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Health

Children to be turned away from Withybush A&E in department downgrade

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WITHYBUSH GENERAL HOSPITAL’S accident and emergency department will be downgraded to an ‘adults only service’ until at least the spring of 2022, according to Simon Hart. There has been no word yet from the Health Board but the local MP has posted the controversial plan to his Facebook page.

Children requiring emergency treatment will have to be ambulanced to further-away hospitals, putting pressure on the local ambulance service, who are already reducing the number of vehicles available in the county from seven to five.

Withybush is experiencing a severe shortage of staff, and is also grappling with the third wave of COVID-19 infections, which is expected to be announced as one of the reasons for the downgrade.

But some hospital insiders are saying things are worse in Carmarthen.

In addition, hospital sources have told the Herald that three unvaccinated COVID-19 patients died in Withybush last week.

The plan has come to a shock to many, but Steve Moore, the Health Board’s Chief Executive, has this week reported that there are 66 people in our hospitals with confirmed Covid, 10 of these are in Intensive Care

The local ambulance service is under great pressure, with many crews spending long waits at the hospital (Pic Herald)

He stated that about half of those in ICU have been vaccinated and added that the clinical view is that patients respond more quickly and favourably if they are vaccinated. All Covid deaths in the past few weeks have been of unvaccinated people.

Infection rates are coming down slightly but are still very high, with 506 cases per 100,000 people in Carmarthenshire (the 2nd highest level in Wales) and 293 cases per 100,000 in Pembrokeshire. There is a test positivity rate of 16% across the HB area. It is thought that cases peaked on 6th September, though the full impact of schools going back may not yet have been seen.

Reacting to the news of the downgrade to A&E, Tracy Olin, who runs the PATCH charity said on social media: “People without cars and/or money already struggle to get to Withybush. How are they supposed to be able to afford to get to Carmarthen? This will be an added pressure on our ambulance service. Sadly I fear, even with excellent arguments against the plans for Withybush the decision will not change.”

Local resident Bev Jenkins also added her concerns, saying: “Paediatrics is needed full time at Withybush, also now with only five ambulances going to be in Pembrokeshire, its shameful. Withybush needs all its services back! Sack half the pen-pushers at the health board, reduce the managers at the hospital, employ more doctors and consultants.”

Heather Scammell commented on Facebook, saying: “Were I to comment what I really think about Hywel Dda’s shameful disregard for the needs of Pembrokeshire residents, I would be permanently banned from Facebook. To leave our County without paediatric care for so long is indefensible and no further downgrade of A&E is acceptable.

More than 1,200 people – many of who credit Withybush Hospital with saving their life or that of a loved one – came out to protest planned cuts to services in November 2018.

Families, staff and current and former patients braved the bad weather to send a message to Hywel Dda health board: Pembrokeshire must keep its A&E department.

Children will need to be ambulanced to Carmarthen in an emergency, adding extra journey time. (Pic Herald)

Demonstrators shared moving personal accounts of how the hospital has helped them, and aired concerns over the potential impact if it is downgraded, and services moved to a new site between Whitland and St Clears.

Addressing the crowd at the time, Preseli-Pembrokeshire MP Stephen Crabb: “When 40,000 people sign a petition to the health board, they mean it.

“Most of us are here because Withybush is part of our lives, it’s part of our community. The campaign is not over. We will keep fighting to defend our A&E.”

The question now is, how does closing the A&E to children affect their safety, and does it put our children’s lives at risk?

The health board has been contacted for a comment.

A demo against cuts to services in Cardiff in 2018 (Pic Herald)

Health

Welsh Government announces additional funding for hospices

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HOSPICSE across Wales are set to receive a further £5.5 million in funding to help continue delivering essential palliative and end-of-life care services.

The cash boost is in addition to the £3 million uplift in recurrent funding confirmed in the Welsh Government’s 2025–26 budget. The new funding will support Wales’ twelve NHS-commissioned hospices — including the country’s two children’s hospices — in managing financial pressures and ensuring fair pay for staff.

Hospices in Wales play a vital role in supporting patients, families and carers during the most challenging times, and are committed to providing dignified and personalised care outside of hospital settings.

Health Secretary Jeremy Miles said: “Hospices play a vital role in supporting families at some of the most difficult times.
We are committed to strengthening and improving palliative and end-of-life care to ensure everyone who needs hospice support receives dignified and personalised care, outside of hospital.”

Liz Booyse, Chair of Hospices Cymru, welcomed the announcement: “We welcome the Welsh Government’s commitment of funding. It is a testament to the importance of the hospice sector within our healthcare system, and we are immensely grateful. Our services provide vital care and support to over 20,000 children and adults affected by terminal illnesses each year.
This funding is a significant step forward, and we will continue working in partnership with the Welsh Government to achieve a sustainable funding settlement that will bring greater stability to the Welsh hospice sector.”

