News

Doctor: ‘Glangwili will not cope’

Published

11 years ago

June 2, 2014

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.”

Business

£21.2m investment in Port Talbot regeneration to create hundreds of jobs

Published

6 hours ago

May 22, 2025

Tom Sinclair

Three major projects announced as part of Tata Steel transition support

A NEW £21.2 million package of regeneration funding will support more than 270 jobs in Port Talbot, with additional employment generated through construction and local business growth.

The investment—pending endorsement by the Tata Steel / Port Talbot Transition Board today (22 May)—will fund three regeneration projects expected to generate £119 million in Gross Value Added (GVA) for the local economy.

This announcement brings total investment from the Transition Board to over £70 million in just nine months, as part of efforts to support the area during Tata Steel’s transition to electric arc furnace steelmaking.

Projects supported by the funding:

Advanced Manufacturing Production Facility and Net Zero Skills Centre – Harbourside, Port Talbot

Investment: £12.5 million

Total project value: £35 million (with additional funding from the Swansea Bay City Deal)

Impact: Supports 170 jobs, engages 150 businesses, and generates £89.1 million in GVA

The centre will deliver low-carbon and net zero skills training and manufacture specialist equipment, helping to anchor an Innovation District in the Harbourside alongside the SWITCH project and Innovation Park.

Metal Box redevelopment, Briton Ferry

Investment: £6.9 million

Conversion and expansion of the former Metal Box site into modern business units.

Sandfields Business Centre upgrade, Port Talbot

Investment: £1.8 million

Expansion and modernisation of premises to support growing and start-up businesses.

Together, the Metal Box and Sandfields projects will support 101 jobs and deliver £29.9 million in GVA by 2035.

Cross-party and local support

Secretary of State for Wales Jo Stevens, who chairs the Transition Board, said: “We promised to stand by the steelworkers, their families and the businesses of Port Talbot. This £21.2 million investment is a further step in delivering on that promise. The town’s future—through the Celtic Freeport, offshore wind and green steel—is full of potential.”

Rebecca Evans MS, Cabinet Secretary for Economy, Energy and Planning, added:
“This investment complements the Swansea Bay City Deal and opens up high-value jobs, especially in renewable energy and manufacturing.”

Neath Port Talbot Council Leader, Cllr Steve Hunt, welcomed the funding:
“It is vital we help local people and businesses seize the opportunities decarbonisation brings. These projects support that goal while driving growth and future skills.”

Further funding and support expected
This is the sixth major announcement from the Transition Board, funded through £80 million from the UK Government. Additional funding is expected in the coming months.

Previous allocations include:

£30 million for supply chain support and worker retraining

£13 million business start-up and resilience fund

£8.2 million for a growth project generating £87 million in economic benefit

£3.27 million for mental health support in Neath Port Talbot

The UK Government has also committed £500 million towards Tata Steel’s new electric arc furnace in Port Talbot, alongside a broader £2.5 billion pledge to rebuild the UK steel industry.

More than 50 major employers, including Fintech Wales, The Royal Mint, and RWE Energy, have also pledged to support displaced Tata workers with guaranteed interviews, training, and coaching.

For full details or to apply for funding, visit the Tata Steel Transition Information Hub.

News

Two-vehicle crash closes A4076 for over two hours

Published

12 hours ago

May 21, 2025

Tom Sinclair

Vehicles recovered after collision between Haverfordwest and Johnston

THE A4076 was closed for more than two hours following a crash between Haverfordwest and Johnston on Tuesday afternoon (May 20).

Emergency services were called to the scene at around 1:35pm following reports of a two-vehicle collision.

Dyfed-Powys Police confirmed that the road was shut to allow for vehicle recovery, with the closure lasting until approximately 3:45pm.

A spokesperson for the force said: “Dyfed-Powys Police attended a report of a two-vehicle road traffic collision on the A4076 between Haverfordwest and Johnston at around 1:35pm on Tuesday, 20 May. The road was closed for vehicle recovery and was reopened at around 3:45pm. No injuries were reported.”

Traffic returned to normal following the reopening of the road.

News

Winter fuel rethink ‘not enough’ as charities and Welsh Tories slam lack of clarity

Published

16 hours ago

May 21, 2025

Tom Sinclair

Starmer’s partial U-turn on support payments met with calls for full reinstatement amid fears older people could face another cold winter

PRIME MINISTER Sir Keir Starmer has confirmed a partial U-turn on the government’s controversial changes to Winter Fuel Payments—but the announcement has been criticised by campaigners and the Welsh Conservatives as insufficient and lacking in detail.

During Prime Minister’s Questions on Wednesday (May 21), Sir Keir hinted at a policy reversal, saying more pensioners could once again become eligible for the benefit this winter. His comments follow months of criticism after last year’s decision to restrict access to the Winter Fuel Payment, which removed automatic eligibility for millions of older people.

The benefit, long intended to help pensioners cover the cost of heating during the coldest months, is seen as vital in rural and colder areas of Wales, where fuel poverty is a growing concern. But campaigners and politicians say the Prime Minister’s remarks leave too many questions unanswered.

Age Cymru Chief Executive Victoria Lloyd welcomed the indication of a policy shift but warned that clarity and urgency are essential.

“We welcome the Prime Minister’s comments and commitment to change,” she said. “However, the detail is needed so we can be confident that any policy change is going to support those older people that we know are struggling without this vital payment.”

Ms Lloyd said Age Cymru had seen the real-world consequences of last year’s changes: pensioners too afraid to heat their homes, resulting in misery and serious health risks.

“Means-testing Winter Fuel Payments in the way the UK Government announced last summer resulted in many pensioners on low incomes missing out on money they simply couldn’t afford to lose,” she added.

The charity is particularly concerned about older people who are not claiming Pension Credit despite being eligible, those whose incomes place them just above the threshold, and individuals with health conditions that make cold homes especially dangerous.

“We will judge the success of any new policy proposals by the extent to which they help vulnerable older people and those on low and modest incomes to heat their homes adequately next winter,” Ms Lloyd said. “Winter is only six months away—there is no time to waste.”

The announcement has also drawn criticism from the Welsh Conservatives, who described the Prime Minister’s statement as “too little, too late.”

Samuel Kurtz MS, Senedd Member for Carmarthen West and South Pembrokeshire (Pictured), said: “Supporting our pensioners through the coldest months of the year should never have been in question. While today’s words from the PM are a step in the right direction, it simply doesn’t go far enough—we need a full U-turn to restore confidence and ensure no pensioner is left behind.”

Mr Kurtz reiterated the Welsh Conservatives’ pledge to introduce a dedicated Welsh Winter Fuel Payment if elected to government in Cardiff Bay. He said a devolved approach could deliver more targeted support for communities in Wales, where rural areas often face higher heating costs due to poor insulation and off-grid fuel reliance.

“Despite today’s announcement, the job is not done. We’ll keep up the pressure until a fair and comprehensive system is in place,” he added.

The Herald understands that further clarification on the scope and delivery of the Prime Minister’s revised Winter Fuel Payment policy is expected in the coming weeks. Meanwhile, Age Cymru has called for the introduction of a social energy tariff as a longer-term solution—but warned that immediate financial support is needed to prevent another crisis for older people this winter.