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Withybush baby unit future in doubt

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CONSERVATIVE politicians have reacted angrily to the news that Mark Drakeford, Minister for Health in the Welsh Labour Government, has endorsed the “underlying model” set out in a health review that looks certain to result in the closure of the Special Care Baby Unit (SCBU) in Withybush Hospital.

The Scrutiny Panel Report on service change proposals to neonatal services across three hospitals, which looks likely to be fully endorsed by the Welsh Government, recommends that ‘the provision of neonatal special care facilities across all Hywel Dda hospitals is neither safe nor sustainable, given the low volume of patient throughput’.

Just this week, speaking with the BBC, Labour leader Ed Milliband, praised the Welsh Government’s handling of the NHS, stating that they were doing an ‘excellent job’ and blaming ‘cuts’ on Westminster. The Labour run Welsh Government has chosen, controversially, not to protect the health element of its budget, in contrast to the UK government’s policy in England. The health element of the Welsh Government’s budget amounts to 40% of its overall expenditure, as opposed to 18% in the UK overall.

Stephen Crabb, MP for Preseli Pembrokeshire, which is the constituency in which the Withybush hospital resides, commented on the Labour decision to adopt the Scrutiny Panel Report, saying,

“I was very disappointed by the Minister’s statement. Although no firm plans were confirmed, it is clear that the Welsh Government will be centralising specialist baby care services at one site in the Hywel Dda region. This leaves SCBU in Withybush Hospital in the same uncertain position. Although the Minister explained that he would make a final decision after Christmas, having asked for more information, this announcement will be unsettling for local people. As a longstanding campaigner to save this vital service for our community, I remain anxious that the decision has effectively been taken to close the unit at Withybush. I hope that the further information he receives will convince the Minister not to push forward with such a closure.”

The Assembly Welsh Conservative Group claim that Carwyn Jones’s Labour Government will cut the Welsh NHS budget by over £800 million, in real terms, over five years, which they say equates to £5 a second.

However, Joyce Watson, Labour AM for Mid and West Wales, denied that a cost cutting exercise was to blame for the imminent closure of the SCBU. Speaking with The Herald she said that, “This is not about cost; it is about sustainable care for now and the future.”

In a statement released by her office she stated that, “We want the best for patients in Wales. Clearly what we want is an improvement on the present state of affairs. Those of us who have fought for the maintenance of the existing provision at these hospitals are not stick-in-the-muds. If what is proposed is better, we’ll have it”.

She told The Herald that she had sought assurances from the Minister that Withybush would be able to deal with emergency births where the mother/child needed immediate care, which he had confirmed to be the case. When pressed on what that would mean if the current SCBU were to be closed she said that, “A stabilisation unit will remain in Withybush”, that would, “provide adequate care in case of an emergency”.

The Conservative Shadow Minister for Health, Darren Millar, did not share the Labour AM’s optimism, saying, “Labour has confirmed more hospital downgrading in Wales, despite previous assurances that this would not happen”

Preselli Pembrokeshire AM, Paul Davies, said, “It seems it’s clear that calls to save Withybush Hospital’s SCBU have fallen on deaf ears. This Labour Government still appears to advocate a closure that many believe would be both dangerous and unsafe. There are deep concerns surrounding the potential axing of this unit; not least the effect it will have on an already strained ambulance service, the lack of suitable transport services within our communities, and the knock-on effect on other services at the hospital”.

Angela Burns, AM for Carmarthen West and South Pembrokeshire issued a statement to The Herald saying, “The Minister must remember the recommendation made by the CYP (Children and Young People) Committee into Neonatal Care that spoke of the need to ensure adequate transportation systems if everything is to be dragged eastwards. We have a fairly poor road network in Pembrokeshire with a great many single carriageways, an overstretched ambulance service, and it is not advised that premature babies go anywhere by helicopter. My overall view is that this is a long kick into the deep grass but what it leads to is more worry and uncertainty for the public, for staff, for recruitment and for doctors and nurses thinking of training in Hywel Dda”.

The Herald invited further comment from local Councillor and leader of the County Council’s Labour Group, Paul Miller. He said he was unable to comment and directed all enquiries to Joyce Watson or the Labour Health Minister.

Pembrokeshire residents must now wait to see if there is any hope of a change of heart by the Welsh Government before a final decision is made on the future of the Special Care Baby Unit at Withybush.

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Crime

Pembrokeshire man sent to Crown Court over death by careless driving charge

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A PEMBROKESHIRE man has been sent to the Crown Court to stand trial accused of causing a death by careless or inconsiderate driving.

Alexander MacCallum, aged 28, of Beach Road, Llanreath, Pembroke Dock, appeared before Llanelli Magistrates’ Court on Wednesday (Dec 18).

