News
Health board mulls formal public consultation over selection of new hospital site

HYWEL DDA University Health Board will next week decide whether to hold a formal public consultation to assist with selection of the site for a new urgent and planned care hospital somewhere in the zone between and including Narberth and St Clears.
An extraordinary health board meeting is being held at 9.30am on Thursday 4 August 2022 and one of the recommendations in the report being discussed, and supported by the independent watchdog Hywel Dda Community Health Council, is to hold a public consultation process.
A huge amount of work to review five potential sites for the proposed new hospital – one in Narberth, two sites near Whitland and two near St Clears – has already taken place with public and patient representatives, clinical and non-clinical staff, and stakeholders, including other public sector organisations.
However campaigners fighting to save Withybush Hospital say that the health board has not done enough to engage with the public. They say that most people want services retained at the current Withybush Hospital site.
Ahead of the meeting, Hywel Dda Director of Strategic Development & Operational Planning, Lee Davies said: “We are so grateful for the significant work that has been carried out during the appraisal process and this will be presented to the health board next week. It will be down to the board to determine which sites should be taken forward for further consideration and a recommended public consultation as this is such a fundamental part of our service provision for future generations.”
This would be the next step towards the health board’s long term strategy for a healthier mid and west Wales. It follows submission of a programme business case to the Welsh Government earlier this year, seeking more than a billion pounds of investment in the buildings and capital infrastructure in west Wales.
A fundamental enabler to investing more in community and preventative health and care, and to deal with long standing challenges in the health and care system in the area, is the provision of a new urgent and planned care hospital.
The zone, somewhere between and including Narberth and St Clears, is the most central for the majority of the population in the south and was determined as part of the engagement, option development and public consultation held between 2017 and 2018.
The health board meeting will hear outputs from four separate land appraisal groups, focusing individually on the technical, clinical, workforce, and financial/economic considerations of the possible sites and areas within the zone.
From the reports, there is not a current ‘preferred’ site as there is a range of different evidence, impacts and viewpoints to be considered.
The technical appraisal group, made up of a majority of public from across our localities as well as staff, scored the potential sites considering weighted technical criteria and feedback from public engagement. Four of the five sites had very similar scores, with only one of the sites near St Clears scoring significantly lower than others.
Two distinct clinical groups – one for neonatal services, obstetrics and paediatrics and another for stroke services – considered the implications of siting the new hospital either further east, centrally or further west within the zone.
The neonatal services, obstetrics, and paediatrics expert group found of the three geographical areas within the zone, those furthest east presented the least clinical risk to services. Attendees of the workshop were of the opinion that a site further east outside the zone would be preferable. They were concerned that the zone presents a risk of reduction in critical mass of patients, due to potential for people in the east attending services elsewhere and resulting in a reduction in birth numbers, and neonatal and paediatric admissions. This was outside the scope of the appraisal and the geographical zone was agreed following engagement and consultation in 2018.
The expert group for stroke services reported that any area of the zone would be suitable due to the focus on pathways and how patients are treated beyond their initial admission. It did however state that for access to workforce reasons the sites central or east would be more preferable.
The workforce appraisal focused on the accessibility impact for the Health Board’s workforce. Evidence the group considered, included travel time analysis and potential staffing impact and risk. The group noted that there would be impact on those who traditionally are able to work locally to their homes and those who reasonably expect to travel linked to their professions. Different strategies to reduce this impact would be adopted as work progresses. The group found it inconclusive to say if a site further east would have a greater impact to securing a sustainable workforce overall, including for recruitment.
The financial and economic appraisal focused on appraising the process and outcomes that may be required for capital funding and next steps in land acquisition. It found as a percentage of the overall estimated costs of the development, there was little to distinguish between different sites.
The Health Board will also be presented with information about the overarching and ongoing Equality and Health Impact Assessment and how people with protected characteristics are being involved and considered, as well as how any negative impacts for people will be minimised.
You can watch the meeting on live stream, and a link will be available from the Health Board website.
News
Mum’s plea for Pembrokeshire sanctuary memorial approved

A WEST WALES mother’s poignant call for a permanent Pembrokeshire memorial – and sanctuary – in memory of her late daughter has been backed by county planners.
In an application before Pembrokeshire County Council, Emma Thomas, of Ammanford, sought permission for the extension of a forestry track to enable the planting of woodland along with a memorial pond to her late daughter Mia Haf Sahara Thomas Jones at a field off Brynheulog, near Llangolman.

