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Caring for unwell children over Christmas

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withybushHYWEL Dda University Health Board is re-issuing advice to Pembrokeshire parents on how they can care, or access healthcare services, for unwell children in the lead up to the Christmas Bank Holidays.

The vast majority of unwell children are cared for at home by their families when they are unwell, and general advice on how to manage common childhood illness can be found on the NHS Direct website or by calling 0845 46 47.

In the majority of cases, GPs and hospital Emergency Departments also care for children without needing to admit them into hospital.

GP out-of-hours services are available in Pembrokeshire overnight, on weekends and Bank Holidays for urgent care and are accessed by calling your usual GP telephone number. Withybush Hospital’s Emergency and Urgent Care Unit also provides 24 hour urgent care for children with minor injuries.

Clinical lead for Child and Adolecent Health Dr Simon Fountain-Polley explained: “Families generally look after their own children for the majority of acute illnesses. If they need advice they can access NHS Direct, community pharmacists, or their local GP.Most children, thankfully, don’t need to see the hospital paediatric team for acute illnesses. For that relatively small proportion of children who do, their GP can refer them into hospital services.”

For children who need paediatric input, there is a Paediatric Ambulatory Care Unit at Withybush Hospital 10am-6pm and overnight care is provided from Glangwili Hospital, in Carmarthen. There is a dedicated ambulance vehicle for women and children’s transfers between Withybush and Glangwili and a parent or carer can remain with their child on transfer and on the wards.

The health board has issued a question and answer guide that may help parents with any questions they may have.

It follows temporary changes to PACU services at Withybush Hospital that were made recently due to a reduction in the availability of paediatric consultants. This has meant the opening hours have temporarily been reduced from the usual 10am-10pm daily to 10am-6pm daily. There will be one paediatric rota for the south of the Health Board covering Carmarthenshire and Pembrokeshire. This means if there is a paediatric emergency out-of-hours at Withybush Hospital, the on-call paediatric consultants in Glanwgili Hospital offer remote advice to emergency and anaesthetic staff at Withybush Hospital.

What is PACU?

PACU stands for Paediatric Ambulatory Care Unit. About 75% of those children who are referred into Withybush Hospital PACU, are treated there and do not need to be transferred to another hospital. It provides care for children with sudden onset of pain, high temperatures, sickness, infections, or requirements for dressings, blood tests, x-rays or scans.

What about children who need to stay in hospital overnight?

Any Pembrokeshire children who need an overnight, inpatient stay in hospital, are transferred to Glangwili Hospital, in Carmarthen. There is a dedicated ambulance vehicle for women and children’s transfers between Withybush and Glangwili and a parent or carer can remain with their child on transfer and on the wards.

What about sick children who need assessment after 6pm?

Children who require paediatric assessment after 6pm are referred or transferred by ambulance to the PACU at Glangwili Hospital.

What about hospital appointments for children?

Scheduled care including procedures, tests and outpatient clinics continue at Withybush Hospital during the daytime.

What do you do if your child is unexpectedly sick at night?

Parents should continue to access care for their children as they do now.

If your child is unwell, you can do a number of things:

  • Call NHS Direct Wales – 0845 46 47 – they can advise you if you are unsure what to do, as well as provide health information on a wide range of conditions, treatment and local health services
  • Use your community pharmacy if open
  • Make an appointment with your GP as usual, including out-of- hours GP services, which are contacted through your normal GP telephone number
  • For a paediatric minor injury, go to Withybush Emergency and Urgent Care Centre (EUCC) 24 hours a day
  • In an emergency, if your child is very sick, you should dial 999 for assistance. Children who present at Withybush Hospital out-of-hours will usually be transferred to Glanwgili Hospital for paediatric input. In the exceptional circumstance where emergency resuscitation is required, emergency and anaesthetic staff will resuscitate, stabilise, and arrange transfer onto another hospital.

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Business

Largest Welsh port appoints communications and marketing director

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THE Port of Milford Haven has announced that Anna Malloy has been appointed as its first Communications and Marketing Director.

Anna is appointed to the Senior Management Team and this new role will be pivotal to the delivery of the Port’s long-term growth and diversification agenda and in ensuring that its obligations to coastal communities, future generations and to nature are honoured.

Tom Sawyer, CEO of the Port of Milford Haven, congratulated Anna and said: “Anna has a key role to play in our future and it’s doubly lovely to see ‘port-grown-talent’ flourish and for colleagues to progress up through our organisation.”

Anna will lead across the public affairs, marketing, sustainability, media relations, and community relations activities. She will therefore play a central role in the development of new and existing partnerships, including the Celtic Freeport, the Milford Haven Energy Cluster and the Celtic Collection; sitting alongside the delivery of major projects like Milford Waterfront and the Pembroke Dock Renewables Terminal.

“This is such an exciting opportunity. I am proud to be joining the Senior Management Team and look forward to delivering our ambitious strategy,” commented Anna Malloy, Communications and Marketing Director.

She added: “The Port of Milford Haven is playing a key role in the transition of South-West Wales’ economy to a decarbonised future. A beautiful place, with great people, that I am privileged to call my home.”