Matthew Brindley, Policy and Advocacy Manager for Wales at Hospice UK, added: “Recent years have been very tough for Wales’s hospices, amid a combination of rapidly rising costs and ever-growing need for end-of-life care.
We’re grateful to the Welsh Government for recognising both the pressure hospices are under, and the immense value they bring to Wales’ health and social care system.
It’s vital we continue to work together toward a more sustainable approach to hospice funding in Wales. Our population is ageing, with increasingly complex health needs. We need a strong, robust palliative and end-of-life care system — and hospices in Wales are ready to play their part.”

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Health

Mind, Body and Spirit Awareness Day at North Pembrokeshire venue

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This Saturday, April 12, thoughts will be turning to the mind, body and spirit, thanks to the ever-popular Awareness Day that takes place at Canolfan Hermon in North Pembrokeshire.  

This is the fourth event of its kind  at the village hall and each year the event continues to grow from strength to strength.

This year, there will be a total of  eight therapists in attendance as well as  two mediums, a card reader and ten stall holders selling spiritual, mind and body items including crystals, jewellery, honey and cosmetics.  There will also be a stall from the Jig-So Children’s Centre in Cardigan while  hot food and refreshments will also be served throughout the day by Fusion Kitchen.

As with previous events, the Mind, Body and Spirit Awareness Day will be raising funds for Breast Cancer and Thrombosis UK.  As a result, there will be a £1 entry fee as well as optional raffle tickets and a Memory Tree for additional donations. A  light language healing demonstration will take place at 1 pm.

People near and far are invited to experience the different therapies, while  event organiser Lynda Barnes says there is guaranteed to be something here for everyone. The event starts at 11 am and will continue until 3 pm.

For further information, contact Lynda Barnes on 07920249194.

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Health

‘Nobody taking responsibility’ for paying care workers the real living wage

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CARE HOME providers urged the Welsh Government to follow through on a key commitment to ensure care workers are paid the real living wage.

Giving evidence in the Senedd, Care Forum Wales, which represents more than 450 care homes, warned funding did not reach all parts of the sector in 2024/25.

The non-profit organisation said funding for the real living wage (RLW) was not ringfenced, so some councils chose to spend the money on libraries and teachers’ salaries instead.

Care Forum Wales raised concerns about “nobody taking responsibility”, with the Welsh Government claiming to have provided the money and councils saying it was insufficient.

Labour’s manifesto for the 2021 election contained a pledge to “ensure care workers are paid the real living wage during the next Senedd term”.

But Sanjiv Joshi, Care Forum Wales’ treasurer, warned the Welsh Government’s push for care workers to receive the real living wage has become an aspiration rather than a reality.

He told the local government committee: “The first year when it was announced … providers had to give an undertaking to commissioners that we were paying the real living wage.

“Since then, that’s now become aspirational as commissioners have not had the funds – or so we are told – to follow through and maintain those real living wages.”

Giving evidence on April 3, Melanie Minty, policy adviser at Care Forum Wales, said: “The real living wage, as Sanjiv said, isn’t reaching the sector necessarily.”

But, describing the RLW as a drop in the ocean, she warned care homes cannot compete with councils and the NHS which pay a higher rate than used in costing commissioned care.

Under the Welsh Government’s 2025/26 budget, funding for the real living wage is allocated to councils within the revenue support grant, meaning it can be spent on other areas.

Ms Minty also voiced concerns about an increasing number of councils receiving grants to build care homes that “will never recover their costs”.

She pointed to the example of Carmarthenshire Council building a £19.5m residential home despite free capacity in the county’s independent sector.

Cautioning that commissioning too often focuses on cost over outcomes, she said: “I’ve heard of commissioners going into homes and saying ‘you’re spending too much on food’.

“Things like holidays have been drastically cut back for younger people.”

Mr Joshi, who runs the Caron group of care homes in mid and south Wales – which includes Valley View Care Home in Hengoed – warned of a £9,000-a-year difference in nursing fees between neighbouring councils.

He said: “We’re talking about Cardiff and RCT … imagine the pressure that puts on and it’s not driven by the needs, the needs would not be that different.”

Pressed about the minimum level of profits required to make services feasible, Mr Joshi replied that he targets an 11% return which is unachievable in parts of Wales.

Warning of an “irrational” policy direction, he said: “We have the private sector delivering incredible value for money [yet] being eroded by underfunding. Then we have the public sector spending four or five times that amount, it doesn’t make sense.”

Mr Joshi told the committee families are increasingly having to make up a difference in costs that should be provided by councils and health boards.

Warning charity providers are exiting the market, Ms Minty said: “Most of our third-sector members have sold their care homes because they are not viable.”

Ms Minty called for a fee methodology that can be applied consistently across Wales, with some councils far more transparent and understanding of the costs than others.

“Cardiff, while giving a really good increase this year, has been very honest in admitting they know it’s not going to meet all the changes,” she said. “Whereas other local authorities … have been known to make an offer and say this will cover all sorts of things.”

She said the sector has stabilised since the pandemic and Brexit but increasing employer national insurance contributions have added to the pressure.

She told the committee: “I think we’ll see an unintended consequence will be that employers are forced to suppress pay increases … and some will be forced to make redundancies.”

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