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Family reimbursed £22,000 after NHS care funding challenge

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WEST WALES HEALTH BOARD ASKED HOW MANY FAMILIES MAY BE PAYING CARE HOME FEES UNNECESSARILY

A FAMILY has been reimbursed more than £22,000 after challenging an NHS decision over care home fees paid for a woman with dementia in Carmarthenshire.

Mrs Hughes, who lived at Towy Castle Care Home in Carmarthen, had been paying around £3,400 a month for her care before her family sought legal advice over whether the NHS should have been funding it through Continuing Healthcare.

The case has raised wider questions about whether families across west Wales may be paying thousands of pounds for care which should legally fall to the NHS.

Lisa Morgan, of Hugh James Solicitors

Mrs Hughes was a resident at Towy Castle Care Home from March 2012 until her death in October 2023. She suffered from dementia and was described as disorientated to time, place and person.

Her son, Mr Hughes, contacted Hugh James Solicitors in October 2023 after the family had exhausted life savings and run out of options to meet the rising cost of care.

Following an assessment, the health board initially recommended NHS Continuing Healthcare eligibility from October 10, 2023, citing a rapid deterioration in Mrs Hughes’ condition shortly before her death.

However, lawyers acting for the family argued that the evidence showed her needs had increased from January 2023, particularly because of escalating challenging behaviour linked to her dementia.

After representations were made, the health board revised its position and accepted that Mrs Hughes met the criteria for Continuing Healthcare from January 2023 to October 2023.

The estate was subsequently reimbursed for the care fees paid during that period, together with interest, totalling just over £22,000.

Continuing Healthcare

NHS Continuing Healthcare, often referred to as CHC, is a package of care arranged and funded solely by the NHS for people who are assessed as having a primary health need.

Unlike social care, it is not means-tested. This means that if someone qualifies, the NHS is responsible for meeting the full cost of their assessed care needs, including care home fees where appropriate.

However, the distinction between health needs and social care needs can be complex, particularly in cases involving dementia.

The issue comes as care costs continue to rise sharply. Healthcare analysts LaingBuisson reported this year that the average weekly fee for a frail older person had reached £1,465, a rise of 10% over the previous year.

Families are often left selling homes or using lifetime savings to meet care home bills, despite some residents potentially being eligible for NHS-funded support.

Legal challenge

Lisa Morgan, of Hugh James Solicitors, works on cases involving wrongly paid care home fees and NHS Continuing Healthcare disputes.

Her team says it has recovered more than £200m from the NHS in recent years on behalf of families who had paid for care later found to be the responsibility of the health service.

The Carmarthenshire case is being highlighted as an example of why families may need to question decisions, particularly where a relative’s condition has deteriorated or where dementia-related behaviour has become more complex.

The Herald understands that Mrs Hughes’ family accepted the revised eligibility period after the health board agreed to backdate funding to January 2023.

Health board asked

The Pembrokeshire Herald has approached Hywel Dda University Health Board for comment on the case, while recognising patient confidentiality restrictions.

The Health Board has also been asked what safeguards are in place to ensure patients who may qualify for Continuing Healthcare are identified at the earliest possible stage.

The Herald has requested figures for the number of CHC assessments carried out across Carmarthenshire, Pembrokeshire and Ceredigion in each of the last three years, including how many resulted in funding being approved, declined, or overturned on review or appeal.

The Health Board has also been asked whether it has seen an increase in applications, reviews or successful appeals involving dementia patients, and whether it has concerns that some families may be self-funding care unnecessarily because of a lack of awareness.

A response was awaited at the time of publication.

Advice to families

Families who believe a relative may qualify for NHS Continuing Healthcare can request an assessment through the NHS or local authority.

A person does not need to have a particular diagnosis to qualify. The assessment should look at the nature, intensity, complexity and unpredictability of their needs.

Where funding is refused, families can ask for the decision to be reviewed.

The case is likely to add to concern that many families are struggling to understand a complicated system while already dealing with the emotional and financial pressure of caring for a loved one.

