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Keeping A&E 24/7: Health board releases statement on Withybush changes

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withybushhospTHE LOCAL health board has released a statement today in the run up to changes that it says are ‘essential’ to ensure that the A&E department at Withybush General Hospital remains open 24 hours a day.

The statement reads as follows:

“HOSPITALS and community services across the south of Hywel Dda University Health Board area will support each other further from Wednesday (August 5).  This will allow patient access to medical and unscheduled care services to be maintained 24/7, whilst temporarily there are fewer than usual junior medical doctors in place.

Between now and the end of the year, there will be less medical doctors available at Withybush Hospital, Haverfordwest, after the Wales Deanery was unable to allocate core medical trainees for the usual August start.

Hywel Dda University Health Board (UHB) Medical Director Dr Philip Kloer explained: “Whilst we have managed to recruit service doctors into the posts ourselves, these are mainly international doctors and it will take some months before all the Visa paperwork and processes are in place and doctors are working on the ground in the hospital. In the interim, we are putting in place a temporary solution to ensure that the number of medical beds at Withybush Hospital reflect the number of doctors available, whilst also keeping the medical intake and doors to the Emergency and Urgent Care Centre open 24/7.”

This involves temporarily providing additional capacity and beds at Glangwili Hospital, Carmarthen, and Prince Philip Hospital, Llanelli, and shifting both hospital’s patient boundaries further west. For example GP referrals and appropriate Welsh Ambulance Service Trust responses from Carmarthen East and the Gwendraeth Valley, will take patients to Prince Philip Hospital, and likewise those from Narberth, Kilgetty, Tenby and Saundersfoot areas will go to Glangwili Hospital.

Struggle to maintain a 24 hour service: Withybush A&E

Struggle to maintain a 24 hour service: Withybush A&E

Patients across the area will continue to be able to walk-in to their nearest emergency department as they do now. Also following initial feedback we would like to clarify breast cancer patients will continue to be cared for on the Peony Suite (Breast Care Unit) at Prince Philip Hospital.

Initially, Ward 7, a surgical ward at Prince Philip Hospital, will be converted into a medical ward to accommodate additional medical patients whilst a dedicated temporary ward is prepared at Glangwili Hospital, hoped to be ready in eight weeks.

Dr Kloer emphasised: “We will have to initially postpone some planned surgical procedures, but we are working hard to minimise the impact of this, for example ring fencing orthopaedics and cancer surgery and exploring options for doing more day case surgery and possibly weekend working.”

Additionally, the UHB has worked with the local authorities and colleagues in the independent and third sectors to ensure patients who are medically fit and do not need to be in hospital are supported to receive the care and support they need elsewhere. This has included the purchasing of additional beds in nursing and residential homes.

Chief Executive Steve Moore said: “The health board’s priority has continued to be to maintain access to medical and unscheduled care services for our population, whilst we have a temporary gap in the number of junior doctors available. We acknowledge that this situation affects our entire area and that each of our much loved and respected hospitals has a role to play – working together for the benefit of our population.

“The solutions we are putting in place this week have been clinically led and involved a huge range of staff from across the health board area. A huge amount of work has gone into this and the board is extremely thankful and proud of all staff who have been involved from clinicians, nurses, managers and other personnel – all of whom have shown an absolute dedication to patient care. We are also grateful to the ongoing support from partners, including local GPs and the Welsh Ambulance Service Trust, Pembrokeshire and Carmarthenshire local authorities and private and third sector colleagues.”

The local population can support their local hospitals at this time by ensuring they choose the best healthcare service to meet their needs, reserving emergency care for those who need it most. The national Choose Well guidance can help.

Families and friends of patients who have been admitted to hospital can also assist when patients are medically fit and ready to be discharged home, by supporting that process.

The position will improve continuously as doctors come into post at Withybush Hospital between August and December, and the additional capacity which is being put in place at Glangwili Hospital will be maintained in order to support winter pressure.”

2 Comments

2 Comments

  1. David WIlliams

    August 3, 2015 at 6:28 pm

    Bit of an outdated comment from Phil Kloer as the visa’s were approved 2 weeks ago.

  2. b woolley

    August 4, 2015 at 11:41 am

    @ David WIlliams:
    everbody residents and visitors tourists must sign/protest to keep all our services at withybush hostpital this is vital

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News

Welsh Government outlines new rights for homeowners facing estate management charges

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HOMEOWNERS living on privately managed estates in Wales are set to gain new legal protections under changes being introduced as part of the Leasehold and Freehold Reform Act 2024, the Welsh Government has said.

In a written statement published on Thursday (Dec 18), the Cabinet Secretary for Housing and Local Government, Jayne Bryant MS, provided an update on how the legislation will be implemented in Wales, with a particular focus on estate management charges paid by freehold homeowners.

