News
Withybush Hospital: Health board plans for paediatric service cuts
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.”
Health
Resident doctors in Wales vote to accept new contract
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.
Crime
Swansea man jailed for online child sex offence dies in prison
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.
Farming
Welsh Conservatives warn climate plans could mean fewer livestock on Welsh farms
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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