 

Charity

Busy Saturday for VC Gallery as veterans, families and pupils rally behind charity

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Community spirit shines across Haverfordwest with museum displays, breakfasts, workshops and school sleep-out

THE VC GALLERY enjoyed one of its busiest Saturdays of the year as staff, volunteers, veterans and supporters spread across Haverfordwest for a packed day of community events.

From military artefacts at Pembrokeshire College to a riverside art exhibition, a veterans’ breakfast and a charity sleep-out involving local pupils, the veteran-led charity was at the centre of activity across the county town.

At Pembrokeshire College, the charity’s popular “Speak to a Veteran” initiative proved a success, with the VC mobile museum drawing attention from students and visitors alike. A range of military artefacts on display sparked conversations and helped veterans share stories and experiences with members of the public.

Meanwhile, the Pembrokeshire Veterans Breakfast at Waldo Lounge saw the VC minibus deployed to help bring people together, with staff at the restaurant praised for making attendees feel welcome.

The charity thanked Myles for driving and Gareth for helping organise the event.

On the riverside in Haverfordwest, the VC Gallery showcased artwork at its new gallery space, where RAF veteran Mark hosted members of the public throughout the day.

Back at Waldo Lounge, Charles, Donna, Phil, Rose, Lucy, Nia and the wider VC team kept busy with duck sales and jewellery workshops as families gathered for the afternoon activities. Pembrokeshire’s Armed Forces Liaison Officer, Hayley, was also among those lending support.

As day turned to night, pupils from Haverfordwest High VC School took part in a sponsored sleep-out to raise money for the charity, hearing first-hand about homelessness from veteran Pete.

The event saw pupils spending the night outdoors alongside former military personnel to better understand the realities faced by some ex-service men and women.

The day also included the Waldo duck race on the river, helping round off what the charity described as “an amazing community” effort.

Photo caption: Busy day: VC Gallery teams, veterans and supporters took part in events across Haverfordwest on Saturday, including museum displays, breakfasts, workshops and a charity sleep-out (Pic: VC Gallery).

 

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Community

Milford Haven Golf Club honours Armed Forces community at charity golf day

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Mayor presents prizes as funds raised set to support cadets and veterans

MILFORD HAVEN GOLF CLUB has raised money for local armed forces causes after holding its annual Armed Forces Charity Golf Day on Friday (Jun 12).

The event, organised in support of the armed forces community, saw golfers come together for a day of competition and fundraising, with proceeds set to benefit local military-linked organisations.

Milford Haven Golf Club thanked the Mayor of Milford Haven, Mark Woodward, for attending the presentation ceremony and handing out prizes to participants following the tournament.

Money raised during the event will be shared between local Cadet Corps groups and the Milford Haven Veterans Fund, helping to support young people involved in cadet training and veterans in the community.

Organisers said the annual event continues to be an important date in the club’s calendar, bringing together members, supporters and veterans while raising funds for worthwhile causes linked to the armed forces.

A photograph released following the event showed prize winners and organisers alongside Mayor Mark Woodward during the presentation at the golf club.

Photo caption:

Charity golf day: Prize winners pictured with Milford Haven Mayor Mark Woodward at Milford Haven Golf Club’s Armed Forces Charity Golf Day on Friday (Pic: Milford Haven Golf Club).

 

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Education

Diocese threatens legal action as Manorbier school closure battle intensifies

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Church says council could face judicial review over fire-hit school

A BITTER row over the future of Manorbier Church in Wales VC School has escalated dramatically, with the St Davids Diocese threatening legal action against Pembrokeshire County Council over plans to close the fire-damaged village school.

In an extraordinary intervention ahead of a Cabinet meeting on Monday (Jun 15), solicitors acting for the St Davids Diocesan Board of Finance (DBF) accused the council of running a “procedurally flawed” consultation and warned that councillors risk judicial review if they press ahead with proposals to discontinue the school.

