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Health

Possible super-hospital plans released as Pembrokeshire site ruled out

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HYWEL Dda Health Board have reduced the number of potential sites for the new “super-hospital” in West Wales from five to three. 

The new site has been narrowed down to two possible locations in Whitland or one in St Clears.

According to the plans provided in Hywel Dda’s technical appraisal reports, all sites will include a main building divided into planned and urgent care, as well as a separate facility for mental health services. Parking, administrative facilities, and a helipad are also planned.

Site 12 in Whitland
Travel time analysis for population to site 12

The potential Narberth site is no longer being considered, meaning that the new hospital would be built outside of Pembrokeshire.

Hywel Dda presented the findings of a “transport infrastructure analysis,” stating that both sites had bus services that are “infrequent” and “short,” making shift work difficult.

Plan for ‘site C’ in Whitland
Travel time analysis for population to ‘site C’

For Whitland, it noted that there was an approximate 750m walking distance from the train station to the hospital site, with recommended walking distance of 400m, and that local roads do ‘not appear’ to suffer from significant congestion during a typical weekday. 

In St Clears, the report highlighted the impact a planned new railway station – expected to open in 2024 – could have on the town, saying it would be a ‘major boost’ to the area providing viable alternative car travel, with it being understood there is a commitment to increase the frequency of services at some stations along the west Wales line from two hourly to hourly.

Plans for ‘site 17’ in St Clears
Travel time analysis for population ‘site 17’ in St Clears

After it was announced that Narberth would not be the site of the new hospital, Hywel Dda University Health Board Chair, Maria Battle, assured the residents of Pembrokeshire that their concerns would be taken into account.

“Our programme business case to the Welsh Government is seeking the greatest investment west Wales will have ever seen,” said Ms Battle.

Ambulance times to Whitland, Bronglais Hospital and Morriston Hospital (Welsh Ambulance Service travel time analysis June 2022)
Ambulance times to St Clears, Bronglais Hospital and Morriston Hospital (Welsh Ambulance Service travel time analysis June 2022)

“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.

“Recognising the fragility of our services and the risk this poses every day, we do not intend to make changes at Glangwili or Withybush hospitals before a new hospital is built. And afterwards, they will continue to provide valuable health services to our communities.”

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Health

Extra funding to upgrade NHS Wales digital services and equipment

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THE NHS will benefit from £10m in additional capital funding to upgrade scanning equipment and digital infrastructure.

The funding package includes:

  • £5m for digital services to modernise elements of the IT infrastructure and support the provision of modernised and efficient patient care.
  • £1m to upgrade MRI scanners.
  • £1.3m for ultrasound scanning equipment.

The extra funding is being made available today as the Welsh Government publishes its second supplementary budget – an annual, end-of-year budget, which formalises changes made during 2023-24.

This year, the second supplementary budget includes changes the Finance Minister announced in October 2023 to provide additional support to the NHS and Transport for Wales.

The Welsh Government provided additional in-year support of £425m to the NHS and £125m to Transport for Wales to help meet increased cost pressures and, in the case of health boards, rising demand.

The second supplementary budget also details some of the additional funding made available to Wales as a result of decisions made by the UK Government to increase spending in devolved areas.

But notification of the additional consequential funding has come too late to be spent in this financial year. The additional revenue and capital funding will be put into the Wales Reserve for use in 2024-25 and 2025-26.

As the figures were published, Rebecca Evans, Minister for Finance and Local Government said:

“The UK Government confirmed the final sums last week, leaving us only one week to allocate additional funds.
“I’m pleased that we have been able to direct much-needed funding to maintain the fabric of our NHS.

“But at a time when public sector budgets have been squeezed so tightly, this is another example of why we need greater borrowing powers to be able to respond quickly to emerging needs.

“Unlike the UK Government, we cannot borrow to fund day-to-day spending so we are dependent on Barnett consequentials which often come late in the year and with little or no notice.

“As it is, we have been forced to plan based on best guesses about what we will receive from the UK Treasury – this is simply not acceptable.”