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Community

First deadlines met following enforcement action at landfill site

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THE first set of deadlines for the completion of actions to tackle the ongoing odour issues at Withyhedge Landfill in Pembrokeshire have been met, one week on following the issuing of further enforcement action by Natural Resources Wales (NRW).  

NRW issued site operator Resources Management UK Ltd (RML) with a further Regulation 36 Enforcement Notice on Thursday 18 April.

This outlined a series of actions to be completed by specified deadlines to address the ongoing odour and landfill gas emission issues at the site.

During the latest site inspection which took place yesterday (Thursday 25 April), NRW was able to confirm that three actions have been completed – two ahead of the imposed deadlines.

The operator has installed 24 pin wells, which have been driven into the waste in the lower section of the cell identified as causing the odour issues (Cell 8). These have also been connected to the landfill gas extraction system.

Capping material has been placed over the same area of the cell and welded to the basal liner to encapsulate gas in this area, allowing for extraction by the pin wells and four horizontal gas wells, which were previously installed.

While progress is being made, NRW officers detected strong landfill gas odours during an offsite assessment on Wednesday (24 April) in Poyston Cross and Crundale. Weather conditions this week appear to have led to a wider spread of landfill gas to surrounding areas, not solely linked to wind direction.

NRW odour assessments follow a set route around the landfill, with designated survey spots, identified to enable consistency of assessment and reporting. This is essential to ensure the regulatory and enforcement responses where there is offsite odour attributed to the landfill is robust. 

The remaining Regulation 36 Notice actions will require significant effort by RML to ensure they are completed on time and NRW continues to closely monitor progress.

Clare Pillman, Chief Executive of NRW, met with representatives from NRW’s South West Industry Regulation Team and Pembrokeshire County Council during a visit to Pembrokeshire on Thursday 25 April.

Clare Pillman, Chief Executive, Natural Resources Wales, said:  “While visiting the area surrounding Withyhedge Landfill with our regulatory team and partners from Pembrokeshire County Council this week, I was able to see and hear for myself just what people living and working in these communities have had to endure as a result of the odour issues from the site.

“What they have been experiencing is unacceptable and our officers have been working tirelessly alongside colleagues at Pembrokeshire County Council to ensure the operator gets this under control as quickly as possible. While it was clear that a lot of work has been done on site, there is still more to do to ensure they address all the actions set out in the enforcement notice.

“We want to make sure that happens, and are exploring every option together with Pembrokeshire County Council to ensure the operator works quickly to resolve the issues which are clearly affecting the quality of life of people in these communities.”

Huwel Manley, Head of South West Operations, said: “While we are reassured that action is being carried out by the operators at Withyhedge Landfill with a sense of urgency, we are continuing our regulatory presence on site to ensure the operator’s focus remains on tackling the issues that will address the continuing odour issues being experienced by surrounding communities.

“We will be closely monitoring progress over the coming days and weeks to ensure the operator complies with all the actions set out in Notice by 14 May. If they are not met, we will pursue additional enforcement action where appropriate.”

NRW requests that instances of odour from the landfill continue to be reported via this dedicated form: https://bit.ly/reportasmellwithyhedge or by calling 0300 065 3000.

Please report odours at the time of them being experienced, rather than historically. Reporting odours in a timely manner will help guide the work of partners more effectively, particularly in the further development of air quality monitoring.

These photos taken on 16 April and 25 April show the progress of capping works on cell 8. Pin wells are visible in both images. These have been connected to the landfill gas extraction system and are extracting gas from the waste mass.

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Community

Milford Haven’s war memorial is 100 years old today

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THE Milford Haven War Memorial, a significant landmark commemorating the fallen heroes of World Wars and subsequent conflicts, marks its 100th anniversary today.

The memorial, which was inaugurated on April 26, 1924 by the Venerable the Archdeacon of St Davids, remains a poignant symbol of sacrifice and hope for peace.

Constructed from 1923 to 1924, the memorial consists of a striking assembly of pink granite and white marble statues that were sculpted in Italy.

Representing the Army, Navy, and Air Force, these life-size statues stand on an unpolished three-step plinth below a main pedestal. A soldier faces west and a sailor east, with an airman atop the central column, surveying the skies.

The names and inscriptions of the fallen are carved into the polished granite shaft, meticulously supervised by surveyor J.P. Morgan with contractor E. Jones of Llanybydder.

Located on Hamolton Terrace with views over the Milford Haven waterway, the memorial is a freestanding structure in an external, roadside setting. It features a serviceman/woman sculpture in marble and Portland stone, set on a concrete base surrounded by railings. Inscribed plaques honour those who served in the First and Second World Wars, the Korean War, and the conflict in Iraq from 2003 to 2009.

The memorial lists the names of 239 men who perished in the First World War on its polished grey granite faces. The Second World War claimed 157 lives from this community, whose names are recorded on bronze plaques around the base. Notably, the memorial also honours one serviceman who fell during the Korean War and another who was killed in Iraq in 2007.

The Milford Haven War Memorial stands not only as a historical monument but also as an enduring reminder of the costs of war and the community’s ongoing commitment to peace.

As the town reflects on a century of remembrance, the hope remains that future generations will continue to cherish and learn from the lessons of the past.

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