Health

Leaflet to calm fears over A&E downgrade

Published

4 years ago

October 22, 2021

Health board will explain how to get urgent care for children, as local NHS continues to be under extreme pressure

RESIDENTS in Pembrokeshire are being asked to look out for a leaflet about children’s hospital services, which will be delivered to households from next week (Week commencing 25 October 2021).

The leaflet will explain why temporary changes to re-locate the children’s daytime unit (PACU/Puffin Ward) and its specialist staff from Withybush Hospital, Haverfordwest, to Glangwili Hospital, Carmarthen, have been extended into 2022. It will also provide information on how to access the right care for a child when they are unwell.

Medical Director and Deputy Chief Executive of Hywel Dda University Health Board Dr Philip Kloer said: “We hope the leaflet will be a useful, quick guide for parents and carers to keep handy in the home. We know that making decisions when a child is sick or injured can be stressful and we hope this guide will help.

“It includes a QR code which will take you to our dedicated web resource on children’s services, where there are also alternative versions of the leaflet and contact details for people who wish to share their experience of care.”

The temporary move of the service was made in spring 2020 due to the need for space within the hospital to respond to the COVID-19 pandemic. It has been extended due to the continuation of the pandemic and also to ensure that the increasing number of children with respiratory illnesses access specialist care when needed.

It means that Withybush Hospital currently treats only children with minor injuries such as minor wounds, minor burns or scalds, insect bites, potential broken bones if not badly misshaped, minor head or face injuries, or foreign bodies in the nose or ear; and booked outpatient appointments.

Children with serious illnesses or injuries are treated at Glangwili Hospital where there is a co-located Emergency Department and children’s hospital services, including an overnight children’s ward, children’s high dependency unit and children’s daytime (ambulatory) care.

Multi-professional clinicians, including local senior doctors in children’s care (paediatrics), emergency medicine, and anaesthetics, have supported the recommendation and the need for clearer messaging to the public in order to reduce the risk of delays in the treatment of children and young people.

Clinical Director for Women & Children’s services, Dr Prem Kumar Pitchaikani said: “We need to avoid the delay that may be caused when a child is brought to Withybush Emergency Department only to need a transfer to Glangwili Hospital. The continuation of this temporary service change, will ensure that very ill children, including the increasing number of children likely to have respiratory viruses this winter, will get access to their definitive treatment more quickly. They can also be monitored and treated quickly by specialists in the event that they deteriorate.”

Clinical Director for Emergency Medicine, and senior consultant at Withybush Hospital Emergency and Urgent Care Centre Dr Nicola Drake said: “It is critically important that sick children have the support of specialist paediatricians at the earliest opportunity. They also need early access to specialised equipment that is provided and monitored by paediatricians.”

The intention is to continue with the temporary position and commence a review in March 2022, with a report back to the Health Board in autumn 2022. The review will be scrutinised by the Health Board and Hywel Dda Community Heath Council and will include measuring outcomes for children and young people, as well as patient experiences and the views of communities.

More information on how and when the access children’s healthcare services locally is available on our website if you search ‘children’s services’.

If you have an experience of children’s services you wish to share with us, please search the website for ‘patient survey’ or ‘complaints’; email: [email protected]; or telephone: 0300 0200 159.

We will engage with our communities about the future of children’s services in 2022, but if you want to share your views at this point please; email: [email protected]; write to: FREEPOST HYWEL DDA HEALTH BOARD (you will not need a stamp); call: 01554 899 056 (this telephone number is not staffed, but messages will be recorded).

*Please note these changes affect children’s services at Withybush Hospital only and adult services at the hospital remain the same. Paediatric services at Bronglais Hospital, Aberystwyth, remain the same. There is no change to Prince Philip Hospital, Llanelli.

Where to get help if my child is unwell?

Call 999 if your child has serious injuries or a life-threatening illness, including severe difficulty or irregular breathing, blueness around the lips, is pale, mottled and abnormally cold, has a fit or seizure, is extremely distressed, is very lethargic or unresponsive, develops a rash that does not disappear with pressure, or has testicular pain.

Go to a Minor Injury Unit (24/7 at Withybush Hospital; weekdays, daytime only and for children over 12-months at Tenby Hospital and Cardigan Integrated Care Centre) if your child has minor wounds, minor burns or scalds, insect bites, potential broken bones if not badly misshaped, minor head or face injuries, or foreign bodies in the nose or ear.

Contact your GP today if your child has an illness that won’t go away, indicated for example by a high temperature, shivering, muscle pain, cough, wheezing, increased effort to breath, persistent vomiting/diarrhoea/severe tummy pain, blood in their poo or wee, or dehydration. Call NHS 111 Wales (24/7) for urgent advice if you are unsure what to do. Call 111 for urgent help when your usual GP surgery, or other primary care service, is closed.

*You may be asked to take your child to Glangwili Hospital Emergency Department if input from specialist children’s doctors is required.

Treat at home or contact your pharmacist if your child has a minor illness or ailment such as a sore throat, cough, skin irritation, or if a young person needs emergency contraception. You can get help online by searching ‘NHS 111 Wales symptom checker’. Some pharmacies offer treatment without appointment for low level injuries.

If you are deaf or speech-impaired you can access 999 services using the Relay UK app and dialling 999, or NHS 111 by dialling 18001 111.

Health

GPs across Wales trained to spot endometriosis earlier

Published

1 hour ago

June 15, 2025

Tom Sinclair

GPs across Wales are being trained to better recognise the symptoms of endometriosis as part of a national initiative to improve women’s health and reduce diagnostic delays.

