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Withybush: Overseas doctors say they have received ‘a wonderful welcome’

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WithybushDOCTORS from overseas who are helping to maintain medical services at Withybush Hospital, Haverfordwest, say they have received ‘a wonderful welcome’ from the NHS and patients alike. 

Eight international doctors have now been employed directly by Hywel Dda University Health Board as clinical fellows to support the junior doctor rota and maintain emergency and medical services at the hospital for the Pembrokeshire population.

They have been provided with a two-year training scheme which mirrors many elements of the traditional core medical training (CMT) scheme for junior doctors in the UKs after Withybush Hospital was not allocated any CMTs in August of this year.

Twenty-seven-year-old Yan Lynn Htoo, from Burma, is based in the Emergency and Urgent Care Centre.

He said: “I applied for the job after seeing it advertised on the NHS jobs website and both the hospital and the local area have exceeded my expectations. I was quite anxious when I arrived having not worked in the UK before, but my shadowing and training has been invaluable and I have been supported by the whole multi-disciplinary team.

“In Myanmar (Burma) there is quite a hierarchy where doctors delegate responsibility for things like investigations and bloods to other members of staff. Here the doctor keeps responsibility and that is of benefit as you are personally responsible and there is less likelihood of unnecessary delay or information being missed in translation.

“Everything is computerised, so that has definitely been something of a challenge to overcome but colleagues have been really helpful and we work as one team. Patients have also been very nice and it has been a real insight to be based in the emergency department and see a full range of presentations from those with medical complaints, to those needing surgery, or young children with minor injuries.”

Dr Htoo undertook his medical training back in Myanmar (Burma) and worked previously in Mandalay General Hospital in the specialist areas of medicine, surgery, paediatrics, and obstetrics and gynaecology.

“Although some healthcare is provided free of charge in Myanmar (Burma), for specialist investigations like CT scans you usually have to pay,” he said. “Hopefully one day Myanmar (Burma) will have a system similar to the NHS where healthcare is free at the point of delivery.”

Dr Htoo’s initial intense induction is now complete and he is playing an active role on the junior doctor rota, whilst at the same time studying to achieve further qualifications over a two year period. This will be invaluable to my future career and I am very grateful,” he said.

Dr Htoo is also hoping to spend time travelling around Pembrokeshire and the local area. “I researched the area before applying for the position and part of the attraction was the beautiful beaches, which surpass those in England. I can see the hospital has its challenges being in a rural area, but hopefully this programme is part of the solution.”

The training programme offered by Hywel Dda University Health Board is the first of its kind in Wales and aims to recruit doctors to rural hospitals in an environment of a shortage of junior doctors across the UK. As part of the scheme, the university health board purchases an e-portfolio for each doctor to enable them to build their competencies and achieve qualifications just like other trainee doctors in the NHS.

Another clinical fellow who joined the scheme is 27-year-old Azhar Hussain, from Pakistan. Dr Hussain, who trained at Mayo Hospital in Lahore, is based primarily with the gastroenteritis team.

He said: “I am very grateful to Hywel Dda University Health Board for investing so robustly into this training scheme, which will give each of us invaluable portfolio experience over the two years. I don’t think any other hospital in the UK is doing this and I must say the whole experience – from the induction to the teaching and support with settling into the UK – has been excellent.

“The whole multi-disciplinary team at Withybush Hospital have been very patient and helpful with us. I would particularly like to mention the pharmacy department who have gone out of their way to assist us with protocols, my educational mentor Dr Faiz Ali who has taken such a personal interest in my wellbeing, Dr Chris James who has given much of his time to the clinical fellows on a daily basis, Erika Cowie and Tracy Sandell from Medical Education for setting up everything for our in-hospital simulation training sessions, and the entire medical, nursing, HR and Post Graduate support teams.”

Dr Hussain and his wife are settling well into the Haverfordwest area and have enjoyed seeing some of the local beauty spots and sites of interest.

“I must admit the weather hasn’t been the most co-operative,” said Dr Hussain. “I was working with the out-of-hours GPs the other evening when storm Barney hit and the winds shook the car as we passed over the Cleddau Bridge.”

Chief Executive Steve Moore recently met with Dr Htoo, Dr Hussain and others employed as part of the programme. He said: “Last summer we were faced with a great challenge and we put huge effort into finding a solution that would work for our area. It has been great to hear first-hand how this training is benefiting these doctors, whilst also contributing to our ability to sustain healthcare services for our population.

“We don’t underestimate the ongoing challenges with recruitment in medical and nursing staff, but this scheme is part of what we are doing proactively to adapt to the environment in which we operate.”

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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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