Health
Former director of Withybush says ‘lives will be lost without urgent NHS shake-up’

PEOPLE will die unless there is an urgent shake-up of NHS care, a former emergency medicine director has warned.
Dr Iain Robertson-Steel said ambulance delays and the lack of resources were the worst he had ever seen.
The former director of Withybush Hospital said ambulance delays and the worst lack of resources he’d ever seen as indicators of decline.
Dr Robertson-Steel, also Chairman of the Bench at Haverfordwest Magistrates’ Court, has recounted how he has had to drive two people to hospital himself due to the ambulance shortage.
He stated: “In rural areas with long journey times, you have to have an effective ambulance service, so it’s important that the numbers shouldn’t be reduced.

“If we fail to deliver prompt care for coronary disease, strokes and sepsis, lives will be lost unless we reorganise. It’s a stark warning but it’s a message that many of my clinical colleagues and I have been putting out for some years – there’s no doubt that delayed care costs lives.”
It follows comments from the Chief Executive of NHS Wales earlier this week, who admitted the health service is facing its “most challenging period” since the beginning of the pandemic.
Dr Andrew Goodall was also unable to defend the disparity between the waiting time for NHS treatment with England, where it is five times less likely a patient will have to wait over a year for operation than in Wales, stating more must be done to improve access to care.
Labour’s Health Minister in Cardiff Bay also said this week that she “can’t rule out” routine NHS services being suspended during the winter months.
Commenting, Welsh Conservative and Shadow Health Minister Russell George MS said: “Another day, another stark warning from medical experts to the Labour Cardiff Bay Government about how it is imperative it changes it ways to save our health service from collapse.
“Ministers may want to blame the pandemic but the warning signs were flashing on the dashboard long before that – the NHS treatment backlog doubled in just one year before Covid struck and now is out of control with one-in-five Welsh people of a waiting list.
“Dr Robertson-Steel is right: the worst A&E waits ever, the longest waiting list ever, and the second slowest ambulance response times on ever. It’s no wonder he felt he had to say what he did.
“Welsh Conservatives have long called for rapid diagnostic centres and advocated Covid-light centres for over a year to focus on addressing the backlog and ensuring people did not lockdown to save the NHS only for Labour ministers to squander all that hard work.”

Dr Iain Robertson-Steel retired in April 2018 as the Director of Withybush DGH in Haverfordwest and county Director and commissioner for Pembrokeshire.
He previously held posts as director of A&E services at the Royal Wolverhampton NHS Trust, was consultant medical director of West Midlands Ambulance Service and NHS Direct Birmingham and the Black Country.
He has held honorary senior lecturer posts and has worked as a service modernisation consultant. He has published many articles on emergency care.
He is registered on the GMC register, with specialist skills in general practice and primary care.
He was a founder medical member of the Faculty of Pre-hospital Care, Royal College of Surgeons Edinburgh.
He previously served in the Royal Air Force, his connection with Wales dates back to RAF Brawdy in Pembrokeshire.
He has recently retired having qualified from Birmingham University Medical School in 1979 and has lived in West Wales since 2006.
Health
Welsh Government announces additional funding for hospices

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.”
Health
Mind, Body and Spirit Awareness Day at North Pembrokeshire venue

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

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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