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Ambulances backed up at Withybush, as A&E department swamped

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A 69-YEAR-OLD from Milford Haven who suffers from COPD (Chronic Obstructive Pulmonary Disease) described by her daughter as being ‘unresponsive’ waited over two hours for an ambulance – despite it being urgently ordered by her GP on Tuesday (Nov 19)

Once finally at the hospital, the daughter said, the full scale of the crisis gripping Withybush’s A&E department became apparent – with her mum waiting five hours in an ambulance.

The daughter who does not want to be identified said: “According to a paramedic in the A&E car park, the hospital was so busy that every available ambulance in the Pembrokeshire area was waiting to unload patients, and the ambulance service was only able to respond to Code Red calls.
“One person, the paramedic said, had already passed away that day because he could not get help in time. The paramedic told me that he dreaded the start of each shift, thinking that it was going to be yet another 12 hours of hell.”
“We were well over five hours waiting to get into the hospital – at one point my mum was taken from the ambulance for a chest x-ray only to be returned back to the ambulance after coming back from radiology.
“Once we got into A&E it was utter chaos, people everywhere. I saw seven people or more being treated in communal areas – I saw patients being seen in the hallways to have IV cannulars taken out after bloods.

The woman’s partner confirmed her story, adding that he thought what was going on at the hospital was “unbelievable”.

But after the two hour wait for help, and the five hours in in the back of an ambulance, the worst was not over.

Nurses at that A&E got the patient mixed up with someone else.

Our source said: “My mum is on warfarin, so I found it strange that she had been put on a drip. I asked what was going on, and said my mum’s name and that’s when two nurses look at each other and realised that my mum wasn’t who they thought she was. This was just before they were about stick something in her through a drip.

“A bag was already hooked up… she had no arm band – as soon as they knew it was the wrong patient they took the bag off the drip stand.

“It was definitely a near miss.”

The Health Board has been asked for a comment.

Our report comes just months after the Community Health Council said that more must be done to reduce waiting times at Withybush A&E.
Community Health Council members carried out an unannounced visit over the summer.

A report to the Pembrokeshire locality CHC on August 7 showed an increase in the number of 12 hour breaches – with some staying overnight at the unit – at Withybush A&E since October 2017, with it topping 450 cases in February this year.

Speaking a few months back, Hospital manager Janice Cole-Williams added that there had been increases in the stays in hospital which impacted in the wait for beds from A&E and staff were looking for solutions.

Deputy chief officer of Pembrokeshire CHC Helen Williams said that the report due on the A&E visit, which is yet to be signed off by the executive members, would recommend opening the discharge lounge at the weekend and keeping ambulatory care open seven days a week.

Ms Williams said it would depend on funds and there may be resistance to working weekends but in the “21st Century things don’t shut at 7pm on a Friday night.
“My opinion, not the CHC’s, but I think it should be operational full on 24/7.”

Another recommendation was to improve communication with patients about the length of wait expected and why there may be delays.

“If you keep patients informed, they recognise that the people behind the scenes are busy, it’s the not knowing when they will be seen.”

Local Assembly Member Paul Davies has expressed his disappointment to The Herald that Hywel Dda University Health Board has failed to meet the Welsh Government’s A and E targets.

In October, he said, 81.1% of patients were admitted, transferred or discharged within four hours in urgent care departments. The target to be seen within four hours is 95 percent.

Mr Davies said, “It’s extremely disappointing to see that a significant number of patients living within the Hywel Dda health board region are not being seen within a four hour window. Despite the efforts of our outstanding NHS staff, the management of the health board is presiding over a shortfall in the number of patients being seen within four hours. We must remember that those attending an accident and emergency department are there to receive care as soon as possible and any delays could have severe repercussions on that patient’s health. Therefore, efforts must be redoubled by the health board and the Welsh Government to turn these figures around as soon as possible.”

News

Too many children in Wales living in poverty – Lib Dems want action

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THIS week in the Senedd, the Welsh Liberal Democrats renewed their demands for the implementation of child poverty targets.

According to a report from the Bevan foundation, 29% of children living in Wales are currently experiencing poverty (an estimated 190,000 children).

The same report highlighted that the largest percentage of children living in poverty are from working households or in couple households.

The Welsh Lib Dems are now renewing calls for the Welsh Government to create a set of targets for reducing child poverty, which the party argues will allow for more accountability.

The party has previously called for the implementation of targets, citing recommendations from the Calling Time on Child Poverty Report published in November last year.

Commenting, the Leader of the Welsh Liberal Democrats Jane Dodds MS said: “The latest statistics on childhood poverty in Wales paints a very distressing image of families across the country struggling to make ends meet.

Over the course of the last six years, the proportion of children in poverty has skyrocketed. Fuelled by worsening economic conditions and a complete lack of action from both governments in Westminster and Cardiff Bay.

We cannot act complacent about these figures nor accept the clear lack of progress in fighting child poverty, behind each statistic is a child that the state has failed.

It remains painfully clear that the Welsh Government is failing to make any meaningful progress in this fight, which is why they must follow through with the implementation of clear set targets that will allow for further accountability.

We as a party have continuously called for the creation of these targets and we will not be silenced. For the sake of future generations we urge the Welsh Government to listen.”

