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Health

New hospital sites to be reviewed by appraisal group

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PEOPLE from communities across the three counties will next week help score five potential sites for a new hospital in a zone including and between Narberth and St Clears, the Health Board have suddenly announced.

The move is at odds with the wishes of the people of Pembrokeshire who have been campigning to save Withybush Hospital. There are concerns that a hospital further away from Haverfordwest would be too far away in emergencies, and would cause locals unnecessary travel.

The healthboard said that a workshop being held on Tuesday (Jun 28) will be the second of two technical sessions with members of the public, staff and partners.

But campaigners are saying proper consulation is not taking place.

According to the Health Board, the first workshop, held in May, agreed the ‘weighting’ of the seven technical criteria to be used in this scoring process.

The potential sites to be reviewed are:

  • Agricultural land and buildings forming part of Kiln Park Farm which is located to the north of Narberth train station and adjacent to the A478, approximately 1km to the north-east of Narberth town centre.
  • Agricultural land located to the north-east of Whitland town centre and situated between the A40 to the north, Whitland Rugby Club to the east and Spring Gardens to the south.
  • Agricultural land and buildings forming part of Ty Newydd Farm which is located to the east of the Old Whitland Creamery site and Whitland town centre.
  • Agricultural land and buildings forming part of Penllyne Court located between Whitland and St Clears just outside Pwll-Trap. The site lies between the Swansea-Haverfordwest railway line to the north and the A40 to the south.
  • Agricultural land at old Bryncaerau fields, located adjacent to the junction of the A40 and A477 in St Clears, between the A4066 (Tenby Road) to the south, the village of Pwll Trap to the north and the A40 to the west.

The Health Board argues that all sites are in a zone that is the most central location for the majority of the population in the south of the Hywel Dda area and was determined through public consultation.

The upcoming workshop will apparently involve the scoring by a majority public representation being drawn from across our region and including participants with protected characteristics under the Equality Act 2010.

The Health Board has given assurances it will not close Withybush Hospital. The promise came in response to a petition to retain A&E at Withybush Hospital reached 10,000 signatures back in April.

Speaking then, Lee Davies, director of strategic development and operational planning for Hywel Dda, said the board are aware of the ‘passion’ and ‘strength’ of feeling around the long-term strategy titled ‘A Healthier Mid and West Wales: Our Future Generations Living Well’, which includes plans to build a new hospital on a site as yet unconfirmed believed to be somewhere in the St Clears area.

Mr Davies called the proposed changes a ‘once-in-a-life-time investment’ into the health care services in west Wales.

Mr Davies said: “Our ambition is to move from a service that treats illness to one that keeps people well, prevents ill-health or worsening of ill health, and provides any help you need early on.

“We can also reassure the public that we have no plans or intention to close Withybush Hospital.

“We fully understand the passion and strength of feeling that exists in our communities.

“We share that passion, along with a commitment, to deliver the best possible care and services for people who live in mid and west Wales.”  

Supporters of the petition, which having reached 10,000 signatures will now be considered for debate by the Petitions Committee at the Senedd, say they will not let Hywel Dda ‘trample on them’.

Today, following the latest announcement on sites, Lee Davies said: “The health board has been committed to undertaking significant engagement with our communities. This partnership has brought us a step closer to selecting a site for the new hospital, so I am grateful to participants for their involvement in this important part of the process to identify the best hospital sites.

“The outputs from this workshop will be considered by the Board in August, along with the findings from other appraisal groups that are currently ongoing. These appraisal groups are currently reviewing matters covering clinical, workforce and economic / financial issues.

“The final decision about the chosen site will be made by the health board, in agreement with Welsh Government, should they support the funding of the hospital.”

The health board says its ambition is to bring opportunities to provide a wider range of specialist health services to our communities within the boundaries of Hywel Dda than is currently possible.

There is, however, the Board says is an important continued role for Withybush and Glangwili hospitals, which will operate as local community hospitals, with ambulatory services, therapy and nurse-led beds, focusing on rehabilitation and less acute needs. The aim is for most people to receive their care locally and only stay in the new Planned and Urgent Care Hospital when really necessary for acute care and when possible to be transferred back to their homes or to closer hospitals if they need a period of rehabilitation. We plan to have 24/7 minor injury units at Glangwili and Withybush hospitals, based on the successful Prince Phillip Hospital minor injury unit.

Steadfast: Pembrokeshire firmly backs retaining Withybush Hospital and its services (Pic Herald)

The health board said does not intend to make changes at Glangwill or Withybush hospitals until the new hospital is built (we think the new Urgent and Planned Care Hospital will take until at least the end of 2029 to open).

They promised regular engagement – listening and working with our communities, and our partner organisations, and possibly consultation on parts of the programme.

