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
Welsh Labour manifesto pledge: Direct London train for Milford Haven
WELSH LABOUR has unveiled a pledge to deliver a direct rail service between Milford Haven and London – a move that would transform connectivity for communities across Pembrokeshire.
This commitment builds on £50 million of UK Labour investment to upgrade rail services to Milford Haven.
Work is already underway, in partnership between the Welsh Labour Government and Pembrokeshire County Council, led by Council Leader Paul Miller, to transform Milford Haven railway station into a modern Public Transport Interchange – delivering smoother, better connected and more accessible journeys.
Together, these upgrades will pave the way for direct London services to call at Milford Haven, alongside an hourly service and vital level crossing safety improvements delivered by the UK Labour Government.
First Minister Eluned Morgan said: “This pledge sits alongside a record commitment to rail in Wales – up to £14 billion of investment, new stations and a transformed Metro. But this is about more than just a rail line.
It’s about opening Pembrokeshire up – bringing more people to one of the most beautiful parts of Wales, strengthening our tourism sector and creating new opportunities for local businesses to grow.
“And as we do that, we’re doing it the right way – backing a greener economy, making it easier for people to travel sustainably, and ensuring that growth benefits our communities. This is how we build a stronger future for West Wales – with better connections, more opportunity and an economy that works with our environment, not against it.”
Welsh Labour candidate for Ceredigion Penfro, Marc Tierney added: “A direct train to London from Milford would be a game changer for our communities – boosting tourism, supporting local businesses and making it easier for people to live and work here.
“The work underway to transform Milford Haven station into a modern transport hub, alongside plans for an hourly service, shows what Welsh Labour can deliver when we work in partnership with local authorities – investing in the infrastructure our communities deserve. With new funding from the UK Labour Government and a strong partnership in place, we can now go further.
“Welsh Labour is delivering the investment and the ambition needed to ensure West Wales is at the forefront of modern, connected and accessible transport.”
The pledge forms part of Welsh Labour’s wider plan to modernise public transport, strengthen regional connectivity and ensure no part of Wales is left behind.
Community
Tenby lifeboats called out five times in ‘exceptionally busy’ week
Volunteer RNLI crews dealt with reports of people cut off by the tide, a vessel with engine failure and a possible kitesurfer in difficulty
TENBY lifeboat crews have been called out five times in a week, dealing with a series of incidents around the south Pembrokeshire coast.
The latest launch came just before 5:30pm on Sunday (May 3), when the inshore lifeboat was sent to Monkstone Point following a report that people may have been cut off by the tide.
As the volunteer crew arrived on scene, it was confirmed that the people were fishing and did not require assistance. The lifeboat was stood down and returned to station.
The call-out was the station’s fifth shout of the week.
On Friday (May 1), the all-weather lifeboat launched shortly after 10:00am after the occupants of a 21ft pleasure boat reported engine failure between Lydstep and Giltar.
The lifeboat arrived around ten minutes later and found the vessel at risk of drifting onto rocks. The crew decided the safest option was to tow it back to Saundersfoot.
With the tide out, the vessel was moored in the bay and those on board were taken ashore using the lifeboat’s Y-boat, where they were met by Tenby Coastguard Rescue Team. The lifeboat returned to station at 11:25am.
On Wednesday (Apr 29), the inshore lifeboat was launched shortly after 4:30pm after a report that a kitesurfer appeared to be in difficulty between Tenby and Caldey Island. The crew searched the reported area and extended the search towards Giltar Point, but no one in difficulty was found.
Earlier in the week, both Tenby lifeboats were launched at 6:15pm on Monday (Apr 27) after a report that two people may have been cut off by the tide at Gilman Point, near Pendine.
The all-weather lifeboat arrived first, with choppy conditions slowing the inshore lifeboat. Coastguard rescue team members on the cliffs above directed the crew to two people on rocks.
The Y-boat was launched and the pair confirmed they were in difficulty. They were taken aboard and brought ashore at Pendine, where Coastguards were waiting. The inshore lifeboat also collected the casualties’ bags before returning them ashore.
The busy week came as three Tenby RNLI volunteers — Eddie, Alice and Jack — successfully completed their ALB tier one pass-out on Sunday.
Tenby Lifeboats RNLI congratulated the trio, saying: “Well done guys.”
Health
FOI raises fresh questions over plan to close Pontyates GP surgery
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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