CHRISTMAS TREES

Cooking appliances were a leading cause of fires during the festive period, with 22 incidents recorded over six years. These included incidents caused by burnt food, built-up grease, and igniting fat.

Cooking-Related Fires by Year:

  • 2018: 2
  • 2019: 4
  • 2020: 2
  • 2021: 5
  • 2022: 6
  • 2023: 3

In addition, three incidents over the same period involved Christmas trees as a contributing factor:

  • 2018: 1
  • 2019: 1
  • 2020: 1

SAFETY REMINDERS

Josh Edwards, who analysed the data, highlighted the importance of staying vigilant about fire safety during Christmas.

He said: “If you’re going away for Christmas or leaving your home unattended, fire safety should be a top priority.”

Key Fire Safety Tips Include:

  • Unplug festive lights and decorations when unattended.
  • Switch off heaters, ovens, and chargers before leaving.
  • Keep kitchen counters and stovetops clear of flammable items.
  • Test smoke alarms and replace batteries if necessary.

Taking these precautions can help reduce the risk of fires over the festive season.

Pic: Herald

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Health

Hywel Dda urges responsible use of ‘under pressure’ A&E service

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HYWEL DDA University Health Board is appealing to the public to carefully consider how they access healthcare services as local A&E units, including Withybush Hospital in Haverfordwest, face increasing pressure.

A spokesperson said: “Our services are under pressure. Please help us to help you by choosing how you access our services carefully, ensuring that emergency departments (A&E) are reserved for urgent or life-threatening care needs.”

Unwell and unsure what to do?

If you’re unwell and uncertain about the best course of action, the Health Board recommends visiting the online symptom checker or calling NHS 111 Wales for advice.

When to attend A&E

Emergency Departments should only be used for life-threatening illnesses or serious injuries, such as:

  • Severe breathing difficulties
  • Severe pain or bleeding
  • Chest pain or suspected stroke
  • Serious trauma injuries (e.g., from a car crash)

Minor Injuries Units (MIUs)

For less serious injuries, MIUs offer treatment for:

  • Minor wounds, burns, or scalds
  • Insect bites
  • Minor limb, head, or face injuries
  • Foreign bodies in the nose or ear

MIUs are available at Cardigan Integrated Care Centre, Tenby Hospital, and main acute hospitals. Visit the Minor Injuries Unit page for opening hours and directions.

Urgent care, not an emergency

For urgent health needs that cannot wait but are not emergencies, call NHS 111 Wales for advice or access to out-of-hours GP services. This free service is available 24/7.

Mental health support

If you need urgent mental health support, call NHS 111 Wales and select option 2 to speak with a mental health professional. The number is free to call, even from a mobile with no credit.

Community care options

Community pharmacies offer walk-in services for common ailments such as sore throats, hay fever, and conjunctivitis. A full list of ailments and participating pharmacies can be found on the Common Ailments Service pages.

Helping reduce hospital stays

The Health Board emphasizes the importance of reducing hospital stays to ensure acute care is available for those who need it most. If a loved one is ready to be discharged, families are urged to collect them promptly to free up beds for other patients.

For more information on the inpatient experience, visit the Inpatient Information pages.

A thank you from the NHS

The Health Board expressed gratitude for the public’s cooperation: “Your support not only helps you and your loved ones but also eases the strain on NHS and social care services.”

For further updates, contact:
Hywel Dda University Health Board Media Office
Email: [email protected]

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