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Cancer care questions continue

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prof wagstaff• Health Board cancer service ‘propped up’ and ‘unsustainable’

• Will cancer care be cut and moved to Carmarthen?

“HYWEL DDA do have a serious problem with their oncology services. They currently employ two oncologists to serve a population of 250,000 persons. 

“They rely on visiting Swansea consultants to prop up their service. This is unsustainable. “Furthermore oncology has become so specialised that it is no longer possible to be a general oncologist treating all types of cancer. “It is my view that Hywel Dda should employ sufficient oncologists to allow patients with common cancers to be treated at one hospital in the Health Board. “Patients with rarer cancers will need to travel to Swansea to a consultant who is sub specialised in the rarer cancer types. This is the way that oncology is developing across Europe.” The words of Professor John Wagstaff, the Programme Director in Medical Oncology for the Wales Deanery, the Postgraduate School for Medicine and Dentistry and the body responsible for commissioning, quality assurance and supporting the education and training of trainees, hospital doctors, GPs, dentists and DCPs throughout Wales. We asked the Health Board to respond to Professor Wagstaff’s views and we were directed to the comment it had already made about cancer services in Pembrokeshire last week: “Hywel Dda University Health Board is fully committed to the achievement of a new Chemotherapy Day Unit for Pembrokeshire which will realise the time, effort and investment that has been made by those fundraising in the county. The capital build is only part of the challenge as all service/units that we provide require a review of staffing to ensure that they are sustainable in the long term. “We continue to work hard with colleagues, partner organisations and stakeholders, including our charitable fundraisers, to ensure we provide the best care possible for cancer patients and will continue to work closely with them on the development of the new Chemotherapy Day Unit.” That response does not, however, address one inconsistency in the Health Board’s approach. The head of oncology at the Wales Deanery says that the current service model cannot be sustained and that services need to be centred in one location in relation to cancer services. Taking the Board’s press statement above at face value, it contemplates ignoring Professor Wagstaff’s view, albeit one expressed in a personal capacity. However, the Board continues to press ahead with its even more controversial plans relating to the SCBU, which it claims it is obliged to carry out due to Deanery advice on service provision. Most tellingly, it appears that the advertisement for a cancer specialist doctor at Withybush will be precisely the type of general post that Professor Wagstaff states is no longer appropriate. A Health Board spokesperson also said: “We are currently undertaking a review of Oncology Services which about strengthening and modernising local services providing high quality, safe, effective treatment and care as close to patient’s home as possible. “The review board includes in its membership oncologist from ABMUHB with whom we have a long standing contractual relationship to deliver oncology services. The board will consider a range of views from different clinical staff. The board also includes members of the CHC. “This process is not about reducing the service we offer but is about creating a more sustainable, high quality service. This may mean the way we deliver cancer services may change.”

1 Comment

1 Comment

  1. Tomos

    July 23, 2014 at 8:55 am

    for how long will carwyn Jones and the apologists (usually well paid spin doctors from these trusts) give us the usual clap trap – The welsh are sicker – as an excuse for the worst cancer survival rates in ANY modern country in the World including Eastern europe and even some African countries

    Let’s not forget when an especially outrageous or sad story is picked up by the media that well known phrase – Lessons have been learnt – (usually they mean we’ll bully whistle blowers even more to shut up as it’s slightly embarassing for our £200k pa boss)

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Bird keepers in Wales urged to stay vigilant as avian flu cases rise

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BIRD KEEPERS across Wales are being warned to remain alert and implement biosecurity measures after a surge in avian influenza cases in poultry and kept birds across Great Britain.

The Department for Environment, Food and Rural Affairs (DEFRA) has declared a regional Avian Influenza Prevention Zone (AIPZ) covering East Riding of Yorkshire, Kingston upon Hull, Lincolnshire, Norfolk, and Suffolk. Within the AIPZ, mandatory enhanced biosecurity measures are in place to prevent the disease from spreading further and to protect flocks.

The UK is now in a period of heightened risk from highly pathogenic avian influenza (HPAI), prompting calls for increased vigilance from Welsh bird keepers.

Biosecurity is Key

Dr Richard Irvine, Chief Veterinary Officer for Wales, highlighted the importance of biosecurity:
“The winter migration period significantly increases the risk to poultry and kept birds. Recent rises in confirmed cases of avian influenza in both wild and kept birds across the UK are deeply concerning.

“Maintaining scrupulous hygiene and biosecurity measures daily is the best defence against this highly infectious disease. I urge all bird keepers in Wales to act now to protect their flocks and prevent the spread of bird flu.

“Vigilance is essential. Any signs or suspicions of avian influenza in flocks must be reported immediately.”

Legal Requirements and Further Guidance

Bird keepers in Wales and England are now legally required to register with the Animal and Plant Health Agency (APHA). This registration allows APHA to provide timely updates and guidance during disease outbreaks, helping keepers make informed decisions to safeguard their birds.

Further advice, including a biosecurity self-assessment checklist, is available on the Welsh Government website.

The current AIPZ in England may expand, with housing measures and other mandatory protective actions under constant review as the disease situation develops.

Reporting and Resources

Dead wild birds should be reported to the Defra helpline on 03459 33 55 77, and any suspicions of avian influenza in kept birds must be promptly reported to APHA on 0300 303 8268.

Details about current national risk levels for avian influenza, along with the evidence supporting these levels, can be found at gov.uk/birdflu. Additional information on disease control measures in England is available in Defra’s guidance, Bird flu: rules in disease control zones in England.

