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Withybush and Glangwili to be downgraded following consultation

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THE HEALTH BOARD has presented its recommendations to major changes in the way health services are delivered in west Wales today (Sept 26) – and one of those was to downgrade Withybush General Hospital and Glangwili Hospital in Carmarthen.

At the meeting at County Hall, Carmarthen  the Hywel Dda UHB presented outputs from its recent consultation on the future provision of health and care services to the general population together with a clinical recommendation which will be considered by the Board.

The health board’s recommendation has now been published.

The recommendations were:
• Bronglais and Prince Philip in Llanelli will retain ‘acute hospital services’
• Glangwili and Withybush will be downgraded – they will be ‘repurposed’ to offer a range of services to support a social model for health and well-being, designed with local people to meet their needs.
• A new urgent and planned care hospital will be developed in the south of the health board area.

This is not the final decision, but at this stage a recommendation.

A further detailed meeting is scheduled for the end of November. If the local community health council refuses to back the plan then it could be sent to Health Secretary Vaughan Gething for a final decision.

However, Mr Gething warned earlier this year that NHS services in Wales could ‘collapse’ without urgent transformation and called on politicians from all parties to be ‘grown up’ and to not ‘run away’ from difficult choices.

Campaigners may also ultimately try to challenge the health board’s plans in the courts – although previous attempts to overturn decisions were unsuccessful.

March: Campaigners wanted to retain all Withybush General Hospital’s services (Pic Herald)

One of the recommendations in the board papers is to develop plans for the new hospital. The board is asked to progress consideration of location options within the defined new hospital zone, between Narberth and St. Clears, through a formal feasibility study.

  • Work with local people to develop models to provide enhanced support to those communities furthest from main urgent care and hospital services.
  • Consider the impact and opportunities a new hospital in the south of the Health Board area would provide to Bronglais General Hospital.
  • Develop a plan for the approach to managing emergency conditions which are time-sensitive.
Chair of the Community Health Council Dr John Morgan said: “In our day-to-day work we’re clear that the public’s frustrations come from big problems in the health system, so over the coming years the whole system has to change to give people what they need. For that reason we think the Health Board should continue to make major system-wide plans.
“However, some of the proposed changes have really worried people. Given that we feel any change to health services must provide better quality health services to the public these changes need to be looked at individually with more public involvement. With a number of the proposed changes years away the Health Board needs to provide more detail on how they would work. Only then will the CHC be in a position to consider whether we think the more controversial changes are in the public’s best interests.”

The CHC has seen how people are welcoming more care being provided in community settings close to home.

People are less happy about placing any services further away especially if they needed care in an emergency.

Public involvement in the consultation and large-scale petitions has communicated these views loud and clear.

Dr Morgan continued: “Listening to what the public have said, the consultation has created as many questions as answers. We think that there need to be strong foundations in place to build a new system upon. This means GP practices that are more robust, well-functioning established community services, better use of technology and better travel and transport arrangements, to name but a few.”

Chief Officer Sam Dentten added: “We’re starting a long journey over the next few years. We welcome change because it’s needed, but that change must bring accessible, high quality and safe NHS services. The Health Board must commit to more engagement with the public as its plans unfold and the CHC will be listening closely, maintaining our right to take matters further if we don’t think the change is in the public interest.”

Plaid Cyrmu has responded to the decision of Hywel Dda University Health Board (UHB) to downgrade Withybush and Glangwili hospitals by calling on the Welsh Government’s Health Secretary to intervene and properly merge health and social services.

Helen Mary Jones, Plaid Cymru AM for Mid and West Wales said: “This decision is the latest in a long line in the never ending saga that is hospital reconfiguration and in particular the persistent proposals to remove essential emergency services from smaller hospitals whilst failing to strengthen primary care and tackle the chronic workforce shortages faced by rural health boards.

“It is clear to us that the Health Board’s choice doesn’t address how services will actually be improved in the short to medium term. There is no proposal for better out-of-hours care, no plan for substantial increases in social care services, and no plans for investing in the ambulance services – only the removal of essential services and the hope that maybe, one day, we’ll see a new hospital.

“The decision also makes no mention of the transformation that needs to occur in the relationship with local authorities and the third sector for the changes to be realised.

Adam Price, Plaid Cymru AM for Carmarthen and East Dinefwr, said: “The obsession with endless reconfiguration of secondary care has to stop.  Where are the positive plans, such as those Plaid Cymru has presented, to  strengthen GP services and preventative healthcare; invest in medical training and tackling staff recruitment and retention?  There is a vacuum of information.  Creating an integrated health and social care model which works in the community should be done first in order to shape the hospital services we need.

“There’s nothing radical or transformational about closing a few hospitals and opening a new one.  The transformation comes by recognising that model isn’t delivering, and it is only by working with an integrated health and community care system will we truly change people’s lives.

“Furthermore, the health board intends ploughing ahead with a new hospital without a single penny being guaranteed for its construction. We need an urgent statement from the Health Secretary to confirm the Welsh Government will guarantee the costs.  Without that guarantee, today’s plans are meaningless and nothing more than an attempt to deflect attention from the desire to downgrade local hospitals.”

