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Health

Important new advice for those who were previously shielding

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PEOPLE who were previously shielding – now known as clinically extremely vulnerable – are advised to no longer attend work or school outside their homes.

The change in advice has come from the Chief Medical Officer for Wales (CMO).

This is particularly the case for those whose work requires them to be in regular or sustained contact with other people, or where individuals share a poorly ventilated workspace for long periods.

Letters from the CMO will be issued confirming this advice but will take some time to reach individuals due to the festive period.

These letters can be used as evidence for the purposes of claiming statutory sick pay.

Vaughan Gething, Minister for Health and Social Services, said the decision has been influenced by the significant recent growth in rates of Covid-19 infection, possibly due to the new variant of the virus.

Mr Gething said: “We have also taken account of the pressures we see on our health service with increasing hospitalisations. This advice will be reviewed on a three weekly basis aligned to the Welsh Government reviews of alert levels across Wales.”

Mr Gething reminded the public that everyone should be staying at home as much as possible under the current Alert Level 4 restrictions.

However he added the clinically extremely vulnerable can still go outside to exercise and attend medical appointments.
“We must remain conscious of the harms associated with isolation for long periods and therefore those in this group can remain part of a support bubble, as long as they take care,” he said.

Mr Gething added: “We have been clear that the safest option for people within this group is not to be part of a Christmas Bubble.
“However if they choose to do so they should follow the advice provided on our website https://gov.wales/christmas-advice-people-who-were-shielding which includes keeping contacts to an absolute minimum, meeting for short periods in well ventilated areas, maintaining strict hand and surface hygiene and staying 2 metres away from others.”

Guidance will be updated as soon as possible on the following link https://gov.wales/guidance-protecting-people-defined-medical-grounds-extremely-vulnerable-coronavirus-covid-19

In Pembrokeshire, the Community Hub remains ready help.

A partnership between Pembrokeshire County Council, Pembrokeshire Association of Voluntary Services, Hywel Dda University Health Board, and Delta Well-being, the Community Hub can help with a variety of support services.

The Hub can help with getting essential shopping, collecting prescriptions, accessing support or just offer a friendly voice on the end of the phone.

The Community Hub can be contacted on 01437 776301 or [email protected]

You can also visit the website at: https://www.pembrokeshire.gov.uk/coronavirus-covid-19-community-information/community-hub

The Community Hub will be open 9am-5pm until Wednesday December 23rd and 9am-4pm on Christmas Eve.

It will re-open 9am-5pm on Tuesday 29th, Wednesday 30th and Thursday 31st December.

The Hub will resume normal 9-5 operating hours on Monday 4th January.

 

 

Health

Future of Withybush Hospital petition sparks urgent call for Senedd debate

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CALLS have been made for an urgent debate in the Senedd over the future of services at Withybush Hospital as political pressure mounts ahead of the Welsh Parliament election.

Paul Davies MS and Samuel Kurtz MS have written jointly to Carolyn Thomas MS, Chair of the Senedd’s Petitions Committee, urging that a public petition concerning healthcare provision in Pembrokeshire be considered as a matter of urgency.

Samuel Kurtz MS and Paul Davies MS want the Welsh Government to take action following the petition reaching the minimum number required to spark a Senedd debate.

The petition, which has already gathered more than 10,000 signatures, raises concerns about changes to services at Withybush Hospital and calls for intervention to protect healthcare provision in the county.

Reaching the 10,000-signature threshold means the petition qualifies for consideration by the Senedd and could be recommended for debate in the chamber.

The two MSs say the issue should be discussed before the Senedd dissolves ahead of the Welsh Parliament election on May 7.

Paul Davies MS said the strength of public support highlighted deep concern among residents about the future of healthcare services in Pembrokeshire.

“Reaching 10,000 signatures demonstrates the strength of feeling across Pembrokeshire about future services at Withybush Hospital,” he said.

“Residents, clinicians and campaigners have raised serious concerns about patient safety, travel times and the cumulative impact of service changes.”

Samuel Kurtz MS said it was essential that the Welsh Government was required to respond to the concerns in a formal Senedd debate.

“Given the potential impact that the centralisation of hospital services could have on rural communities, it’s vital that this issue is debated in the Senedd before dissolution,” he said.

