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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

FOI raises fresh questions over plan to close Pontyates GP surgery

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Health board accused of misleading claims over recruitment as pressure mounts ahead of final decision

A FREEDOM of Information disclosure has raised serious questions over plans to close Meddygfa’r Sarn in Pontyates, with claims the health board failed to properly attempt to recruit permanent doctors before recommending its shutdown.

The row centres on Hywel Dda University Health Board, which is due to make a final decision on the surgery’s future later this month.

An FOI response reveals that while the board cited a “lack of recruitment interest” in its January report, there is limited evidence of any recent, targeted recruitment campaign specifically aimed at the Pontyates practice.

Instead, the board confirmed that salaried GP roles were advertised in 2020 across its wider portfolio of managed practices — rather than as a focused effort to fill posts at Meddygfa’r Sarn itself. Those vacancies did not result in successful appointments.

‘No real attempt’

Independent Senedd candidate Carl Peters-Bond, who is also a patient at the surgery, has strongly criticised the health board, accusing it of presenting a misleading picture to justify closure.

He said: “They cited a lack of recruitment interest as justification for closing this surgery — but they never actually ran a proper recruitment campaign for it.

“Sending out general adverts years ago is not the same as making a serious, targeted effort to keep a vital community service alive.”

He also raised concerns about the consultation process, claiming it focused on the impact of closure rather than asking whether closure should happen at all.

Fully reliant on locums

The FOI confirms that Meddygfa’r Sarn currently has no salaried GPs and is entirely dependent on locum doctors.

While the health board says this model is unsustainable in the long term, the same disclosure shows several other managed practices across the region also rely heavily on locum staff — some to a significant degree.

Cost data included in the response suggests Meddygfa’r Sarn is not the most expensive practice per patient within the health board’s area.

Alternative options unclear

Another key issue raised by campaigners is the apparent lack of explored alternatives.

The FOI response indicates that the health board does not hold information on alternative local solutions, including potential relocation or different service models within the Pontyates area.

Campaigners argue this suggests closure was considered before all options had been properly examined.

A 52-page independent report submitted as part of the consultation process states that dispersing patients to other surgeries should only be considered as a last resort, after full recruitment efforts and capacity assessments have been carried out.

Health board position

Hywel Dda University Health Board maintains that the surgery, which serves around 4,350 patients, has faced long-standing recruitment difficulties and increasing reliance on temporary staff.

It says a Vacant Practice Panel concluded that dispersing patients to neighbouring surgeries would provide a more sustainable long-term solution.

The board has also acknowledged that transport and access concerns are likely to be a major issue for patients if the closure goes ahead, with a full Equality Impact Assessment expected to be considered before a final decision.

Decision later this month

The future of Meddygfa’r Sarn will be decided at a meeting of Hywel Dda University Health Board on Wednesday (May 28) at Yr Egin in Carmarthen.

With local anger growing and new questions emerging from the FOI disclosure, pressure is mounting on board members to reconsider the proposal.

Campaigners say the case now hinges on a simple question: whether enough was done to save the surgery before moving to close it.

 

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Health

Turkish dental clinic to hold Haverfordwest meet-up

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DENTISTS FROM ANTALYA TO VISIT COUNTY TOWN

A TURKISH dental clinic is running a dental meet-up in Haverfordwest this weekend as part of a promotional visit to Wales.

Unique Smile Turkey, which has a permanent office in Wales in Swansea, says its top dentists will be coming to Haverfordwest on Sunday (May 3).

The event is being advertised as a “Dental Meet-Up” and is scheduled to run from 10:00am to 6:00pm at the Mariners Hotel.

The visit features three clinicians: Assoc Prof Dr Ummuhan Tozoglu, described as a specialist in oral diagnosis, radiology and dental planning; Professor Dr Sinan Tozoglu, described as an oral and maxillofacial surgeon and implantologist; and Professor Dr Ismet Duran, described as a periodontologist and implantologist.

The team have between twenty and 35 years of experience in their respective fields.

A contact number has also been provided for enquiries: +90 505 678 90 90.

The visit comes amid continuing interest in dental tourism, with many people in the UK looking overseas for cosmetic dentistry, implants and other private dental treatment.

Turkey has become one of the most popular destinations for such treatment, although patients are generally urged to make careful checks before committing to any procedure abroad, including aftercare arrangements, qualifications, insurance, treatment plans and what support would be available if complications arise after returning home.

 

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Health

Welsh public backs urgent action on dementia ahead of Senedd elections

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Calls grow for diagnosis, care and support to become national priority

NEW figures reveal overwhelming public demand for dementia to be placed at the top of Wales’ political agenda, with voters urging action on diagnosis, treatment and support ahead of the Senedd elections.

Research by Alzheimer’s Society Cymru shows that 83% of people in Wales want dementia made a healthcare priority, while 69% believe it is currently overlooked and underfunded.

More than a thousand adults were surveyed, with the findings highlighting growing concern over diagnosis rates and access to care. Wales continues to record some of the lowest dementia diagnosis rates in the UK, leaving thousands of families without clarity or support.

Around 51,000 people are currently living with dementia in Wales, a figure expected to rise to 70,000 by 2040. Despite this, only 57% of people have received a formal diagnosis, with rates falling as low as 48% in rural areas such as Powys.

Improving diagnosis remains a key concern, with 91% of those surveyed saying access to timely diagnosis must improve, and 87% backing increased investment in diagnostic services. However, respondents also stressed that diagnosis alone is not enough, with 91% saying people with dementia must receive better support, including help for unpaid carers.

Ceri Parry, from Cardiff, said she was forced to retire early from her role as a headteacher at the age of 55 due to a lack of support for her mother, who was diagnosed with Alzheimer’s disease in 2020.

She said: “I fully support improving early and accurate diagnosis, but this must also come with improved support and care for families afterwards. There’s five years between my relatives’ diagnoses and nothing changed. On both occasions we left with a leaflet and the unknown.

“The wait for improved diagnosis, treatment and support needs to end. Dementia must be a top priority for the next Welsh Government, for families living with it now and for those who will face it in the future.

“We also found there was no diagnosis assessment available in the Welsh language. That’s a fundamental issue if a diagnosis is to be accurate and safe for people who speak Welsh as their first language. Ignoring someone’s identity is ignoring the person.”

The survey also found that visible action would be key to restoring public confidence, with 72% calling for improved dementia services, 64% backing more funding for research, and 63% wanting better access to treatments.

Gemma Roberts, National Influencing Manager at Alzheimer’s Society Cymru, said: “Dementia is Wales’s biggest killer and one of the greatest health and social care challenges we face.

“Hope is on the horizon with new treatments and faster, more accurate diagnosis, but the system is not keeping pace. Without urgent transformation, people in Wales risk missing out.

“We are at a turning point. The next Welsh Government must deliver a bold new dementia strategy that transforms diagnosis and ensures access to quality care, treatments and support.”

 

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