Zone declarations are accessible through the notifiable disease case finder.

By adopting rigorous biosecurity practices and reporting any concerns, bird keepers in Wales can help protect their flocks and reduce the spread of avian influenza.

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Community

Ben Lake MP visits postal workers during Christmas rush

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BEN LAKE MP visited postal workers at the Llandysul Delivery Office last Friday (Dec 13) to show his support and gain insight into their operations during the festive season—the busiest time of the year for Royal Mail.

The holiday period sees Royal Mail handle around double its usual volume of letters and parcels, as people send Christmas cards and shop for gifts online. To meet this seasonal surge, the Llandysul Delivery Office has hired four extra vehicles, while Royal Mail nationally has recruited 16,000 temporary workers and introduced nearly 4,000 additional vans, trucks, and trailers.

During the visit, Ben Lake spoke with Ryan Goellnitz, Customer Operations Manager, about Royal Mail’s efforts to enhance convenience for customers. These include services like Parcel Collect—where posties collect parcels directly from customers’ doorsteps—and the introduction of over 5,000 new parcel drop-off points this year, including at Collect+ stores and parcel lockers.

Ryan Goellnitz said:
“It was great to have Ben visit our Delivery Office and show him how we are gearing up for our peak period. We are pulling out all the stops to deliver Christmas for our customers.”

Ben Lake, MP for Ceredigion Preseli, praised the dedication of the postal workers:
“It was a pleasure to visit the Llandysul Delivery Office and witness the incredible volume of post managed by Royal Mail, not only here but across the country. This is an essential service year-round, but the effort and planning to ensure smooth operations during Christmas are extraordinary.

“I am immensely grateful for their tireless efforts and dedication, which deserve to be fully recognised. The visit gave me real appreciation for the hard work and commitment of everyone involved.”

Royal Mail’s preparations for Christmas are a year-long effort, ensuring the postal service continues to meet the festive demand.

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Pembrokeshire County Council achieve Insport Partnerships Gold Standard

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PEMBROKESHIRE COUNTY COUNCIL have recently achieved the insport Partnerships Gold Standard, recognising their commitment and passion to providing inclusive opportunities for disabled people across the local authority area.

‘insport’ is a Disability Sport Wales programme delivered with the support the of Sport Wales, which aims to support the physical activity, sport, and leisure sectors delivering inclusively of disabled people. The purpose of the insport programmes is to support the development of inclusive thinking, planning, development and delivery by everyone within an organisation so that ultimately, they will deliver across the spectrum to disabled and non-disabled people, at whatever level they wish to participate or compete. The intent is to facilitate and deliver cultural change in attitude, approach, and provision of physical activity (including sport) and wider opportunities for disabled people.

Sport Pembrokeshire and Pembrokeshire Leisure have consistently developed their offers for disabled people locally, becoming the first local authority partner nationally to achieve the insport Partnerships Gold standard. Working with the natural, rural and coastal assets, the Sport Pembrokeshire & Pembrokeshire Leisure teams’ have done a fantastic job in navigating the opportunities and challenges to prioritise the inclusion of disabled people in leisure & community-based physical activity (including sport) opportunities. Ensuring that as many people as possible can be involved in sport and physical activity.

Achievement of the insport Partnerships Gold standard means that an inclusive approach to communities of disabled people is embedded within strategies, programmes, and thinking. This award is never the end of an organisation’s inclusion journey, and Disability Sport Wales will continue to support Pembrokeshire County Council as they continue to provide sector leading inclusive opportunities for disabled people.

Pembrokeshire have a number of excellent examples of collaborative work and partnerships supporting the delivery of strong inclusive programming across Pembrokeshire’s communities which add significant value to the area’s rich inclusive sporting heritage. These opportunities provide the initial steps on the pathway that many former and current Paralympic and Commonwealth Games Para athletes have taken from Pembrokeshire, including the Paris 2024 Paralympic Champion, Matt Bush; Paris 2024 Paralympic athlete, Jodie Grinham; 2022 Commonwealth Games medallist Lily Rice.

Tom Rogers (Governance & Partnership Director, Disability Sport Wales) said: “Pembrokeshire’s achievement of the insport Partnerships Gold standard is a remarkable milestone that highlights the unwavering commitment to inclusion in physical activity (including sport). This achievement recognises the efforts in creating opportunities that ensure everyone, regardless of ability, can participate and thrive in physical activity and sport at a level of their choosing.

Achieving the insport Partnerships Gold standard reflects the culture of inclusivity and recognises the excellent example for communities across Wales and beyond of an embedded culture of inclusion. Sport Pembrokeshire’s dedication to breaking down barriers and fostering an equitable and person centred approach to the delivery of physical activity is reflected across their programming. The commitment to inclusion exits across the Sport Pembrokeshire and Pembrokeshire Leisure teams’ and the achievement of this standard recognises the years of hard work by current and former team members, as well as excellent community led opportunities across the local authority area.

Congratulations on this significant achievement—your success paves the way for a brighter, more inclusive future in sport.”

Matt Freeman, Sport Pembrokeshire Manager said, “Pembrokeshire County Council is proud to achieve the prestigious insport Gold Standard, a recognition of our commitment to championing inclusive sport and physical activity across the county. This milestone, led by Sport Pembrokeshire – the Council’s sports development team – reflects the collaborative efforts of our partners to ensure opportunities for inclusive participation continue to grow. We remain dedicated to working with both new and existing partners to expand access and make inclusive provision a cornerstone of sport and physical activity in Pembrokeshire”.

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