Eluned Morgan, Minister for Health and Social Services added:

“This additional capital funding, together with the in-year revenue funding is welcome.

“But the NHS is facing the toughest financial pressures in recent history due to inflation and increased demand in both planned and emergency care. Health boards have had to make some very difficult decisions despite the additional injection of funding over and above their allocated budgets.”

The supplementary budget is due to be debated on Tuesday 12 March, after the Welsh Government’s Final Budget 2024-25 on Tuesday 27 February

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Health

New X-ray equipment plan at Tenby Cottage Hospital revealed

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X-RAY services at Tenby Cottage Hospital are to receive a major boost thanks to an investment of £625,000 in brand new equipment which is being installed at the Hywel Dda Health Board-run site over the next few weeks.

The equipment, funded by Welsh Government, will allow the unit not only to provide the highest quality images but will also mean patients with reduced mobility or advanced clinical needs can be more easily accommodated.

However, in order to install the new equipment, x-ray services will be temporarily unavailable in Tenby Cottage Hospital until Friday, 19April 2024.

Over the next few weeks, imaging for GP patients will be provided on an appointment only basis at South Pembrokeshire Hospital in Pembroke Dock between 9-5pm.

Patients attending the Minor Injuries walk-in centre can still attend Tenby Cottage Hospital but may be sent to Withybush if an x-ray is required. Alternatively, patients can choose to attend Withybush Emergency Department directly.

John Evans, Pembrokeshire County Director for Hywel Dda said: “We are delighted that Tenby Cottage Hospital will be receiving brand new and up to date x-ray equipment thanks to this investment from Welsh Government.

“We apologise for any inconvenience caused over the short period of time while the equipment is being installed but look forward to providing an improved level of care for Tenby community patients into the future.”

Patients needing further help or information should contact the radiology departments at Withybush Hospital on 01437 773385 or South Pembrokeshire Hospital on 01437 774018.

The health board is reminding people not to attend busy A&E departments unless they have a critical, life-threatening emergency and asking people to choose their healthcare services very carefully, so that only people with urgent or emergency care needs are being seen in A&E. 

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Health

NHS facing unprecedented winter pressures amid record demand

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THE NHS in Wales has been facing significant challenges this winter, with an exceptionally high number of emergency calls and delays that have put immense pressure on its staff and resources, according to the latest activity and performance statistics.

In January, the ambulance service received 5,009 red (life-threatening) calls, accounting for 13.9% of all calls. Despite a slight decrease from December, with an average of 162 life-threatening calls per day, this figure remains the third highest on record. The response times for these urgent calls have also been under scrutiny, with 48.8% of red calls receiving an emergency response within eight minutes, marking the second highest achievement for this metric. The average response time for these calls was 8 minutes and 11 seconds.

The performance data also revealed that approximately 27,000 hours were lost due to handover delays at hospitals, highlighting the systemic pressures faced by the health service. Despite these challenges, nearly all health boards came close to meeting the target for 97% of patient pathways waiting less than two years by 2024, missing it by a mere 0.03%.

Nesta Lloyd-Jones, Assistant Director of the Welsh NHS Confederation, commented on the impact of the winter pressures and the exceptional demand on NHS services. “The monumental efforts of our staff have led to some improvements, such as a decrease in the number of people waiting the longest for treatment in December. However, the progress is threatened by the junior doctor strike action in January and February, which has led to a significant number of planned care procedures being postponed.”

Lloyd-Jones stressed the need for comprehensive planning and significant investment in NHS infrastructure and social care to ensure the health service can continue to improve and meet the demands placed upon it. “Good planning alone is not enough. Without significant capital investment and a whole-nation approach to health and wellbeing, alongside substantial changes to social care funding and provision, the progress of NHS leaders will be limited.”

The Welsh NHS Confederation, which represents the seven local health boards, three NHS trusts, and other health organisations in Wales, has been vocal about the challenges faced by the NHS and the need for strategic investment and support to navigate through these difficult times.

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