Health
Withybush woes as new consultation launched

• Health Board says coronavirus has had a major impact on services • New hospital could be built between St Clears and Narberth
• It’s a similar plan which led to protests involving thousands of locals in 2018
MORE than 18,000 people have signed the petition opposing the decision to downgrade Withybush General Hospital, but that was three years ago, and it seems that the health board may have forgotten the locals’ anger.
The health board is launching a consultation exercise to “deliver on our long-term commitment for a healthier mid and west Wales”
Steve Moore, Chief Executive of Hywel Dda UHB, said: “The global pandemic has had a major impact on all areas of our lives so it’s crucial that the health board considers, reflects and learns from this extraordinary period. This engagement exercise will allow the public to tell us in their own words how COVID-19 has affected their health and care, and access to it.
“I would encourage as many people as possible to participate.”
Under similar proposals to those first unveiled in 2018 a new district general hospital would be built on the border between Carmarthenshire and Pembrokeshire providing A&E services, while in some of the options Carmarthen’s Glangwili hospital would also lose services, including A&E.
The people of Pembrokeshire protested. They protested outside the hospital, they marched through Town, they took their placards to the Senedd.
There was no one, it seemed, who wanted a new super hospital ‘up the line’.

Ten months ago, the First Minister and Health Minister of Wales were united in their decision not to offer any reassurances to the safeguarding of A&E services at Withybush Hospital.
With the July 2020 u-turn of Cwm Taff health board not to remove services at Royal Glamorgan Hospital, the ministers have come under pressure to offer reassurances to the future of Withybush services.
Mark Drakeford said last summer that the decision was down to local health boards, with Vaughan Gething, Health Minister taking a similar stance.
Withybush has already seen the downgrade to its maternity services, with it now being a mostly daytime service with expectant mums with pregnancy complications or those giving birth after 5pm mostly having to travel across the border into Carmarthenshire to give birth. Other departments have also been shrunk on what locals call “a salami slicing away of local services”
Speaking at a Plenary last year Vaughan Gething, was asked by Pembrokeshire MS Paul Davies, the Welsh Government’s position on the delivery of A&E services at Pembrokeshire and if they would remain at Withybush.
Mr Davies said: “You’ll be aware, there is a strong campaign to retain A&E services at Withybush General Hospital.
“Given the recent news that Cwm Taff health board has decided to retain A&E services at The Royal Glamorgan Hospital, the people of Pembrokeshire are now looking at that decision and, quite rightly, asking for the same safeguards.”
The Health Minister said that the decision to overturn the removal of services at Royal Glamorgan Hospital, was made after they were able to recruit more staff which would help them safely deliver that service. Recruitment problems have often been cited as a key problem at Withybush Hospital in recent years.
Mr Gething said, “The member will also know, over a long period of time, the challenges that have been faced in delivering healthcare across Wales and the plans for the future delivery of healthcare.”
He added “The health board is now planning for the continued provision of essential and key services alongside caring for patients affected by Covid-19.”
However, although the Welsh Government is desperately trying to distance itself from its unpopular decisions on local health provision, the buck stops with it.
In November 2018 hundreds of people took to the streets to oppose the downgrading of Withybush. But now it is clear that the plan of a new hospital further away from Pembrokeshire’s population centres and industrial complexes is still on the cards.
Surprisingly, the exact cost of the new hospital, and its exact location, is yet to be determined but the health board is hoping to finalise a ‘programme business case’ in the coming weeks which will then be submitted to the Welsh Government this summer.
A full business case can be signed off by March 2024, The Pembrokeshire Herald understands.

