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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.”

Health

Welsh Government ‘utterly failing’ on waiting lists

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PLAID CYMRU has called for action to tackle the NHS backlog, accusing Labour of “utterly failing” and leaving more than 620,000 people languishing on long waiting lists.

Mabon ap Gwynfor, the party’s shadow health secretary, warned waiting lists have hit record highs in every month since March, including each month of the First Minister’s time in office.

He said: “And what’s been the response of this [Welsh] Government? Firstly, to blame everybody else: blame the patients, blame health managers, blame royal colleges, blame everybody and deny responsibility.

“After 25 years of governing, they decided to go on a listening exercise and hear people telling them what they should have known years ago.

“Then, each month leading up to Christmas, a new strategy was put in place, and each month, the numbers on waiting lists were increasing.”

Plaid Cymru MS Mabon ap Gwynfor
Mabon ap Gwynfor, Plaid Cymru’s health, social care and housing spokesperson

Leading a Plaid Cymru debate, Mr ap Gwynfor pointed to his party’s five-point plan to tackle NHS waiting lists which was unveiled this week.

His colleague Sioned Williams raised the “alarming” rise of the use of private health care, warning deep-rooted inequalities are becoming increasingly stark.

Accusing Labour of eroding Aneurin Bevan’s vision for the NHS, she said statistics show a 77% rise in admissions to private hospitals in Wales over five years.

Ms Williams added: “58% of Welsh people have either accessed private health care or know friends or family who have done so, which is higher than the UK average.”

Llŷr Gruffydd, a fellow Plaid Cymru Senedd Member, said: “Now, the situation in north Wales, in my region, is frightening, if I’m honest…. There is a whole generation of children and young people with conditions such as ADHD and autism being let down.”

James Evans, the Conservatives’ shadow health secretary, warned the NHS is in crisis, with more than 23,000 people waiting at least two years for treatment.

“This isn’t just inefficiency,” he said. “It’s a symptom of a deeper problem and the chronic underfunding and neglect of our social care system.”

Mr Evans called for an independent review of NHS Wales to “fix a system that has been broken by years of Labour mismanagement”.

Conservative MS James Evans
Conservative shadow health secretary James Evans

Russell George, who chairs the Senedd’s health committee, raised concerns about Powys health board’s “ridiculous” proposals to balance its books.

The Tory said: “In Shrewsbury or Telford hospital, a Welsh patient could be sitting talking to a consultant and the consultant tells them, ‘We’ve got capacity to see you. We would see you if you were an English patient but we’re not able to because Powys is not able to pay.’”

Labour’s Buffy Williams said years of chronic underfunding from successive Conservative UK Governments has been catastrophic for the Welsh NHS.

Jeremy Miles, who was appointed health secretary in September, pointed to signs of progress on the Welsh Government’s priority of reducing the longest waiting times.

Health secretary Jeremy Miles
Health secretary Jeremy Miles

He told the Senedd the number of people waiting more than two years has reduced by two thirds since 2022, with 3% waiting at least two years compared with 10% at the peak.

Mr Miles said: “The health service is making progress despite the increasing demands upon it but there is much more to be done in order to ensure that people are treated sooner.”

Following the debate on January 15, Senedd Members voted 39-11 against the Plaid Cymru motion before the Welsh Government’s amended version was agreed, 26-24.

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Health

Senedd Members criticise ‘appalling’ cancer delays

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SENEDD Members quizzed Wales’ health secretary after a damning report revealed “alarming” shortcomings in cancer services, including a lack of leadership.

James Evans, the Conservatives’ shadow health secretary, said this week’s Audit Wales report laid bare chronic mismanagement of cancer services.

Questioning his opposite number Jeremy Miles, Mr Evans told the Senedd: “This failure has caused widespread confusion and inefficiencies in patient care.

“Despite a staggering 54% real-terms increase in spending on cancer services over the past 13 years, the NHS in Wales continues to miss the target for starting cancer treatment.

“Leadership failures have resulted in shocking delays for patients, with some waiting over 100 days to begin treatment. These delays exacerbate anxiety and lead to poorer survival rates, which are already worse in Wales than any other nation across the UK.”

Conservative MS James Evans
Conservative MS James Evans

He urged the Welsh Government to fix a leadership vacuum, dismantle bureaucratic silos and ensure patients no longer face appalling delays that cost lives.

