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Deputy Minister visits Withybush

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Pictured (back row): Some of the international junior doctors with (front row, left to right) Dr. Chris James, Consultant Physician, Vaughan Gething, Deputy Health Minister, Bernardine Rees, Chair of Hywel Dda UHB and Erika Cowie, Deputy Medical Education Manager for Withybush

Pictured (back row): Some of the international junior doctors with (front row, left to right) Dr. Chris James, Consultant Physician, Vaughan Gething, Deputy Health Minister, Bernardine Rees, Chair of Hywel Dda UHB and Erika Cowie, Deputy Medical Education Manager for Withybush

DEPUTY HEALTH MINISTER, Vaughan Gething AM, visited Withybush General Hospital on Monday (Feb 1), to meet Hywel Dda University Health Board staff and patients.

Mr Gething visited a new community-based eye care service which has reduced the journey time for hundreds of patients travelling some of the greatest distances in the UK to access eye care.

Patients in the HDUHB travel to one of two sites to access wet AMD services, either at Amman Valley Hospital, in Ammanford, or Bronglais Hospital, Aberystwyth.

Changes to eye services

For some patients in Pembrokeshire and south Ceredigion this has required return journeys in excess of 100 miles for review, and sometimes a second journey for treatment (injection).

Vaughan Gething said: “I’m pleased to see how the £400,000 investment from the Welsh Government is making it easier for people to get treatment for wet AMD closer to their homes – this is an example of the NHS providing the right care, in the right place, at the right time.”

Consultant Ophthalmologist Mr Richard Wintle responded: “This project will improve the quality of life for approximately 340 patients, often elderly and vulnerable, currently experiencing a significant travel burden. It will also release some capacity within our whole service, allowing us to treat more people who are waiting for care and improve patient outcomes.”

Minister meets new doctors

During his visit the Deputy Minister met with some of the international doctors have now been employed directly by HDUHB 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 UK after Withybush Hospital was not allocated any CMTs in August of this year.

The training programme offered by HDUHB 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 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.

Complex demands on ambulance service

We asked Mr Gething about the continuing and troubling lag in ambulance response times across the HDUHB area in general, and Pembrokeshire in particular.

The Minister told us: “The people of Pembrokeshire, and the same goes for everywhere else, are entitled to the same level of quality healthcare.

“However,” the Minister continued, “the demands placed on our emergency ambulance service are more complex than ever before and are growing yearon- year. It is clear if we are to meet these demands and ensure the best outcomes for patients, we need to transform the way in which we deliver emergency ambulance services.”

As to how that transformed service might be delivered, the Minister said: “The new clinical response model, which we will pilot in Wales, has been designed by Wales’ top ambulance service clinical leaders and is based on firm evidence. It is a move away from the system based solely on the eightminute response time target, which was introduced 42-years ago, to one which measures how successful our ambulance clinicians are in ensuring they have the most positive impact on clinical outcomes and people’s quality of life.”

But what about the crucial red call response times? “The system looks at every red call to find out establish the circumstances behind any delay: Whether the location is geographically remote, or whether a different sort of activity or first responder could deal with the call. The use of community first responders, not only paramedics, to get more quickly to incidents can be the difference between life and death.

“We take very seriously the responsibility to have appropriate response times for those who need it, that’s why we changed the model: it is about people who need a fast response.”

New models of rural healthcare

In relation to GP shortages and the continuing decline in general practice numbers, Mr Gething told us: “The shortage of GPs joining practice is a UKwide problem, and it is not only limited to Wales, or Hywel Dda.

The MInister continued: “We recognise the challenge, however, and need different models for what works and I am encouraged at the way we are finding ways of using different parts of the same workforce. Collaborative working with other professionals and innovative ways of delivering services make this area a more attractive one for GPs to come to.”

On that collaborative working, Vaughan Gething said: “I am pleased to see that Hywel Dda Health Board is working with Powys Health Board and other parts of Wales to find ways of more effectively using resources to deliver health care to people when and where we need it.

“We need to remember, however, that there are advantages to coming here to work. This is a fantastic place to live and GPs not only come to a place to work.”

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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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