The court heard that MacCallum is charged with causing death by careless or inconsiderate driving following an incident on Thursday (June 13, 2024).

No plea was entered at this stage of the proceedings.

Magistrates were told the case was too serious to be dealt with at magistrates’ level and ordered that it be sent to the Crown Court for trial.

MacCallum was sent to the Crown Court on unconditional bail, with further proceedings to take place at a later date.

The prosecution was brought by Dyfed-Powys Police. No defence solicitor was formally recorded at the hearing.

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Health

NHS Wales spends more than £15.5m on agency radiographers as pressures grow

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NHS WALES has spent more than £15.5 million on agency radiography staff over the past five years, as mounting pressure on diagnostic imaging services raises concerns about long-term workforce sustainability.

Figures obtained by the Welsh Liberal Democrats through Freedom of Information requests show that spending on temporary radiographers almost doubled between 2020/21 and 2023/24, despite relatively low headline vacancy rates across Welsh health boards.

Radiographers carry out X-rays, CT, MRI and ultrasound scans, which are essential to emergency care, cancer diagnosis, trauma treatment and elective surgery. Delays or shortages in imaging services can have a knock-on effect across patient pathways, slowing diagnosis and treatment.

The data also highlights an ageing workforce. More than a quarter of radiographers in Wales are aged over 50, with more than one in ten aged 55 or above. In some health boards, a significantly higher proportion of staff are approaching retirement age, raising concerns that experienced radiographers could leave faster than they can be replaced.

Betsi Cadwaladr University Health Board recorded the highest agency spend, at more than £8.1m over the period covered by the FOI requests. Other health boards also reported growing reliance on temporary staff to maintain services, particularly where specialist skills are required.

While official vacancy figures remain comparatively low, professional bodies have previously warned that vacancy data does not always reflect pressure on services, as posts can be held open or covered through overtime and agency staff rather than filled permanently.

Diagnostic imaging demand has increased steadily in recent years, driven by an ageing population, advances in medical imaging technology, and rising referrals linked to cancer and long-term conditions.

Commenting on the findings, Welsh Liberal Democrat Leader Jane Dodds MS said:

“Radiographers are absolutely vital to the NHS. From diagnosing cancer to treating people in A&E, the vast majority of patient journeys depend on timely access to scans.

“These figures show a system increasingly relying on expensive agency staff while failing to plan properly for the future workforce. That is not fair on patients, and it is not fair on staff who are already under huge pressure.

“The Welsh Labour Government must take urgent action to improve recruitment and retention, support experienced staff to stay in the workforce for longer, and ensure NHS Wales has a sustainable radiography workforce fit for the future.”

The Welsh Government has previously said it is working with health boards to improve recruitment and retention across NHS Wales, including expanding training places and supporting flexible working arrangements to help retain experienced staff. Ministers have also pointed to record numbers of staff working in the NHS overall, while acknowledging ongoing challenges in hard-to-recruit specialties.

However, opposition parties and professional bodies continue to warn that without long-term workforce planning, reliance on agency staff could increase further, adding to costs and pressure on already stretched diagnostic services.

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Local Government

Essential bridge maintenance and repairs planned for January

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Works on Westfield Pill Bridge to affect A477 traffic

ESSENTIAL maintenance and repair work is set to begin on Westfield Pill Bridge, with traffic management in place on the A477 between Neyland and Pembroke Dock.

The programme of works is due to start on Monday (Jan 19) following a Principal Inspection carried out in 2022, which identified a number of necessary repairs to maintain the long-term durability and safety of the structure.

Westfield Pill Bridge is a key route linking communities in south Pembrokeshire and carries a high volume of daily traffic. While major works were last undertaken in 1998 — which required a full closure of the bridge — the upcoming refurbishment has been designed to avoid shutting the crossing entirely.

Instead, the works, scheduled to take place in early 2026, will be managed through traffic control measures to keep the bridge open throughout the project.

The planned refurbishment will include the replacement of both eastbound and westbound bridge parapets, the renewal of expansion joints, and full resurfacing of the bridge deck.

The work is expected to take no longer than three months and will involve weekend and night-time working to help minimise disruption. All construction activity will be carried out from the bridge deck and has been scheduled to avoid clashes with other planned trunk road works, as well as periods of higher traffic demand.

Two-way traffic signals will be in place for the duration of the works. These will be manually controlled during peak periods, with particular efforts made to reduce delays affecting school transport.

Motorists are advised that there may be delays to local bus services during the works, including the 349 (Haverfordwest–Pembroke Dock–Tenby) and 356 (Milford Haven–Monkton) routes.

Drivers are encouraged to allow extra time for journeys and to follow on-site signage while the works are underway.

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