Politics

It shouldn’t happen to a Health Minister

Published

8 years ago

January 30, 2018

Angela Burns: Slated 'supercilious' and 'arrogant' First Minister

IT’S NOT easy being a Welsh Government Minister.

There are so many new words to learn when you get into office and so many old ones to forget.

For example, take the word ‘cut’. It’s a very simple three letter word. But once you become a Welsh Government Minister, you are not allowed to use it.

Instead, at least as far as Welsh Government policies go, the word ‘cut’ has to be replaced with the far more unwieldy ‘transformation’ or the two-word mouthful ‘transformational change’.

ANGRY ANGELA ATTACKS

As you will see elsewhere in this newspaper, Hywel Dda UHB – to nobody’s surprise – has been caught on the hop by people discovering that when it talks about ‘transforming clinical services’ it means ‘cuts and closures’. You could argue that cuts are in themselves transformational, at least in the same way that being guillotined was transformational for the French aristocracy.

On Wednesday (Jan 24), Vaughan Gething was faced with a barrage of topical questions, which he confronted with the enthusiasm and delight of Louis XVI on his final journey to Place de la Révolution.

You wouldn’t want to get on the wrong side of Angela Burns, the Carmarthen West and South Pembrokeshire AM who speaks for her party on Health in the Senedd.

Crikey Moses! After a brief initial question, she tore into the Health Board, the Welsh Government, the First Minister, Labour backbenchers, Mr Gething and almost managed to get to Uncle Tom Cobley and all in a positively breathless display of genuine outrage.

Picking up a copy of the Parliamentary Review of Welsh Health Services, unanimously backed by Senedd members the previous week, she handled it between two fingers as though it was a particularly badly soiled nappy.

It was quite bad enough, Mrs Burns said, for the First Minister and his backbenchers to behave in a supercilious and arrogant fashion towards members raising their constituents’ concerns, it was quite another to obtain cross party agreement on the strategic direction of Welsh health services and then ignore the very principles that underpin it.

Mr Gething got to his feet and momentarily looked shell-shocked. Unlike the First Minister, there were almost no Labour members present to prop him up, bray, and snipe at the opposition with sarcastic remarks. However, the Cabinet Secretary is nothing if not smooth and polished. More than capable of bandying around banal generalities, Mr Gething soon adjusted himself into his usual smooth delivery of assurances about ‘meaningful consultations’.

Demonstrating the same sort of faulty memory that could yet come to unglue his leader, Vaughan Gething continued by saying that his boss had not been in any way supercilious.

Mr Jones’ stock in trade is supercilious.

Perhaps Mr Gething had not been paying attention; because having watched the previous day’s First Minister’s Questions and the business statement which preceded Mrs Burns’ questions, you would have to say that Mrs Burns had it pretty much nailed on.

ASK ME NO QUESTIONS

It didn’t get much better for Mr Gething, despite his stream of soothing words and assurances of good intentions. There used to be a saying that you couldn’t knit fog. Well, you certainly couldn’t weave whole fabric out of Mr Gething’s non-answers.

Mr Gething was very clear that he couldn’t answer direct questions because of protocol and the risk that he might have to make final decisions on a consultation which had not yet started. Which was very odd, because the previous day Carwyn Jones had decided he wouldn’t comment because the consultation was ‘open’. Open or closed, Mr Gething was prepared to fall back on the ‘all changes are difficult’ line. As an alternative tack, he attempted a switch to ‘difficult choices have to be made’.

So often did he repeat these lines, or variations on them, that it appeared as though poor Mr Gething had got stuck in one of those time loops beloved of science fiction programmes that need to create a cheap episode to make up for blowing the make-up budget on Slurb the Invincible or some such in a preceding one.

WHERE’S HELP WHEN YOU NEED IT?

Paul Davies had a go after Mrs Burns. Mr Davies doesn’t really do splenetic outrage, but he was clearly peeved – testy even. In a calm and measured way, he berated the Health Board for even proposing, never mind contemplating the closure of Withybush Hospital.

In response, Mr Gething tried a different tactic. While he appreciated that local sentiment was strong, it would be the same across Wales as tough decisions – hard choices – had to be made everywhere across the nation. This was, Mr Gething suggested, a national issue.

Mr Gething’s words would have had more weight on that score had he been accompanied by members of the Welsh Assembly from his own party. Apart from Mark Drakeford seated to his right, Mr Gething appeared terribly alone. The rest of the chamber was devoid of a Labour presence, demonstrating just how seriously west Wales’ concerns were being taken by all those south Wales AMs upon which the party depends for its majority.

