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Firefighter’s ‘avoidable’ death blamed on bad management

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A HARD hitting report into the circumstances surrounding the death of firefighter Josh Gardener in 2019 has blamed systemic, organisational and procedural failings by the local fire service.

The Marine Accident Investigation Branch (MAIB) criticised the senior management at Mid and West Wales Fire and Rescue, specifically highlighting documentation and procedures for boat operations. Those were out of date, unclear and presented confusing safety messages to the reader.

Josh Gardener, tragically died aged just 35-years-old, during a training exercise conducted by Mid and West Wales Fire and Rescue Service (MAWWFRS) in September 2019.

At about 1125 HRS on 17 September 2019, two fire and rescue service boats were in collision while undertaking boat training and familiarisation in the Milford Haven waterway, resulting in Josh Gardener sustaining fatal injuries.

The collision occurred because both boats were operating at speed and carrying out un-coordinated manoeuvres in the same stretch of the river. The manoeuvres resulted in the boats heading towards each other, and actions taken to avoid a collision were unsuccessful.

Josh joined the fire service in 2018 and was well-known in Milford and he was also a keen footballer.

In what has been described as a ‘totally avoidable death’, questions will now be raised as to whether lessons have been learned within the fire service.

The Herald has obtained evidence to show that Firefighters from Milford Haven station brought up their concerns about the large rib, which killed their colleague Josh Gardener, just a few weeks prior to his death.

The station report, dated August 7, 2019, shows firefighters stating they did not have the training or skills needed to operate the rib, and had asked for management to take action.

Within the report, they said: “Skill sets have eroded with regards to the large rib. Are we likely to be upskilled to be able to perform our duties within our risk area, at present we can’t? “

The concerns were not addressed.

The MAIB report showed a number of safety failing which lead to the avoidable death of Josh Gardener, including;

  • no-one was in overall charge of the training and familiarisation activities, so they were not properly managed, briefed or communicated between the crews of both boats
  • the operation of the boats did not adhere to the requirements of the local standard operating procedures or risk assessments
  • the standard operating procedures for all fire and rescue service boats in the Mid and West Wales Fire and Rescue Service were insufficient in content and contained incorrect information
  • the Fire and Rescue Services in the United Kingdom did not operate boats to a common standard or code of practice when not employed on flood rescue duties

The chief Inspector of Marine Accidents told The Pembrokeshire Herald in a statement: “This tragic accident could have been avoided had the training activities been properly planned and communicated to all the fire and rescue crew on the water that morning. It was unnecessary for the two boats to be operating in close proximity to each other in a wide stretch of the River Cleddau.

“Neither of the boat’s crew were aware of the other’s intended activities, nor were they keeping an effective lookout as they manoeuvred at speed.

“Our investigation found that elements of the Mid and West Wales Fire and Rescue Service documentation and procedures for boat operations were out of date, unclear and presented confusing safety messages to the reader. In addition, it was found that at a national level, fire and rescue service boats are not being operated consistently to a recognised standard when not on inland flood rescue duties.

“Mid and West Wales Fire and Rescue Service has taken a number of actions following this investigation, but I have recommended that it also review the qualifications required of its boat crews and implement measures to maintain crew competency. I have further recommended that the National Fire Chief’s Council work with the Maritime and Coastguard Agency to introduce a standard code for the operations of its water craft.”

The Fire Brigade Union (FBU) has welcomed the report.

Andy Dark, FBU assistant general secretary, said: “Josh’s death was an avoidable tragedy that occurred during a training event which should have been well-planned and well-controlled.  Our thoughts today are first and foremost with his family and the FBU will continue to provide as much support to them as possible.

“We have seen all too many fatal and near-fatal incidents involving firefighters undertaking water training, both inland and now, in this case, in tidal waters. The report’s recommendations appear to address both categories, which will be crucial to preventing further losses of life.

“The issues identified in this report must be addressed and individual firefighters must not be blamed for systemic, organisational, and procedural failings.

“We broadly support the recommendations of this report, which must be implemented swiftly and carefully, with full oversight of the Marine Accident Investigation Branch. Ministers should take serious note of the need for national standards in this area and develop a comprehensive set of statutory minimum standards for all fire and rescue services in the UK.”

Despite the report showing the safety failing coming from top-level organisational failings, The Herald understands that no senior officers have been held reprimanded or held accountable for the failing which tragically killed Josh.

However one source has told us that two firefighters had been sacked.

