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Charity calls for improved endoscopy services

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endoscopyBOWEL CANCER UK, the charity determined to save lives by promoting early diagnosis and address inequalities in treatment and care, has released a report calling for improved endoscopy services in Wales for urgent testing of patients with suspected cancer. Nearly 16,000 men and women die of bowel cancer every year in the UK, making it the second most common cause of cancer death in the UK. In Wales, there were 2,354 new cases of bowel cancer in 2010 (most recent figures available, according to Cancer Research UK). The report, entitled ‘Diagnosing bowel cancer early: right test, right time’ highlights serious problems with endoscopy services in the UK, with referral criteria, waiting times and quality of services being the key issues. A colonoscopy or flexible sigmoidoscopy are the key diagnostic tests for bowel cancer. This new research from Bowel Cancer UK highlights delays in referral for diagnostic testing caused by overlyprescriptive guidelines; a lack of investment in endoscopy capacity by Clinical Commissioning Groups (CCGs) which will fail to meet  e demand and inconsistencies in the type of diagnostic test and quality of test available to patients in different parts of the UK. The current national guidelines for GPs on referral of urgent suspected cancer are restricted to those with ‘alarm’ or ‘high risk’ symptoms, such as rectal bleeding. Yet only half of people diagnosed with bowel cancer present with the ‘high risk’ symptoms that would qualify for an urgent referral. From the 708 responses from a national survey conducted in September 2013 among people with bowel cancer who had had an endoscopy, the Bowel Cancer UK report found that one in three people who had had an endoscopy had seen their GP more than three times before their referral. Of these, nearly half had a tumour detected. GPs can recommend patients have these tests with either a nonurgent or urgent referral. While the demand for endoscopies such as these is increasing, due to an ageing population and roll-out of screening programmes, the report forecasts a potential crisis as even more endoscopies are increasingly vital. Deborah Alsina, Chief Executive of Bowel Cancer UK, said, ‘We are calling for GP guidelines to be liberalised so that GPs can use their judgement and refer patients even when their symptoms do not point directly to bowel cancer. It’s a tragedy that more people are not referred for endoscopy sooner. After all, early diagnosis saves lives.’

 

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Community

Community pool launches funding appeal to secure future

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A COMMUNITY-RUN swimming pool in Narberth is appealing for public and business support as it works to safeguard the future of one of Pembrokeshire’s most valued local facilities.

Narberth Swimming Pool, operated by charity Swim Narberth CIO, has unveiled plans for a £338,000 sustainability and improvement project aimed at protecting the building, cutting energy costs and ensuring the pool can continue serving the community for decades.

The facility was saved from closure in 2014 following a major community-led fundraising campaign and has since become a vital local asset. It now supports more than 500 children and 1,000 adults every week through swimming lessons, school sessions, inclusive and disability-friendly programmes, and health and wellbeing activities for people of all ages.

Chair of Trustees Chris Walters said the next phase is about protecting what the community worked so hard to preserve.

“This project isn’t about expansion or luxury upgrades,” he said. “It’s about keeping the doors open, the water warm and the building safe.”

A key element of the project is the replacement of the pool’s roof, which was never fully completed when the charity took over more than a decade ago. The structure has deteriorated over time, leading to persistent leaks and ongoing maintenance problems.

“The roof is a real concern for us,” Chris explained. “If we don’t address it now, the problems will only get worse and more expensive to fix.”

Alongside the roof works, the project will include installation of a modern high-efficiency air-handling system and upgrades to the existing solar photovoltaic panels. Together, the improvements are expected to reduce energy use by more than 30%, cut carbon emissions and significantly lower long-term running costs.

Swim Narberth CIO has applied to the Welsh Government Community Facilities Programme for £300,000 towards the scheme and must raise approximately £40,000 in match funding to unlock the grant.

Chris said the opportunity follows more than five years of waiting for a funding programme of this scale, with earlier plans delayed by the Covid pandemic.

“During that time, we’ve focused on stabilising the pool, growing participation and improving quality,” he said. “Winning a recent Swim Wales Award, and being the only swimming pool in Pembrokeshire to hold the Swim Wales Learn to Swim accreditation, has cemented Narberth’s position as a key community facility. But awards don’t repair roofs — investment does.”