News

Mum’s plea for Pembrokeshire sanctuary memorial approved

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A WEST WALES mother’s poignant call for a permanent Pembrokeshire memorial – and sanctuary – in memory of her late daughter has been backed by county planners.

In an application before Pembrokeshire County Council, Emma Thomas, of Ammanford, sought permission for the extension of a forestry track to enable the planting of woodland along with a memorial pond to her late daughter Mia Haf Sahara Thomas Jones at a field off Brynheulog, near Llangolman.

A personal statement by Emma accompanying the application said: “My name is Emma Thomas, and I am setting up the Mia Sahara Sanctuary in memory of my beautiful daughter, Mia, who tragically and unexpectedly passed away at the young age of 16, on April 19, 2023.

“Mia was a very passionate young lady, and throughout her life enjoyed being in the natural environment absorbing everything it had to offer.

“As Mia’s mother, I must do something positive out of something so, so negative.

“As Mia was to inherit a property on her 18th birthday, as a family, we have decided to purchase land out of the proceeds from the sale.  The land is approximately 6.3 acres and lies on the western edge of Llangolman, Pembrokeshire.”

She added: “My aim is to develop the land by placing a wildlife pond to provide a breeding space for frogs, toads, newts and dragonflies as well as a habitat for a host of other creatures from pond skaters to water snails.  The pond will be shallow at one end and will provide areas for birds and a watering hole for hedgehogs.”

Emma said produce grown in existing polytunnels “will be given and shared amongst local charities to support the local population and hopefully a local educational establishment with healthy eating seasonal produce”.

Emma went on to say: “I worked within education before Mia’s health deteriorated at numerous educational establishments internationally.  I have a learnt understanding of the issues faced by individuals that live within Pembrokeshire as a single parent caring for a child with needs.

“There is a need for support for so many individuals and a lack of funding and resources can have detrimental consequences.

“In December 2022 Mia and I decided to set up a charity and Mia wrote her introduction to the Forum in advance.”

Mia, in her own words, explained her reasons for the charity: “I have struggled throughout my life with various of different things…  At the age of just 16, I got an official diagnosis as being Autistic. But that is why we are here to help each other and to thrive with each other with that help/support!  I have also struggled with making/maintaining friendships and hopefully with setting up this forum I could make new friends!

“Also make changes for the better.  Use this charity for a network of people as a safety net to help and inform each other with information that you and others may need…”.

Emma concluded: “I envisage the Mia Sahara Sanctuary to be a place where nature will flourish with new life.  I will meet with representatives from the community and local groups to determine what produce would best support their service users with the aim of working collaboratively for the benefit of the local people.

“Mia is no longer here physically however my love for her fuels me to plan the Mia Sahara Sanctuary and to create something that will benefit future generations within Pembrokeshire, and I have the determination and passion, with your support, to make this a reality.”

The application was conditionally approved by county planners.

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Tragic outcome after dog falls from Caerfai cliffs

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ST DAVIDS RNLI inshore lifeboat was launched at 5:50pm on Easter Monday (April 21) following reports of a dog that had fallen from the cliffs at Caerfai Bay.

The volunteer crew responded swiftly and located the dog in the sea. Sadly, it had died by the time they arrived. The lifeboat crew recovered the animal and brought it ashore, reuniting it with its owners at Caerfai beach, who were supported by HM Coastguard – St Davids.

The inshore lifeboat, Marian and Alan Clayton, returned to station at 7:00pm and was refuelled and ready for service again by 7:10pm.

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Triathlon returns to Fishguard – road closures announced

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FISHGUARD will once again play host to the Wales Triathlon this summer, with hundreds of competitors set to descend on the town for the popular sporting event on Sunday, June 15.

Organised by Activity Wales Events, the triathlon includes a two-lap sea swim in Fishguard Bay, followed by a two-lap cycle from Fishguard to St Davids and a four-lap run along the Marine Walk and out onto the breakwater.

In order to facilitate the bike leg on closed roads, several road closures will be in place throughout the day.

Major road closures

The A487 between Goodwick and Mathry will be closed between 9:45am and 3:00pm.

Between Mathry and Croesgoch, the A487 will be closed from 10:00am to 3:00pm, and from Croesgoch to St Davids the closure will run from 10:00am until 2:45pm.

Crossing points will be in operation at Mathry crossroads, Croesgoch crossroads, and the Llangoffan to Granston junction. Diversions will be signposted, with local traffic routed via minor B roads and through Haverfordwest for longer journeys.

Town centre impact

In Fishguard, West Street will be closed between 12:00pm and 6:00pm for the running stage. Residents will still be able to exit side roads, with diversions clearly marked.

Goodwick residents will be able to exit the town via the Tesco roundabout, which will remain open all day.

Care access and course passes

Care workers will be allowed access to visit clients within the closed sections, but must obtain a course pass via their organisation in advance.

On the day, carers using the route must:

  • Follow the direction of the race
  • Display their pass clearly
  • Keep hazard lights on at all times
  • Exit the route as soon as safely possible

Further information

The event attracted over 1,000 athletes last year, and organisers anticipate another strong turnout.

More information can be found at: www.walestriathlon.com/athletes/event-info
Road closure details are available at: community.walestriathlon.com

For course pass enquiries, contact: info@activitywalesevents.com

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