Mr Miles welcomed the report, recognising the picture painted by the auditor general that too many people are waiting too long for treatments they should be getting faster.

The health secretary said: “It is true to say for a number of cancers in a number of parts of Wales those targets are being met and sometimes being exceeded quite significantly.

“But the overall picture, I accept, is that targets are not being met.”

Mr Evans, who represents Brecon and Radnorshire, warned of workforce planning failures, severe staff shortages, over-reliance on agencies, and recruitment and retention problems.

He said: “These staff shortages are directly delaying cancer diagnosis and treatment, worsening outcomes for patients.

“Despite repeated warnings from organisations like the Wales Cancer Alliance, the Welsh Government has failed to deliver a comprehensive workforce strategy.”

Mr Miles pointed to a 27% increase in workforce numbers, adding that Wales is not the only country to have difficulty recruiting to certain disciplines such as radiology.

The health secretary agreed about the “unsustainable” reliance on agency staff.

Mr Evans added: “There is becoming an outrage in the public about the ballooning number of managers across the NHS compared to frontline health care providers.”

He suggested overall increases in the workforce – from 72,000 to 91,000 between 2014 and 2023 – have not addressed frontline clinical shortages.

“Shockingly, administrative and estate staff have increased by 51% in that time,” he said.

Mr Evans asked: “After 26 years, how can the Labour Welsh Government justify the bloated expansion of administrative roles while patients face unacceptable delays for treatment due to a lack of frontline staff?”

Mr Miles replied: “The member makes an easy point, and a populist point, but the truth is a complex healthcare system requires people who are competent….

“There has been an increase in recruitment to the NHS across all disciplines and all important roles which enable the NHS to be effectively run.”

He added: “A world view which suggests that managers and those running the NHS simply should be taken out of the system, I think, is a very naive perspective.”

Plaid Cymru MS Mabon ap Gwynfor
Plaid Cymru MS Mabon ap Gwynfor

Mabon ap Gwynfor, Plaid Cymru’s shadow health secretary, also led on the scathing Audit Wales report during health questions on January 15.

He urged the minister to back his party’s proposed reforms of NHS governance.

Mr Miles said November’s report “echoed” a statement he gave in the Senedd and a speech he made two weeks earlier.

He told the chamber: “I was very pleased to see the kind of fresh thinking I was seeking to bring to the challenges which we face was agreed to by Plaid Cymru.

“And I see the same thing in the plan that was published … yesterday in relation to tackling waiting lists.”

Mr ap Gwynfor hit back: “That’s a disappointing response because you seem to be in complete denial about the problems in the health service.”

The Dwyfor Meirionnydd Senedd Member called for a guarantee that a target for 80% of all cancer patients to receive treatment within 62 days by March 2026 will be met.

He warned that the quality and accessibility of health data is “not up to scratch”, with Public Health Wales “fundamentally hamstrung” in its ability to project future demand for services.

He said: “The Wales cancer registry is meant to provide timely data on cancer incidence … but it hasn’t published validated cancer data since 2021, shamefully this means Wales can’t fully take part in essential national cancer audits … nor global studies.”

Mr Miles replied: “We have actually improved the publicly available data and we publish on a monthly basis about 18 pages of cancer treatment statistics, so that they can be scrutinised.

“We do want to improve transparency further.”

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Health

Wales to take part in largest ever UK wide pandemic response exercise

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Wales will take part in the largest ever UK wide pandemic response exercise this Autumn.

The commitment is part of the Welsh Government’s comprehensive response to the UK Covid-19 Inquiry’s first module published today, which examined the nation’s preparedness and resilience prior to the pandemic.

The response outlines the significant steps already taken to strengthen Wales’ emergency preparedness.

First Minister Eluned Morgan said: “Our priority is to keep the people of Wales safe. We are committed to learning lessons from the pandemic and building on the existing foundations to ensure Wales is prepared for future emergencies.

“Over the past six months, we have worked with other devolved governments and the UK Government to carefully consider and begin the progress of implementing these important recommendations from the inquiry.

“We have taken action to improve our emergency response capabilities and will continue to build on this.

“This will include Wales playing a full role in the major exercise this Autumn to test the UK’s capabilities, plans and procedures to prepare for possible future pandemics.”

A new group is being established – the Wales Coordination Group – to oversee the planning and participation of Wales in the exercise. It will have representation from all key organisations involved at the national and local level, in recognition of the broad scope of the exercise.

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