News
The NHS is ‘worth fighting for’

New Boss: Steve Moore, Chief Executive of Hywel Dda University Health Board
IN HIS first interview with a Pembrokeshire newspaper since taking up his post, Steve Moore, Chief Executive of Hywel Dda University Health Board, told the Pembrokeshire Herald that he wanted to involve pressure groups, clinicians and the public in the debate about what Withybush Hospital can do to support the local population and revealed what motivated him to return to the NHS as Chief Executive of the Local Health Board.
“I moved out of the NHS for a while to get a different perspective and refresh.” Steve told us. “While I was away from the NHS, I realised that it was in my blood and I enjoyed working within it. The NHS is an institution that I am passionate about: It is hugely important and faces big challenges. I think it is worth fighting for.”
Considering why he had elected to return to NHS management through Hywel Dda UHB, Steve expressed his desire that the Board provide an integrated service: “Looking at England, there are many people there who believe that an integrated model, where we have acute, community and primary care working together will solve a lot of problems. What I see in Hywel Dda is a lot of the building blocks are in place to enable that; in a very rural community, and I come from a rural background, I want to develop that model where we have the means at hand to do so. I’m five weeks in. I am still finding my way around. But I am really positive and excited about how we can move services on. That is why I am here.”
Asked whether he could draw a line under the past, move on and be categorical about the future of service provision, Mr Moore told us: “I’m hearing the concern. I have been to two public meetings over the last two weeks. It needs a line drawing under it. The clinical reasons underlying those decision have not changed. However, we do have the review going on, we need to acknowledge that we might not have got it entirely correct, right up front. We are keen to work with pressure groups, clinicians and the public to learn whether the transfers have happened in the way we planned them. I am sure there are things we can do to improve things for patients who have to move further for treatment than before; however, the clinical argument for changing services and transferring them remains the same. We need to move on, but we need to continue the discussion about what clinical models ought to look like. For me and the Board, having been very clear that each of our hospitals has a sustainable future, we no need to debate how those hospitals best serve the communities in which they sit.”
Steve was clear that he had not come across a situation where the Welsh language had discouraged recruitment, as claimed by the Welsh Deanery. Revealing that he was eager to learn the language, he went on to say: “We need to ensure that where patients’ first language is Welsh we can communicate effectively with them. I have not been here long, but I have not come across the Welsh language dissuading people from applying. There are far more significant things locally affecting recruitment that we need to deal with, such as setting out our positive vision for the future. I would rather get on with tackling those things.”
Responding to criticism by Simon Hart MP that the Board’s communication had been poor, the new CEO was clear: “We need to be clear about our overall aim, that patients can get prompt treatment. That might not always be in their local hospital. Clinical practice changes all the time. There is a danger in having a blueprint which needs constant amendment. There are some ‘red-line’ issues, such as the provision of 24/7 A&E, where we need to be open and transparent with the public about the issues we face regarding recruitment. The Board’s approach is how we build an ongoing relationship. We have had a couple of public meetings already and we have learned from those, so that we changed the format of the second meeting at Letterston to be less one of us telling than of us listening. We got it wrong, the public told us we had got it wrong, so we changed the format. We need to continue to flex and also to hear from people that we sometimes do not hear from. We have a strong desire to be out there talking, listening: we are facing big challenges and we need to be honest and open about that. We won’t find all the answers sitting around a board table, we need to communicate and the more we do that, the better it will be for the future of health services in our local area.”
Refusing to be drawn on past issues with communication between the Board and the public, Mr Moore was, however, very clear on his position and that of the Board generally: “The ethos we have is that it is not our health service, it belongs to the taxpayers. I can’t see a more important job for the Board than to engage with the public. We’re not going to solve the problems we face unless we have the public on board, both understanding the challenges and helping us deliver the solutions. You will see our clinicians out there more often: they are the experts and I think it is important the public know their viewpoint and their views. It is also important that clinicians get to hear the public’s point of view.”
Reflecting on the sometimes difficult relationship the Board has had with the media: “I’m looking forward to having a strong relationship with the press, who can help us reach members of the public we do not reach through our efforts alone. There needs to be a positive – and critical – relationship between the media and the Board. We need to celebrate the good news stories about the way our staff deliver services under great pressure and in the face of great challenges.”
Concluding he said: “I am genuinely positive for the future. You only have to visit our hospitals, to sit in a public meeting and feel the public’s passion. The NHS is a great institution. We will have to find new solutions, the world has changed since 1948. I am positive about that change and feel we have a strong platform to work from.”
Health
Resident doctors in Wales vote to accept new contract
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.
Crime
Swansea man jailed for online child sex offence dies in prison
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.
Farming
Welsh Conservatives warn climate plans could mean fewer livestock on Welsh farms
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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Flashbang
February 19, 2015 at 10:15 am
Sounds like a load of flannel. As for being motivated to return to the NHS my guess is he’s one of those on the merry go round of CEOs going from one health board to another cutting services and then moving on. Part of the bloated layer of bureaucrats sucking money out of clinical services and into paper pushing.
tomos
February 19, 2015 at 6:27 pm
Oh dear, we can say anything and everything – we\’ll judge by actions.I\’d like to ask IF he and his wife/family get private health insurance as part of his remuneration package ?