“People deserve the opportunity for their elected representatives to scrutinise these decisions and for the Welsh Government to respond formally on the record.”

Concerns over rural healthcare access

The future of Withybush Hospital has been a long-running issue in Pembrokeshire, with repeated campaigns over the years to protect services at the Haverfordwest site.

Previous controversies have included the loss of consultant-led maternity services and changes to paediatric provision, while more recent concerns have focused on the withdrawal of emergency general surgery.

Critics argue that moving services to larger hospitals, particularly Glangwili Hospital in Carmarthen, risks increasing travel times for patients in a largely rural county.

Campaigners say this could place additional pressure on ambulance services and potentially delay life-saving treatment.

Ajay Owen, founder of the campaign group SARS Cymru, said the petition reflected widespread anxiety across the county.

“The fact that the petition has surpassed 10,000 signatures in such a short window shows there is real concern across Pembrokeshire,” he said.

He warned that removing emergency surgery from Withybush could make it harder for patients suffering serious trauma or medical emergencies to receive treatment within the “golden hour” — the period during which rapid intervention can be critical for survival.

Campaigners argue that the combination of ambulance response times and travel distances to Carmarthen could result in some patients waiting more than an hour before reaching hospital.

Meanwhile, The Leader of the Welsh Liberal Democrats, Jane Dodds MS said: “This decision puts patient safety at risk. In Pembrokeshire, long travel distances already make accessing urgent care difficult. Removing emergency general surgery from Withybush means that, in the most critical moments, people may simply not get the treatment they need in time.

“That is unacceptable, and we are calling on Hywel Dda to urgently reconsider.”

Sandra Jervis, the Welsh Liberal Democrat lead candidate for Ceredigion Penfro, added: “Pembrokeshire is rural, industrial and high-risk — a county where emergency services must be close at hand.

“From refinery workers to farmers to coastal communities, people deserve the reassurance that life-saving surgery is available locally. This decision undermines that reassurance and puts lives in jeopardy.”

Health board position

Hywel Dda University Health Board has previously said that service reconfiguration across west Wales is designed to improve patient outcomes by concentrating specialist staff and resources at fewer sites.

However, critics argue that centralising services risks leaving rural communities with reduced access to urgent care.

The Herald understands the Senedd’s Petitions Committee will now decide whether to fast-track consideration of the petition and recommend a debate before the Senedd breaks up ahead of the election campaign.

If approved, the issue could be discussed by Members of the Senedd in the final weeks of the current parliamentary term.

 

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Health

Lifestyle advice that could help MS patients ‘not reaching enough people’, report warns

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Research finds fewer than half of patients say doctors discuss diet, exercise and other changes that may slow the disease

A NEW report has warned that thousands of people living with multiple sclerosis may be missing out on advice that could help them manage the condition because lifestyle changes are not routinely discussed during medical appointments.

The report, published by the charity Overcoming MS, says many patients are not being told about evidence suggesting that diet, exercise and other lifestyle choices may play a significant role in managing symptoms and slowing disease progression.

Multiple sclerosis (MS) is a lifelong neurological condition affecting the brain and spinal cord. There is currently no cure, and people are often diagnosed in early adulthood, facing decades of uncertainty about how the disease may progress.

According to the report, fewer than half of people with MS say healthcare professionals discuss healthy lifestyle choices with them during appointments. The research suggests that this lack of information may leave patients feeling they have little control over their condition.

The charity’s survey also found that only around a quarter of people believe lifestyle changes such as quitting smoking, eating a healthier diet, exercising more or reducing stress would make a significant difference for those living with MS.

By contrast, two thirds of respondents said they believed lifestyle changes could significantly benefit people with heart disease.

Researchers say there is growing scientific evidence that healthy lifestyle choices can improve symptoms such as fatigue, pain and cognitive difficulties, while also supporting overall brain health and wellbeing.

The report highlights studies suggesting that factors including a high-quality diet, regular physical activity and stopping smoking may reduce the likelihood of relapses and slow disease progression in some patients.

One long-term study cited in the report found that a high-quality diet was associated with a reduction in disability progression of up to 50 per cent over seven and a half years among people living with MS.

The charity said greater awareness of these findings could help patients feel more empowered after diagnosis.

