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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

Welsh Government outlines new rights for homeowners facing estate management charges

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HOMEOWNERS living on privately managed estates in Wales are set to gain new legal protections under changes being introduced as part of the Leasehold and Freehold Reform Act 2024, the Welsh Government has said.

In a written statement published on Thursday (Dec 18), the Cabinet Secretary for Housing and Local Government, Jayne Bryant MS, provided an update on how the legislation will be implemented in Wales, with a particular focus on estate management charges paid by freehold homeowners.

Until now, homeowners on privately managed estates have often faced unclear or high bills for maintenance and services, with limited ability to obtain information or challenge costs. Once fully implemented, Part 5 of the Act is intended to address those concerns.

New powers for homeowners

Under the reforms, homeowners will be given the right to challenge the reasonableness of estate management charges for the first time. Estate managers will also be required to provide clearer information about the services being paid for through those charges.

In cases where estate management has failed, homeowners will be able to apply to a tribunal for a substitute manager to be appointed. The Act will also require estate managers to publish details of any administration charges in advance, where payment is expected.

Jayne Bryant said the changes would bring “significant new rights and protections” for homeowners affected by estate management fees.

Welsh and UK consultations

Responsibility for introducing the necessary secondary legislation is shared between the Welsh and UK Governments. While many of the powers rest with UK Ministers, Welsh Ministers are responsible for rules relating to the publication of administration charges in Wales.

The Welsh Government has confirmed it is working alongside UK counterparts to ensure both consultations are launched at the same time, allowing homeowners and stakeholders to consider the full set of proposals together.

Homeowners are being encouraged to respond to both the Welsh Government consultation on administration charges and the UK Government consultation on the wider estate management regime.

The consultations are now open and form part of the process to bring the new protections into force.

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News

Flood warnings issued across Wales as heavy rain raises river levels

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FLOOD warnings and alerts have been issued across large parts of Wales as persistent heavy rain causes river levels to rise, with parts of the country facing an increased risk of flooding on Thursday (Dec 18).

Natural Resources Wales (NRW) has confirmed that four flood warnings are currently in place, meaning immediate action is required, while a further 16 flood alerts have been issued where flooding is possible.

A yellow weather warning for rain has been issued by the Met Office, covering much of Wales from 10:00am on Thursday until 7:00pm, with disruption expected in some areas.

NRW said the warnings follow prolonged wet weather, with further heavy rainfall forecast to move across the country during the day.

The Met Office said: “An area of heavy rain will move northeast across the warning area during Thursday morning and afternoon before clearing to the east through the evening.

“Given recent very wet weather, there is potential for some disruption to travel and possible flooding.

“Much of the warning area will see 15–25mm of rain but some places could see 40–50mm, with the highest totals falling over high ground of south Wales.”

Forecasters have also warned that strong winds could worsen conditions, particularly along the coast.

“There is a chance of 60–70mph gusts along the exposed south coast, and perhaps 40–50mph some way inland,” the Met Office added.

Flood warnings in force

NRW has confirmed flood warnings are currently active at the following locations:

  • River Towy at Carmarthen Quay, Carmarthen
  • River Ritec at Tenby
  • River Towy affecting isolated properties between Llandeilo and Abergwili
  • River Rhyd Hir at Riverside Terrace, Pwllheli

Residents in these areas are being urged to take immediate action to protect property and personal safety.

Flood alerts issued

In addition, flood alerts — meaning flooding is possible — have been issued for the Lower Severn catchment in Powys, along with other areas shown on NRW’s live flood monitoring maps.

NRW is advising people to remain vigilant, avoid flooded roads and footpaths, and keep up to date with the latest forecasts and warnings.

The Herald understands that river levels will continue to be closely monitored throughout the day as rainfall moves through Wales.

Members of the public can check the latest flood warnings and alerts on the Natural Resources Wales website or by signing up for flood alerts direct to their phone.

Flood alerts and warnings across Wales on Thursday (Pic: NRW).

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Crime

Jury discharged after failing to reach verdict in historic abuse trial

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CPS have a week do decide if they wish to pursue a re-trial, judge confirms

THE JURY has been discharged in the trial of a Milford Haven man accused of historic child sex offences after telling the court it was unable to reach a verdict, even by majority.

Thomas Kirk, aged 50, of Meyler Crescent, Milford Haven, is charged with the oral rape and sexual assault of a child, with the offences alleged to have taken place in Pembrokeshire between 2007 and 2009, when the complainant was aged between thirteen and fifteen. He denies the charges.

On Thursday (Dec 18), the jury returned to Swansea Crown Court and was asked whether it had reached a verdict on either count upon which at least ten jurors were agreed.

The foreman replied: “No.”

Judge Paul Thomas KC then asked whether there was any realistic likelihood that further deliberations would lead to a verdict being reached.

The foreman replied: “No, your honour.”

Judge Thomas KC said that in those circumstances he would discharge the jury and give the prosecution seven days to decide whether it would seek a retrial.

Addressing the jurors, the judge said they should not think they had failed or let anyone down.

“These things happen,” he said. “It’s one of the strengths of the jury system that people hold different views.”

He thanked the jury for their service and wished them a Merry Christmas and Happy New Year.

The court heard that the prosecution will now consider its position, with a further hearing expected next week to determine whether a retrial will take place.

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