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Neyland: St Clement’s Surgery to close in September

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HYWEL DDA UNIVERSITY HEALTH BOARD has approved an application by Argyle Medical Group to close St. Clement’s Surgery, Neyland, from September 1 owing to significant workforce pressures associated with the recruitment and retention of GPs.

Since January, the Health Board has been seeking the views of patients, neighbouring practices, the Community Health Council and other stakeholders on the proposed closure, and has held a well-attended drop-in event in Neyland in which patients spoke about the impact of any closure, including concerns about travel and transport and access to GP appointments.

The Health Board is writing to all affected patients this week to explain the decision and to keep them updated on further developments.

Further discussions have taken place with Argyle Medical Group, which despite trying to recruit GPs for their vacancies is expected to lose another GP in June. As a consequence the Practice’s overall sustainability position is concerning.

Meeting in January: Locals were very concerned

In its decision making over the future of St. Clement’s Surgery, the Health Board says it has tried to balance the needs of patients in the Neyland area with the risks to the struggling Practice and the whole Practice list.

At the same time, detailed discussions have been underway with stakeholders to examine if these important services can be delivered in Neyland in other ways.  These discussions are continuing and have been positive but no firm proposal has been agreed to date.

Elaine Lorton, Assistant Director of Primary Care, said: “As a Health Board we recognise that this decision will be very disappointing for many patients.  Unfortunately however, the scale of the pressures on Argyle Medical Group is increasing and action needs to be taken to ensure the Practice remains stable for the future for the whole of the population.

“Until such a time as a plan for the alternative provision of services for patients in Neyland is successfully developed, the Health Board views the closure of St. Clement’s Surgery as a necessary move.”

A number of conditions have been put in place to help protect services for patients who will be affected.  These conditions include that the Surgery remain open until September 1 and that Argyle Medical Group work to maintain access to their services for patients in the area.

Patients will continue to be registered with Argyle Medical Group after the closure date of September 1 and the Practice will continue to provide services such as home visits where appropriate.

Patients who need to see a GP or nurse for a face-to-face consultation will need to travel to Argyle Surgery in Pembroke Dock.

Mrs Lorton added: “The Health Board will keep patients informed of developments and will provide opportunities for the public to engage. Argyle Medical Group will also be undertaking a major review of their arrangements for accessing appointments at Argyle Surgery and St. Oswald’s Surgery, and this will include telephone consulting services for those patients who do not clinically need to have a face to face appointment.  The Practice will work on arrangements to prevent patients having to make multiple journeys to make appointments.

“The Health Board and Argyle Medical Group will continue to work positively and proactively with the community to identify and support opportunities to deliver services via a network with neighbouring practices and the local Community Pharmacy.”

Assembly Member Paul Davies said: “I’m deeply disappointed that Hywel Dda University Health Board has approved the application to close St Clement’s surgery in Neyland. This will have a detrimental impact on patients at the surgery, who will now have to travel further for treatment and incur a financial cost due to travelling over the Cleddau Bridge.”

He added: “It’s clear that both the local health board and the Welsh Government have failed to attract doctors to the local area and now patients are paying the price. In light of this closure, I will continue to raise this matter with the Welsh Government at every opportunity.”

Stephen Crabb MP also commented, saying: “This a senseless and damaging decision. For years doctors have been warning Welsh Government about growing recruitment problems across Wales and the need for a proper strategy to fill vacancies. And Welsh Government have done nothing.

“St Clements Surgery is a busy, well used and popular surgery. There is no reason for it to shut other than the incompetence of the Welsh Government in dealing with recruitment pressures in rural areas.”

News

Parliament narrowly backs move towards UK-EU customs union

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A TEN Minute Rule Bill calling for the UK to negotiate a customs union with the European Union has passed its first Parliamentary hurdle after a knife-edge vote in the House of Commons.

The proposal, brought forward by Liberal Democrat Europe spokesperson Al Pinkerton MP, was approved by a single vote on Tuesday after the Commons split 100 votes to 100, with the Deputy Speaker using their casting vote in favour of the Bill proceeding.

