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Three potential hospital sites for public consultation – campaigners not satisfied

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HYWEL DDA health board says that it will consult with the public over three potential sites, two in the Whitland area and one in St Clears, for a new planned and urgent care hospital as part of its wider strategy to improve health and care in the region.

The health board submitted plans to the Welsh Government, earlier this year. It insists that if successful, the new hospital could result in the region of £1.3billion investment into health and care in west Wales.

Despite opposition from many people in Pembrokeshire, a petition signed by thousands and dozens of demonstrations it is continuing with its plan.

Facing constant downgrades: Withybush General Hospital in Haverfordwest

The health board’s argument is that the foundation of its plan is to bring as much care as possible closer to people’s homes, with plans for multiple integrated health and care centres, designed with local communities, across Carmarthenshire, Ceredigion and Pembrokeshire.

Locals say that a hospital away from the centre of Pembrokeshire would mean longer travel times in an emergency – costing lives. They also point to poor rural roads, and the fact that the A40 has not been dueled past St. Clears as concerns – the road is often shut when there is an accident meaning long diversions.

A new urgent and planned care hospital is part of the health board’s strategy to be able to re-provide more care in community settings, by having a sustainable hospital model fit for future generations. This would, the board says, improve and increase the specialist care services that can be provided and tackle some long standing challenges, including old hospitals, problems in maintaining medical rotas over several hospitals, and staff recruitment.

Health Board say its hard to recruit staff for Withybush

In a meeting held on Thursday (Aug 4), the Board heard that the process to date in appraising potential new hospital sites, within the zone agreed following “public consultation” in 2018, had received best practice recognition from the independent body the Consultation Institute.

There was unanimous agreement that further public consultation was needed, especially in order to hear the voices of the seldom heard and staff, including those in the community and primary care services.

Based on the evidence and detail provided through the comprehensive land appraisal process to date, the Board decided to take three of five previously considered sites, through to public consultation.

Sites that will not be taken forward include one of two in St Clears (site J). This was because it had the highest risk score based on characteristics of the site and it was scored materially lower than other sites in the technical appraisal, which was made up of a majority representation from the public and used a weighted scoring process in line with what is most important to our communities.

The other site not taken forward for public consultation was the Narberth site. This was due to clinical appraisal concerns that a site further west would lead to a reduction in the number births, neonatal admissions and acute paediatric admissions reducing the critical mass for safe and sustainable services, and having a negative impact on maintaining trainee status for doctors, nurses and midwives. In relation to time critical transfers, for example neonatal intensive care and cardiac, these all go east and a hospital in Narberth would result in longer transfer times.

Vehicle collision: male was taken to Withybush Hospital. Would new site be too far? (Pic. Michael Brown)

In summing up the meeting, Hywel Dda University Health Board Chair Maria Battle said: “Our programme business case to the Welsh Government is seeking the greatest investment west Wales will have ever seen, and builds on the foundation of our promise to bring as much care as possible closer to people’s homes through integrated care centres in many towns across west Wales.

“We have listened to and continue to listen to the fears and voices of the public we serve and our staff who understand the frontline challenges of trying to deliver services across so many sites and spread so thinly. We promise as a Board to continue to listen and take those views into account at every stage. Recognising the fragility of our services and the risk this poses every day, we do not intend to make changes at Glangwili or Withybush Hospital before a new hospital is built. And afterwards, they will continue to provide valuable health services to our communities.”

Protests have gone on for years: Cardiff in 2014

The health board will now work closely with Hywel Dda Community Health Council to develop a consultation plan to hear people’s views on the three remaining sites, one in St Clears, and two in Whitland.

Campaigners say that moving care out of county puts adults and children at risk of poor outcomes or even death. It wastes crucial time, when time is not on our side.

A campaigner told The Herald: “We have 125,000 residents and millions of tourists.

“By implementing the downgrades, HDUHB, will be knowingly putting their lives at risk.