Simon Thomas, incongruously seated next to Neil Hamilton, was next to tackle Mr Gething’s dead bat defence.

Pointing out the way in which the First Minister had sought to use the Parliamentary Review in an effort to deflect either criticism or inquiry, Mr Thomas told the Cabinet Secretary that the review was published too late to influence any proposals advanced by Hywel Dda.

After ungallantly pointing out that Labour’s candidate in the 2015 General Election, Paul Miller, had stood on a platform of restoring the paediatric services to Withybush – which had been removed temporarily without consultation – and had still not returned, he suggested this was the opportunity to test the strength of the Parliamentary Review’s framework.

NO STOPPING A CONSULTATION

Mr Gething lost his way a little as he said it wouldn’t be right for him ‘to attempt to instruct’ the health board to stop its consultation now. That would be the consultation that has not started, as the Cabinet Secretary had previously made clear just minutes before.

Difficult conversations needed to be had, tough choices had to be made, and the public would be properly engaged in the process of helping to make those tough choices after taking part in those difficult conversations.

You could see the cogs clicking away as Mr Gething spun new golden platitudes out of old strawmen.

Joyce Watson, whose support for retaining services in the past was less than fulsome, said it was very important that the public was told Withybush was not closing immediately. As this had never been suggested anywhere, it was hard to see what point Joyce Watson was trying to make; but having been thrown a life preserver, Mr Gething clung to it. He agreed that there was no plan to close Withybush in the immediate future. A relief for those attending outpatients next week to have their bunions filed.

Mr Gething then proceeded to point out that other hospitals were also mentioned in the options that had been leaked and that there could be those hard conversations and tough choices to be made in respect of them. But never mind, there would be a genuine and meaningful consultation and, if not, there would be a meaningful and genuine one. That’s what he expected the Board to do. Although, of course, he couldn’t tell them that was what was needed, because he might end up having to make one of those difficult choices after hard and tough conversations.

HAMILTON’S FORK

Neil Hamilton was next. Reaching for his pantomime pitchfork, he rather nastily skewered the Cabinet Secretary on its tines.

Remarking on Mr Gething’s status as the government’s fire blanket for successive health board failings everywhere, he posed the rather more difficult question of whether the threat to Withybush could be boiled down to death by a thousand cuts?

Tellingly, he suggested: “It must be regarded as a ridiculous proposal to close Withybush—even in contemplation in the medium term, let alone the short term. The health board should, when it produces the list of options for people to discuss, avoid causing unnecessary alarm and consternation by producing extreme proposals that are not going to be followed through.”

He then rather neatly suggested the real problem was a complete lack of accountability in the health service. Community Health Councils, Health Boards, were not elected bodies and the truth was that everything ended up on the Health Secretary’s desk. ‘People on the ground feel they have no voice at all,” Mr Hamilton said.

Vaughan Gething could see the home stretch coming.

There would be a meaningful conversation about tough choices in a difficult consultation, in which the views of clinicians would be heard as well as those of the public. It would be rather mean to point out that there is a difference between hearing and listening.

Particularly as those conversations will be tough, difficult, hard, meaningful, and genuine.

Then Mr Gething concluded on a point that he must now be grateful he did not open with.

Concluding he volunteered, he didn’t want to be in the position in the future where the Government will be asked: ‘Why didn’t you do something about a part of the service that really has gone wrong?’

That remark rather fortunately leaves the question unasked as to what all the previous tough choices after hard conversations and meaningful consultations over the last twelve years were actually for.

That would be a difficult – if not unanswerable – question.

Business

Community council objections to Tenby Lidl store scheme

Published

7 hours ago

December 19, 2025

Bruce Sinclair - Local Democracy Reporter

PLANS for a new store on the edge of Tenby by retail giant Lidl, which has seen objections from the local community council, are likely to be heard next year.

In an application recently lodged with Pembrokeshire County Council back in October, Lidl GB Ltd, through agent CarneySweeney, seeks permission for a new 1,969sqm store on land at Park House Court, Narberth Road, New Hedges/Tenby, to the north of the Park Court Nursing Home.

The proposals for the latest specification Lidl store, which includes 103 parking spaces, would create 40 jobs, the applicants say.

The application follows draft proposals submitted in 2024 and public consultations on the scheme, with a leaflet drop delivered to 8,605 local properties; an information website, with online feedback form; and a public exhibition, held last December at the De Valence Pavillion in Tenby, with a follow-up community event held at New Hedges Village Hall, close to the site, publicised through an additional postcard issued to 2,060 properties.

