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Withybush Hospital: Health board plans for paediatric service cuts

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HYWEL DDA heath board’s announcement that its plans to transform clinical services are ‘to move to the next stage’ did not include the detail of what those plans include.

At a public board meeting held in Llandeilo on November 21, Board members approved the move to phase two (the Design Phase) of the Transforming Clinical Services (TCS) programme having considered the independent analysis report (undertaken by Opinion Research Services) on the TCS listening and engagement exercise (the Discover Phase), which concluded in September 2017.

The transformation consultation, in which the Board sought to seek public responses on proposed cuts to local services, was followed by an independent clinical review by Dr Alex Mayor.

The content of that review, while obliquely referred to in a Board press release, is not detailed.

The Herald examined the report before the board, on which it intends to engage in ‘a comprehensive programme of communication and engagement activities with [the] local population across Carmarthenshire, Ceredigion and Pembrokeshire next year’.

The Board has agreed to take these forward and to incorporate further planning of Women and Children’s services under the umbrella of our ‘Transforming Clinical Services’ programme.

The Board expresses the hope that the further engagement ‘will build on the success, and learning points, from the TCS listening and engagement exercise ‘the Big Conversation’.’

However the Board’s press release fails to mention what the recommendations actually are upon which it has set up a task and finish group ahead of public consultation on the decisions it intends to make.

The recommendations include the following:

  • No return to twelve hour care provision at Withybush for the Paediatric Ambulatory Care Unit (PACU)– ‘whilst recruitment attempts to all vacant posts should continue, transition to a consultant ‘delivered’ PACU model Monday to Friday 10am to 6pm by a single, integrated team of acute paediatric consultants should be explored and confirmed at the earliest opportunity’;
  • Consultant-led PACU services to be concentrated at Glangwili at weekends;
  • Acutely unwell children should be admitted directly to Glangwili;
  • Glangwili to be the centre for the whole board area for children and young people;
  • Elective paediatric surgery should return to Withybush;
  • Emergency paediatric surgery at Withybush should end.

Those recommendations are supported by the independent expert engaged by the Board confirming that many of the fears expressed by campaigners during the long – and ultimately unsuccessful – fight to retain core services at Withybush have come to fruition.

The papers considered by the Board state: ‘Dr Mayor has advised that, although well intentioned, the UHB’s desire to provide as much acute care as possible at WGH since 2014 without a comprehensive supporting infrastructure of 24/7 paediatric, anaesthetic and A&E skills has effectively weakened the overall acute paediatric service as limited staff resources have been stretched and care pathways have become confused’.

Dr Phil Kloer, the Board’s Medical Director, said: “It is important to reassure people that, at the present time, the operating hours of the PACU at Withybush Hospital will continue to be from 10am to 6pm, seven days a week.

“We are making significant efforts to progress the development of a safe and sustainable longer term staffing model for the unit as part of the wider Transforming Clinical Services design phase and formal consultation in 2018 and we will provide further updates as this work develops.”

 

Charity

Donation gives Stackpole Quay book trailer fresh new look

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A COMMUNITY donation will help spruce up a popular summer book trailer at Stackpole Quay after members of the Pembrokeshire National Trust Association handed over more than one thousand pounds to support the project.

The Pembrokeshire National Trust Association presented a cheque for £1,095 to the National Trust at Stackpole Quay this weekend.

The cheque was formally given to Rhian Sula, General Manager for the charity’s Pembrokeshire and Carmarthen Bay portfolio, by association chairman Jane Mason during a National Trust information coffee morning at the Stackpole Centre.

The money will be used to refurbish the well-known second-hand book trailer which operates at the quay during the summer months. The trailer allows visitors to pick up a holiday read while making a donation, with proceeds supporting local conservation and access projects.

Last year alone, the trailer raised more than £1,500.

Jane Mason said the association had originally funded the purchase of the trailer several years ago and wanted to build on its success.

“Our new donation from members’ support will improve the trailer with updated imagery and design,” she said. “This will help the National Trust present a more professional, welcoming and brand-aligned offer, and potentially grow donation income.”

The Pembrokeshire National Trust Association runs a programme of talks, visits and guided walks in support of local Trust properties. Membership of the National Trust is not required to join the association. Annual membership costs £5 for individuals and £8 for couples.

At its AGM in November, the group announced £3,000 in additional donations for local projects, including replacement willow hurdles at Tudor Merchants House, footpath improvements at Little Milford, and a new bench, tree planting and path works at Southwood.

With the latest contribution towards the book trailer, the association’s donations for the current financial year now exceed £4,000.

Photo caption:

Jane Mason presents a cheque for £1,095 to Rhian Sula at Stackpole Centre (Pic: supplied).

 

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Crime

OAP admits stalking woman with emails, posters and letters

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A HAVERFORDWEST man has admitted stalking a woman by sending repeated unwanted emails, putting up posters and contacting third parties about her.

Michael Lockheart, aged 80, of Daisy Lane, appeared before Haverfordwest Magistrates’ Court on Monday (Feb 9) for sentencing, having previously pleaded guilty to stalking.

The court heard that between July 27 and September 10 last year, Lockheart pursued a course of conduct which amounted to the stalking and harassment against a female.

His behaviour included sending numerous unwanted emails after being told to stop contact, distributing defamatory posters in public places, and sending malicious correspondence to her GP and the local authority.

Lockheart admitted the offence, contrary to Section 2A of the Protection from Harassment Act 1997.

Sentencing was adjourned to allow a pre-sentence report to be prepared.

He was granted conditional bail with strict restrictions. He must not contact the complainant directly or indirectly, including through third parties or social media, and must not enter any address where she lives.

Lockheart is due back before magistrates for sentence at 10:00am on Monday, March 9.

 

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Crime

Pensioner back in court over persistent nuisance calls

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A TEMPLETON pensioner has appeared before magistrates again after admitting repeatedly using the phone network to cause distress and inconvenience.

Ann Gateley, aged 79, of Chapel Hill Lane, appeared at Haverfordwest Magistrates’ Court on Monday (Feb 9) for sentencing, having already pleaded guilty to a communications offence.

The court heard that between November 24 and November 26 last year, at Templeton near Narberth, Gateley persistently made use of a public electronic communications network for the purpose of causing annoyance, inconvenience or needless anxiety to another person.

She admitted the offence, contrary to Section 127 of the Communications Act 2003.

Magistrates adjourned sentencing to a later date and granted conditional bail.

As part of her bail conditions, Gateley must not contact 999 unless there is a genuine emergency.

Gateley is well known to the courts and has appeared on numerous occasions over recent years for similar communications-related matters.

She will return to the magistrates’ court at 10:00am on Tuesday, February 17 for sentencing.

 

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