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Doctor: ‘Glangwili will not cope’

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crash 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.”

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Crime

Pembroke Dock woman in court for failing to remove rubbish from property

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A PEMBROKE DOCK resident is due to appear before Haverfordwest Magistrates’ Court later today (Nov 25) for multiple alleged breaches of a community protection notice.

Sheena Deacon, of 13 Wavell Crescent, Pembroke Dock, faces charges under the Anti-social Behaviour, Crime and Policing Act 2014, which carries a maximum penalty of a Level 4 fine.

The charges stem from allegations that Deacon failed to remove accumulated household waste from her property on several occasions. According to court documents, the breaches occurred on September 19, September 26, October 2, October 9, and October 17 this year.

The charges indicate that Deacon, despite being issued with a community protection notice, did not comply with the requirements to clear and appropriately dispose of refuse and household waste from her address.

The Herald will bring updates on the case as it progresses.

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News

Welsh Conservatives urge Labour to scrap ‘family farm tax’

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THE WELSH CONSERVATIVES have announced plans to bring forward a Senedd debate next week (Nov 27) calling on the UK Labour Government to abandon its proposed “family farm tax.”

The tax, introduced by the UK Labour Government, is being criticised as a move that will harm Welsh farming, threaten food security, and increase food prices. Alongside the Welsh Government’s Sustainable Farming Scheme and perceived “anti-farming agenda,” critics argue this new tax amounts to a coordinated effort to undermine the future of agriculture in Wales.

Shadow Minister warns of consequences
Ahead of the debate, Welsh Conservative Shadow Minister for Rural Affairs, James Evans MS, condemned the proposal, stating:
“Labour’s family farm tax will put family farms out of business, threaten our food security, and lead to food prices rising. Only the Welsh Conservatives will stand up for our farmers, and that’s why we’re bringing forward a Senedd motion calling on Labour to reverse this decision. No farmers, no food.”

NFU Cymru expresses alarm
NFU Cymru President, Aled Jones, echoed these concerns, highlighting the widespread opposition from the farming community. Speaking about the impact of the tax on Agricultural Property Relief and Business Property Relief, Jones said:
“Earlier this week, hundreds of farmers from across Wales journeyed to London to meet with their MPs and register their deeply held concerns about these misguided and ill-thought-out reforms.

“The proposals unveiled by the Treasury last month to introduce a tax on the passing on of our family farms to the next generation are a massive added burden. They will leave many farmers without the means, confidence, or incentive to invest in the future of their business.

“NFU Cymru reiterates its call for the UK Government to halt these changes.”

The motion to be debated
The motion, set to be debated in the Senedd, reads:
“To propose that the Senedd:
Calls on the UK Labour Government to reverse its decision to impose a family farm tax on agricultural businesses.”

This debate is expected to attract significant attention, with Welsh farmers and rural communities keenly watching for the outcome.

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Community

Internet outage for two villages after exchange box destroyed

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RESIDENTS of Clunderwen and Llandissilio have been left without internet access following the destruction of an Openreach exchange box just outside Llandissilio village.

The incident occurred yesterday (Nov 23) when the box was reportedly demolished by a vehicle. The damage has resulted in a complete loss of internet services for the two villages, with repairs expected to take at least a couple of days.

Local residents have expressed frustration over the disruption, as the outage affects home businesses, remote workers, and households relying on internet connectivity for day-to-day tasks.

Openreach engineers have cordoned off the site, and work is ongoing to assess the extent of the damage. A spokesperson for Openreach has been contacted for comment but had not responded by the time of publication.

The vehicle involved in the incident has not yet been identified. Anyone with information about the collision is urged to contact the local police.

With repair timelines unclear, affected residents have called for increased communication from service providers to manage expectations during the outage.

“Bringing the community back online is a priority,” a local resident said. “We’re hoping Openreach can resolve the issue quickly and ensure it doesn’t happen again in future.”

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