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Plans to out-source services announced

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Hywel-Dda-Health-BoardHYWEL Dda Health Board announced this week possible plans to out-source out of hours GP and triage services to private company Primecare, who already provide the same service in Carmarthenshire.
It has been reported that there was a risk that should the proposal go ahead then there was the potential for twelve part-time contracts to be adversely affected, possibly resulting in job cuts.
However, speaking to The Herald, a spokesperson for the Hywel Dda Health Board said that this was not the case, and that they were ‘still looking at options and had no idea how many people, if any, it would affect at this time’, should it go ahead.
A spokesperson for the Health Board said: “Currently there are two separate GP out of hours services provided in Hywel Dda. Pembrokeshire and Ceredigion’s call handling and triage service is provided in-house and Carmarthenshire’s by the private sector. Both services provide NHS face-to-face treatment centres and home visits consultations. The Health Board is exploring the possible benefits of developing a three counties GP out of hours call handling and triage service for Hywel Dda as we aim to provide a more consistent and efficient service for all our patients”.
When asked about the potential for a decrease in efficiency, as well as the fear of greater waiting times, the spokesperson continued: “We strongly believe this approach will offer improved patient choice and speed up home visits that could result in a reduction of calls to 999 and admission to hospital.
‘’The Board has a duty to consult with, and support, any staff affected by the proposed change and will do so when we are confident that this change will improve out of hours access for our patients. We would also like to take this opportunity to reassure the public that the Board will work with our clinicians to ensure that this change will improve the service provided before any decision is made.”
Mid and West Wales AM, Joyce Watson issued this statement to The Herald: “While I support Hywel Dda’s intention to speed up home visits and reduce unnecessary hospital admissions, in exploring options for GP out of hours services, patient care must remain the absolute priority.
‘’The potential impact on staff must also be seriously considered. I will be seeking meetings with Board representatives to discuss these proposals in greater detail.”
Paul Davis, AM member for Preseli Pembrokeshire, had this to say: “It’s right to consider how out of hours services can be delivered more effectively to meet patient demand and avoid putting patients through the sometimes distressing experience of an unnecessary visit to A&E. I welcome the Health Board’s commitment to engage positively with staff and patients and I hope that health bosses will listen to their views and act accordingly.”
Plaid Cymru AM, Simon Thomas, said: “Plaid Cymru has tabled a question to the Health Minister on this issue because of local concerns.
‘’More people could end up going to A&E if the service is not up to scratch. The danger is that private firms may cut costs by not employing staff as well trained as those currently serving local people.
‘’The recent Plaid Cymru brokered budget deal with the Welsh government means that Hywel Dda and the local council could bid for up to £8m from the Intermediate Care Fund to provide alternatives to people going to hospital and to encourage independent living.”
Primecare, founded in 1997, claim that they lead the way in the development of regular quality reporting for commissioning organisations, and are the first independent health care provider to have developed ‘this unique reporting system which allows regular, transparent reporting of both national and locally agreed quality indicators’.

Climate

Pembroke tidal flood defence work to continue to January

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SIGNIFICANT issues with a part of Pembroke’s tidal barrage are not expected to be fully fixed before late January, councillors heard.

Pembroke councillors Aaron Carey and Jonathan Grimes submitted an urgent question heard at the December meeting of Pembrokeshire County Council, which said: “In light of the repeated flooding events across the county – including the recent overflow at Castle Pond and the acknowledgement by your own Coastal, Rivers & Drainage Team that the barrage tipping gate remains inoperable until mid-January can you explain what assessment has been made of the adequacy of our tidal outfall infrastructure in the face of current and projected future storm surges and sea-level rise?

“If no such assessment has yet been undertaken, will you commit now to commissioning an immediate structural and risk-capacity audit, with a report to full council within three months, and with proposals for funding any remedial works required — to avoid recurring damage and disruption to residents, highways, and public amenities?”

Responding to the urgent question, Cabinet Member for Residents Services Cllr Rhys Sinnett said a significant assessment of the Pembroke Tidal Barrage had already been undertaken over the past two years, with regular inspections.