However campaigners say that proper engagement is not happening.

A spokesperson from the Save Withybush Campaign told The Herald: “Under the Future Generations Act they are legislatively obligated to engage in co-production with residents before making any decisions regarding changes to services. 

“This includes vulnerable groups, people without cars, and especially those who will be most affected by the proposed changes.

“We know from our research that they have not done that. 

“They have conducted piecemeal consultations which have not used the correct methodology. And they certainly have not actively reached out to the people who would be most affected by this – should these changes ever go ahead.”

Meanwhile, Pembrokeshire County Councillors are due to meet with health board representatives to find out more about the future of care and the implications for Withybush Hospital next month.

A Notice of Motion has been tabled by Haverfordwest’s John Cole raising concerns about the loss of services and the “downgrading” of the county’s general hospital.

People from all over Pembrokeshire were at recent protests (Pic: Herald)

It was due for discussion at Thursday’s (June 16) social care overview and scrutiny committee but members decided to postpone its consideration until a planned seminar with Hywel Dda University Health Board was held, with a provisional date of July 4 referenced.

Clr. Cole’s motion states: “With the recently published declaration of the Hywel Dda Health Board on the future of Pembrokeshire’s only general hospital I would like to ask the council to stand with our electorate in supporting the fight to retain services essential to the health and well-being of residents.

“Many of our residents feel the council, particularly us elected members, are, or appear, indifferent to the concerns being expressed. I believe in doing such.

“We can show that councillors are united and stand with the people of Pembrokeshire we were elected to serve’. would be showing diligence that the best price available is received.”

He tabled the motion in March, adding “I’m sure all members are as concerned with the prospect of losing services and the downgrading of our General Hospital Withybush. This is why I brought my NOM before the council.”

Commenting on Hywel Dda’s designation of five possible future sites, Samuel Kurtz MS, said: “After many years, the Health Board have finally confirmed the five potential sites of the new hospital.

“We now need an honest, detailed, and transparent conversation about the potentials of each of these sites, both positive and negative. This is why this consultation is so important.

“Our local communities should be central to this decision-making process, engagement is key. It’s vital that every local resident has a say in this matter.

“Concerns remain strong in the community regarding access to an A&E department if it is further away. The Welsh Labour Government and the Health Board must answer these concerns honestly, and if they can’t, then maintaining the current services with investment at their locations must also be an option.

“We want to see all of Pembrokeshire and all Carmarthenshire served by a top-class health service which is accessible to all residents.”

Health

Charitable donations fund ECG machines worth £14,000 for Withybush Hospital

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THANKS to generous donations, Hywel Dda Health Charities – the official charity of Hywel Dda University Health Board – has purchased two new Electrocardiogram (ECG) machines worth over £14,000 for the Emergency Department at Withybush Hospital.

Chest pain is a very common presentation at the Emergency Department which sees between 100 and 130 patients a day. ECG machines provide key information on a patient’s heart by measuring rhythm and electrical activity.

The additional ECG machines will help ensure that patients presenting with chest pain receive an assessment as quickly as possible.

Senior Nurse Manager Josephine Dyer said: “We are so grateful that generous donations from our local community have enabled us to purchase the two ECG machines for the Emergency Department.

“High numbers of patients present with chest pain and require an ECG, so we hope that having the additional machines will reduce waiting times and offer an improved patient experience.”

Nicola Llewelyn, Head of Hywel Dda Health Charities, said: “We are deeply thankful for the generous support from our local communities which allows us to offer services beyond what the NHS can provide in the three counties of Hywel Dda. Every donation we receive is greatly appreciated!”

For more details about the charity and how you can help support local NHS patients and staff, go to www.hywelddahealthcharities.org.uk

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Health

UK fertility rates falling: Welsh counties among worst-hit, new data shows

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Two-thirds predict family sizes will shrink even further by 2040

NEW figures released by Fertility Family reveal that parts of Wales have seen some of the steepest declines in fertility rates across the UK, with the Isle of Anglesey recording a drop of more than 44% over the past 15 years.

The Beyond the Birth Rate report combines official birth statistics with survey data to explore why fewer people are choosing to have children – and why they’re waiting longer when they do.

Wales’ top ten fertility declines

The study identified the ten Welsh areas most affected by declining birth rates. The Isle of Anglesey tops the list with a fall of 44.21%, followed by Wrexham, Caerphilly and Merthyr Tydfil – all of which have seen declines of more than 27%.