Some 1,365 responses have been received, with 89 per cent of respondents expressing support for the proposals, the applicants say.

A supporting statement says: “Lidl is now exceptionally well established in the UK with the Company operating c.980 stores from sites and premises both within and outside town centres. Its market share continues to increase substantially, and the company is expanding its store network considerably. The UK operational model is based firmly on the success of Lidl’s operations abroad with more than 10,800 stores trading across Europe.

It adds: “The granting of planning permission for the erection of a new Lidl food store would increase the retail offer and boost the local economy. The new Lidl food store would create up to 40 employment opportunities for people of all ages and backgrounds, providing opportunities for training and career development. This in turn will create an upward spiral of economic benefits.”

Local community council St Mary Out Liberty Community Council has formally objected to the scheme, saying that, while it supports the scheme for a Lidl store in principle, recognising “the economic benefits a new retail store could bring,” it says the proposed location “is unsuitable, conflicts with planning policy, and cannot be supported in its current form”.

Its objections add: “The A478 is heavily congested in peak tourist months. A supermarket would worsen congestion, increase turning movements, and heighten risks to pedestrians, cyclists, and emergency access.”

It also raises concerns on the potential impact through “noise, lighting, traffic disturbance, and loss of quiet amenity” on a neighbouring residential care home.

An initial assessment by Pembrokeshire County Council, highlighted concerns about the visual impact, with the authority’s landscape officer commenting that the store would introduce “an intense urban function into an otherwise rural context”.

The report added: “It is not considered to be compatible with the character of the site and the area within which it is located; and furthermore, will lead to a harmful visual impact on the setting of the National Park.”

The application will be considered by county planners at a later date.

Local Government

£4m Plaid Cymru deal boost to Pembrokeshire council coffers

Published

11 hours ago

December 19, 2025

Bruce Sinclair - Local Democracy Reporter

PEMBROKESHIRE’S financial situation for next year is some £4m better off after a higher settlement from the Welsh Government, but the council still faces difficult decisions, councillors heard.

While council tax makes up a proportion of the council’s annual revenue, a crucial area of funding is the Aggregate External Finance (AEF) rate from Welsh Government.

Pembrokeshire was to receive a 2.3 per cent increase on its settlement, a total of £244,318,000, amounting to an extra £5,493,000, placing it at joint 13th of the 22 local authorities in Wales.

Now, following a Welsh Government and Plaid Cymru agreement, local authorities including Pembrokeshire have received a better financial settlement.

Speaking at the December meeting of Pembrokeshire County Council, while presenting a report on the outline draft medium term financial plan (MTFP) 2026-27 to 2028-29, Cabinet member for finance Cllr Alistair Cameron said the recent rise in the financial settlement from the Welsh Government had decreased the expected funding gap for the next financial year for the county from £17.7m to £13.6m, but stressed: “There are still increased pressures we are going to have to face.”

His report for members outlined some of the pressures faced by the council in setting its budget for the next financial year.

“Based on the revised projected funding gap of £13.6m, it is evident that major budget savings as well as a significant Council Tax increase will be required in order to deliver a balanced budget for 2026-27. The lower the Band D Council Tax increase, the higher the budget savings requirement will be, with the consequential adverse impact on the provision of Council services and on the medium-term financial sustainability of the council.”

His report also noted the decision in October by members to cut the council tax premium on second homes from 150 to 125 per cent, which on its own has increased the funding gap for 2026-27 by £1.3m.

The report, listing the many pressures and potential savings, said that where possible, discretionary fees and charges income has been budgeted to increase by 3.8 per cent, with any increases above this level included as part of the budget savings options presented.

The report for members, prior to the revised settlement from Welsh Government, gave council tax increase options ranging from five to 10 per cent with 7.5 per cent highlighted as the most favoured option, the 7.5 rate equating to a £2.38 a week increase for the average Band D property; each one per cent increase or decrease in council tax being worth £0.908m for council coffers.

Leader of the Conservative group on the council Cllr Di Clements made a plea to the leader, calling on the council to use the extra money from Welsh Government to “contribute to making this authority financially sustainable in the long term,” adding: “We know it’s tough out there for our council tax-payers, let’s hopefully give them a break this year.”

Independent Group leader Cllr Huw Murphy said the better settlement was “a huge sigh of relief” for the council, adding: “The budget negotiations still won’t be any easier because we’ve had this pot of money; [but] we have to applaud Plaid Cymru on this.”

