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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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Health

Phone calls to reduce GP visits for 42% of patients this winter

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NEW research from the Royal Voluntary Service has shown that a simple phone call could significantly impact well-being, reducing GP visits by 42% among patients who receive regular telephone support.

The charity urges those feeling isolated this winter, particularly the elderly, to use telephone support services as a way to improve health and free up GP appointments, potentially reducing waiting times. It is estimated that if people experiencing loneliness in later life reduced their GP visits by just one appointment a year, this could free up 588,000 appointments annually.

As winter approaches, the Royal Voluntary Service reports that isolation can sharply increase, especially for adults over 75, with nearly half (47%) of people in this age group feeling lonelier in the colder months. Among those who live alone, one in six say they feel forgotten during winter, and 20% report having no one to turn to for emotional support.

In addition to loneliness, older generations face several winter worries, including increased heating costs, cited by 55% of respondents, and reduced ability to go out, which 29% said they dreaded as winter sets in.

To address these challenges, Royal Voluntary Service has launched the Stay Safe, Warm and Well campaign in partnership with Yakult. The campaign provides a guide for practical and emotional winter preparation, encouraging sign-ups for telephone support services and offering access to the Virtual Village Hall online community for events and activities. Practical advice on money-saving and energy-saving tips is also available through the guide.

Royal Voluntary Service Ambassador Elaine Paige, who has herself made support calls for the charity, described the positive impact these calls can have. “A warm, friendly phone call can transform someone’s day. Some conversations leave you smiling long after the call ends—something we could all use, especially in winter. For those facing the season alone, there are amazing people ready to remind you that you’re not alone,” she said.

The charity’s support services match volunteers with individuals across the UK for friendly chats, reducing isolation and boosting mental health. Catherine Johnstone CBE, Chief Executive of Royal Voluntary Service, said: “The feedback that conversations with volunteers are helping people to visit their GP less is testament to the value of connection.”

Yakult Marketing Manager Reshma Patel added: “Our research with Royal Voluntary Service shows that one in four adults over 75 feel they’d benefit from practical and emotional support over winter. We are committed to helping people access the Stay Safe, Warm and Well guide to support their overall well-being.”

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Crime

Welsh shop workers face ‘surge in shoplifting linked violence and abuse’ says union

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A NEW survey by retail trade union Usdaw has revealed disturbing figures on the abuse, threats, and violence endured by Welsh shop workers, with incidents increasingly linked to shoplifting. Released during Respect for Shop Workers Week, which runs from November 11 to 17, the statistics highlight a troubling trend that is impacting thousands of retail employees.

Usdaw’s survey, based on responses from over 4,000 retail staff, shows that in the past year:

  • 69% experienced verbal abuse.
  • 45% were threatened by customers.
  • 17% were assaulted.

Usdaw General Secretary Paddy Lillis commented on the findings, saying: “Shop workers deserve far more respect than they receive. These reports from Welsh retail staff make grim reading. It is shocking to see over two-thirds of our members subjected to abuse, threats, and violence. Seven in ten of these incidents are related to theft, much of it tied to addiction and organised crime.”

Usdaw’s survey suggests that shoplifting is increasingly becoming a flashpoint for violence. Many shop workers report encountering hardened criminals who appear to steal goods “to order” or to fund addictions. According to the union, incidents are on the rise across Wales, with police-reported shoplifting up by 33% in the past year.

Usdaw member testimonies paint a vivid picture of the dangers faced on the shop floor:

  • One respondent described being “spat at, pushed against a wall, punched, and threatened with a knife.”
  • Another reported that, after refusing to sell alcohol, they were told to “F**k off” and threatened with a beating by a group of five.
  • Others spoke of being punched, spat on, and verbally abused, with threats that often left lasting emotional scars.

New measures on the horizon

Usdaw has been calling for greater legal protection for retail workers for years, and it appears these calls are finally being heard. The recent Crime and Policing Bill, announced in the King’s Speech, proposes to:

  • End the £200 threshold for prosecuting shoplifters, which has been a source of frustration for retailers.
  • Introduce town centre banning orders for repeat offenders.
  • Allocate funding for tackling organised shoplifting and increase police presence in shopping areas.

“We welcome these new measures and hope they will provide much-needed protection,” said Mr. Lillis. “After 14 years of neglect under successive Tory governments, we are encouraged by the steps the new Labour government is taking to address the retail crime epidemic.”

As Christmas approaches—a time when retail crime tends to peak—Usdaw is urging the public to “respect shop workers” and remain calm as stores become busier.

Usdaw, which represents around 360,000 members, primarily in retail, launched its Freedom From Fear Campaign to tackle the growing issue of violence against shop workers. The final results of the 2024 survey are expected in March 2025.

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Charity

Milford Haven RNLI celebrates heartfelt donation from Neyland Ladies Choir

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MILFORD HAVEN RNLI Fundraising Group received a generous donation of over £1,000 from Neyland Ladies Choir this October, marking a touching tribute to Mrs. Dorothy Beckett, one of the RNLI’s longest-standing supporters.

The Neyland Ladies Choir held a special concert at St. Mary’s Church on Waterloo Road, Hakin, to celebrate Dorothy Beckett’s 90th birthday. A lifelong supporter of the Royal National Lifeboat Institution (RNLI), Dorothy has played a crucial role in lifeboat fundraising in the Milford Haven area, dating back to the 1970s. She was instrumental in establishing the Hakin Point RNLI fundraising group, which has raised over £500,000 to support the RNLI’s lifesaving work.

The concert’s proceeds were presented in a moving ceremony at Bethesda Baptist Church in Neyland. Accepting the donation on behalf of the RNLI were Steve Lewis, Chairman of the fundraising group, and Thomas Kehoe, Deputy Coxswain of the Angle Lifeboat.

Adding to the evening’s celebrations, Alice Coleman, RNLI Community Manager, presented Dorothy with the Long Service Medal, recognizing her fifty years of dedication to the institution. This award, given by the RNLI, honors Dorothy’s unwavering commitment to saving lives at sea.

“Thank you, Neyland Ladies Choir and Dorothy Beckett,” said the RNLI in a heartfelt message to the community. “Your support and dedication mean the world to us.”

The Milford Haven RNLI Fundraising Group encourages supporters to share and spread the word, hoping that Dorothy’s legacy inspires continued community support.

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