Alexandra Holden, chief executive of Overcoming MS, said more needs to be done to ensure that lifestyle information becomes part of routine conversations between patients and clinicians.

She said: “There can be no debate about the wealth of evidence showing that healthy lifestyle modifications can have a significant impact for a person living with MS.

“Yet by not offering this information to everyone diagnosed with MS we are failing our communities.”

The report also highlights the emotional toll of the condition. Survey results showed that 78 per cent of people said a diagnosis of MS would make them fearful about the future, while more than half said it would leave them feeling helpless or lacking control over what lies ahead.

Campaigners say improving access to information about lifestyle approaches could help people living with MS feel more hopeful and better equipped to manage their health alongside medical treatments.

They are calling on healthcare professionals, policymakers and patient communities to work together to ensure that discussions about lifestyle changes become a routine part of MS care.

Further information and support resources are available through the charity’s website at overcomingms.org.

 

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Community

Emergency call to restore vital Withybush hospital services

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AN EMERGENCY call for councillors to fight a “total failure of the people of Pembrokeshire” downgrading of services at Withybush hospital has been backed.

At the March meeting of Pembrokeshire County Council, an emergency notice of motion by the council’s 11-strong Conservative Party group demanded that the Welsh Government immediately reverses the decision to cease emergency general surgery at Withybush Hospital.

Last year, Hywel Dda University Health Board consulted with its communities on options for change in critical care, dermatology, emergency general surgery, endoscopy, ophthalmology, orthopaedics, stroke, radiology and urology.

At a recent two-day meeting, the board, amongst its many other decisions, backed changes into emergency general surgery which will see no emergency general surgery operations taking place at Withybush, but a strengthening of the same-day emergency care (SDEC).

At the March council meeting, the Conservative council group, led by Cllr Di Clements, proposed a motion which read: “This council requests that the Labour Welsh Government intervenes in Hywel Dda University Health Board’s recent decision to cease emergency general surgery at Withybush hospital and immediately reverses their decision.

“We believe removing this service critically undermines the sustainability of Withybush hospital’s A&E department.

“Also, the decision by the Health Board does not take into account the impact and potential serious risks it will have on Pembrokeshire residents.”

Cllr Clements’ supporting statement, which included a call for Leader Cllr Jon Harvery to write to the First Minister and Welsh Government, said Pembrokeshire residents “have seen continual downgrading of services over the years, and this has been detrimental to all residents,” adding: “We believe this recent decision is life threatening to those who need emergency surgery and a matter of resident’s safety.”

At the meeting, Cllr Michael John said “there had been an erosion of services for many years,” supporting Cllr Clements’ call, but proposing the addition of calling on the health board to meet with councillors.

Newly-elected Fishguard county councillor Billy Shaw, himself a former biomedical scientist who had worked at Withybush, said the service under Hywel Dda University Health Board had become “Carmarthenshire-centred”.

Following the request by Cllr Clements, Leader Cllr Jon Harvey agreed to any letter writing, saying he had “fought long and hard to return services to Withybush”.

He gave the personal example of an operation he had over a decade ago at Withybush, saying if he had had to travel to Glangwili he had been told he “wouldn’t be here today, as simple as that”.

“There’s been an erosion of services year-on-year, it’s just not acceptable.

He finished: “It’s important we show the health board and Welsh Government we care for our residents.”

Cllr Rhys Jordan said: “It’s a total failure of the people of Pembrokeshire, Hywel Dda has taken emergency services away Pembrokeshire and once again it will be the people of Pembrokeshire that pay the price; it’s our families, our neighbours, our elderly and children.”

He added: “What does that say about how we are managed? Pembrokeshire can be managed with less, that we should be grateful for less; Pembrokeshire is not a second-class Wales.

“This decision must be reversed. Pembrokeshire deserves better than being failed again and again.”

Members backed Cllr Clements’ call, with Cllr John’s amendment added.

Welsh Labour has said that, if it wins the May Senedd lections, it will commit to a new multi-billion-pound west Wales hospital, a proposal described as a “pre-election distraction” by Conservatives.

The long-mooted hospital plan, previously proposed in St Clears and Whitland locations, was put on hold by the health board for financial reasons.

 

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