The Liberal Democrats described the result as a “historic victory”, arguing it sets an important parliamentary precedent for closer post-Brexit trading ties with the EU.

The vote saw 13 Labour backbenchers break ranks to support the proposal, alongside MPs from the Liberal Democrats and Plaid Cymru. In Wales, six MPs voted in favour, including Plaid Cymru’s Liz Saville Roberts, Ben Lake, Llinos Medi, Ann Davies, and Liberal Democrat MP David Chadwick, as well as Labour’s Tonia Antoniazzi, the MP for Gower.

However, the majority of Welsh Labour MPs chose not to back the measure. Among those abstaining was Henry Tufnell, Labour MP for Mid and South Pembrokeshire, who did not vote either for or against the Bill.

Other Welsh Labour MPs who abstained included representatives from Cardiff, Swansea, Llanelli, Neath, Newport, the Valleys and north Wales constituencies.

Economic impact of Brexit cited

The Liberal Democrats pointed to analysis from the House of Commons Library, commissioned by the party, which estimates the UK is losing around £250m a day in tax revenue as a result of Brexit-related economic impacts.

The party also highlighted concerns about the effect of Brexit on Welsh trade, citing research suggesting the volume of Welsh exports to the EU fell by around 31% between 2019 and 2024, while EU imports into Wales declined by approximately 20% over the same period.

They argue that small and medium-sized businesses in Wales are particularly exposed to additional trade barriers with the EU, given Wales’ historic reliance on European markets.

Speaking after the vote, Welsh Liberal Democrat Westminster spokesperson David Chadwick MP said the result reflected growing pressure for a change in the UK’s trading relationship with Europe.

“Across Wales, people are crying out for real change and a solution to the cost-of-living crisis,” he said. “A customs union with the EU is the single biggest step the government could take to grow our economy, put money back into people’s pockets and generate billions for our public services.”

Government position unchanged

The vote does not change government policy, and Ten Minute Rule Bills rarely become law without government backing. Labour ministers have so far ruled out rejoining the single market or customs union, citing commitments made during the general election campaign.

However, the narrow margin and cross-party support are likely to add pressure on the government as it seeks to “reset” relations with the EU through negotiations on trade, defence and regulatory cooperation.

For Pembrokeshire, where agriculture, food production, tourism and small exporters form a significant part of the local economy, the debate is likely to resonate, particularly among businesses affected by post-Brexit paperwork, costs and delays.

The Bill will now proceed to a second reading at a later date, though its long-term prospects remain uncertain.

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Crime

Van driver avoids ban after speeding on A48

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A VAN driver who was caught speeding on the A48 near Nantycaws avoided disqualification after magistrates accepted that a ban would cause exceptional hardship to others.

Norman Andrew Chapman, aged 59, of Rock Drive, Gelli, Pentre, appeared before Llanelli Magistrates’ Court on Monday (Dec 15).

Chapman admitted driving a Ford Transit 350 panel van at 68mph on a dual carriageway subject to a 60mph limit for that class of vehicle. The offence occurred at 1:05pm on April 2 and was detected using laser equipment.

The court heard detailed mitigation outlining Chapman’s caring responsibilities. He helps care for his housebound mother, who is on oxygen, and has taken on additional responsibilities while his brother undergoes cancer treatment. Magistrates were also told he assists a lifelong friend with panic attacks by taking her shopping, and that losing his licence would jeopardise his employment and potentially affect his employer’s business.

Finding exceptional hardship, the court decided not to disqualify Chapman.

He was fined £193, ordered to pay £400 in prosecution costs, and had three penalty points added to his driving licence.

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Crime

Harassment case against Milford Haven man dismissed

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A HARASSMENT case against a Milford Haven man was dismissed after prosecutors offered no evidence.

David Daley, aged 45, of Murray Road, Milford Haven, appeared before Llanelli Magistrates’ Court on Monday (Dec 15) for trial.

Daley had denied a charge of harassment without violence, relating to allegations that between October 28 and October 30 he persistently sent unwanted messages and attended at the home address of a female in Prioryville, Milford Haven.

No evidence was offered by the Crown Prosecution Service, and the charge was formally dismissed by the court.

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