“We re-iterate, we are a rural, widespread county, with poor roads and public transport network.

“Refinery, gas plant, ferry ports, firing range, extreme sports, plus one of the most dangerous professions: farming.

“HDUHB may infer that the “Golden Hour” is no longer relevant, with better equipped ambulances and better trained staff, but that is dependent on an ambulance being available to help & give that immediate care.

“That is increasingly not the case, as ambulances fail to attend, as they are being sent out of county, unable to offload and unable to return to county, to give the help needed.

“It is an awful feeling to know that if our relatives or our children have a life threatening asthma attack, epileptic episode, or other time critical issue, within the new plans, they are unlikely to get to help and survive.

“HDUHB have said they will make no guarantee that Urgent Care would remain in Withybush General Hospital until (and if), a new build is up and running! That is unacceptable.

“HDUHB should commit to rigorous recruitment policies, to keep WGH Urgent Care fully staffed.

“We have lost faith and trust in HDUHB and do not believe that they are working in the best interests of Pembrokeshire.”

Community

Anzac Day commemoration service held in Milford Haven

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IN a service held on Sunday (Apr 28), the Milford Haven Branch of the Royal British Legion led a poignant commemoration service to mark Anzac Day, honouring the valor and sacrifices of the Australian and New Zealand Army Corps (ANZAC) during the Gallipoli campaign in World War I.

The service, which took place at 11:00am, on Hamilton Terrace, Milford Haven, witnessed a significant turnout.

Attendees included members of the Australian Signals and Signal Company as well as representatives of Milford Haven Town Council and the Milford Haven Sea Cadets.

The service commenced with a welcome and introduction by Lt Col Warren Coetzer, followed by a rendition of the National Anthems of Australia, New Zealand, and Wales, embodying a spirit of unity and remembrance. The anthems were a moving tribute to the camaraderie and international bonds formed in times of conflict.

ANZAC service: Remembering soldiers who fought bravely (Pic: MHTC)

During the service, the Ode of Remembrance was recited, a profound moment that prompted reflection on the courage and fellowship of the ANZAC forces.

The emblematic Rising Sun Cap Badge and the Union Flag were prominently displayed on the event programme, symbolising the service and sacrifice of those who served under them.

Local dignitaries laid wreaths, and a two-minute silence was observed, offering a chance for personal reflection on the cost of war and the price of peace.

Sea Cadets and member of the public at the service (Pic: MH Sea Cadets)

The commemoration concluded with a prayer for peace, leaving the attendees with a message of hope and a renewed commitment to the values for which the ANZAC soldiers bravely fought.

The service was not just a remembrance of past sacrifices but also a reminder of the enduring spirit of the ANZACs, which continues to inspire and guide future generations.

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Community

Survey of Picton Castle reveals groundbreaking medieval architecture

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THE first ever detailed architectural survey of Picton Castle, Pembrokeshire, has revealed a medieval castle ahead of its time in terms of design and high status living. Much altered in the Georgian period, the castle was surveyed by the author, Neil Ludlow, with Phil Poucher of Heneb – Dyfed Archaeology (formerly Dyfed Archaeological Trust) and funded by the Castle Studies Trust: it reveals a sophisticated building fit for royalty.

However, the building was actually built between 1315-20 by a senior royal government official called Sir John Wogan, who held office in Pembrokeshire, Northern England and Ireland and possibly fought on a military campaign in Gascony.

While outwardly it retains much of its medieval flavour, the interiors were extensively made over during the eighteenth century so that it now presents itself first and foremost as a Georgian country seat. But beneath this veneer, much medieval work still survives – though a lot of it is tucked away behind stud-walls, in cupboards, or is otherwise obscured.

Picton’s unique layout makes it a castle of great importance and architecturally ground-breaking for when it was built in the early fourteenth century. Most castles have at least some close parallels, but Picton is effectively one of a kind. Close study shows that it resolves as a central first-floor hall, flanked by services and a chamber-block to form a very early example of the three-unit ‘H-plan’ house.