A personal statement by Emma accompanying the application said: “My name is Emma Thomas, and I am setting up the Mia Sahara Sanctuary in memory of my beautiful daughter, Mia, who tragically and unexpectedly passed away at the young age of 16, on April 19, 2023.
“Mia was a very passionate young lady, and throughout her life enjoyed being in the natural environment absorbing everything it had to offer.
“As Mia’s mother, I must do something positive out of something so, so negative.
“As Mia was to inherit a property on her 18th birthday, as a family, we have decided to purchase land out of the proceeds from the sale. The land is approximately 6.3 acres and lies on the western edge of Llangolman, Pembrokeshire.”
She added: “My aim is to develop the land by placing a wildlife pond to provide a breeding space for frogs, toads, newts and dragonflies as well as a habitat for a host of other creatures from pond skaters to water snails. The pond will be shallow at one end and will provide areas for birds and a watering hole for hedgehogs.”
Emma said produce grown in existing polytunnels “will be given and shared amongst local charities to support the local population and hopefully a local educational establishment with healthy eating seasonal produce”.
Emma went on to say: “I worked within education before Mia’s health deteriorated at numerous educational establishments internationally. I have a learnt understanding of the issues faced by individuals that live within Pembrokeshire as a single parent caring for a child with needs.
“There is a need for support for so many individuals and a lack of funding and resources can have detrimental consequences.
“In December 2022 Mia and I decided to set up a charity and Mia wrote her introduction to the Forum in advance.”
Mia, in her own words, explained her reasons for the charity: “I have struggled throughout my life with various of different things… At the age of just 16, I got an official diagnosis as being Autistic. But that is why we are here to help each other and to thrive with each other with that help/support! I have also struggled with making/maintaining friendships and hopefully with setting up this forum I could make new friends!
“Also make changes for the better. Use this charity for a network of people as a safety net to help and inform each other with information that you and others may need…”.
Emma concluded: “I envisage the Mia Sahara Sanctuary to be a place where nature will flourish with new life. I will meet with representatives from the community and local groups to determine what produce would best support their service users with the aim of working collaboratively for the benefit of the local people.
“Mia is no longer here physically however my love for her fuels me to plan the Mia Sahara Sanctuary and to create something that will benefit future generations within Pembrokeshire, and I have the determination and passion, with your support, to make this a reality.”
The application was conditionally approved by county planners.
News
Tragic outcome after dog falls from Caerfai cliffs

ST DAVIDS RNLI inshore lifeboat was launched at 5:50pm on Easter Monday (April 21) following reports of a dog that had fallen from the cliffs at Caerfai Bay.
The volunteer crew responded swiftly and located the dog in the sea. Sadly, it had died by the time they arrived. The lifeboat crew recovered the animal and brought it ashore, reuniting it with its owners at Caerfai beach, who were supported by HM Coastguard – St Davids.
The inshore lifeboat, Marian and Alan Clayton, returned to station at 7:00pm and was refuelled and ready for service again by 7:10pm.
News
Triathlon returns to Fishguard – road closures announced

FISHGUARD will once again play host to the Wales Triathlon this summer, with hundreds of competitors set to descend on the town for the popular sporting event on Sunday, June 15.
Organised by Activity Wales Events, the triathlon includes a two-lap sea swim in Fishguard Bay, followed by a two-lap cycle from Fishguard to St Davids and a four-lap run along the Marine Walk and out onto the breakwater.
In order to facilitate the bike leg on closed roads, several road closures will be in place throughout the day.

Major road closures
The A487 between Goodwick and Mathry will be closed between 9:45am and 3:00pm.
Between Mathry and Croesgoch, the A487 will be closed from 10:00am to 3:00pm, and from Croesgoch to St Davids the closure will run from 10:00am until 2:45pm.
Crossing points will be in operation at Mathry crossroads, Croesgoch crossroads, and the Llangoffan to Granston junction. Diversions will be signposted, with local traffic routed via minor B roads and through Haverfordwest for longer journeys.
Town centre impact
In Fishguard, West Street will be closed between 12:00pm and 6:00pm for the running stage. Residents will still be able to exit side roads, with diversions clearly marked.
Goodwick residents will be able to exit the town via the Tesco roundabout, which will remain open all day.
Care access and course passes
Care workers will be allowed access to visit clients within the closed sections, but must obtain a course pass via their organisation in advance.
On the day, carers using the route must:
- Follow the direction of the race
- Display their pass clearly
- Keep hazard lights on at all times
- Exit the route as soon as safely possible
Further information
The event attracted over 1,000 athletes last year, and organisers anticipate another strong turnout.
More information can be found at: www.walestriathlon.com/athletes/event-info
Road closure details are available at: community.walestriathlon.com
For course pass enquiries, contact: info@activitywalesevents.com
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