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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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Community

Local lettings policy helps sustain rural communities and Welsh language

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NEW affordable housing developments in North Pembrokeshire are helping local people remain in their communities while supporting rural schools and the Welsh language.

Since 2022, West Wales Housing Association has completed new social housing schemes at Parc Brynach in Dinas Cross and Golwg y Llan in Eglwyswrw.

A further development, Parc Nantwen in Dinas Cross, is nearing completion, with new tenants expected to move in within weeks.

The homes have been welcomed locally in an area where affordability remains a significant challenge for many residents.

West Wales Housing Association introduced a local lettings policy giving priority to applicants with strong links to Eglwyswrw and Dinas Cross.

For the Parc Nantwen development, applicants from the Dinas, Newport and Bro Gwaun communities were prioritised.

The approach has meant a number of local people have been able to secure homes who may otherwise have lost out to applicants with weaker links to the area.

The policy is also seen as important in communities where the Welsh language remains strong. Eglwyswrw and Dinas are served by Welsh-medium primary education at Ysgol Eglwyswrw and Ysgol Bro Ingli in Newport.

The impact is already being felt. Following the completion of Parc Brynach, pupil numbers at Ysgol Bro Ingli rose from 86 to more than 100.

Newport and Dinas county councillor Huw Murphy praised West Wales Housing Association for working closely with Dinas Community Council on the lettings policy.

Cllr Murphy said: “The recent lettings policy developed by WWHA, following close liaison with Dinas Community Council, has worked well in enabling houses to be allocated to local people with strong links to their community, where in the past they may have lost out to applicants with more tenuous connections.

“The benefit of a robust local lettings policy has resulted in increased pupil numbers at Ysgol Bro Ingli, while also placing a strong emphasis on protecting the Welsh language, which is very much welcomed.

“I hope that any future affordable housing developments will mirror the recent lettings policy implemented in Dinas Cross and serve as a template elsewhere in Pembrokeshire.”

Supporters say the developments are helping young people and families stay in rural Pembrokeshire, supporting village schools and safeguarding the social and linguistic fabric of North Pembrokeshire’s communities at a time when many rural areas face an ageing population.

 

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Community

Dog rescued after multi-agency response in Pembroke Dock

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AN ALSATIAN dog was rescued in Pembroke Dock after falling down an embankment and becoming trapped near the water’s edge.

Fire crews from Pembroke Dock and Haverfordwest were called to the incident near Cleddau Bridge Business Park at 12:41am on Thursday (May 21), following reports that the dog, named Lunar, was unable to climb back to safety.

The rescue involved a multi-agency response, with Mid and West Wales Fire and Rescue Service working alongside HM Coastguard, the RNLI and Drone Search and Rescue teams.

Lunar was located and safely recovered by the RNLI boat team before being brought back to dry land and reunited with her grateful owners.

A photo released after the rescue shows Lunar, her owners, and members of the teams involved.

 

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Cymraeg

Welsh language report says students face mixed experiences across colleges and universities

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A NEW report has found that Welsh-speaking students face inconsistent access to Welsh language services across Wales’ colleges and universities.

The research, published by the Welsh Language Commissioner on Monday (May 25), gathered responses from more than 1,500 further and higher education students.

It examined four key areas: whether students can submit written work in Welsh, choose accommodation with Welsh-speaking students, access a Welsh-speaking personal tutor, and receive wellbeing support through the medium of Welsh.

The report also looked at the wider language culture on campuses, including how institutions promote Welsh language services and support students to use Welsh naturally in academic and social settings.

Osian Llywelyn, Deputy Welsh Language Commissioner, said colleges and universities had a vital role in helping students use Welsh as part of everyday life.

He said: “Given the importance of sustaining and developing the continued use of the Welsh language, it is essential to recognise the key role that further education colleges and higher education institutions play in ensuring that students have the opportunity to use Welsh naturally as part of their academic and social lives.

“While it is encouraging to see strong examples of good practice, that experience is not consistent across the sector. As a result, we have identified clear improvement actions, and we will be asking the relevant institutions to address them.”

Five improvement actions have been identified. These include standardising Welsh-medium assessment arrangements, proactively offering Welsh language services rather than simply making them available on request, addressing gaps in workforce Welsh-language skills, strengthening students’ sense of belonging through Welsh, and improving self-assessment and monitoring.

James Owen, Chief Executive of Medr, the body responsible for funding and regulating tertiary education in Wales, said the findings showed the need for more support across the sector.

He said Medr’s new Welsh Language Condition would place a clearer focus on providers promoting and supporting the use of Cymraeg, and on creating formal and informal opportunities for staff and learners to develop their Welsh-language skills.

Ioan Matthews, Chief Executive of Coleg Cymraeg Cenedlaethol, said students’ experiences of Welsh at college or university could influence their willingness and ability to use the language later in the workplace.

He said the report showed the need for the Welsh-language experience to extend “well beyond the classroom”.

The report will be officially launched at the Welsh Language Commissioner’s stand at the Urdd Eisteddfod in Anglesey at 11:00am on Monday (May 25).

 

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