Health
Hywel Dda ‘misled public’ over consultation finding says campaign group
Campaigners say that the Save Withybush campaign will now take a ‘march forward’ as evidence shows that Hywel Dda has misinterpreted the findings of its own consultation in 2018 and has misled the public over its data.
Following a full debate about the Save Withybush A&E petition in the Senedd last week, the petitions committee has requested further evidence from the camapign for their next meeting on monday July 11th.
A new campaign named ‘Our NHS – Born in Wales’ was recently launched by the People’s Assembly Wales and their volunteer researchers are supporting the Save Withybush campaign. The researchers have scrutinised the Health Board’s report on the 2018 consultation regarding proposed new hospital plans and believe that Hywel Dda has misled the public over its findings.
They have produced and submitted a further evidence paper to the Senedd petitions committee which they say shows “Hywel Dda have ignored the concerns of residents, ignored the data which showed an overwhelming rejection of the proposed new hospital plans and have ploughed ahead with changes. This is in spite of clear evidence which showed that the majority of people who would be most affected by the proposed changes were not in support of any of the proposed changes”.
Campaigners added: “Our further evidence paper is a damning indictment of Hywel Dda’s actions to date. Not only have they misled the public over the findings of their 2018 consultation, they have completely ignored the concerns of thousands of residents and have bulldozed ahead with their proposals knowing full-well that they are acting against the wishes of a significant cross section of the public. We believe that it is now only a matter of time until the Health Board will be forced to go back, fully involve residents in addressing the concerns raised and engage properly in co-production as they are duty bound to do under the Well-being of Future Generations (Wales) Act 2015.
They did not ask the right questions in their consultation, and the questions they did ask were heavily weighted in order to steer the data towards their preferred outcomes. This was not co-production and the Health Board now have no other option but to go back and ask different questions in a completely different way, based on the data they have recorded so far.”
“As campaigners we believe that the Health Board is now fully exposed on this issue and we will be pursuing this through every avenue with our latest findings marking a “turning of the tide” for the campaign. Pointing out that the Withybush issue is now under much greater scrutiny at Welsh Government level following the debate.
“The Health Board often cites ‘recruitment issues’ as one of the reasons for their proposed changes and removal of services at Withybush. However our argument, as evidenced in our paper, is that given the level of uncertainty that has surrounded health services within the hospital for so long, the Health Board has actually created the very recruitment issues which they are using to justify changes. This was cited in their own 2018 report ‘our Big NHS changes’ where staff focus groups actually said:
‘people won’t come to work here because there has been so much uncertainty around the hospital over recent years’ (p.10)
They have essentially run down the hospital and are now trying to use that as an excuse to remove the A&E”
“This has become a ‘war of attrition’ over Withybush, in which the Health Board has demoralised the public, wearing them down over time by pressing ahead with changes whilst ignoring our concerns. It’s understandable that some Pembrokeshire residents, including County Councillors have given up hope for Withybush. However, as a campaign and armed with new evidence, we feel that we can finally put the health board on notice. This is far from over or a ‘done deal’ as they repeatedly assert. Notably, in her speech in the Senedd last week Eluned Morgan used the word ‘if’ several times in regards to a new hospital. This shows that the Welsh Government may already be positioning itself to abandon these dangerous plans if we keep up the pressure as a campaign and as a county.
With model motions in support of the Save Withybush campaign going to Town & Community Councils, trade union branches as well as a motion going through County Council, we believe we can reinvigorate people’s hope for the survival of Withybush and inject fresh impetus for action to save our hospital. But we re-issue our call for action to everyone to step up and save the hospital.
With this week marking the 74th birthday of the NHS we encourage all in Pembrokeshire and beyond to demand decent, safe, and localised services, and importantly, to demand services which are provided based on health need, as was intended when the NHS was founded back in 1948.
Health
Dental services ‘facing collapse’ in Wales
DENTAL services are at risk of catastrophic collapse, with people resorting to “DIY dentistry” and pulling their own teeth with pliers, the Senedd heard.
Peter Fox warned that NHS dental services are seeing rapid decline following the Welsh Government’s introduction of a new contract in 2022.
He told the Senedd: “These contracts don’t work for dentists, nor do they work for patients,” as he highlighted a 60% fall in the number of NHS dental posts compared with 2021.
Echoing concerns raised by the British Dental Association, the Conservative MS said dental services face potential catastrophic collapse due to the contract reforms.
Mr Fox, who represents Monmouth, cautioned that patients are being left with a choice between years’-long waiting lists or paying hundreds of pounds for private care.
He said: “This lack of accessibility has led people to drastic action – from harrowing stories of people pulling out their own teeth with pliers or people being forced to take 200-mile round trips to get dental appointments. Clearly, this is just simply unacceptable in the 21st century.”
Leading a debate about primary care on April 24, Mr Fox warned GPs are also struggling due to a lack of contract funding, which is not uplifted in line with rising costs and pay uplifts.