Endometriosis affects one in 10 women in Wales and is a key priority in the Welsh Government’s Women’s Health Plan, launched six months ago. The condition—often painful and difficult to diagnose—can significantly impact women’s daily lives, careers, and relationships.

The new expert-led training programme, delivered through Health Education and Improvement Wales (HEIW), has already led to a 43% increase in participating GPs’ knowledge of endometriosis. It has also improved their confidence in discussing symptoms and treatment options with patients.

Minister for Mental Health and Wellbeing, Sarah Murphy, said: “Women have told us they feel unheard and their symptoms dismissed. This training helps ensure women’s voices are at the heart of their healthcare, empowering GPs to provide better, more responsive care.

Endometriosis can have a devastating effect on women’s lives. Through our Women’s Health Plan, we are committed to delivering real improvements and tackling inequality.”

Dr Mirka Slavska, obstetrics and gynaecology consultant at Aneurin Bevan University Health Board, who led the training, said:

“We were pleased to deliver training that covered differential diagnosis, referral pathways, and the latest diagnostic and treatment options.

We also introduced the Endometriosis Cymru symptom reporting tool. The positive feedback we received underlines the importance of practical, up-to-date training for frontline healthcare professionals.”

Endometriosis is one of eight priority areas identified in the Women’s Health Plan, which aims to improve care and support for women and girls across Wales. Since the plan’s launch in December 2024, key milestones include:

Early-stage work to develop a women’s health hub in every health board area by March 2026

Establishment of Wales’ first Women’s Health Research Centre, funded by Health and Care Research Wales

A dedicated research call focused on communication in women’s healthcare

At the Everywoman Festival in Cardiff today (Saturday, 7 June), Dr Helen Munro, Clinical Lead for Women’s Health in Wales, provided an update on the development of the new health hubs:

“Meeting women’s needs throughout their lives will be at the core of our new women’s health hubs. These hubs will bring together professionals and services in community settings, with local population needs and existing infrastructure shaping their design and delivery.”

Health

Hywel Dda scientist wins top UK healthcare award

Published

2 days ago

June 13, 2025

Tom Sinclair

A WEST WALES health board manager has been named Biomedical Scientist of the Year at a prestigious UK awards ceremony.

Craig Baker, Cellular Pathology and Mortuary Service Manager at Hywel Dda University Health Board, received the accolade at the 2025 Advancing Healthcare Awards, held in London on Friday (May 23).

The annual awards recognise outstanding achievements by healthcare scientists, allied health professionals, and those working alongside them across the UK.

Craig was presented with the Biomedical Scientist of the Year award, sponsored by the Institute of Biomedical Science and awarded by its president, Joanna Andrew.

Reacting to the honour, Craig said: “Winning Biomedical Scientist of the Year at the UK Advancing Healthcare Awards 2025 is a huge honour and an achievement that I am incredibly proud of.

“This award reflects the unwavering commitment, dedication, and outstanding work of Biomedical Scientists across the profession, both within Hywel Dda and throughout Wales.

“I hope this recognition will help highlight the invaluable contributions of Biomedical Scientists and Health Science Professionals, and the critical role we play in delivering patient care.”

Dr Jonathan Arthur, Deputy Director of Health Science at Hywel Dda, added: “I would like to congratulate Craig on winning this well-deserved award. His work is vitally important for the patients and communities we serve.”

Health

Have your say on NHS changes in Pembrokeshire

Published

3 days ago

June 12, 2025

Tom Sinclair

Drop-in events planned across the county as Hywel Dda consults on future of key services

A SERIES of public events is being held in Pembrokeshire this month and next as part of a major consultation by Hywel Dda University Health Board on the future of local NHS services.

The consultation, which covers nine different areas of care, could lead to significant changes in how services are delivered at hospitals and community facilities across west Wales – including Haverfordwest, Tenby and Pembroke Dock.

The Health Board says the aim is to tackle long-standing issues, reduce waiting times, and improve standards of care.

The services under review include:

Critical care
Dermatology
Emergency general surgery
Endoscopy
Ophthalmology
Orthopaedics
Radiology
Stroke
Urology

Proposals include reorganising how and where these services are delivered – something which may affect Withybush Hospital and community clinics across the county.

Local residents are being urged to attend one of several drop-in events, where Health Board staff will be available to answer questions and gather feedback.

Public events in Pembrokeshire include:

Friday 27 June – HaverHub, Haverfordwest, SA61 1BG, 2:00pm–7:00pm
Friday 4 July – Tenby Leisure Centre, SA70 8DU, 2:00pm–7:00pm
Thursday 10 July – Pater Hall, Pembroke Dock, SA72 6DD, 3:00pm–6:00pm

A further event will be held in neighbouring Ceredigion at The Guildhall in Cardigan on Tuesday 8 July, from 2:00pm to 7:00pm.

There will also be a series of online consultation events, each focusing on specific service areas. People can register via the Hywel Dda website.

Lee Davies, Executive Director of Strategy and Planning at Hywel Dda, said: “No decisions have yet been made and no options have been preferred at this stage. This consultation is your chance to shape how services are delivered in the future. We are keen to hear from residents about what matters to them and how services can be improved.”

The Herald understands the proposed changes are part of the Health Board’s long-term strategy to build a more sustainable NHS in Mid and West Wales, but local campaigners have previously voiced concerns about potential downgrading of Withybush Hospital.

Pembrokeshire residents can share their views by attending an event or by completing an online questionnaire.

Full information about the proposals – including the consultation documents and registration links – is available at:
👉 hduhb.nhs.wales/clinical-services-consultation