The health board has said the plan to reshape the way people receive medical treatment in west Wales is part of the “ongoing process” that is now under way with an engagement exercise running until June 21.
According to a new eight-page document published by Hywel Dda entitled ‘Building a Healthier Future After Covid-19’ the pandemic has been a “big challenge” which created an “extremely difficult” period.
The document, seen by The Pembrokeshire Herald, states: “We are progressing plans for a new hospital in the south of the area, somewhere between and including the towns of St Clears, Carmarthenshire, and Narberth, Pembrokeshire. At this early stage, we would welcome site nominations you may have and your views on how we compare possible sites.”
The health board is inviting people’s opinions on a post-Covid future in general and how healthcare is provided across the region today and in the future – pointing out that health and wellbeing centres have been opened in Aberaeron and Cardigan while plans are in the pipeline for similar facilities in Llanelli and Cross Hands.
While many aspects remain uncertain at this stage one thing that has been decided is that the new hospital is to be built between St Clears and Narberth because “this location is the most central to most of the population in the south of the Hywel Dda area”. The site will also have at least 35 acres of “developable land” with “appropriate transport infrastructure”.
A spokesman for the health board said: “The new hospital will be our main site for the network of all our hospitals, providing both urgent and planned care. It will enable us to have more consultants in permanent posts being available more of the time and specialising in areas of care. Consultant-led services will be available 24-hours a day seven days a week.
“We will provide rapid access to specialist assessment and treatment, discharging people as soon as possible so they can receive rehabilitation closer to home. Emergency and unplanned care will be provided in a different building to planned care therefore avoiding the disruption or delay that can occur from high volumes of emergency cases.”
The public is also being asked to nominate sites for a new hospital based on four criteria: (1) The nominated site must be within the zone between and including St Clears in Carmarthenshire and Narberth in Pembrokeshire. This location is the most central to most of the population in the south of the Hywel Dda area. (2) The nominated site should be a minimum of 35 acres of reasonably developable land. (3) The nominated site should have realistic prospects of obtaining planning permission for a new hospital. (4) There should be appropriate transport infrastructure for a major hospital site.
The health board said: “Anyone can have their say on the plans by emailing the health board at hyweldda.engagement@wales.nhs.uk or by calling 01554 899056.”
Health
NHS charity funds innovative surf therapy programme

FOLLOWING generous donations, Hywel Dda Health Charities – the official charity of Hywel Dda University Health Board – has funded a Tonic Surf Therapy programme worth £4,000. The funding paid for ten young people receiving support from mental health services to take part in the ten-session programme.
The Tonic Surf Therapy programme provides structured surf instruction and gives young people the opportunity to experience the joy and wellbeing that comes from engaging with the marine environment.
The sessions provide an effective way for Specialist Child and Adolescent Mental Health Service (sCAMHS) practitioners to engage with service users in a positive way and help prevent mental health issues from developing or continuing into adulthood.
Alastair Wakely, Service Delivery Manager (sCAMHS), said: “We are so grateful that kind donations from our local communities have funded the Tonic Surf Therapy sessions.
“The sessions are an effective intervention for young people with mental health problems, delivering positive outcomes including improvements in mood, a reduction in thoughts of self-harm and suicide, reduced social anxiety and improved self-esteem.
“The project has also allowed us to evaluate and explore the potential of surf therapy as an effective intervention for young people with mental health problems.”
Nicola Llewelyn, Head of Hywel Dda Health Charities, the official charity of Hywel Dda University Health Board, said: “It’s great to see really ambitious and creative programmes like this being delivered thanks to charitable donations.
“We are deeply grateful for the support of our local communities which allows us to offer services beyond what the NHS can normally provide in the three counties of Hywel Dda.”
For more details about the charity and how you can help support local NHS patients and staff, go to www.hywelddahealthcharities.org.uk
Health
Pembrokeshire ‘Pink Puffins’ race the Cleddau thanks to local vet’s vision

Anyone who has sailed with a yacht crew will know just how bonding that experience can be.
From the moment the boat is launched, the crew hauls away as one cohesive body, resulting in one of the strongest team ethics imaginable.
But if you’re female, then a degree of ‘gender division’ may rear its dampening head, quashing your confidence, your ability and your downright enjoyment of being at sea.
But now, thanks to the foresight of local vet Charlotte Hamilton and her iconic pink boat, ladies of all ages and all sailing abilities are being introduced to the joys of sailing whilst supporting two of the UK’s foremost breast cancer charities – Breast Cancer Now and Metup UK.

