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

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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

Community projects celebrate their UK Government funding successes

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A CELEBRATION event brought together 25 community projects that have benefited from more than £1.3million in UK Shared Prosperity Funding in Pembrokeshire.

Pembrokeshire County Council facilitated the development programme for third sector organisations and social enterprises which covered three intervention areas across the County – capital projects, green infrastructure and social action.

The diverse range of projects including community facilities, youth projects, growing sites, environmental awareness action, pet therapy, museums and more.

Project leads came together at HaverHub, Haverfordwest on January 22nd to celebrate and discuss the outcomes of their work, with the majority having exceeded targets with some breath-taking achievements highlighted.

Some key successes already evidenced include the improvement or creation of around 25,764m² of publicly accessible spaces, 934 community events or activities supported and 2228 volunteering opportunities created/ supported, with final reports still to be submitted.

SPF Communities Coordinator Heidi Holland said: “This network of organisations has strengthened and benefited from opportunities to come together, visit other projects, share good practice and willingness to develop collaborative approaches as a legacy moving forward to impact on future generations.”

Among those at the event were Cilrath Acre, Sandy Bear, Cleddau Project, Milford Haven Maritime and Heritage Museum, West Wales Rivers Trust, Point – Fishguard and Goodwick Youth Project and Menter Iaith Sir Benfro.

Cllr Paul Miller, Cabinet Member (SPF Lead), said: “It was great to see such a wide range of projects, from right across Pembrokeshire, who have benefited from the SPF Communities Funding. SPF funding will re-launch in April 2025 and we look forward to being able to support more organisations across the county delivering meaningful improvements in their communities.”

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Grandmother jailed for killing baby girl in Withybush Hospital crash

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A GRANDMOTHER has been sentenced to four years in prison for causing the death of eight-month-old Mabli Cariad Hall in a tragic crash outside Withybush Hospital, Haverfordwest.

Bridget Carole Curtis, 71, of Begelly, appeared at Swansea Crown Court, where she admitted to causing death by dangerous driving. She was also banned from driving for eight years and must pass an extended test to regain her licence.

Tragic: Baby Mabli Cariad Hall died in 2023 after being hit by a car driven by Bridget Curtis (Image: DPP/WNS)

The devastating incident occurred on June 21, 2023, when Curtis’s white BMW struck Mabli’s pram at the hospital entrance. The baby, described as “bright” and “beautiful,” suffered severe traumatic brain injuries. Despite being airlifted to the University Hospital of Wales in Cardiff and later transferred to Bristol Royal Hospital for Children, Mabli passed away four days later, on June 25.

The court heard that Curtis had been searching for her handbag on the rear seat while the engine was running. Dash cam footage showed her car mounting a kerb and traveling 28 metres at a top speed of 29mph, hitting a tree after striking the pram. Data revealed the throttle was fully open for four-and-a-half seconds, with no brakes applied.

A family shattered

Flowers at the scene of the accident (Image: BBC)

Mabli’s father, Rob Hall, sustained injuries in the crash, which occurred as the family visited the hospital to say their goodbyes to Mr Hall’s mother, who was receiving palliative care. The court heard a heart-wrenching victim impact statement from Mabli’s mother, Gwen Hall, who said: “I don’t know who I am anymore… my heart breaks constantly.” She described watching helplessly as her baby died in her arms.

Mr Hall said Curtis’s actions had “ripped my baby out of my hands,” adding he has replayed the horrific moment “over and over again.”

‘Grossly reckless’ actions

Swansea Crown court where the case was heard (Image: BBC)

Judge Geraint Walters described Curtis’s driving as “grossly reckless,” emphasizing the devastating and irreversible consequences. “Mabli died senselessly and needlessly, and her death has changed lives forever,” he said.

Prosecutor Craig Jones told the court there was no evidence Curtis had suffered a medical episode, but rather what was described as a panic attack. The court heard she was previously of good character, with a clean driving record.

Curtis, who voluntarily surrendered her licence after the crash, expressed deep remorse in a letter read to the court. “I am so deeply sorry,” she wrote. “The sadness and grief will be with me ’til my dying day.”

Her defence barrister, John Dye, said Curtis now suffers from PTSD and depression, with frequent flashbacks of the incident.

In sentencing, Judge Walters acknowledged that Curtis had not intended harm but underscored the gravity of her actions. “You are responsible for the life-changing devastation,” he concluded.

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Crime

Farmer cleared of restraining order breach at Haverfordwest court

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A PEMBROKESHIRE man has been found not guilty of breaching a restraining order after being accused of referencing a protected individual in a Facebook post.

Philip Stoddart, 58, of Monkhill Farm, St Ishmaels, appeared at Haverfordwest Magistrates’ Court on Monday (Jan 20) to face the charge. The prosecution, led by Ann Griffiths on behalf of the crown, alleged that between December 4 and December 13, 2023, Stoddart made a Facebook post that, by inference, referred to a person he was prohibited from contacting under a restraining order imposed by Swansea Crown Court on April 16, 2021.

The restraining order, issued under Section 360 of the Sentencing Act 2020, barred Stoddart from making any form of contact with her.

Prosecutors argued that the Facebook post constituted a breach of the order, contrary to Section 363 of the same act.

Stoddart denied the allegations and entered a not guilty plea during a prior hearing on October 1, 2024.

Magistrates Professor N. Negus, Mr. J. Steadman, and Mrs. J. Morris presided over the trial, which concluded on Monday.

After reviewing the evidence, the bench found Stoddart not guilty, dismissing the case.

The dismissal brings to a close legal proceedings that had been ongoing for over a year.

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