News
Withybush: Health chief speaks to The Herald
FOLLOWING loud public protests about the Local Health Board’s plans for the future of Withybush Hospital, local media were invited to meet with Health Board Chair Trevor Purt for interviews in the Board’s offices at Merlin’s Court, Winch Lane, Haverfordwest.
The Herald put questions to the Health Board chief which our readers and correspondents raised with us about the decision to close the Special Care Baby Unit at Withybush and transfer services elsewhere and about the future of health care at the Haverfordwest site.
Polite but firm, Trevor Purt did not allow much of the exasperation he must undoubtedly feel spill over into his answers. When it did, he was clear and forthright. To be sure, he was eager to get his message across and – in terms – that message was that changes to service provision in Pembrokeshire have not been driven by a determination to cut costs but in order to ensure quality of care.
We asked him first about the announcement of the “safety net” made by Health Minister Mark Drakeford in the Senedd on January 21. Did the announcement of the “safety net” mean that the arrangements announced in September were incomplete?
“We had put a safety net in place. It was never going to be the case that we would shut the provision at Withybush down on one day and shift it over to Carmarthen the next. That would be impractical and illogical. There are twelve months while we examine the progress of the service change and that will be done by a panel drawn from the Community Health Council and other stakeholders.
“Not even our sternest critics suggest that the model we propose is wrong: the dispute is about the location of the unit at which we will deliver centralized services for complex births. As a board we have to look beyond parochial concerns and deliver the best possible outcomes for the whole of the population the Board serves.”
But why Glangwili?
“We chose Glangwili ahead of Withybush because it has better links to Morriston Hospital and the wider Health Board area. I have heard the suggestion that we have not discussed our plans with Abertawe Bro Morgannwg Health Board. We have considered developments at Morriston very carefully indeed and been in close communication with our counterparts there. People should not let rhetoric get in the way of the facts.
“Plans are not made in isolation, we have a range of considerations to take into account. If we had chosen Withybush, we would be facing the same protests in Carmarthen as we are in Haverfordwest. I understand people are angry and frustrated but I believe that is because there has been a lot of misunderstanding and misinformation.
“I want to make a couple of things very clear: the Royal College of Midwives has told us that in order for a junior doctor to get sufficient expertise in obstetrics they need to be exposed to a range of types of case. They have said that the range required means that a unit has to have 2,500 births annually. That is the position of the professional bodies as well. The Deanery and the GMC require doctors to be fully accredited and to maintain that accreditation. If we have insufficient accredited doctors, all complex births would be taken to Morriston and none would take place in the Health Board area.
“This is not about money. This is about delivering a safe and sustainable future for obstetric provision across the Health Board’s area. In many respects, we are suffering from a long term structural problem. It is a numbers game, but the number is not money: it is about attracting, training and retaining staff.
“Secondly, we announced our plans last January. The CHC did not raise any issue about switching to a midwifery led obstetric service. Its objection only related to SCBU. The idea that this is a sudden change or shock announcement is wrong. We made our plans clear last year.
“The experience in Powys, where there has been a midwife-led obstetric service since 2001, has been that that service has been effective and safe. We anticipate that the majority of expectant mums will be able to choose where to give birth and most births will take place where they are planned to take place. It will be mum’s choice in the overwhelming majority of cases.
“In addition, the Emergency Medical Response Service – which is being planned for the whole of Wales – will ensure very quick access to emergency care. When there is an emergency, patients will be stabilized locally, where possible, and then taken to the appropriate unit for specialist care, whether that is at Glangwili or Morriston.”
But what about the decision on paediatric care? Is the health board “salami-slicing” services as critics have claimed?
“No. I want to make it as clear as possible. Our plans for obstetrics were announced last year at the end of the consultation. This is not new and, again, our plans for paediatric care were not criticised by the Community Health Council. They did not form part of the referral to the Minister and were not considered by the expert panel on the future of the Special Care Baby Unit.”
What about A & E at Withybush? Part of the rationale in closing the Minor Injury Units at Tenby and Pembroke Dock was that this would preserve services at Withybush. Is A & E safe?
“I want to make this as clear as I can: I do not foresee that we will not continue to provide an emergency 24/7 service at Withybush.“That service configuration might be with middle grade staff or a GP service, but we will maintain a 24/7 A & E service at Withybush.”
Our interview ends. Our friends at Radio Pembrokeshire are waiting with a large microphone outside. We will be meeting again with Trevor Purt in March. Let us know what questions you want to put to him and we will do our best to work them into our meeting.
Charity
Vintage tractors take to Broad Haven beach for breast cancer fundraiser
A LINE of vintage tractors made an unusual sight on Broad Haven beach on Saturday as enthusiasts gathered for a fundraising run in aid of breast cancer research.