The Herald contacted Dyfed-Powys Police and HSE to see if they intended to prosecute anybody for the avoidable death of Josh Gardener following the MAIB report.

A  Dyfed-Powys Police spokesperson said: “Our investigation is ongoing.”

A HSE spokesperson said: “The Marine Accident Investigation Branch (MAIB) has had a specific role to identify cause of accident in this case and has subsequently published a report.  MAIB are not part of the criminal investigation.

“The criminal investigation is being conducted under the auspices of the Work Related Death Protocol led by Dyfed Powys Police who are being assisted by the Maritime and Coastguard Agency and the Health and Safety Executive.  Those investigations are continuing and enforcement decisions will be made when they are complete.” 

Mid and West Wales Fire and Rescue Service have been asked to comment.

Josh Gardener’s funeral in Milford Haven was attended by hundreds. (Pic Herald)

 

Community

Banking hub plans gather pace in Pembroke Dock

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PLANS to deliver a new Banking Hub in Pembroke Dock are moving forward, following a key meeting between local representatives and Cash Access UK.

Samuel Kurtz MS met with Cash Access UK Regional Manager Debbie Crow on Wednesday (Mar 19), alongside community representatives, to discuss the next steps after confirmation last week that the campaign for a hub had been successful.

The new facility is expected to be up and running within 12 weeks, providing vital access to banking services for residents, businesses and community groups across Pembroke Dock and the wider South Pembrokeshire area.

Samuel Kurtz MS: “Access to cash and face-to-face banking services remains vital for many residents, charities and local businesses across the area”

Banking Hubs offer a shared space where customers can carry out everyday transactions such as cash withdrawals and deposits, as well as access face-to-face support from individual banks on designated days.

The development follows the closure of the last bank branch in Pembroke Dock, which had raised concerns about access to essential financial services in the area. Samuel Kurtz has been working with LINK, local businesses and community groups to secure the new hub.

Discussions at the meeting focused on identifying a suitable location and ensuring the service meets the needs of those who continue to rely heavily on cash.

Following strong public interest in the project, Mr Kurtz has confirmed he will hold a series of drop-in sessions in Pembroke and Pembroke Dock to update residents and answer questions.

Samuel Kurtz MS said: “Last week’s news that the campaign for a Banking Hub in Pembroke Dock had been successful was incredibly welcome for our community.

“Access to cash and face-to-face banking services remains vital for many residents, charities and local businesses across the area. I have already been inundated with questions from people wanting to know what happens next.

“That’s why I will be holding drop-in sessions in both Pembroke and Pembroke Dock so residents and businesses can come along, ask questions and hear the latest updates.

“I was pleased to meet with Cash Access UK’s Regional Manager to discuss the next steps, and I will continue working closely with local stakeholders to help ensure the hub is delivered as quickly as possible.”

Further details about the drop-in sessions are expected to be announced shortly.

 

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Health

Decision pending on adult mental health referral pathway

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HYWEL DDA University Health Board will decide next week whether to make changes to the GP referral pathway for routine adult mental health services permanent.

The decision will be taken at a public Board meeting on Thursday (Mar 26).

Board members will consider a proposal to formalise changes already introduced in Ceredigion and, if approved, roll out the revised pathway across Pembrokeshire and Carmarthenshire.

Since March 2025, adults in Ceredigion seeking routine mental health support have been advised by their GP to contact the NHS 111 Wales ‘Press 2’ service, rather than being referred directly to the county’s Community Mental Health Team.

The temporary change was introduced in response to ongoing staffing shortages. Health Board officials say the approach has helped maintain timely access to face-to-face assessments for those who need them, while directing initial contact through a single access point.

The 111 ‘Press 2’ service provides telephone assessments by local wellbeing practitioners, supervised by registered mental health nurses, offering advice, support and onward referrals where required.

At its November 2025 meeting, the Board agreed to extend the temporary pathway until the end of March 2026. A nine-week engagement exercise followed, running from December 8 to February 9, to gather feedback from patients, professionals and stakeholders on the potential long-term impact.

Andrew Carruthers, Chief Operating Officer at Hywel Dda University Health Board, said: “I would like to thank everyone who took the time to share their views and experiences.

“I would also like to thank West Wales Action for Mental Health for supporting engagement with patients, including those with lived experience, alongside GPs, primary care teams, mental health staff and third sector partners.

