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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

Doctors to enter pay negotiations with the Welsh Government

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BMA CYMRU Wales has suspended forthcoming industrial action for Consultants and SAS doctors following a constructive meeting with the Welsh government to resolve its pay disputes.

As a result of sustained pressure, including three rounds of industrial action by junior doctors in Wales, the Welsh Government has made a significant proposal to form the basis of talks to end the pay disputes with all secondary care doctors including Consultants, SAS and Junior doctors.

Since the meeting last week, the committees representing doctors from all three branches of practice have voted to enter pay negotiations based on this proposal.

The planned 48-hour strike by Consultants and SAS doctors due to take place from 16 April will now be suspended.

Junior doctors have paused plans to announce more strike dates whilst they enter negotiations with the Welsh Government.

The Welsh junior doctors committee, Welsh SAS committee and Welsh consultants committee will now each engage in pay negotiations, with the aim of reaching deals which can be taken separately to their respective members.

Dr Oba Babs Osibodu and Dr Peter Fahey co-chairs of the BMA’s Welsh Junior doctors Committee said:

“This is a significant step forward. It is sad that we had to take industrial action to get here, but we are proud of members for demonstrating their resolve in pursuit of a fair deal for the profession.

“Whilst we are optimistic and hope to quickly resolve our dispute, we remain steadfast in achieving pay restoration. Until we reach a deal, nothing is off the table.

 “We will continue to work hard to reach an offer that is credible to put to members who will ultimately have the final say.”

Dr Stephen Kelly, chair of BMA Cymru Wales’ Consultants committee said:

“The Welsh Government’s recent efforts to reach an end to the pay dispute are encouraging and so we have called off our planned strike for now whilst we allow time and space for negotiations to take place.

“We’re hopeful that we can reach a deal that sufficiently addresses years of erosion to our pay to help retain senior doctors in Wales but remain ready to strike if we’re not able to do so during negotiations.”

Dr Ali Nazir, chair of BMA Cymru Wales’ SAS doctor committee said:

“As a committee, we felt that this latest development goes someway to understanding the strength of feeling of our members. We will work hard to reach a settlement that sufficiently meets the expectation of our colleagues who have faced real terms pay cuts of up to a third since 2008/9.”

In August last year, the BMA’s committees representing secondary care doctors in Wales voted to enter into separate trade disputes with the Welsh Government after being offered another below inflation pay uplift of just 5% for the 23/24 financial year. SAS doctors on some contracts were offered as little as 1.5%. This was the lowest pay offer any government in the UK offered and less than the DDRB, the pay review body for doctors and dentists, recommended last year.

As part of their disputes, SAS doctors, consultants and junior doctors carried out successful ballots for industrial action. Since then, junior doctors have taken part in 10 days of industrial action since January this year.

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Health

BMA pay disputes – Junior Doctors, Consultants and Specialist Doctors

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THE WELSH Government and BMA Wales’ three national committees representing consultants, SAS doctors and junior doctors have today agreed to formal negotiations about pay.

Planned industrial action will be suspended during the negotiations.

A mandate is being developed for the talks with all three BMA branches of practice with the aim of resolving the disputes over pay for 2023-24.

In the context of the most challenging financial position the Welsh Government has faced since devolution, a significant amount of work has been undertaken to identify funding to support the negotiations.

First Minister Vaughan Gething said: “We recognise the strength of feeling among BMA members and that industrial action is never taken lightly.

“This is a government that listens and engages to find solutions. I prioritised a meeting with the BMA directly alongside the Cabinet Secretary for Health to reinforce our commitment to that partnership approach.

“We currently face the most severe financial situation in the devolution era which makes our task far harder. Despite this backdrop, we have worked to identify a way forward that I hope will lead to the successful resolution of this dispute and ensure that doctors can return to work in NHS Wales.”

Cabinet Secretary for Health Eluned Morgan added: “Even in these very challenging circumstances, we have worked in social partnership with the BMA and NHS to maintain patent safety during industrial action.

“But the strikes have been very disruptive to the delivery of NHS services – none of us want to see doctors on strike. I am pleased the three BMA committees have agreed to pause further industrial action and begin formal talks with Welsh Government and hope we can bring an end to this dispute.”

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Health

NHS dental charges in Wales to increase from April

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THE COST of NHS dental treatment in Wales will increase from 1 April 2024.

The increase in dental charges is the first since April 2020 and are overall still lower than in England. Any revenue generated from the increased charges will be re-invested back into NHS dentistry services.

From April 2024, the three standard charges will increase to between £20.00 and £260.00 depending on the treatment required, and urgent treatment will increase to £30.00.

Around 50% of people receive NHS dental treatment for free in Wales. Those eligible for free treatment include children under 18 or those aged 18 and in full time education, pregnant women or those who have had a baby within the 12 months of treatment starting, anyone who has dentistry treatment carried out in a hospital or people on certain benefits.

Additionally, the low-income scheme provides full or partial help with health costs, depending on individual circumstances.

Despite pressure on budgets the Welsh Government has increased investment for dentistry, with funding £27 million higher than it was in 2018 to 2019. Included within this increase is an additional £2 million a year to address local access issues.

Changes to the dentistry contract in Wales include a requirement for NHS practices to see new patients. Since this was introduce in April 2022, 312,000 people who couldn’t get an appointment before have now received NHS dental treatment.

Cabinet Secretary for Health and Social Care, Eluned Morgan, said: “Because of the extreme pressure on our budget we have had to consider if additional funding should be raised by increasing dentistry charges.

“This is the first increase we have made to dentistry charges since 2020. Around half of patients don’t pay for their NHS dental treatment and we will continue to protect those that are least able to afford to pay.

“It is vital we all keep our teeth and gums healthy. This is why we are working to make it easier for people to see an NHS dentist by increasing the number of new NHS places and helping dentists to focus on those who need help by changing how often we see a dentist for routine appointments.”

Commenting on the announcement Russell George MS, Welsh Conservative Shadow Health Minister said: “Vaughan Gething’s arrogant choice to hike up dental charges for the people Wales, rather than cut his Labour Government’s wasteful spending is wrong.

“All standard charges are being increased for dental services by the Labour Welsh Government, including for urgent treatment, which will add to cost-of-living pressures.

“While Welsh Conservatives agree that dental services require greater investment after years of Labour underfunding them, ministers should look at cutting vanity projects like their plans to create more politicians before passing on the cost to patients.”

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