News

‘Once in a lifetime’ reorganisation planned by Health Board

Published

7 years ago

January 19, 2018

THE LOCAL Health Board is embarking on a ‘once in a lifetime’ reorganisational plan which is looking at all potential options to ‘change the status quo and focus on improving health’ of locals.

This will involve, a press release has revealed, transferring more hospital services into the community where appropriate.

This is part of a strategy that the Health Board is looking into, to help solve an acute recruitment problem which is putting a great deal of pressure on the way that the Heath Board operates – and is leading to an untenable level of use of costly temporary staff to plug gaps and services.

In the summer of 2017, the Health Board embarked in an engagement with the public called ‘The Big Conversation’ which involved public workshops and drop-ins being held across the three counties of Pembrokeshire, Carmarthenshire and Ceredigion.

The Health Board now says the it has independently analysed opinions of the general public and has been using that data to explore, challenge and test different scenarios.

It is yet to be seen what these changes will mean for end service users.

The Herald understands it is likely to mean hospital services being reduced or cut, and replaced with community alternatives.

The Health Board has said it will not make any changes, unless it can guarantee the safety of the people which it serves.

The Health Board has insisted that no preferred option for change has yet been determined, and nothing has been signed off or agreed at this stage.

Medical Director Dr Philip Kloer said: “This is a once in a lifetime opportunity for our health service and community to work together to design an NHS which is fit for our generation and beyond. It has been acknowledged for some time across the UK that healthcare services are challenged like never before and we need significant change. Indeed this has been recognised in the recently published ‘Parliamentary Review of Health & Social Care’ here in Wales.

“We need to develop more proactive, resilient and better resourced local community services to support and improve people’s health and wellbeing, and avoid deterioration where possible. This will involve closer working with our partners, particularly colleagues in social care. We are also looking at ways of providing the most modern clinical practice, using the latest digital, technological, and new scientific developments, in fit for purpose facilities to provide better patient outcomes and experience.

“A number of our services are fragile and dependent on significant numbers of temporary staff, which can lead to poorer quality care. For us specifically in Hywel Dda, the geography we cover is large, with many scattered communities that are getting older, needing more holistic health and social care treatment and support. Because of this, we need to better resource our community based care, which is where most of our patient contact is, and help people manage their health conditions. We also need to evolve traditional ways of working and provide a more proactive approach. This should give patients – young, older and frail and everyone in between – the services they need when the need it, so people do not have to wait too long.

“This will mean changing hospital-based care, as well as community care, and we appreciate the attachment local people and our own staff have for their local hospitals. They have been cared for in them, or work in them, and they also play an important role in our wider communities. The options may propose change to a local hospital; however this is about more than the buildings. This is about investing in our communities, attracting doctors, nurses and therapists by operating a modern healthcare system and keeping hospitals for those who really need hospital care.

“We will not put in place any change that isn’t safe for our patients and population. And we will look at all the impacts from ensuring services are safer with better patient outcomes, to considering the wider impact on people, including the most vulnerable.”

Dr Kloer added: “The potential options are evolving, with changes to them on almost a daily basis. Many will never even reach public consultation, for a variety of reasons including safety, accessibility and affordability, or will change significantly as they are tested against population needs and healthcare standards.

“We will be coming back to the public in the spring with fewer options that have been more rigorously tested and we will open and honest about what we think our preferred option is and why. We would not, and cannot, propose something that would not be safe for our population.

“We live in this community, use our NHS and work for our NHS and we want to work with our patients, staff, partners and public to ensure it is the best it can be.”

Meanwhile, Elin Jones, Ceredigion’s Assembly Member, has called for urgency in the implementation of electronic records for NHS patients in Wales, following the publication of a report by the Wales Audit Office, ‘Informatics systems in NHS Wales’.

The report outlines several of the opportunities that electronic patient records can bring to patients and health boards, as well as the current obstacles to achieving this goal.

Elin Jones, who has long-called for a paperless NHS has welcomed the report, saying: “This is an important step in the development of health services in Wales, which is long-overdue. It would make our NHS more sustainable and more flexible to every patient’s needs.

“I have heard of many instances where patients have turned up to appointments in Llanelli, Swansea or Cardiff, only to find that their medical records have not arrived. These are people who have, in some cases, had to wait a long time for a specialist appointment, and have had to travel long distances, sometimes leaving very early in the morning or have arranged overnight accommodation in order to get to a 9 am appointment.

“Being turned away because their paper record has not arrived is a failure in the current system, and would be addressed directly by electronic records.

“The technology is available, it’s just a case of putting the funding in place.

“With the proper investment into the Welsh NHS by the Welsh Government, electronic patient records can help the NHS to deliver better outcomes for patients and to make more efficient and effective use of scarce financial and human resources.”

News

County Hall lights up to mark Holocaust Memorial Day

Published

18 hours ago

January 25, 2025

Tom Sinclair

COUNTY HALL in Haverfordwest will be lit in purple on Monday January 27 to mark Holocaust Memorial Day.

This year Holocaust Memorial Day marks the 80^th anniversary of the liberation of Auschwitz-Birkenau, and remembers the six million Jews murdered during the Holocaust and those killed in genocides that followed.

The theme of this year’s commemoration is ‘For a Better Future’ and focuses on what everyone can do to create a better future.

This includes speaking up against Holocaust and genocide denial, challenging prejudice and encouraging others to learn about the Holocaust and more recent genocides.

Pembrokeshire County Council Leader, Cllr Jon Harvey, said: “This year’s Holocaust Memorial Day is particularly poignant as we remember the moments that Auschwitz-Birkenau was liberated and the horrors of the Holocaust revealed to the world.