Two years ago Charlotte lost one of her closest friends to breast cancer, following a ten-year battle after she was diagnosed with the disease when she was just 23. In 2022, Charlotte’s mother was diagnosed with breast cancer; thankfully has made a complete recovery.
“Because of what I’ve witnessed, with my mother and with Connie, who was my best friend from college, breast cancer is something that’s very close to me,” Charlotte told The Pembrokeshire Herald from her home in Neyland.
“Connie was only 23 when she was diagnosed, but by then, the cancer had gone to her liver as they initially thought it was hormonal. She fought it for ten years and always wanted to visit Pembrokeshire, but sadly she died two weeks before she was due to come and visit.”
As a result, the pink boat is being sailed in memory of Connie, while the women who are learning to sail her are called ‘The Pink Puffins’.
Charlotte, who is a vet with the Fenton Vets practise in Haverfordwest, was given the boat some 18 months ago by her husband, Lloyd.

“Lloyd is a keen sailor who regularly races on the Cleddau, but I’d never really taken part,” she explains. “So the idea was for me to start building my sailing confidence. Last summer I took the boat out with two other women and we enjoyed it so much it got us thinking about starting to race. If the men can do it, so can we.”
The boat is an Achilles 24 cruise-racer, capable of reaching decent speeds and covering good distances.
“She’s capable of crossing the Atlantic, although The Pink Puffins are perfectly content to stick with the Cleddau for the time being,” laughed Charlotte.
“Since launching her a few weeks ago, we now have around 40 women who are starting to sail her,. We train every Sunday at Neyland and we took part in our very first race last Wednesday.
“Ok, we didn’t win, but being able to take part was fantastic and that’s the whole purpose of The Pink Puffins. It’s about having fun, and the women taking part can do as much or as little as they like. A lot of women have never set foot on a sailing boat before, and because it tends to be such a male-orientated thing, the thought of learning to sail can be a bit intimidating. So if somebody wants to come out with us just to watch, that’s perfectly fine. And if they want to get involved with sailing her a little later on, then that’s great.”
The interest that is already being shown and the rise in numbers means that additional racing sessions will be introduced later this season on Sundays.
Everyone attending the training sessions and the races is asked to make a donation which will be shared between Breast Cancer Now and Metup UK, however individuals can give as much or as little as they choose. If anyone is interested in finding out more about The Pink Puffins can email Charlotte on sailpinkpuffins@hotmail.com

Health
Ambulance delays linked to patient deaths, as local tragedy highlights crisis

PARAMEDICS across the UK are warning that patients are dying because ambulances are unable to offload them into overcrowded A&E departments — a situation tragically echoed in the death of a Pembrokeshire mother whose ambulance never arrived.
Charlotte Burston, 40, from Llanteg, began experiencing severe chest pains on Christmas Day 2023. Her teenage daughter called 999 twice, but was told it would be an hour and a half before help could arrive.
No ambulance was dispatched in time, not because of a lack of willingness, but because so many vehicles were already stuck in hospital bays, unable to hand over patients due to chronic delays and lack of space inside emergency departments.
With no other option, Charlotte’s stepfather drove her towards Withybush Hospital. She suffered a heart attack on the way and later died at Morriston Hospital on New Year’s Eve.
An expert report presented at a recent pre-inquest hearing concluded that had ambulance staff been present at her home, she would “on the balance of probabilities” have survived.
The case comes as a new report by Unison highlights the scale of the crisis facing ambulance services. A survey of almost 600 ambulance workers found that two-thirds had witnessed patients deteriorate during prolonged waits outside hospitals, and one in 20 had seen patients die in their care due to delays in handover.
More than half of respondents reported delays of over six hours, and one in seven had waited 12 hours or more outside emergency departments.
Unison General Secretary Christina McAnea said: “Ambulance workers want the best for their patients. But this is no longer the reality. Ambulances and hospital corridors have become makeshift treatment rooms. The pressure on the NHS is unsustainable.”
Unison is calling for urgent action to increase staffing levels across ambulance, hospital and community services, improve GP access, and expand social care capacity to free up hospital beds.
Pembrokeshire Coroner Mark Layton, who is overseeing the Burston inquest, said that had the 999 call been prioritised properly, paramedics would have been sent and the tragic outcome may have been avoided.
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