Fundraising efforts are now being coordinated by Pool Manager Alice, with events and initiatives planned in the coming weeks. The charity is also approaching local businesses and national organisations to help secure the required match funding within a limited timeframe.

“We’re asking businesses to consider sponsoring the pool in some way,” Chris said. “In return, we’re committed to giving something back, whether that’s recognition, promotion or community engagement.”

As part of the appeal, larger donors are being offered a practical incentive.

“For anyone with slightly deeper pockets,” he added, “we’re offering a free company swim session for around 25 employees in return for a minimum donation of about £1,000. It’s a great team-building activity and supports a really good cause.”

Chris said trustees hope the same community spirit that saved the pool in 2014 will once again come to the fore.

“We’re asking the community to rally around the pool once more,” he said. “Without this investment, there’s a real risk that the pool becomes increasingly difficult to sustain in the future.”

Swim Narberth CIO will share updates on fundraising progress in the coming weeks. Anyone wishing to support the appeal can follow the charity on Facebook at facebook.com/swimnarberth or donate via gofund.me/447a446d7.

 

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Community

Anyone can administer EpiPens in emergencies, councillor clarifies

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Proposal aims to ensure life-saving devices are available in every Pembrokeshire school

A COUNCILLOR has clarified that anyone is legally permitted to administer an adrenaline auto-injector (AAI), commonly known as an EpiPen, in a medical emergency, following confusion during a recent debate at Pembrokeshire County Council.

Councillor Huw Murphy circulated guidance to colleagues after presenting a Notice of Motion calling for arrangements to be made with Hywel Dda University Health Board so that every school in Pembrokeshire can hold the potentially life-saving devices.

He pointed to changes made to medicines legislation in 2012, which broadened the law to allow any member of the public to administer adrenaline for the purpose of saving a life. Previously, the law required the person giving the injection to have received appropriate training.

Cllr Murphy said he had been aware of the legal position during the debate but was unable to reference the specific regulations at the time due to technical difficulties.

He thanked fellow councillors for supporting the motion in principle and said the estimated cost of around £14,000 to equip schools across the county would represent good value given the potential to prevent fatalities in emergency situations.

The councillor also suggested the Welsh Government may need to review its national policy on the storage and use of AAIs in local authority schools as awareness grows and demand increases.

If approved, the proposal would see discussions take place with health partners to develop a practical framework allowing schools to hold and use the devices safely.

 

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Local Government

Review launched into winter gritting for north-east Pembrokeshire roads

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Council to assess whether salt provision should return to Preseli and higher-ground communities after concerns over closures

PEMBROKESHIRE COUNTY COUNCIL has agreed to review its winter maintenance strategy for roads in the north and north-east of the county, following concerns that higher-ground communities are more vulnerable to snow and ice disruption.

The decision comes after a Notice of Motion was presented by Independent Group Leader, Councillor Huw Murphy, calling for a reassessment of how the authority manages gritting and salt provision in areas north and north-east of the A40, including the Preseli Mountains and communities such as Crymych and Tegryn.

Council officers and Cabinet members acknowledged that these upland areas experience harsher winter conditions than much of the county and are more likely to become impassable during periods of snowfall and icy weather.

The review will also examine the 2022 removal of the auxiliary salt depot previously located near Crymych. If the review concludes that additional provision is required, a replacement salt tip could potentially be reinstated in the north-east, although not necessarily at the former Llanfyrnach site.

The council expects the review to be completed during the second half of 2026.

Councillor Murphy said he welcomed the response from officers and Cabinet, adding that the issue had significant implications for residents, businesses and schools in affected areas.

He said: “The higher ground of north-east Pembrokeshire and areas adjacent to the Preseli Hills are more susceptible to closure during periods of poor weather, especially snow and ice. The potential return of an auxiliary salt tip is something that should be seriously considered and would be welcomed by local communities in helping to keep roads passable during difficult conditions.”

He also referenced the severe weather disruption seen during late 2025, which highlighted the challenges faced by rural communities when key routes become blocked.

Pembrokeshire County Council currently operates three winter maintenance zones across the county, but the review aims to determine whether the existing arrangements provide sufficient resilience for the most weather-exposed areas.

Further details are expected once the assessment work progresses later this year.

 

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