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Oncology cancer services in crisis

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MANY PEOPLE have used the cancer services at Withybush Hospital over the years and have got used to the “glue” which sticks it together, namely Dr Anne Barnes MBE.

 Not many people are aware that she has decided to leave in July of this year. Dr Barnes is a true professional and when questioned is not one to complain, but when reading between the lines it is obvious that Dr Barnes has reached the end of her tether. A total lack of support from the Hywel Dda Health Board has left Dr Barnes close to exhaustion and burn out. Many cancer patients will be aware she rarely takes leave, gets in early and leaves late, comes in to work on days off etc. Yet Dr Barnes is treated with contempt by the ‘powers that be’ because they know she will not let her patients down and they take advantage of her goodwill. In short, the health board is aware that she will go the extra mile and are happy to take advantage of this. She has been working alone in Ward 10 for far too long and when the palliative care consultant left it was just expected that she would take up the slack and do that job as well. A job advertisment for a consultant was drawn up, agreed and then left unadvertised so that the time limit lapsed. I am informed that a new advert was sent for approval at regional level, and after nearly two years without a consultant, has just been advertised. On April 6 I received a letter from the vice-chair of Hywel Dda Health Board, Mrs Sian-Marie James after I asked her what happens when Dr Barnes leaves? The letter said: “Whilst it is not possible for us to discuss with you the detailed personal arrangements affecting members of staff, I do know that Dr Barnes has been very open regarding her intention to retire this year. Because of this, and other challenges affecting our oncology service, we have therefore set up a review group to look at the best service model for the future. We face serious recruitment challenges. At present, we have visiting consultants from Abertawe Bro Morgannwg University Health Board who are working significantly above normal capacity and we are unable to offer appropriate sub-specialisation opportunities for existing consultants. There are also other issues, including capacity problems related to pharmacy services.” It has now come to light that one of the visiting consultants mentioned above, Dr Maung Moe, is also leaving his position which leaves us in an even bigger hole. The letter went on to say: “Dr Barnes is a key member of this review group, which includes membership from the Hywel Dda Community Health Council, as well as public health professionals and clinicians from ABMU Health Board. The future arrangements for supporting oncology services at Withybush Hospital will therefore depend on the output from this group.” From the outset, it was agreed that any developments proposed by this project group would be in line with the Calman-Hine principles, in particular that ‘care should be provided as close to patient’s home as is compatible with high quality, safe and effective treatment’. The areas the review group will focus on include: • Staffing issues: including inequity of staffing provision across the three counties, review of job plans, improved ways of working alongside current capacity issues; • Aseptic unit provision: issues being experienced around activity, patient waiting times and staffing pressures; • Information management: ensuring activity is consistently monitored; • Cross border working arrangements: maximising the way Hywel Dda works with its partners; • Transport issues: service pressure for those travelling to Singleton for radiotherapy, ensuring safe transfer of patients back from Cardiff (for those having pet scans or nuclear medicine); • Development of an acute oncology service/developing a new service model: updating services, consideration of patient pathways, shared post opportunities, repatriation issues, etc. I know this group was not set up because Dr Barnes announced that she was leaving. This group was announced before Dr Barnes informed them that she was going, and now visiting consultant Dr Moe is going as well. The group was set up because the Hywel Dda Health Board knows that they have let things slide and now we face a crisis with the delivery of services for cancer patients at Withybush Hospital. Some Cancer Patients are already facing journeys to Prince Philip Hospital in Llanelli to see Consultants they would recently have seen locally. The wig service at Withybush Hospital for chemotherapy patients was removed and the contract given to a local hair salon. As a private company this obviously made the cost much more expensive for patients. After a fight this service was reinstated at Withybush Hospital, but not sure for how long as an all-Wales Review is taking place into this service. If you have concerns about cancer services or any other services at Withybush Hospital I urge you to contact your MP, your assembly member, local councillor, the community health council, Hywel Dda Health Board.