The gatehouse – unusual in buildings of this kind – led onto an equally unusual ‘grand stairway’ to the hall; a second ground-floor entry probably led to an external kitchen and bakehouse.

The castle’s spatial disposition, access and circulation are meticulously planned, while the domestic appointments show a remarkable level of sophistication for the period, including what appear to be vertical serving-hatches between the ground floor and the service rooms above. At second-floor level, the east towers and gatehouse form two integrated suites of residential apartments either side of a chapel, in a manner firmly rooted within royal planning. The opposite pair of towers, at the west end, seem to have been united internally to form a residential chamber-block, for Wogan’s officials and guests, possibly served by latrines in the former west tower; the present partition walls are later.

Neil Ludlow told The Pembrokeshire Herald: “The enigmatic castle at Picton in Pembrokeshire is best-known for its magnificent Georgian interiors. But beneath this veneer is a medieval castle, from around 1315-20, with a unique layout. A towered hall-block with a pioneering ‘H-plan’, it reveals elements derived from royal planning, and sophisticated domestic arrangements including serving hatches between the floor levels. These innovations show it to have been a castle that was ahead of its time.”

Castle Studies Trust Chair of Trustees Jeremy Cunnington added: “The Castle Studies Trust is delighted to have funded the first ever detailed survey of Picton Castle and to have learned so much more about the medieval form of this unique building.”

Dr Rhiannon Talbot-English, Director at Picton Castle Trust told this newspaper: “Picton Castle has always been something of an enigmatic mystery: hidden gothic alcoves and arches, secret spiral staircases and untouched medieval Undercroft. Picton Castle Charitable Trust is extremely grateful to the Castle Studies Trust for its generous financial support which has enabled this research to be undertaken and we look forward to sharing this new knowledge with the public in a new exhibition about the early castle.”

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Solemn tributes at Freshwater West for WWII maritime tragedy

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IN an emotional gathering at Freshwater West, Pembrokeshire, the public and veterans convened on April 29, to honour the memory of the 85 souls lost in the tragic sinking of Landing Craft, Gun (LCG) 15 and LCG 16 during a brutal storm in April 1943.

The memorial service took place near the scenic, surf-popular beach, where the community assembled to reflect on the calamity that struck during a perilous wartime operation.

The service highlighted the sacrifices made by those aboard the LCGs, as well as six valiant crew members from the HMS Rosemary, who perished while attempting a daring rescue amidst the tempest.

Originally designed as Landing Craft, Tanks (LCTs), LCG 15 and LCG 16 were converted at Belfast’s Harland & Wolff shipyard to support amphibious operations by equipping them with heavy artillery.

Their redesign included the installation of two 4.7 inch guns intended for use during D-Day, suggesting that, had they survived, these crafts and their crews could have played a pivotal role in the Normandy Landings.

The crafts were en route to Falmouth when they encountered severe weather off the coast of Freshwater West.

Compounded by their flat-bottomed design, which was ill-suited for rough seas, both vessels tragically succumbed to the stormy conditions.

Denied shelter at Fishguard, they were compelled to continue towards Milford Haven, a decision that ultimately led to their sinking.

Today, the wrecks of LCG 15 and LCG 16 lie as protected war graves, and a poignant memorial stands overlooking the beach, a testament to the bravery and enduring legacy of the men lost to the sea.

Visitors to the memorial site at Freshwater West, which also hosts another commemorative marker at Thornton Cemetery in Milford Haven, can reflect upon the harrowing experiences faced by wartime naval personnel and the profound impact of their service.

The event served not only as a remembrance but also as an educational experience, particularly for younger generations unaware of the perils faced by their forebears during such tumultuous times.

The memorial at Freshwater West remains open to the public, offering a place for contemplation and respect, against the backdrop of one of Wales’ most beloved surfing beaches, where the echoes of history resonate with the sounds of the waves.

Pictures by Martin Cavaney

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