The legal letter, sent by Carreg Law and marked “urgent”, claims the council is using the closure process to avoid responsibility for rebuilding the school following the devastating fire in October 2022.

The future of the school has been hanging in the balance since the blaze forced pupils to relocate to temporary accommodation at Jameston Community Hall.

Legal warning to council

The Diocese, in a letter from Bishop Dorrien Davies, has formally objected to the proposed closure and says the school should instead be fully reinstated.

Lawyers acting for the Church claim the council has failed to respond adequately to previous correspondence dating back to 2023 and warned that Pembrokeshire County Council could face legal claims arising from the handling of the fire and its aftermath.

The letter states: “Our client formally objects to the proposed closure, demands full structural reinstatement of the school premises and places Pembrokeshire County Council on notice that the statutory consultation on the proposed closure and decision-making process undertaken to date is procedurally flawed.”

The Diocese argues that the council has a statutory duty to maintain the school and says any insurance money arising from the fire should be used to restore the building to its pre-fire condition.

It also alleges the council’s actions have left the Diocese exposed to mounting costs because the school remains structurally compromised.

Claims of ‘pre-determination’

The legal challenge goes further, alleging the closure process was effectively decided before the consultation had finished.

Lawyers claim council human resources staff began redundancy consultations with school staff in February 2026, before elected members had formally decided the school’s future.

According to the Diocese, this suggests the public consultation was “a perfunctory exercise rather than a genuine consideration of alternatives”.

The Diocese also accuses the authority of withholding key financial information relating to rebuilding costs, despite repeated requests.

Community opposition highlighted

The intervention comes after council consultation figures showed overwhelming opposition to closure.

Of 252 responses received, more than ninety per cent opposed plans to shut the school.

Parents and campaigners have consistently argued that Manorbier School provides a nurturing environment for children, particularly those requiring additional support, and warned that closure would damage the wider community.

The issue sparked protests outside County Hall in Haverfordwest when councillors met on Thursday (Mar 5) to consider the proposal.

Demonstrators held placards urging the council to save the school, with many arguing that promises had been made to rebuild after the fire.

Church accuses council of discrimination

In one of the strongest claims contained in the letter, the Diocese alleges Pembrokeshire County Council is showing hostility toward Church in Wales education.

The DBF argues that the proposed closure of Manorbier, alongside separate issues affecting other faith schools, demonstrates what it describes as a “systemic pattern” of undermining faith-based education in Pembrokeshire.

Lawyers claim this could amount to discrimination under the Equality Act 2010 because religion and belief are protected characteristics.

The letter also criticises the council for allegedly failing to engage properly with the Diocese over the future of the site and says decisions should not be made without a full understanding of legal and financial liabilities.

Judicial review threat

The Diocese has urged Cabinet to halt the closure proposal and instead enter into negotiations over restoring the school building.

However, if councillors proceed with plans to discontinue the school, the Church says it is prepared to seek judicial review.

The letter warns: “Should the Cabinet proceed to ratify the statutory proposal to discontinue the school on what we say are illegal and discriminatory grounds, our client reserves its rights to pursue all available legal remedies including but not limited to an application for Judicial Review.”

Council officers have previously recommended moving forward with a statutory notice to discontinue the school, arguing that closure is the most sustainable option based on falling pupil numbers, spare capacity at nearby schools, the condition of the building and value for money.

But with legal action now looming, the battle over the future of Manorbier School appears far from over.

UPDATE:

Late on Friday (Jun 12), councillors were sent a further letter from the Diocese of St Davids urging them to think carefully before Monday’s vote. The Church questioned whether a required Community Impact Assessment had been properly undertaken or disclosed, argued Manorbier’s educational standards could not fairly be criticised following a positive Estyn report in 2023, and warned members to ensure they had been given ‘accurate and full information’ before making a decision. The letter also referenced Pembrokeshire County Council’s recent High Court defeat over its Article 4 direction, where judges found councillors had been presented with flawed and incomplete information

 

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