1 Comment

1 Comment

  1. Tomos

    June 1, 2014 at 8:18 pm

    One can understand why senior managers in the NHS insist on getting private health insurance as part of their remuneration package, it’s immoral, it’s wrong but you can understand their reasons :((

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Crime

Emergency bags rolled out to support domestic abuse victims across Dyfed-Powys

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Thirty packs provide immediate help for families fleeing dangerous situations

A NEW initiative aimed at supporting victims of domestic abuse has seen thirty emergency bags distributed for use across the Dyfed-Powys Police area.

The bags, which contain essential items including toiletries, non-perishable snacks and emergency supplies, are designed to offer immediate practical support to individuals and families forced to flee abusive situations, often with little or nothing.

The scheme forms part of the Police and Crime Commissioner’s wider commitment to improving outcomes for victims and is being delivered in partnership with Dyfed-Powys Police and Dal i Godi, the commissioned Independent Domestic Violence Adviser (IDVA) service.

Dal i Godi provides specialist support to victims at high risk of serious harm, including safety planning and advocacy through the criminal justice process.

Police and Crime Commissioner Dafydd Llywelyn said the initiative was already proving its value.

“This is an incredible initiative that I’m proud to support,” he said. “It provides meaningful help to those experiencing trauma and reflects our ongoing work to put victims first.

“Within just a few days of the bags being distributed to the Dal i Godi service, one was given to a victim fleeing a domestic abuse situation, along with a children’s pack to support their young family. That shows just how essential this support can be and how quickly it can make a difference.”

Detective Chief Inspector Llyr Williams, from the Dyfed-Powys Police Vulnerability Hub, said the emergency bags could provide a vital lifeline at critical moments.

“These emergency bags offer support at some of the most difficult moments in a person’s life,” he said.

“The contents provide immediate comfort, dignity and practical help for those leaving their homes in crisis. While simple, they represent an important first step towards safety and recovery.

“We are proud to be working with partners across the Dyfed-Powys area to ensure this support reaches people when they need it most.”

Anyone experiencing domestic abuse, or concerned about someone else, is encouraged to seek help. In an emergency, call 999.

Domestic abuse can also be reported online via Dyfed-Powys Police.

Support services available include Victim Support Dyfed-Powys, which offers free and confidential help to anyone affected by crime, whether or not it has been reported, and Dal i Godi, which provides specialist IDVA support for high-risk victims.

The Live Fear Free Helpline offers 24-hour support for those experiencing domestic abuse or sexual violence across Wales.

If you or someone you know is a victim of domestic abuse, please consider reporting it. If you are in danger or need support right away, please call 999.

You can report domestic abuse through the online crime reporting service here: Report domestic abuse | Dyfed-Powys Police.

Support is also available via the below support services:

Victim Support Dyfed-Powys

Free, independent support for anyone affected by crime in the Dyfed-Powys area, whether or not it has been reported to the police.

 0300 123 2996

 Victim Support Dyfed-Powys

Dal i Godi (IDVA Service)

Specialist support for victims of domestic abuse at high risk, offering safety planning, emotional support, and advocacy with agencies such as police and courts.

 01267 221194

 Dal i Godi

Live Fear Free Helpline

24/7 support for anyone experiencing domestic abuse or sexual violence.

 0808 80 10 800 |  Text 07860 077333

 [email protected]

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News

Welsh-language school praised for ‘happy, proud and friendly community’

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Estyn highlights strong leadership, positive attitudes and a clear curriculum vision at Ysgol Bro Preseli

A WELSH-medium all-age school in Crymych has been praised by inspectors for fostering a “happy, proud and friendly community,” according to a recent Estyn report.

Inspectors said pupils at Ysgol Bro Preseli show pride in their local area, thrive both academically and socially, and are well prepared for the next stages of their learning.

The school currently has 932 pupils on roll, including 118 in the sixth form, and has operated as an all-age school since 2022.