He told MSs some GPs are having to pay staff and utility bills out of their own pockets, with practices forced to withdraw more and more services.
The Conservative said some constituents face 50-mile round trips and 50-week waits for services in hospitals that were previously carried out routinely and timely in GP practices.
Mr Fox, who led Monmouthshire council for more than a decade before being elected to the Senedd in 2021, urged the Welsh Government to urgently review GP and dental contracts.
Eluned Morgan told the chamber the majority of contacts with the NHS are in primary care – with up to one-and-a-half million contacts a month in a population of three million people.
Wales’ health secretary recognised the extreme pressure on practices, saying the contract last year provided a 5% uplift not just to GPs but also staff who work in their surgeries.
She said: “We want to reform the dental contract on a preventative basis, responding to risk and need, and we have introduced up to 300,000 appointments to new dental patients.”
Baroness Morgan, who is married to a GP, stressed the importance of other professionals in the community, such as pharmacists and opticians, to the preventative agenda.
She said most pharmacies in Wales provide a free service for 27 common ailments, helping to reduce pressure on GPs and other parts of the healthcare system.
During first minister’s questions on April 23, Sian Gwenllian said many of her constituents are unable to access public dental services – “an entirely unacceptable situation”.
The Plaid Cymru MS for Arfon raised concerns a new dental academy in Bangor closed its books to NHS patients despite promises it would help tackle a lack of public services.
Sam Rowlands, the Conservatives’ new shadow health secretary, said far too many people across north Wales do not have access to an NHS dentist.
He raised comments from Russell Gidney, chair of the Welsh general dental practice committee, warning of a rise in “DIY dentistry” due to a lack of proper access.
Vaughan Gething said the Welsh Government is committed to reforming the dental contract to unlock capacity and access to NHS services is one of the health secretary’s top priorities.
Health
Pembrokeshire residents suffer severe health decline ‘due to landfill gases’
A PEMBROKESHIRE couple, Mr Richard and Revd Patricia Rogers of Crud yr Awel, are experiencing severe health issues attributed to emissions from the Withyhedge Landfill, resulting in drastic lifestyle changes and severe symptoms.
Revd Rogers, who has managed asthma since childhood, reported a significant deterioration in her condition following exposure to landfill gases. Despite having controlled her asthma with minimal medication for years, she now requires intensive treatment including increased doses of Symbicort and Salbutamol Sulfate inhalers, alongside courses of steroids and antibiotics. Her symptoms have escalated to include extreme breathlessness, a hacking cough, frequent nosebleeds, continual headaches, and vertigo, culminating in a severe impact on her ability to perform daily tasks and care for her disabled daughter.
The couple’s health is closely monitored through their doctor’s surgery, and they attend the asthma clinic regularly. However, feeling powerless to directly change the situation, they have taken a stand by cancelling their council tax payments, a decision they plan to maintain until the landfill issue is resolved.
Revd Rogers has also prepared a letter to the Coroner, outlining the severity of her health issues as potentially life-threatening due to the landfill’s impact. This dramatic step underlines the gravity of their situation and their desperation for a resolution.
The Rogers’ story is not just a personal tragedy but a stark example of the broader environmental and health challenges faced by the community surrounding the Withyhedge Landfill.
They are calling for punitive measures against those responsible, including compensation for the financial impacts of their ordeal.
Their story has surfaced on the same day we reported that Natural Resources Wales is taking further enforcement action against the firm running the site.
NRW has issued site operators Resources Management UK Ltd (RML) with a further Regulation 36 Enforcement Notice which requires the operator to deliver a series of actions by specified deadlines to address ongoing smells from the landfill.
You can read more about the Enforcement Notice on the NRW website.
Outgoing Council Leader, Cllr David Simpson, said in a statement this week: “The smell from Withyhedge is having a major impact on residents and visitors. This situation has gone on too long and it is unacceptable.
“We now need to see RML act on the demands of the Notice and within the deadlines.
“The Council fully backs NRW’s stance that nothing is off the table in terms of further enforcement, including suspending the site’s environmental permit if appropriate, and we remain committed to working with NRW to ensure a long term solution to these issues.”
Health
Paul Davies responds to St David’s Surgery news
LOCAL Senedd Member Paul Davies has reacted to the news that St David’s surgery in North Pembrokeshire has decided to resign its General Medical Services Contract. It’s understood that for registered patients, care will continue to be provided until the end of October 2024 and patients are being advised to remain registered with the Practice while longer-term plans are developed. Patients will be invited to share their views as to how these services can continue to be delivered after the end of October.
Mr Davies said, “This is a very worrying announcement and patients in the local area will be understandably anxious about what this means for the future.”
“It’s vital that GP services can continue to be delivered in the area in the future and so Hywel Dda University Health Board must be open with patients of the Practice about their plans and address the community’s concerns. Every effort must be made to ensure that patients are able to access services in the long term.”
“I will of course, be raising this with the Welsh Government and urging the Health Minister to do everything in her power to support the Health Board and help ensure patients can access these vital services.”
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