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Former NHS manager moving to England due to health care concerns

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Siobhan McClelland: Moving to England

A FORMER senior NHS manager intends to move to England following failures in her husband’s treatment for prostate cancer.

Professor Siobhan McClelland, who lives in Manorbier and is a former Vice Chair of Aneurin Bevan Health Board, said: ‘There is neither capacity nor capability in Welsh Government to be making really good health policy.”

When it comes to health policy, Professor McClelland knows the subject well. She formerly held senior positions as a health economist and health manager. Her experiences of working within the Welsh NHS is substantial.

Apart from her experience on the Aneurin Bevan health board, she chaired the Welsh NHS’s emergency ambulance services committee.

Hywel Dda UHB acknowledges ‘shortcomings’ in Professor McClelland’s husband’s treatment.

Speaking to BBC Wales’ Wales Live programme broadcast on Wednesday (Oct 17) Prof McClelland outlined the successive difficulties in getting GP appointments, referrals for diagnosis, and the failure to spot the spread of her husband’s cancer.

She blamed those failings for making an already difficult situation worse.

Siobhan McClelland continued by observing there was ‘a massive disconnect’ between the experience of being a member of a Health Board or – as in her own experience – being Chair of the Emergency Ambulance Committee and the state of services being delivered to the public.

Prof McClelland told the BBC that she and her husband had lost confidence in the healthcare available and that was one of the reasons they placed their house on the market and were looking to move away from the area.

“We’ve got a fundamental problem here with health boards – not in terms of geographical boundary – but in the autonomous way in which they act.”

Professor McClelland’s most telling criticisms were of the way in which Health Boards lacked leadership from the Welsh Government and local accountability.

She told BBC Wales: “We have a void in Welsh Government where robust, rigorous, innovative health policy should be made.”

Her scorn for the Welsh Government’s ‘nothing to do with me, guv’ approach led straight to the door of current Health Secretary Vaughan Gething and his predecessor Mark Drakeford. Both Mr Gething and Prof Drakeford are candidates to lead the Labour Party in Wales and to succeed Carwyn Jones as First Minister.

Claiming that the current organisational setup was convenient for the Welsh Government as it ‘abdicated responsibility for health board services’, Siobhan McClelland said that both Mark Drakeford and Vaughan Gething ‘struggled to implement policy’.

In the Senedd, however, Vaughan Gething rejected Prof McClelland’s criticism out of hand.

Faced with Rhun ap Iorwerth’s assertion that the words of someone as respected as Professor McClelland were ‘about as damning an indictment as you could hear of your running of the Welsh health service’, Vaughan Gething said he did not accept the system-wide criticism that she makes of Welsh health services.

Pressed by Mr ap Iorwerth, Mr Gething sought refuge behind a Parliamentary Review and an OECD report which he claimed justified his response.

Plaid’s health spokesperson mordantly observed that ‘Professor McClelland has looked at the NHS in Wales and how it’s run probably more forensically than anybody else’ and repeated her criticism of a lack of central direction and asked whether the recently announced increase to the health and social care budget would simply be lost in Boards’ poor financial management.

Instead of answering his opposite number, Labour’s Health Minister suggested that Mr ap Iorwerth seemed to be suggesting a cut in health budgets and said: “I am content with the fact that we understand there are real challenges, and we’re not complacent about actually managing and meeting those.”

Having rubbished Professor McClelland’s substantive complaints about the Welsh Government’s mismanagement of the health service and repeating the line that they operated accountably, the Cabinet Secretary lauded the model for the delivery of social care that had been agreed with third sector bodies, local government and health boards.

Bearing in mind the content of most recent local government discussions on that vexed subject, the casual observer might wonder to which local authorities the Welsh Government had been speaking.

Equally, in highlighting the extent of central control and monitoring and by the way he addressed some of Rhun ap Iorwerth’s points, Vaughan Gething appears to have laid the way for future difficulties in claiming the planned cuts to health services by Hywel Dda UHB are nothing to do with him or the Government he wants to lead.

By claiming to have his hands on the levers of healthcare’s delivery, Mr Gething can hardly now claim they are clean when it comes to decisions about the future of West Wales’ health services.

News

Award-winning Welsh fashion designer stands down for health reasons

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One of Wales’ most enigmatic and successful fashion designers – Huw ‘Fash’ Rees – is to hang up his tailors’ shears for good later this year following his announcement that his bridal gown company – Huw Rees Brides – is to close.

In an announcement made on social media last weekend, Huw said his ongoing health issues leaves insufficient time for running his business in Llandeilo.  As a result, Huw Rees Brides will close by the end of March, 2025.

“It’s been a difficult decision, not taken lightly,” he said.

“But all our brides have been contacted and we will continue to work with all current brides until their weddings. There is no scandal, and no one will be left without a dress.”

Huw went on to say that later this year he will become an official celebrant.

Huw Rees Brides was launched in 2008, since when it has won no fewer than 14 national awards.  He is also a regular face on S4C’s ‘Prynhawn Da’ and ‘Heno’ magazine programmes where he presents the regular fashion slots.