He said “a comprehensive package of works” began in September which were due to be completed before Christmas but said there had been “significant issues” with the tipping gate hydraulic ram, with a significant overhaul now taking place, with reinstatement expected by late January.

He told members additional mitigation measures were now in place and, once works are completed, enhanced works will provide improved resilience and “long-term reliability,” with further reports due to come to Cabinet.

Cllr Carey and Cllr Grimes had also submitted a notice of motion saying: “That this council notes with concern the repeated and increasingly severe flooding experienced in our coastal, estuarial and river-fringe communities over recent weeks — in particular the flooding events affecting the Commons/Castle Pond area.

“That the council further notes that, according to correspondence from the Coastal, Rivers & Drainage Team Manager, the tipping gate at the barrage remains out of operation until mid-January due to mechanical issues; meanwhile high tide, heavy rain, wind-driven tidal surges and overspill at the sluice have combined to overwhelm the drainage/outfall infrastructure.

“That we recognise the current maintenance schedule (delayed ‘til after the summer season) and the justification given — but further that such planning failed to foresee the likelihood of severe winter storm and surge events, which climate change makes more frequent and more intense.

“That this council therefore calls on the Cabinet to commission an urgent review of:

  • The adequacy of the current drainage/outfall and tidal-sluice infrastructure (barrage tipping gate, sluice/sluice-valve, flap valve, outfall capacity) for current and projected climate/tide conditions.
  • The maintenance scheduling policy for coastal and estuarial flood-risk assets, with a view to ensuring critical maintenance is completed before winter high-tide / storm-surge season, rather than — as at present — being delayed until after summer for ‘recreational / biodiversity’ reasons.

“That, pending the outcome of the review, the council should allocate appropriate emergency capital funding to remediate the barrages / sluices / outfalls at risk of failure or blockage — to safeguard residents, properties, highways and public amenities from further flooding.

“That, further, this council resolves to publish a public flood-resilience plan for the county, identifying all coastal and river-fringe ‘hotspots,’ maintenance schedules, responsible teams, and a transparent timeline for upgrades or remedial works — so residents have clarity and confidence in flood prevention measures.”

The notice of motion itself will be considered by the council’s Cabinet at a later date.

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Community

Community gathers to remember Corrina Baker

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Lanterns and balloons released in emotional acts of remembrance

FAMILY, friends and members of the local community came together to remember Corrina Baker at a series of moving events held across west Wales this week.

Corrina’s funeral took place on Monday (Dec 15), a month after her death, with a public service held at St Mary’s Church. Mourners lined the route as her coffin was carried on its final journey in an elegant horse-drawn carriage, before a private cremation later took place at Parc Gwyn crematorium in Narberth.

Later that evening, shortly after 6:00pm, friends and relatives gathered at the Quayside in Cardigan for the first of two acts of remembrance to celebrate her life. Lanterns were lit and released into the night sky above the town as some of Corrina’s favourite songs were played.

On Tuesday afternoon (Dec 16), a second tribute was held near the location where Corrina was found. Twenty-one pink balloons — one for each year of her life — were released into a clear blue sky, each carrying personal messages in her memory.

Floral tributes continue to be laid at the Netpool, while a GoFundMe appeal set up in Corrina’s memory has raised more than £2,300. She has been described by those who knew her as “funny and bright”.

Dyfed-Powys Police have confirmed that their investigation into the circumstances surrounding Ms Baker’s death is ongoing. A 29-year-old man who was arrested on suspicion of murder has been released on bail while inquiries continue.

(Photos: Stuart Ladd/Herald)

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Community

Six untaxed vehicles seized in Milford Haven police operation

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SIX untaxed and abandoned vehicles were seized during a joint roads policing operation in Milford Haven on Tuesday morning.

Officers from the Milford Haven Neighbourhood Policing and Prevention Team (NPPT) worked alongside the Pembrokeshire Roads Policing Team as part of targeted enforcement across the town.

In addition to the vehicle seizures, a number of traffic offence reports were issued to drivers during the operation.

Police said the action formed part of ongoing efforts to improve road safety and tackle vehicle-related offences in the Milford Haven area.

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