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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.

 

Crime

Cocaine deaths spark regional summit across West Wales

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Health, police and support services unite after rising concerns in Pembrokeshire, Ceredigion and Carmarthenshire

COCAINE has been identified in a significant number of drug-related deaths across Pembrokeshire, Ceredigion and Carmarthenshire over the past year.

Frontline teams have also reported rising incidents of violence, aggression and criminal justice involvement among people accessing drug and alcohol support services.

Dyfed-Powys Police data shows cocaine is now the force’s second most seized drug, and remains widely used across a range of settings.

In response, the Dyfed Area Planning Board brought together representatives from health, policing, commissioned services, social services and community organisations for a regional summit aimed at understanding the scale of the problem and agreeing joint action.

Hywel Dda’s Community Drug and Alcohol Team opened the event with an overview of emerging substance use trends. Dyfed-Powys Police then shared enforcement intelligence, while Public Health Wales provided a national perspective on stimulant use.

Clinical specialists also outlined the impact of cocaine use on maternity services, blood-borne virus transmission, exercise culture and the night-time economy.

The summit concluded with harm reduction training and group discussions focused on strengthening prevention, treatment pathways and community support across West Wales.

Steve Reynolds, Dyfed Drug and Alcohol Service manager, said: “DDAS are incredibly encouraged by the success of this cocaine summit. Cocaine-related harms are complex and evolving, and through collaboration and open dialogue we can respond effectively.

“The summit reinforced the importance of reducing stigma, expanding access to support, and ensuring that people who use our services receive compassionate, person-centred care.

“We remain committed to working with partners in developing practical actions that improve outcomes for individuals, families and communities.”

Detective Superintendent Gareth Roberts, of Dyfed-Powys Police, said: “It was a pleasure to host this valuable event at Dyfed-Powys Police.

“As a force, we are committed to working in partnership to improve the health, wellbeing, and safety of our communities as we work hard to reduce the risk of drug-related harm.”

Craig Jones, Hywel Dda Prevention and Population Health Improvement Manager, said: “This summit marks the beginning of a coordinated regional effort to reduce harm, improve outcomes and strengthen support for individuals, families and communities affected by cocaine use.

“Partners will now work together to address availability, risk reduction and access to support.”

Anyone experiencing problems with substance use, or anyone seeking more information about the Community Drug and Alcohol Team, can visit hduhb.nhs.wales/drug-and-alcohol.

 

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Crime

Farm owner in court after 26 dogs removed over welfare concerns

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Council awarded control of animals after magistrates hear claims of unlicensed breeding

A PEMBROKESHIRE farm owner has appeared before Haverfordwest Magistrates’ Court after 26 dogs were removed from her care under animal welfare legislation.

Rachel Roberts, of Penlan Oleu, Puncheston, appeared in court on Friday (May 1) in relation to an application brought under Section 20 of the Animal Welfare Act 2006 following action by Pembrokeshire County Council.

The court heard that 26 dogs had been taken into possession, including spaniels, dachshunds, poodles, chihuahuas and six puppies.

It was alleged in court that Roberts had been breeding and selling dogs without the appropriate licence, and that some animals had not received the correct vaccinations.

Magistrates granted the application, allowing Pembrokeshire County Council to take control of the dogs and make decisions about their future, including rehoming.

Roberts was also ordered to pay £99,463.35 in costs to the council.

RSPCA investigation

An RSPCA investigation was reportedly opened last year after images emerged of horses said to be in poor condition.

The Herald has also been contacted by a concerned member of the public, who provided videos and photographs which they claim show a dead horse concealed beneath wooden pallets.

The source further alleged that a person staying at the property had witnessed a horse being dragged by its neck using a tractor.

These claims have not been independently verified by The Herald.

Wider allegations

The Herald has also been told that other members of the family may have been involved in the sale of dogs from the property, with allegations that animals were later sold outside Pembrokeshire.

The paper understands that Roberts’ daughter, Eliza Roberts, has previously appeared before the courts in connection with dog-related offences.

Roberts, 36, was sentenced to three months in prison and banned from owning animals for seven years after pleading guilty to two counts of possession of a fighting dog and one count of being in charge of a dog dangerously out of control.

The charges followed an incident in Hanwell, near Banbury, on March 26, in which a schnoodle named Winnie was killed by two XL Bully dogs, Kobi and Kardi.

At the sentencing hearing, Roberts was ordered to pay £1,295 compensation, and a destruction order was made for the dogs.

 

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Community

Historic Haverfordwest church launches urgent repair appeal

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A HAVERFORDWEST church which has served the town for more than 150 years has launched an urgent appeal for help with essential building work.

St David and St Patrick’s Catholic Church is seeking to raise £3,000 towards repairs to its ageing roof and building structure.

The church, which dates back to 1872, says the work is needed to protect both the historic building and the community services based there.

The appeal has been launched by Helen Johnson through GoFundMe, with the fundraiser saying the church remains an important place of worship, welcome and support for people from a wide range of backgrounds.

The building was designed by Richard Williams of Carmarthen and has been part of Haverfordwest life for generations.

Alongside its religious role, the parish and volunteers from the St Vincent de Paul Society support local families, elderly residents and vulnerable people facing poverty, loneliness and hardship.

Weekly lunch clubs provide warm meals, friendship and a place for people to meet and socialise.

The appeal says that without urgent financial support, maintaining the church and continuing this community work will become increasingly difficult.

The fundraiser states: “Every donation, no matter how small, will help preserve this historic church and the community support it provides for future generations.”

As of Wednesday (May 20), the appeal had raised £10 towards its £3,000 target.

If you can donate, click HERE.

 

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