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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.

 

Business

Plaid energy policy challenged by Labour after Adam Price interview

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LABOUR SAYS MINISTERS MUST EXPLAIN COST AND TIMETABLE FOR PYLON PLANS

PLAID CYMRU’S approach to energy infrastructure has come under scrutiny after Energy Minister Adam Price was challenged over plans to reduce the use of overhead pylons in Wales.

Mr Price defended the Welsh Government’s position during an appearance on BBC Radio Wales’ Sunday Supplement, arguing that communities must have greater confidence in how major grid projects are handled.

Plaid Cymru has pledged to give communities a stronger voice over energy developments and to look more closely at alternatives to overhead transmission lines, including underground cabling where possible.

The issue has become increasingly sensitive in rural parts of Wales, where proposed pylon routes linked to renewable energy schemes have raised concerns about landscape impact, tourism and local consultation.

However, Welsh Labour said the minister had failed to explain when any restriction on pylons would take effect, or who would pay the additional cost of placing cables underground.

A Welsh Labour spokesperson said: “Adam Price keeps saying how clear their manifesto was and yet he won’t say when they’re banning pylons. They won’t say who is paying for the extra cost of undergrounding cables.

“Without certainty, companies won’t invest. That’s thousands of clean, green energy jobs at risk. Plaid need more than a plan to have a plan.”

Labour said the Welsh Government must now set out how its policy would work in practice, including whether it amounts to an outright ban, what exemptions would apply, and how any extra costs would be funded.

The debate highlights the challenge facing ministers as Wales seeks to expand renewable energy generation while addressing public opposition to large-scale grid infrastructure.

 

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Community

Pembroke Fair praised as well-organised community event

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HORSES, STALLS AND FAMILY CROWDS RETURN TO MONKTON

FAMILIES, horse owners and visitors turned out in force for Pembroke Fair on Saturday (May 23), with many praising the event as one of the best organised in recent years.

Held at the Community Centre Field in Monkton, the annual fair brought together horse owners, traders and local families for a traditional day centred around horses, ponies, stalls and socialising.

Coloured cobs, heavy horses, ponies and horse-drawn traps attracted attention throughout the day, with many visitors gathering around the field to watch the animals being shown and led around the site.

A variety of stalls selling everything from clothing and ornaments to tack and second-hand goods helped create a lively market atmosphere, while food vendors kept visitors fed throughout the day.

Despite overcast conditions at times, the event remained busy, with many attendees staying for several hours to enjoy the traditional fair atmosphere.

Community members later took to social media to praise the smooth running of the event, with several publicly thanking organiser Charlie Price for his efforts in bringing the fair together.

Comments described the day as “well organised” and praised the welcoming atmosphere, with many saying it was encouraging to see a long-standing local tradition continuing to thrive.

The fair once again brought together members of the travelling community, local residents and horse enthusiasts from across west Wales.

A horse drive was also due to take place on Sunday (May 24), continuing the weekend’s celebrations.

Photo captions:

Traditional gathering: Horses, ponies, horse-drawn carts and market stalls drew crowds to Pembroke Fair in Monkton on Saturday (Pic: Herald).

 

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News

Watchdog criticises health board over £10m GP contract checks

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A HEALTH board has been criticised by Audit Wales after GP contracts worth more than £10m were awarded without sufficient due diligence checks.

Aneurin Bevan University Health Board allowed a GP partnership associated with eHarley Street Primary Care Solutions to take on eight GP contracts in south-east Wales, with a combined annual value of around £10.1m.

Audit Wales said the board should have carried out greater scrutiny before approving the arrangements, including checks on financial resilience, workforce plans, business risks and the partnership’s ability to manage several practices at once.

However, the watchdog found no evidence of fraud and noted the board was dealing with significant pressure in general practice, including vacant contracts and limited interest from other bidders.

The report said weaknesses in governance and scrutiny contributed to later disruption and uncertainty for patients and staff when problems emerged.

Concerns included financial and workforce pressures, unpaid invoices, and issues relating to tax and pension payments. Some contracts were later handed back, requiring the health board to step in to protect services.

Natasha Asghar MS, Welsh Conservative Shadow Cabinet Minister for Health and Social Care, said the findings were “deeply concerning”.

She said: “Patients and staff were left facing disruption and uncertainty because proper scrutiny was not carried out before these contracts were awarded.

“The Welsh Conservatives believe lessons must be learned to ensure robust checks are in place, protect frontline services and restore confidence in primary care across Wales.”

Aneurin Bevan University Health Board accepted the recommendations and said it had already strengthened its processes.

Audit Wales said the case highlighted the need for stronger checks before GP contracts are transferred, particularly when a single partnership is taking on multiple practices in a short period.

 

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