A long string of recommendations essentially noting the report, but including the fees and charges increase, was moved by Cllr Cameron, seconded by Leader Cllr Jon Harvey, backed by members by 46 votes to one, with three abstentions.

The actual setting of the budget and related council tax level along with any potential savings and cuts, will be decided at a later date, with a public consultation running to January 4, followed by committee scrutiny ahead of Cabinet considering a revised draft budget on February 9, before it is recommended to full council on February 20.

News

Kurtz criticises Tufnell over GP pressures at Argyle Medical Centre

Published

18 hours ago

December 18, 2025

Jon Coles

Local MS says Welsh Government decisions are root cause of crisis

CONSERVATIVE Senedd Member Sam Kurtz has criticised Labour MP Henry Tufnell after the MP suggested GP practice management should be held accountable for patient dissatisfaction at Pembroke Dock’s Argyle Medical Centre.

Patients registered at the surgery have for years raised concerns about access to appointments, particularly difficulties securing same-day consultations and long waits to get through on the phone.

Speaking to BBC Wales, Mr Tufnell said he had discussed the situation with the Health Board’s Chief Executive and claimed the senior official “feels powerless” to intervene.

He said: “I’ve spoken to the Chief Executive of the Health Board, and he feels powerless to do anything about it. We need to come together and hold the management of these surgeries to account; there must be transparency about what they’re doing, and, fundamentally, we need reform in the system.”

***Concerned about Argyle Surgery: Henry Tufnell MP***

Mr Kurtz responded angrily, arguing that responsibility for reforming NHS Wales rests with the Welsh Government, not GP surgeries or frontline staff.

He said: “I don’t think it’s very helpful to point the finger at the surgery and suggest the fault lies with them when staff are working incredibly hard.

“If he wants to point the finger, it should be at his Labour colleagues in Cardiff Bay, who have continuously piled pressure onto GP practices by imposing contracts that are extremely difficult to deliver. That is why surgeries like Argyle are under such strain.”

Mr Kurtz later told The Pembrokeshire Herald that the problems faced by GP practices across Pembrokeshire were the result of long-term policy failures rather than poor local management.

“As someone born and raised in Pembrokeshire, I have seen first-hand the damage caused by the Welsh Labour Government’s mismanagement of our local NHS, despite the dedication and professionalism of frontline staff who continue to do their very best in increasingly challenging conditions,” he said.

“Anyone seeking to place the blame on NHS staff should back off. The fault does not lie with them. Real improvement will only come through properly supporting GP practices, listening to their concerns and working with them rather than against them.”

Argyle Medical Group is the second-largest GP practice in Wales, serving around 25,000 registered patients with nine GPs — an average of approximately 2,800 patients per doctor. In 2021, the practice had the equivalent of 10.75 full-time GPs and was actively seeking to recruit more.

However, ongoing recruitment difficulties forced Argyle to withdraw from its contract at St Clement’s Surgery in Neyland and reduce hours at St Oswald’s Surgery in Pembroke. Following the Neyland closure, patients were transferred to the Neyland and Johnston Medical Practice, which later handed back its GP contract after retirements and further recruitment problems. Those patients are now treated by salaried and locum GPs employed by the Health Board.

Similar pressures are being felt across Pembrokeshire, from Tenby in the south-east to St Davids in the north-west. While Wales does not face “GP deserts” on the same scale as the well-documented shortage of NHS dentists, reduced access to general practice has contributed to more patients attending hospital for conditions once routinely dealt with by GPs. This has placed additional strain on hospital services and staff.

In 2018, the Welsh Government pledged to recruit 1,000 additional GPs into NHS Wales. While overall GP headcount has risen, the number of full-time GPs has continued to fall. Many newer recruits work part-time, as locums, or on limited contracts, meaning fewer doctors are available in practice on a day-to-day basis.

Newly qualified GPs have also tended to favour larger urban centres, particularly along the M4 corridor and in north-east Wales, where professional support and career opportunities are greater. Critics argue that Welsh Government recruitment and retention strategies have failed to address persistent shortages in rural and coastal communities.

There are also ongoing shortfalls in independent prescribing pharmacists and community nursing staff, limiting efforts to relieve pressure on GP surgeries.

Mr Kurtz said: “The foundation of NHS care — with GPs as the first point of contact — has buckled. Blaming GP staff is a distraction. The issues are structural, long-term and political, and ultimately the buck stops in Cardiff Bay.”