The event brought together a colourful collection of classic farming vehicles, with Welsh flags and pink decorations on display as supporters and spectators gathered along the seafront.
The tractors were parked on the sand before taking part in the run, helping raise awareness and funds for the cause.
Caption:
Vintage tractors lined up on Broad Haven North beach on Saturday for a fundraising run in aid of breast cancer research (Pic: Martin Cavaney).
Community
Paul Davies MS calls for review of parking charges in Ceredigion following concerns
SENEDD Member for Ceredigion Penfro, Paul Davies, has called on Ceredigion County Council to urgently review its policy on car parking charges, following growing concerns from local businesses about the negative impact charges have on trade and town centre footfall.
Mr Davies wrote to the Leader of the Council on May 18, to highlight the challenges faced by businesses across Ceredigion’s towns, where rising parking costs are seen as a deterrent to people visiting local high streets. He urged the local authority to listen carefully to the concerns being raised and to review these charges.
In his letter, Mr Davies wrote: “I’m writing to raise concerns regarding car parking charges across Ceredigion, and to urge the local authority to do all it reasonably can to minimise these costs for individuals spending time in towns throughout the county.
“This is a serious issue for local businesses, many of whom have made it clear that car parking charges risk deterring people from visiting our high streets and towns. Any resulting decline in footfall would have immediate and damaging consequences for local trade and, more broadly,for the county’s economy.
“At a time when our high streets are already facing significant challenges, | believe it’s unacceptable that additional financial barriers have been introduced. The Council should be actively supporting its high streets and town centres and encouraging people to visit, not implementing measures that make doing so more difficult and less affordable.
“The concerns raised by both residents and businesses are justified and cannot be ignored. The Council must act on these concerns and urgently review the decision to introduce or increase car parking charges, with a view to reducing their impact.”
Many locals have voiced their concerns on social media, commenting on the “outrageous” cost of parking and the cost of public toilets, claiming that Ceredigion County Council are to blame for the loss of footfall in the area.
Mr Davies said: “Car parking charges add yet another barrier to people visiting our towns and high streets and can be detrimental to local businesses, at a time when many businesses are already facing significant economic pressures.
“Our high streets are the backbone of our communities and play a vital role in the local economy. If people are put off visiting because of the cost of parking, then businesses will inevitably suffer. This is not only short-sighted but risks causing long-term damage to the vibrancy of our towns.
“The Council must act on the valid concerns being raised and review its parking policy as a matter of urgency. The focus should be on encouraging footfall, supporting local trade, and ensuring that our town centres remain accessible and affordable for everyone.”
Crime
Former Lostprophets singer’s killing ‘not justified’, jury told
JURORS in the trial of two prisoners accused of murdering former Lostprophets singer Ian Watkins have been told that his horrific crimes “did not justify his killing in any way”.
Watkins, who was serving a 29-year sentence for child sex offences, was attacked in his cell at high-security HMP Wakefield on October 11 last year.
Leeds Crown Court heard that Rico Gedel, 25, stabbed Watkins three times with a makeshift knife before allegedly passing the weapon to fellow prisoner Samuel Dodsworth, 44.
Both men deny murder and possessing a knife in prison.
‘Done nothing to provoke attack’
Prosecutor Tom Storey KC told the jury on Monday that Watkins had “done nothing whatsoever” to provoke the attack in the period leading up to it.
He said: “However heinous his crimes were, that did not justify his killing in any way.”
The court has heard that Gedel hated being housed with sex offenders and had threatened to hurt “any number of paedophiles” if he was not transferred.
Gedel told the trial he chose Watkins largely because he was nearby, having been placed in the next cell the night before.
Alleged motive
Mr Storey said Gedel’s alleged words before the attack — “This is what paedophiles deserve” — were a clear indication of motive.
The prosecutor said Watkins had no defensive injuries and there was no sign of a struggle, meaning he was likely taken by surprise.
He told jurors that the repeated use of a makeshift knife showed an intention to kill or cause really serious harm.
The court heard Gedel was laughing after the stabbing and allegedly asked prison officers to “let me know when he dies”.
Knife allegation
Dodsworth denies supplying the weapon or helping with the attack.
Gedel claimed Dodsworth gave him the knife and later disposed of it, but Mr Storey told the jury Gedel had “every reason” to lie about him.
The prosecutor said CCTV appeared to show Gedel handing the weapon to Dodsworth after the attack, and suggested Dodsworth acted as if he knew what was happening.
Judge’s warning
Mr Justice Hilliard told jurors that Watkins had committed very serious offences, but “clearly should not have lost his life in prison while serving his sentence”.
He said they must not decide the case on sympathy, anger or disapproval, but on a “cool, calm, careful and impartial” assessment of the evidence.
Watkins was jailed in December 2013 after admitting a string of child sex offences, including the attempted rape of a fan’s baby.
The trial continues.
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