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Shortage of GPs set to get worse

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THE NUMBER of GP vacancies in Pembrokeshire is a genuine threat to frontline services, the Pembrokeshire Herald has been told.GP-460_1013760c

This newspaper recently reported that Dr Chris Van Kempen of the Goodwick practice was to retire this year and that the practice would subsequently be run as a managed practice by the Local Health Board.

Since that report, The Herald has learned that Dr Kevin Hill of the Barlow House practice in Milford Haven is to leave, while the situation at Tenby GP practice continues to cause grave concern, as a staff member is currently on sick leave.

In a statement dated February 16, Dr Phil Kloer, Executive Director of Primary, Community and Mental Health Services for Hywel Dda UHB, said: “Tenby GP Surgery is currently experiencing high levels of staff sickness. On behalf of the practice I’d like to reassure patients that the surgery is open and patients with appointments for week beginning Monday 16 February will still be seen as planned. Out of hours services are also unaffected.

“We recognise the importance of being able to access local general medical care and we are working closely with the practice at this time to minimise the impact on patient care. We will keep patients informed and provide an update at the earliest opportunity.”

In 2011’s consultation on the future of health services in Pembrokeshire, the Board justified the closure of Minor Injury Units at Tenby Cottage Hospital and South Pembs by claiming GP practices would fulfil those units’ roles. Not only has that has not happened, but the announcement was made without consulting with any of the GP practices in the areas affected by the units’ closure. The Herald understands that Pembrokeshire is chronically short of GP’s and that there are as many as ten unfilled vacancies for GP’s within Pembrokeshire.

The migration of services from Haverfordwest to Glangwili has placed significant extra strain on the out of hours GP service, with the service no longer offered at South Pembs Hospital at the weekends. The current Out of Hours service was revealed to be in difficulty in a document prepared by Withybush Hospital Director of Clinical Care Dr Iain Robertson-Steel and leaked to the media. Notwithstanding those difficulties, the Board claimed that GP’s were able to fill in the gaps at Withybush A&E under what was described at the time as ‘a new way of working’.

The Herald understands that there has been no substantial progress in discussions between the Board and GP’s.

One GP told our reporter that not only were the claims made by the Board “undeliverable” but that the Board should have concentrated on shoring up the creaking Out of Hours service and resolving GP recruitment issues before making such an announcement in the first place.

The situation in Pembrokeshire is not unique. The take up of GP training places has fallen to 62% in parts of England. A coalition pledge to train and extra 3,250 GP’s by this year has already been shunted back to 2016 and there is little sign of even that rigged target being hit.

Director of Primary Care, Community and Mental Health Dr Philip Kloer told The Herald: “The University Health Board is working extremely hard with a number of surgeries in Pembrokeshire to address what are UK-wide challenges in GP recruitment. At present, we are actively recruiting for a salaried GP to support Goodwick Practice and a GP for the out-of-hours service at Withybush Hospital. This is part of a significant Health Board-wide recruitment drive, which is having some success in attracting applicants to our organisation. We are also working closely with Tenby Surgery to support them in finding some locum GP cover, whilst they are experiencing some staff shortages. In addition, we are working with partners, such as the Welsh Ambulance Service Trust, to provide other skilled healthcare professional posts for unscheduled (unplanned) care at Tenby Surgery. Our longer term plans include working with primary care GPs and emergency departments to develop new integrated models of care, and potentially introducing more care through salaried GPs and advanced practitioners (i.e. employed directly by the University Health Board) to sustain services and provide opportunities to network and target support where it is needed most.”

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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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