Huw was first admitted to hospital in 2019, complaining of severe stomach pains. Tests confirmed that he had been suffering from kidney disease for a considerable period of time. The initial prognosis was that with medical treatment coupled with a healthy diet, he wouldn’t have to undertake dialysis nor a new kidney. But nine months later he was told that he would have to commence dialysis.

“I was worried, as I knew the effects that dialysis can have on a person’s life,” he said in a previous Radio Cymru interview.

“You have to be on the machine three times a week, for four hours a day, and to me, this felt like ‘broken heart syndrome’.

“But I knew how important it was to follow the guidance of the specialists, listen to what they had to say and start dialysis as soon as possible.”

His treatment began just two days after Christmas, 2019.

“I went in for a blood test and was told that things had got considerably worse, with the result that they decided to begin dialysis that very same day,” he said.

Throughout his treatment, Huw feared that his work would one day have to take a backward step.

“My work has always been my life, as this is what I love doing,” he said.

“But the care I’ve received from the NHS has been exceptional.

“The dialysis team has been so supportive, and not once have I been left feeling isolated.

“Also, the response I’ve had from the public since announcing the closure of the business last Saturday has been incredible and the messages of support have been pouring in.

“Those messages have meant a great deal to myself and to the girls, but the decision to close is a positive one, which will allow me some freedom to pursue other less consuming interests.”

Huw ‘Fash’ went on to say that instead of selling wedding gowns, he will soon become a licensed celebrant.

Latest Welsh government figures confirm that Kidney Replacement Therapy treatments, such as dialysis,  are currently being given to around 1,400 Welsh residents a year.

There are also almost 1,800 Welsh patients living with a functioning kidney transplant, who require ongoing clinical review, psychosocial support and immunosuppressive drug treatments. All forecasts consistently demonstrate that the need for these services for adults will grow by between 4 and 5% year on year.

The number of children reaching end stage kidney disease per annum is around two per million of the total population. In Wales this corresponds to approximately six new cases per year. There are approximately 50 children on Kidney Replacement Therapy (KRT) in Wales at any one time, many with a kidney transplant.

Meanwhile Huw Rees has confirmed that all stock, including current gowns, is now being sold for £350 or less.

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Dyfed-Powys Police pays out hundreds of thousands in compensation claims

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NEW figures reveal Dyfed-Powys Police has paid out £324,000 in compensation over the past five years, following nearly 200 claims made by members of the public.

A Freedom of Information requests show a whopping 186 claims were lodged against the force between 2019 and 2024, with compensation payments peaking in 2021/2022 at £138,111. Claims included allegations of unlawful arrest, financial losses, personal injury, and failure in duty of care.

In 2019/2020, 36 claims were made, with nine settled. The following year, 22 claims were lodged, with nine again resulting in payouts. Numbers rose to 38 claims in 2021/2022, with 11 settlements, before dropping slightly in 2022/2023 to 36 claims and eight payouts. However, the most recent figures for 2023/2024 show a significant rise, with 54 claims and seven settlements.

Lucy Parker, a solicitor from JF Law, said: “Claims against police forces highlight the importance of accountability. Issues such as wrongful arrest, assault, and negligence must be addressed seriously.”

Nationally, UK police forces have paid out millions in compensation, with property damage from botched raids cited as a frequent reason.

Dyfed-Powys Police has been approached for comment.

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Rail passengers in west Wales ‘let down’ by hundreds of train cancellations

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RAIL passengers in west Wales are being “let down” following the cancellation of more than 650 Transport for Wales (TfW) trains on routes to Swansea and beyond in just 12 months.

Between October 1, 2023, and September 30, 2024, a total of 654 services were cancelled, impacting key routes to Llanelli, Carmarthen, Pembroke Dock, Fishguard, and Milford Haven. The cancellations have sparked frustration among passengers and raised concerns over the reliability of rail services in the region.

Transport for Wales, which took over day-to-day rail operations from Arriva nearly seven years ago, has faced ongoing criticism for service quality. A Rail User Survey in 2023 revealed that only 72% of passengers were satisfied with TfW services, making it the worst-rated operator in the UK at the time. By comparison, Southern Railway scored 80%.

Recent surveys show some improvements. Between February and September 2024, overall satisfaction rose to 85%, with punctuality increasing to 73% and frequency to 66%. However, these numbers remain below national averages, and the situation in west Wales continues to lag behind other regions.

Passengers in west Wales have long expressed frustration over frequent delays and cancellations. One traveller recounted a 60-mile journey from Cardiff Central to Carmarthen that resulted in an overnight stay in Cardiff due to multiple delays and cancellations. Replacement buses offered little reprieve, with onward journeys stretching well into the early hours.

Peredur Owen Griffiths MS, Plaid Cymru’s spokesperson for Transport, criticised the situation, saying: “These statistics show that Welsh passengers are being let down. Historical underinvestment in our rail network and infrastructure has led us to this position. In order to create a Welsh rail network that works for the people of Wales, it’s vital that decisions regarding Welsh rail are made in Wales.”

Mr Griffiths added: “Only Plaid Cymru fights for the devolution of rail infrastructure to ensure we can secure consistent investment in our network and deliver reliable services.”

Despite some recent improvements in customer satisfaction, the sheer scale of cancellations highlights ongoing issues with rail services in Wales, particularly in west Wales where consistent, reliable transport remains a challenge for many commuters and travellers.

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