Estyn found that most pupils demonstrate extremely positive attitudes to learning, treat staff with respect, and listen carefully to the contributions of their peers.

The report also notes that, in almost all cases, teachers show strong subject knowledge. Inspectors highlighted the close and supportive relationships staff build with pupils, alongside the creation of a safe learning environment where pupils are not afraid to make mistakes.

It states: “As a result of a clear strategic direction and detailed planning, teachers provide beneficial practical activities that allow pupils to develop purposeful oracy, reading and writing skills in language sessions and across the other areas of learning and experience.”

Inspectors also praised the school’s clear curriculum vision, rooted in its motto Gwreiddiau a Gorwelion (Roots and Horizons).

“Leaders and teachers provide a coherent curriculum and learning experiences that bridge the primary and secondary sectors effectively,” the report said. “Staff plan stimulating activities and experiences for pupils to learn and deepen their understanding within the areas of learning and experience. This contributes positively to the sense of belonging that permeates the whole curriculum of Ysgol Bro Preseli.”

Headteacher Rhonwen Morris said the report was a reflection of the collective effort across the school community.

“As a successful all-age Welsh-medium school, we are delighted that the report recognises our commitment to excellence and the unique identity that makes Ysgol Bro Preseli so special,” she said.

“Since becoming an all-age school in 2022, our cohesive leadership team and governing body have focused on building a strong foundation based on our values of Welsh ethos, kindness, community and responsibility.

“The report highlights the excellent strategic work of staff at all levels, which is a testament to the shared dedication and vision that drives our school forward.

“It is gratifying that the report reflects what we continuously aim to achieve day in and day out. This achievement belongs to our entire community — staff, pupils, parents and governors — and together we will continue to build on this success and provide the very best education for every pupil.”

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Charity

Welsh opticians raise £1,600 for people experiencing homelessness

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SPECSAVERS Pembroke Dock has helped raise £1,600 to support people experiencing homelessness this winter, with all funds going to The Wallich’s winter appeal.

Thirteen stores from North, South and West Wales donated £1 for every customer feedback form completed during November to help The Wallich, Wales’ largest homelessness and rough sleeping charity, continue its vital work.

Supporting more than 8,000 people experiencing or at risk of homelessness across the nation each year, The Wallich runs around 100 diverse projects across 20 local authorities to provide hope, support and solutions to end homelessness.

Funds raised by Specsavers will go directly to the Wallich’s Flexible Assistance Fund, which provides small but vital emergency grants. The grants support people at crucial turning points, helping cover essential costs such as phone credit, rent or food shops.

This initiative is a continuation of Specsavers’ wider homelessness programme, which sees over a hundred Specsavers stores and Home Visits services hold out-of-hours or pop-up clinics and invite people affected by forms of homelessness to use their services for free.

Specsavers’ North Wales regional relationship manager, Martin Lawrence, who helped organise the fundraiser, says: ‘We’re really proud to be supporting The Wallich’s winter appeal at a time when support is needed most.

‘Homelessness affects people in every community and as locally owned and run businesses, Specsavers stores are committed to raising awareness of the issue and supporting people through their toughest moments.

‘We’re excited to build on the success of this fundraiser and strengthen our partnership with The Wallich in the new year.’

Louisa Turner, head of fundraising at The Wallich, adds: ‘Winter can be an incredibly difficult time for people experiencing homelessness and this support from Specsavers will make a real difference.

‘The funds raised will help provide emergency grants at critical moments – whether that’s putting food on the table, helping someone stay connected with their loved ones or preventing someone from losing a safe place to live.

‘This kind of support creates vital turning points and helps people move towards a safer, more secure future.’

Specsavers works year-round with homelessness charities including Crisis, Vision Care and The Big Issue, to improve access to healthcare and advocate for policy change – ensuring people experiencing homelessness can receive free eye tests, glasses and hearing checks.

To find out more about Specsavers or to book an appointment at your local store, visit: https://www.specsavers.co.uk/stores.

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