“Our priority is to ensure mental health services remain accessible, fair and sustainable. The temporary changes in Ceredigion have shown some positive benefits, and the feedback we have received from across the three counties will play an important role in shaping the Board’s decision.”

The Board will review all evidence and feedback before making a final decision on the future of the adult mental health referral pathway.

GPs will continue to refer patients with urgent or complex needs directly to community mental health teams where appropriate, and have access to a dedicated NHS 111 professional line for additional clinical advice.

Further details, including the full Board papers, are available here:
https://biphdd.gig.cymru/amdanom-ni/eich-bwrdd-iechyd/cyfarfodydd-y-bwrdd-2026/agenda-a-phapuraur-bwrdd-26-mawrth-2026/

The meeting will be streamed live from 9:30am on Thursday (Mar 26) via:
www.youtube.com/hywelddahealthboard1

 

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News

Welsh breakthrough could transform breast cancer detection

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Simple home urine test being developed at Aberystwyth University with NHS backing

A GROUNDBREAKING new home test for early breast cancer detection is being developed in Wales, with scientists at Aberystwyth University leading research that could transform diagnosis for women across rural communities including Pembrokeshire and Carmarthenshire.

Backed by Welsh Government funding and supported by Hywel Dda University Health Board, the pioneering work aims to deliver a simple urine-based test that could ease pressure on NHS Wales services while improving early detection rates in areas where access to specialist diagnostics remains a challenge.

The prototype test, currently under development, is designed as a lateral flow device—similar to a pregnancy or COVID-19 test—that could detect early biochemical signs of breast cancer from a single urine sample.

Researchers say the innovation could support faster diagnosis, reduce reliance on invasive procedures, and ultimately improve survival rates by identifying the disease at its earliest and most treatable stage.

Breast cancer remains the most commonly diagnosed cancer among women globally and is a leading cause of cancer-related deaths in more than 100 countries. While mammograms, MRI scans and biopsies are essential tools, there is growing demand for simpler, more accessible methods of detection.

Rural impact significant

For patients in West Wales, where travel to major hospitals can be time-consuming and access to specialist services limited, the development could prove particularly significant.

A reliable home testing kit could reduce the need for repeated hospital visits and help identify cases earlier, easing pressure on already stretched NHS diagnostic services.

The Herald understands that improved early detection could also play a role in reducing waiting times across NHS Wales, where diagnostic backlogs remain a persistent concern.

Welsh research leading the way

The study at Aberystwyth University is focusing on identifying metabolic changes linked to breast cancer that are excreted in urine, enabling earlier and less invasive detection.

Professor Luis Mur, who is leading the research, said: “Our work is revealing a distinct biochemical ‘signature’ associated with the earliest stages of breast cancer—one that can be detected in a simple urine sample.

“By translating these findings into a lateral flow test, we hope to create a diagnostic tool that is affordable, easy to use at home, and capable of detecting cancer earlier than many current methods.

“Early diagnosis saves lives, and our aim is to make that crucial first step accessible to as many women as possible.”

Professor Mur and breast cancer study manager Dr Aimi Zainurin are working closely with NHS colleagues to ensure the research can move quickly from laboratory discovery to real-world clinical use.

This approach is designed to shorten the time it takes for new medical innovations to reach patients—currently estimated at around 17 years.

Backed by Welsh Government

The project is supported through the Welsh Government’s SMART Award programme, which aims to accelerate innovation and strengthen collaboration between academia and industry in Wales.

It is also co-sponsored by Dynamic Extractions Ltd, whose expertise in separation technologies supports the development of the diagnostic tool.

Dr Helen Munro, National Clinical Lead for Women’s Health based at Hywel Dda University Health Board, said: “This funding has the potential to significantly shorten the time it takes for vital women’s health research to reach real-world clinical practice.

“We’re working closely with our academic partners and health boards to close that gap and ensure innovations—such as the work underway at Aberystwyth University—benefit patients far more quickly.”

Wider women’s health benefits

Alongside breast cancer, the research team is also exploring urine-based diagnostics for conditions including endometriosis and polycystic ovary syndrome (PCOS), both of which are often under-diagnosed.

Scientists hope the wider programme could help tackle long-standing delays in women’s healthcare by providing faster, more accessible diagnostic tools.

If successful, the Welsh-led innovation could place the country at the forefront of a new generation of non-invasive cancer screening—offering hope to thousands of women across Wales and beyond.

Caption:

Top team: Professor Luis Mur and Dr Aimi Zainurin, Aberystwyth University

 

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