RankAreaFertility rate decline
1Isle of Anglesey-44.21%
2Wrexham-31.01%
3Caerphilly-27.74%
4Merthyr Tydfil-27.53%
5Powys-26.17%
6Conwy-25.45%
7Pembrokeshire-24.46%
8Denbighshire-24.35%
9Cardiff-23.54%
10Blaenau Gwent-23.18%

Newport recorded the smallest decline in Wales, with a drop of just 8.6%.

How does the rest of the UK compare?

London has mirrored Wales’ dramatic decline, with boroughs such as Southwark also showing a 44.21% drop in fertility rates. However, some parts of England have been less affected.

Colchester has seen the smallest national drop, at just -3.95%, while other areas such as Runnymede (-5.19%), Lancaster (-6.04%), and Gravesham (-7.07%) have remained relatively stable.

Financial pressure tops list of reasons

The report suggests that the primary driver behind shrinking family sizes is economic hardship.

  • 40% of people said financial stability was the key reason for delaying children.
  • 23% described starting a family as simply unaffordable.
  • 60% of respondents believe this financial strain is a major factor behind the rising age of first-time mothers.

Why are people waiting longer?

In addition to economic challenges, lifestyle and societal shifts are also playing a major role:

  • 47% cited career ambitions and workplace pressures.
  • 44% blamed difficulties in finding the right partner.
  • 34% pointed to the housing crisis and lack of affordable homes.

These factors are leading to more people having children later in life – a decision which often reduces fertility and the total number of children they may have.

Smaller families likely the future

Over the past 15 years, the UK’s overall fertility rate has declined by 26.9%. That means for every two women of childbearing age, one fewer child is being born.

Looking ahead, 67% of people surveyed expect family sizes to shrink even further in the next 10 to 20 years.

The study also revealed:

  • 40.7% believe more single parents will have children independently.
  • 20.5% expect an increase in adoption and surrogacy.
  • 14.9% foresee co-parenting arrangements becoming more common.
  • A striking 47% said they believe more people will choose not to have children at all.

With both economic and social factors contributing to the trend, the report paints a clear picture: the traditional family model in the UK is evolving – and quickly.

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Health

NHS performance in Wales ‘a mixed bag’ as latest figures released

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THE NUMBER of Welsh NHS patients waiting more than two years for treatment has fallen by 26%, according to data released by the Welsh Government on Thursday, April 17.

However, waiting times for ambulances have increased, while A&E performance continues to be under severe pressure.

The latest NHS statistics for Wales revealed that the NHS treatment waiting list remains at 793,946 pathways. 

 Two-year waits are 15,005 in Wales, compared with only 161 in England. The Labour Health Minister, now First Minister, Eluned Morgan, promised to eliminate these waits by March 2023 and again by March 2024 but failed to meet these targets. The target remains a long way off from being met.

The Welsh Government’s Cabinet Secretary for Health and Social Care, Jeremy Miles, said: “I am very happy to see a significant fall in the longest waits and the overall size of the waiting list falling for the third month in a row.

“This shows what can be achieved when health boards focus on delivering services, including faster treatment and increased NHS capacity, by embracing new ways of working.

“Those efforts have been supported by our £50m additional investment.

“We still have more work to do to reach our ambitious targets, but it is encouraging to see waiting times consistently falling.

“Two-year waits have fallen to their lowest levels since June 2021 and were more than 26% lower compared to the previous month.”

However, the NHS in England has already eliminated two-year waits. At the same time, a significant number of specialisms in Wales, including orthopaedic care, are excluded from the waiting time data.

Jeremy Miles continued: “The number of pathways waiting more than a year for their first outpatient appointment has fallen for a third consecutive month and is nearly 28% lower than the peak in August 2022.

“The number of patient pathways waiting 36 weeks and the average time waiting for treatment were both lower than the previous month.

“Performance improved against the 62-day cancer target in February, increasing to more than 60%, whilst 1,800 people started cancer treatment and 13,000 people were told the good news they did not have cancer.

“A significant improvement was achieved in March in reducing the total number of delayed hospital discharges, with a drop of 114 delays over the previous month. This was the lowest delay figure over the past year and the overall second lowest since reporting began two years ago.”

However, despite the Welsh Government blowing its own trumpet, performance still lags far behind the already poor performance of the Welsh NHS against targets preceding the Covid pandemic.

James Evans MS, Welsh Conservative Shadow Cabinet Secretary for Health and Social Care, said: “Labour Ministers will try to claim success today, but these statistics are worse than a mixed bag.

“The reduction in two-year waits is welcome, but the fact that they still exist at all, when they haven’t for so many months in England, coupled with worsening ambulance response times, is a testament to Labour’s failure to meet their targets.

“The Welsh Conservatives want to see improvements across the board and we can only achieve that by removing restrictions to cross-border, cross-community and cross-sector capacity sharing and by, flnally, enacting a long-term workforce plan.”

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