News
‘Once in a lifetime’ reorganisation planned by Health Board
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.”
Climate
Communities offered share of £1bn energy fund — but questions remain over delivery
COMMUNITIES across Wales are being promised a stake in what ministers describe as the largest public investment in locally owned energy projects in British history, with up to £1 billion earmarked for solar panels, battery storage and small-scale renewable schemes.
The funding, announced this week by Great British Energy and the UK Government, forms part of a new “Local Power Plan” aimed at helping councils, schools, clubs and community groups generate and sell their own electricity.
Ministers say the approach will cut bills, create income streams and keep profits local rather than flowing to major energy companies.

However, while the headline figure is eye-catching, details about how much money will reach Wales — and how quickly — remain limited.
Welsh projects already backed
The government says nearly £9.5 million has already been allocated to projects in Wales over the past year, delivered with the Welsh Government.
Examples include rooftop solar on schools in Wrexham and Newport, and a new installation at Big Pit National Coal Museum in Pontypool, which is estimated to save more than £280,000 in energy costs over its lifetime.
A further scheme at a highways depot in Neath is projected to save the local authority around £910,000.
Energy Secretary Ed Miliband said the plan would “transfer wealth and power back to communities”, while Wales Secretary Jo Stevens described it as a way for towns and villages to “take charge of their own energy supplies”.
Big ambition — but funding spread thin
Despite the rhetoric, the £1bn pot is UK-wide and expected to support more than 1,000 projects across England, Scotland, Wales and Northern Ireland.
If split evenly, that would average around £1m per scheme — though ministers say grants and loans will vary and some funding will be reserved for advice and capability building rather than construction.
Community energy groups have long argued that red tape, grid connections and upfront costs are bigger barriers than ambition.
There are also questions over whether smaller volunteer-led organisations will have the technical expertise to compete for funds against better-resourced councils and developers.
Industry bodies broadly welcomed the move but stopped short of calling it transformational without clearer timelines.
What it could mean locally
If delivered effectively, the model could allow:
• village halls and sports clubs to reduce running costs
• schools to generate income from spare electricity
• councils to cut energy bills on public buildings
• residents to buy shares in local renewables
Supporters say that keeps money circulating in the local economy rather than leaving the area.
The announcement follows other energy developments affecting Wales, including backing for offshore wind in the Celtic Sea such as the Erebus Floating Offshore Wind Farm off Pembrokeshire.
Waiting for the detail
For now, communities are being invited to register interest via Great British Energy, with grant schemes expected to launch later this year.
Whether the plan proves to be a genuine shift in ownership or simply another competitive funding round will depend on how accessible the money is — and how much of it ultimately reaches places like Pembrokeshire rather than being absorbed at national level.
Local groups considering bids will be watching closely.
Charity
Donation gives Stackpole Quay book trailer fresh new look
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).
Crime
OAP admits stalking woman with emails, posters and letters
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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