“We all have an opportunity to take action for a better future. A better future where people are not suffering prejudice or persecution because of their faith, ethnicity or other characteristic.”

Council Presiding Member, Cllr Simon Hancock added: “On Holocaust Memorial Day, we remember the Jewish victims of the Holocaust and all the others who suffered under Nazi persecution and the genocides that have followed.

“As we honour their memories, we also pledge to fight prejudice, discrimination, and antisemitism in society today.”

You can see more information on Holocaust Memorial Day at: https://hmd.org.uk/

News

Pembrokeshire cottage extension expected to be refused

Published

20 hours ago

January 25, 2025

Bruce Sinclair - Local Democracy Reporter

PLANS adapt an outbuilding at a north Pembrokeshire cottage, which has had two previous extensions, to provide additional space for visiting family members are expected to be refused.

In an application recommended for refusal at Pembrokeshire Coast National Park’s development management committee meeting of January 29, Mr and Mrs Lewis seek permission for the park to allow habitable rooms in a consented building, along with a link to the existing dwelling at Lleine, near Moylegrove.

A supporting statemen through agent Harries Planning Design Management says: “This planning application follows a previously submitted planning application for extension to the dwelling and the rebuilding of existing outbuildings.

“It also follows a pre-application advice enquiry for an extension and to allow habitable rooms in the outbuilding and a refusal for an application of a similar nature. Following the refusal, we met with officers at the [national park] offices in Pembroke Dock to discuss a way forward for this proposal given the reason is to enable relatives to stay with the family. We therefore have followed the advice of the officers and provided amended plans following their response.”

An officer report for planners says Lleine, on a minor coastal road linking Newport and Moylegrove, is a traditional single-storey cottage that has been extended on two occasions previously.

It adds: “This application seeks consent to allow habitable rooms in an outbuilding which previously gained planning permission, together with the erection of a link to the existing dwelling. The current application follows the refusal [of a previous application], which also sought consent to allow habitable rooms in the previously consented building, and the construction of a link to the main dwelling.

“It was considered by officers that the proposal represented an over-development of the original dwelling by introducing additional accommodation and built form over and above that which was granted.”

It says that while the revised proposal is smaller, “it is still considered that the further additional built form would be an over-development of the existing dwelling, which already been extended extensively”.

The application has been brought to committee consideration rather than decided by officers at the request of the local councillor.

Crime

Dyfed-Powys Police tax bill could rise by nine percent

Published

20 hours ago

January 25, 2025

Bruce Sinclair - Local Democracy Reporter

THE POLICE part of the council tax bill in Dyfed and Powys is expected to rise by nearly nine percent, meaning the average household could be paying £360 for that element alone.

The overall council tax bill for residents in the counties of Pembrokeshire, Ceredigion, Carmarthenshire and Powys is made up of the county council element of the council tax, the Dyfed-Powys Police precept, and individual town or community council precepts.

In a summary before the January 24 meeting of the Dyfed Powys Police and Crime Panel, held at County Hall, Haverfordwest, Police and Crime Commissioner Dafydd Llywelyn calls for a raising of the precept by nearly nine per cent for the 2025-’26 financial year.

The summary says: “After extensive scrutiny by the Police & Crime Panel (P&CP), I was unanimously supported in setting a council tax precept for 2024/25 in Dyfed-Powys of £332.03 for an average band D property, once again being the lowest in Wales.

“At every stage within the series of precept and medium-term financial plan meetings, and indeed through my scrutiny and review of the in-year financial position, I critically question and constructively challenge aspects of the revenue budget requirement and organisational delivery structure to assure myself of the requirements, progress and ultimate delivery. I also undertook a series of challenge and scrutiny sessions specifically reviewing the Estates, ICT and Fleet Strategies and future capital programme.

“To inform my considerations for 2025/26 and to fulfil my responsibilities as Commissioner, I consulted with the public to obtain their views on the level of police precept increase. It was pleasing to see an increase in respondents since 2024/5 with 76 per cent supporting a precept increase above Nine per cent.”

It added: “I am painfully aware of the pressures that the cost-of-living crisis continue to put on our communities. There is a fine balance between ensuring an efficient and effective, visible and accessible Policing Service, addressing operational services demands to ensure the safety of the public, whilst also ensuring value for money for the taxpayers and sound financial management.

“Having undertaken a comprehensive process, I am confident in the robustness of this MTFP, but this does not underestimate the difficult decisions or indeed mitigate the financial challenges and uncertainties which are outside of our control.

“I therefore submit my precept proposal for scrutiny by the Dyfed- Powys Police and Crime Panel, which will raise the average Band D property precept by £2.39 per month or £28.65 per annum to £360.68, an 8.6 per cent increase. This increase will raise a total precept of £86.366m.

“This will provide a total funding of £153.304m, representing a £9.4m/6.5 per cent increase on the revised funding for 2024/25.”

For the individual council tax bands of A-I, the proposed levels, and increase on last year, are: £240.46 (+£19.10), £280.53 (+£22.29), £320.61 (+£25.47), £360.68 (+£28.65), £440.84 (+£35.02), £520.99 (+£41.39), £601.14 (+£47.76), £721.37 (+£57.31), and £841.60 (+£66.86).

Ceredigion is currently mooting a near-10 per cent increase in that element of the overall council tax bill.

Anyone paying a premium on council tax, such as second home-owners, also pay the premium on the police precept, meaning their bills for this element are proportionately higher.