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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

Too many children in Wales living in poverty – Lib Dems want action

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THIS week in the Senedd, the Welsh Liberal Democrats renewed their demands for the implementation of child poverty targets.

According to a report from the Bevan foundation, 29% of children living in Wales are currently experiencing poverty (an estimated 190,000 children).

The same report highlighted that the largest percentage of children living in poverty are from working households or in couple households.

The Welsh Lib Dems are now renewing calls for the Welsh Government to create a set of targets for reducing child poverty, which the party argues will allow for more accountability.

The party has previously called for the implementation of targets, citing recommendations from the Calling Time on Child Poverty Report published in November last year.

Commenting, the Leader of the Welsh Liberal Democrats Jane Dodds MS said: “The latest statistics on childhood poverty in Wales paints a very distressing image of families across the country struggling to make ends meet.

Over the course of the last six years, the proportion of children in poverty has skyrocketed. Fuelled by worsening economic conditions and a complete lack of action from both governments in Westminster and Cardiff Bay.

We cannot act complacent about these figures nor accept the clear lack of progress in fighting child poverty, behind each statistic is a child that the state has failed.

It remains painfully clear that the Welsh Government is failing to make any meaningful progress in this fight, which is why they must follow through with the implementation of clear set targets that will allow for further accountability.

We as a party have continuously called for the creation of these targets and we will not be silenced. For the sake of future generations we urge the Welsh Government to listen.”

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Crime

Welsh constabulary areas record another increase in shoplifting

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RETAIL trade union Usdaw is deeply concerned by today’s police recorded crime statistics showing that in 2023 there were significant increases in shoplifting across all constabulary areas in Wales. In the whole of England and Wales there has been a persistent upward trend since the pandemic, which continued with a 37% increase and has now risen to the highest level in 20 years.

The Office for National Statistics released figures showing a 39% increase in shoplifting incidents across Wales and by constabulary area as follows:

  • Dyfed-Powys +11%
  • Gwent +47%
  • North Wales +23%
  • South Wales +51% 

Usdaw’s 2023 annual survey of over 5,500 shopworkers found that 60% had suffered incidents of violence, threats and abuse that were triggered by shoplifting and armed robbery.

Paddy Lillis, Usdaw General Secretary says: “Shoplifting is not a victimless crime, theft from shops has long been a major flashpoint for violence and abuse against shopworkers. Having to deal with repeated and persistent shoplifters can cause issues beyond the theft itself like anxiety, fear and in some cases physical harm to retail workers. This 39% increase in shoplifting across Wales is further evidence that we are facing an epidemic of retail crime, which is hugely concerning.

“Our members have reported that they are often faced with hardened career criminals in the stores and we know that retail workers are much more likely to be abused by those who are stealing to sell goods on. Our latest survey results show that 7 in 10 retail workers suffered abuse from customers, with far too many experiencing threats and violence. 60% of respondents said theft from shops and armed robbery were triggers for these incidents.

“The scale of assaults, abuse and threats towards shopworkers and extent of the retail crime epidemic has been a disgrace for many years. This has been made worse by police cuts and a failure to legislate to protect retail staff. Usdaw has long called for action that includes a standalone offence for assaulting a shopworker and that has been vehemently opposed by this Government and their Conservative MPs on many occasions.

“Recently the Government performed a long overdue U-turn after many years of sustained campaigning by Usdaw and others. Our members have had to wait too long for their voices to be heard and common sense to prevail. We will have to see the detail of what Ministers are proposing and we are clear that it must be at least what we won in Scotland three years ago. It also cannot fall short of Labour’s commitments to 13,000 more uniformed officers, patrols on high streets, banning repeat offenders and ending the perverse £200 threshold for prosecuting shoplifters.

“The dither and delay by this Government on this issue over many years, has led to thousands of shopworkers needlessly suffering physical and mental injury. Today’s stats should ensure that their promise to legislate is done speedily. We hope that whatever the Government is proposing will be substantial and effective in giving shopworkers, key workers in every community, the respect that they have long deserved and regrettably too often do not receive.”

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Business

Paramount’s key role in transformation of McArthurGlen Designer Outlet

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FAST-growing Welsh company Paramount is relishing the challenge of creating an “irresistible dining destination” after winning the contract to play a key role in the multi-million transformation of the McArthurGlen Designer Outlet Bridgend.

The Cardiff-based design, build, fit-out and refurbishment specialist will spearhead the re-development project of the shopping centre after being handed responsibility for revamping its popular food court over the summer.

In the coming months, the development will see the Food Court transformed into three modern, and bright restaurants, welcoming new food and beverage brands to the centre and creating more than 100 new job opportunities for the local community.

Paramount’s Construction Director, Paul Thomas, said: “The team behind the scenes at McArthurGlen Designer Outlet Bridgend have fantastic plans for the future and we’re delighted to have been entrusted with the mission to help turn their exciting vision into a reality.

“Paramount prides itself on creating places where people want to be, and my team are relishing the opportunity to help create what will be an irresistible dining destination. It’s certain to be a complex project, but we have the expertise and local knowledge to deliver outstanding results in close collaboration with our project partners.”

The owners of the shopping centre, which has been attracting local people and visitors for more than 25 years, have promised a “substantial investment to redevelop the Food Court area and replace it with new and exciting restaurants”. 

Now the Paramount team is ready to lay the groundwork by removing some existing structures around the Food Court and will then introduce a series of new features as part of the overall facelift. These include new glazed entrance doors within glazed curtain walling shopfront, render and a new entrance lobby with new stairs and lifts.

The work to completely develop the Food Court in the shopping centre starts this week, and is expected to be completed in late autumn. As a result, customer favourites including Nando’s, McDonald’s and Chopsticks will be closed while work is under way.

Patrick Finney, Head of European Construction, McArthurGlen Group, said: “After celebrating our 25th anniversary last year, we’re extremely pleased to welcome Paramount on board in this important step of revitalising the Food Court area. 

“These are exciting times for everyone at one of South Wales’ best-loved retail complexes and we know Paramount will work closely with us to create a truly special place for diners and shoppers of all ages.”

Paramount, whose turnover reached £45 million in 2023, employs 60 people who own a majority shareholding of the business – 51 per cent – following completion of an Employee Ownership Trust  (EOT) scheme in 2021, a deal which marked a major milestone for Paramount after a period of sustained growth. 

The company is well known across Wales and England where it has created high-quality inspirational space for a number of leading companies. These include the multi-million-pound redevelopment of Hodge House and Fusion Point One in central Cardiff, and the fit out of Par 59 bars in South Wales and South West. 

Over the next few months, Paramount’s construction team will also be completing on a multi-million-pound social housing development in Porthcawl, Mid-Glamorgan with Valleys to Coast.

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