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Crime

Welsh constabulary areas record another increase in shoplifting

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RETAIL trade union Usdaw is deeply concerned by today’s police recorded crime statistics showing that in 2023 there were significant increases in shoplifting across all constabulary areas in Wales. In the whole of England and Wales there has been a persistent upward trend since the pandemic, which continued with a 37% increase and has now risen to the highest level in 20 years.

The Office for National Statistics released figures showing a 39% increase in shoplifting incidents across Wales and by constabulary area as follows:

  • Dyfed-Powys +11%
  • Gwent +47%
  • North Wales +23%
  • South Wales +51% 

Usdaw’s 2023 annual survey of over 5,500 shopworkers found that 60% had suffered incidents of violence, threats and abuse that were triggered by shoplifting and armed robbery.

Paddy Lillis, Usdaw General Secretary says: “Shoplifting is not a victimless crime, theft from shops has long been a major flashpoint for violence and abuse against shopworkers. Having to deal with repeated and persistent shoplifters can cause issues beyond the theft itself like anxiety, fear and in some cases physical harm to retail workers. This 39% increase in shoplifting across Wales is further evidence that we are facing an epidemic of retail crime, which is hugely concerning.

“Our members have reported that they are often faced with hardened career criminals in the stores and we know that retail workers are much more likely to be abused by those who are stealing to sell goods on. Our latest survey results show that 7 in 10 retail workers suffered abuse from customers, with far too many experiencing threats and violence. 60% of respondents said theft from shops and armed robbery were triggers for these incidents.

“The scale of assaults, abuse and threats towards shopworkers and extent of the retail crime epidemic has been a disgrace for many years. This has been made worse by police cuts and a failure to legislate to protect retail staff. Usdaw has long called for action that includes a standalone offence for assaulting a shopworker and that has been vehemently opposed by this Government and their Conservative MPs on many occasions.

“Recently the Government performed a long overdue U-turn after many years of sustained campaigning by Usdaw and others. Our members have had to wait too long for their voices to be heard and common sense to prevail. We will have to see the detail of what Ministers are proposing and we are clear that it must be at least what we won in Scotland three years ago. It also cannot fall short of Labour’s commitments to 13,000 more uniformed officers, patrols on high streets, banning repeat offenders and ending the perverse £200 threshold for prosecuting shoplifters.

“The dither and delay by this Government on this issue over many years, has led to thousands of shopworkers needlessly suffering physical and mental injury. Today’s stats should ensure that their promise to legislate is done speedily. We hope that whatever the Government is proposing will be substantial and effective in giving shopworkers, key workers in every community, the respect that they have long deserved and regrettably too often do not receive.”

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Business

Paramount’s key role in transformation of McArthurGlen Designer Outlet

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FAST-growing Welsh company Paramount is relishing the challenge of creating an “irresistible dining destination” after winning the contract to play a key role in the multi-million transformation of the McArthurGlen Designer Outlet Bridgend.

The Cardiff-based design, build, fit-out and refurbishment specialist will spearhead the re-development project of the shopping centre after being handed responsibility for revamping its popular food court over the summer.

In the coming months, the development will see the Food Court transformed into three modern, and bright restaurants, welcoming new food and beverage brands to the centre and creating more than 100 new job opportunities for the local community.

Paramount’s Construction Director, Paul Thomas, said: “The team behind the scenes at McArthurGlen Designer Outlet Bridgend have fantastic plans for the future and we’re delighted to have been entrusted with the mission to help turn their exciting vision into a reality.

“Paramount prides itself on creating places where people want to be, and my team are relishing the opportunity to help create what will be an irresistible dining destination. It’s certain to be a complex project, but we have the expertise and local knowledge to deliver outstanding results in close collaboration with our project partners.”

The owners of the shopping centre, which has been attracting local people and visitors for more than 25 years, have promised a “substantial investment to redevelop the Food Court area and replace it with new and exciting restaurants”. 

Now the Paramount team is ready to lay the groundwork by removing some existing structures around the Food Court and will then introduce a series of new features as part of the overall facelift. These include new glazed entrance doors within glazed curtain walling shopfront, render and a new entrance lobby with new stairs and lifts.

The work to completely develop the Food Court in the shopping centre starts this week, and is expected to be completed in late autumn. As a result, customer favourites including Nando’s, McDonald’s and Chopsticks will be closed while work is under way.

Patrick Finney, Head of European Construction, McArthurGlen Group, said: “After celebrating our 25th anniversary last year, we’re extremely pleased to welcome Paramount on board in this important step of revitalising the Food Court area. 

“These are exciting times for everyone at one of South Wales’ best-loved retail complexes and we know Paramount will work closely with us to create a truly special place for diners and shoppers of all ages.”

Paramount, whose turnover reached £45 million in 2023, employs 60 people who own a majority shareholding of the business – 51 per cent – following completion of an Employee Ownership Trust  (EOT) scheme in 2021, a deal which marked a major milestone for Paramount after a period of sustained growth. 

The company is well known across Wales and England where it has created high-quality inspirational space for a number of leading companies. These include the multi-million-pound redevelopment of Hodge House and Fusion Point One in central Cardiff, and the fit out of Par 59 bars in South Wales and South West. 

Over the next few months, Paramount’s construction team will also be completing on a multi-million-pound social housing development in Porthcawl, Mid-Glamorgan with Valleys to Coast.

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