Until now, homeowners on privately managed estates have often faced unclear or high bills for maintenance and services, with limited ability to obtain information or challenge costs. Once fully implemented, Part 5 of the Act is intended to address those concerns.

New powers for homeowners

Under the reforms, homeowners will be given the right to challenge the reasonableness of estate management charges for the first time. Estate managers will also be required to provide clearer information about the services being paid for through those charges.

In cases where estate management has failed, homeowners will be able to apply to a tribunal for a substitute manager to be appointed. The Act will also require estate managers to publish details of any administration charges in advance, where payment is expected.

Jayne Bryant said the changes would bring “significant new rights and protections” for homeowners affected by estate management fees.

Welsh and UK consultations

Responsibility for introducing the necessary secondary legislation is shared between the Welsh and UK Governments. While many of the powers rest with UK Ministers, Welsh Ministers are responsible for rules relating to the publication of administration charges in Wales.

The Welsh Government has confirmed it is working alongside UK counterparts to ensure both consultations are launched at the same time, allowing homeowners and stakeholders to consider the full set of proposals together.

Homeowners are being encouraged to respond to both the Welsh Government consultation on administration charges and the UK Government consultation on the wider estate management regime.

The consultations are now open and form part of the process to bring the new protections into force.

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News

Flood warnings issued across Wales as heavy rain raises river levels

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FLOOD warnings and alerts have been issued across large parts of Wales as persistent heavy rain causes river levels to rise, with parts of the country facing an increased risk of flooding on Thursday (Dec 18).

Natural Resources Wales (NRW) has confirmed that four flood warnings are currently in place, meaning immediate action is required, while a further 16 flood alerts have been issued where flooding is possible.

A yellow weather warning for rain has been issued by the Met Office, covering much of Wales from 10:00am on Thursday until 7:00pm, with disruption expected in some areas.

NRW said the warnings follow prolonged wet weather, with further heavy rainfall forecast to move across the country during the day.

The Met Office said: “An area of heavy rain will move northeast across the warning area during Thursday morning and afternoon before clearing to the east through the evening.

“Given recent very wet weather, there is potential for some disruption to travel and possible flooding.

“Much of the warning area will see 15–25mm of rain but some places could see 40–50mm, with the highest totals falling over high ground of south Wales.”

Forecasters have also warned that strong winds could worsen conditions, particularly along the coast.

“There is a chance of 60–70mph gusts along the exposed south coast, and perhaps 40–50mph some way inland,” the Met Office added.

Flood warnings in force

NRW has confirmed flood warnings are currently active at the following locations:

  • River Towy at Carmarthen Quay, Carmarthen
  • River Ritec at Tenby
  • River Towy affecting isolated properties between Llandeilo and Abergwili
  • River Rhyd Hir at Riverside Terrace, Pwllheli

Residents in these areas are being urged to take immediate action to protect property and personal safety.

Flood alerts issued

In addition, flood alerts — meaning flooding is possible — have been issued for the Lower Severn catchment in Powys, along with other areas shown on NRW’s live flood monitoring maps.

NRW is advising people to remain vigilant, avoid flooded roads and footpaths, and keep up to date with the latest forecasts and warnings.

The Herald understands that river levels will continue to be closely monitored throughout the day as rainfall moves through Wales.

Members of the public can check the latest flood warnings and alerts on the Natural Resources Wales website or by signing up for flood alerts direct to their phone.

Flood alerts and warnings across Wales on Thursday (Pic: NRW).

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Crime

Jury discharged after failing to reach verdict in historic abuse trial

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CPS have a week do decide if they wish to pursue a re-trial, judge confirms

THE JURY has been discharged in the trial of a Milford Haven man accused of historic child sex offences after telling the court it was unable to reach a verdict, even by majority.

Thomas Kirk, aged 50, of Meyler Crescent, Milford Haven, is charged with the oral rape and sexual assault of a child, with the offences alleged to have taken place in Pembrokeshire between 2007 and 2009, when the complainant was aged between thirteen and fifteen. He denies the charges.

On Thursday (Dec 18), the jury returned to Swansea Crown Court and was asked whether it had reached a verdict on either count upon which at least ten jurors were agreed.

The foreman replied: “No.”

Judge Paul Thomas KC then asked whether there was any realistic likelihood that further deliberations would lead to a verdict being reached.

The foreman replied: “No, your honour.”

Judge Thomas KC said that in those circumstances he would discharge the jury and give the prosecution seven days to decide whether it would seek a retrial.

Addressing the jurors, the judge said they should not think they had failed or let anyone down.

“These things happen,” he said. “It’s one of the strengths of the jury system that people hold different views.”

He thanked the jury for their service and wished them a Merry Christmas and Happy New Year.

The court heard that the prosecution will now consider its position, with a further hearing expected next week to determine whether a retrial will take place.

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