News
Doctor: ‘Glangwili will not cope’
THE PEMBROKESHIRE Herald has received the explosive full text of a letter sent by a senior clinician at Withybush Hospital, which condemns the Health Board’s proposals for future paediatric care in Haverfordwest as “untested” and “untried”.
The open letter, from Paediatrician Martin Simmonds, was sent to the Board a week after it announced plans to transfer key neonatal services away from Withybush as of August 1. Dr Simmonds letter, exposes the fact that clinicians DO NOT endorse the Health Board’s policy and have grave reservations about the Board’s decision to press ahead regardless of clinician’s concerns.
The Herald’s article (Big Holes in Board’s “safety net”) in our May 9 edition revealed startling deficiencies in the Health Board’s rationale underpinning ending service provision at Withybush. It now appears that the concerns of campaigners and families who contacted us before that article (“Big Holes in Health Board’s Safety Net”) are shared by those clinicians which the Health Board has claimed support the changes being made.
Peter Milewski, a retired consultant surgeon who worked at Withybush for many years, told the Herald: “It feels like a train crash is about to happen.”
Open letter to Hywel Dda University Health Board
Please reconsider the proposed Paediatric service model for Withybush Hospital. It must be postponed. This may be our last opportunity to be heard and have our concerns communicated to the Health Board Executive. At a meeting earlier this year (of the dozens I have attended), I said that although not our preferred model a PAU model could be considered if the middle grade rota couldn’t be sustained. It was an untested, untried suggestion without research or risk assessment. A few months later it emerged as the Health Board’s preferred service model. I note that historically the public have received reassurances that these decisions were “clinician led”. I understand the importance of this statement to give credibility to the plans. However, a Health Board statement says that the majority of clinicians support this plan. I am not one of them. I do not know of any Paediatricians in Hywel Dda who have given their support to this service model. Work undertaken by two senior nurses at Withybush, both of whom I regret to say are now absent through illness, have produced research indicating that the risk assessment for a PAU here indicates that it is neither safe or resilient enough to serve the needs of the local population this remote from the hub Paediatric inpatient base. We keep being told to provide answers and not to continually raise concerns and objections to the proposals. The impression is that until we provide the “desired” answer we are hindering the Health Board’s attempt to move forward. We are not “yes” men, we are professionals working in a vocation we are passionate about, with a fear that irreversible harm will occur if the current proposals go through. It has become increasingly difficult to have confidence that our concerns reach the Health Board. Tensions and divisions amongst staff are emerging as the “who knew what and when” charade continues. Don’t tell us NOT to mention potential clinical scenarios in the future that are of “low frequency”. Don’t insult our intelligence or compassion. We are not shroud waving; we just feel it isn’t as safe a service as it should be. Glangwili will not cope with the additional work coming its way this winter, either physically or with respect to workforce issues. Families will end up travelling out of hours from here to Glangwili and then instructed to go to Bronglais to be admitted. We will have babies with bronchiolitis that have to be transferred in an ambulance despite potential deterioration en route because if we insisted on keeping them here to administer supportive treatment, I would be guilty of professional misconduct. A&E staff have only one Consultant with Paediatric experience: that is not sufficient to say they can manage out of hours. I don’t expect the current reliance on locum middle grades to be sustainable once they learn of the absence of local Paediatric support at night. Our concerns: 1. I am not a conspiracy theorist but when the Chairman and Chief Executive elect to move on this summer and the two most senior Paediatricians in Glangwili opt for unexpected early retirement before August 1 it is concerning. 2. Midwifery led services and A&E appear to have been given reassurances about the level of Paediatric support they can expect that we do not recognise in the proposed Paediatric model. 3. Our nurses have spent a considerable amount of time involved in Estates planning at Glangwili. Estates, up until last week I believe, didn’t even know about a planned PAU located within ward 14. This does not give the impression of any concern about how Withybush will manage a seismic change in service in August. You can imagine how valued that makes our staff feel. Please tell them that Dr Simmonds got it wrong about the PAU model, go public and punish him as you see fit. I would rather be a “fall guy” to save the Health Board’s blushes than have the whispered comments in the years to come that I was the architect of this proposal. Tell them we can staff a 24- hour Paediatric unit at Withybush with recently secured middle grade staffing. No, tell them we demand a 24-hour service here such that we can admit a child overnight and discharge the next morning or administer phototherapy for the jaundiced baby from St Davids who must otherwise travel to Glangwili for admission. Tell them we can develop a specialist Paediatric nurse role in A&E but that it will take time. Tell them that unless we stop this process now, this winter will see greater challenges and upset than there needs to be, adversely affecting the health of families and staff both here and at Glangwili. Martin Simmonds Paediatrician Withybush Hospital.
The Pembrokeshire Herald asked the Health Board for a response to Martin Simmonds’ letter. A Health Board spokesperson said: “We welcome the fact that Dr. Simmonds has recognised that change is needed and we want to reassure our patients and we are continuously working with our clinical teams and Welsh Government to find the right solutions and ensure ‘safety nets’ are in place as instructed by the Minister following an independent review of these services by an expert panel. The safety of these services is paramount and we are being very clear that only when we are confident our solutions are safe and sustainable will we implement them.”
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
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
Live Fear Free Helpline
24/7 support for anyone experiencing domestic abuse or sexual violence.
0808 80 10 800 | Text 07860 077333
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.”
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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