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Just how bad were Wales’ worst-ever ambulance waits?

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AMBULANCE response times have reached life-endangering heights as new data shows just how long Welsh patients are having to wait for one.
A Freedom of Information request from Senedd Conservatives uncovered a breakdown in ambulance response times for September 2022, revealing that 73 red-calls for life-threatening emergencies took over half an hour to be reached, with one taking over an hour.
30 of these occurred in North Wales’ Betsi Cadwaladr Health Board (HB), which is also where the hour-long wait occurred. Dyfed’s Hywel Dda HB had 17 patients waiting between 30 and 60 minutes.
That month saw only 50% of red-cells reach their patient within eight-minutes – the worst on record – against a 65% target set out by the Labour Government in Cardiff Bay, not reached for two years.
However, there was worse to come in relation to amber calls. These are not classified as life-threatening, yet include very serious conditions such as strokes.
4,046 amber patients had to wait over three hours to reach the scene for ambulances to reach the scene. Of these, 1,310 took over five hours, meaning 9% of amber calls in Wales took over 360 minutes to arrive at the scene.
This was most acute in North Wales, with 1,169 waiting over three hours, 423 of these waited over five hours. For other health boards, Gwent’s Aneurin Bevan HB recorded 753 amber calls taking over three hours, while four of the other five had 400-600 such waits.
The revelations come after a Welsh Conservative debate where they called for a Senedd committee to review stroke’s place as an amber-call ambulance category.
Commenting, Welsh Conservative Shadow Health Minister Russell George MS said:
“The crisis affecting Welsh hospitals extends far beyond the buildings themselves as a shortage of beds and staff means overcrowded A&E departments and queues of ambulances outside, resulting in unacceptably long waits for emergency vehicles, something people do not ask for lightly.
“None of this is the fault of hardworking ambulance technicians but poor planning from the Labour Government – do not forget that the last health minister said it would be ‘foolish’ to publish a plan for recovery while the pandemic was still on-going. Now we are all paying the price.
“To generate faster ambulance responses, we must tackle the causes of the delays at source – this means less congested A&E departments and making progress on the treatment backlog, where one-fifth of the Welsh population lie – with winter war rooms and surgical hubs.
“This is the cost of Labour, and now Mark Drakeford needs to get a grip on the NHS and stop breaking all the wrong records.”
Speaking exclusively to Herald.Wales, Welsh Conservative MS for North Wales Mark Isherwood said: “I think it’s quite chilling that people are effectively forced to make a choice between life-threatening longer responses with an ambulance and quicker responses such as driving people to hospital themselves.”
The head of the Welsh Ambulance Service, Jason Killens, said: “It is deeply frustrating for our clinicians to not be able to do the job they joined for and that is to respond quickly and to provide great care.
“I feel sad, I feel frustrated and I’m sorry.”
In response a Welsh Government spokesperson said: “The Welsh ambulance service keeps the prioritisation of calls under ongoing review to ensure patients continue to receive the most appropriate response, based on the latest clinical guidance.”
“While the initial ambulance response is a key part of ensuring a good patient outcome, the speed of access to specialist treatment is essential.
“We will continue to work with health boards, the Welsh ambulance service and partners to ensure there is rapid access to specialist services as well as reduced delays from the time a patient arrives at hospital.”

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County Hall lights up to mark Holocaust Memorial Day

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COUNTY HALL in Haverfordwest will be lit in purple on Monday January 27 to mark Holocaust Memorial Day.

This year Holocaust Memorial Day marks the 80th anniversary of the liberation of Auschwitz-Birkenau, and remembers the six million Jews murdered during the Holocaust and those killed in genocides that followed.

The theme of this year’s commemoration is ‘For a Better Future’ and focuses on what everyone can do to create a better future.

This includes speaking up against Holocaust and genocide denial, challenging prejudice and encouraging others to learn about the Holocaust and more recent genocides.

Pembrokeshire County Council Leader, Cllr Jon Harvey, said: “This year’s Holocaust Memorial Day is particularly poignant as we remember the moments that Auschwitz-Birkenau was liberated and the horrors of the Holocaust revealed to the world.

“We all have an opportunity to take action for a better future. A better future where people are not suffering prejudice or persecution because of their faith, ethnicity or other characteristic.”

Council Presiding Member, Cllr Simon Hancock added: “On Holocaust Memorial Day, we remember the Jewish victims of the Holocaust and all the others who suffered under Nazi persecution and the genocides that have followed.

“As we honour their memories, we also pledge to fight prejudice, discrimination, and antisemitism in society today.”

You can see more information on Holocaust Memorial Day at: https://hmd.org.uk/

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Pembrokeshire cottage extension expected to be refused

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PLANS adapt an outbuilding at a north Pembrokeshire cottage, which has had two previous extensions, to provide additional space for visiting family members are expected to be refused.

In an application recommended for refusal at Pembrokeshire Coast National Park’s development management committee meeting of January 29, Mr and Mrs Lewis seek permission for the park to allow habitable rooms in a consented building, along with a link to the existing dwelling at Lleine, near Moylegrove.

A supporting statemen through agent Harries Planning Design Management says: “This planning application follows a previously submitted planning application for extension to the dwelling and the rebuilding of existing outbuildings.

“It also follows a pre-application advice enquiry for an extension and to allow habitable rooms in the outbuilding and a refusal for an application of a similar nature.  Following the refusal, we met with officers at the [national park] offices in Pembroke Dock to discuss a way forward for this proposal given the reason is to enable relatives to stay with the family. We therefore have followed the advice of the officers and provided amended plans following their response.”

An officer report for planners says Lleine, on a minor coastal road linking Newport and Moylegrove, is a traditional single-storey cottage that has been extended on two occasions previously.

It adds: “This application seeks consent to allow habitable rooms in an outbuilding which previously gained planning permission, together with the erection of a link to the existing dwelling. The current application follows the refusal [of a previous application], which also sought consent to allow habitable rooms in the previously consented building, and the construction of a link to the main dwelling.

“It was considered by officers that the proposal represented an over-development of the original dwelling by introducing additional accommodation and built form over and above that which was granted.”

It says that while the revised proposal is smaller, “it is still considered that the further additional built form would be an over-development of the existing dwelling, which already been extended extensively”.

The application has been brought to committee consideration rather than decided by officers at the request of the local councillor.

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Crime

Dyfed-Powys Police tax bill could rise by nine percent

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THE POLICE part of the council tax bill in Dyfed and Powys is expected to rise by nearly nine percent, meaning the average household could be paying £360 for that element alone.

The overall council tax bill for residents in the counties of Pembrokeshire, Ceredigion, Carmarthenshire and Powys is made up of the county council element of the council tax, the Dyfed-Powys Police precept, and individual town or community council precepts.

In a summary before the January 24 meeting of the Dyfed Powys Police and Crime Panel, held at County Hall, Haverfordwest, Police and Crime Commissioner Dafydd Llywelyn calls for a raising of the precept by nearly nine per cent for the 2025-’26 financial year.

The summary says: “After extensive scrutiny by the Police & Crime Panel (P&CP), I was unanimously supported in setting a council tax precept for 2024/25 in Dyfed-Powys of £332.03 for an average band D property, once again being the lowest in Wales.

“At every stage within the series of precept and medium-term financial plan meetings, and indeed through my scrutiny and review of the in-year financial position, I critically question and constructively challenge aspects of the revenue budget requirement and organisational delivery structure to assure myself of the requirements, progress and ultimate delivery. I also undertook a series of challenge and scrutiny sessions specifically reviewing the Estates, ICT and Fleet Strategies and future capital programme.

“To inform my considerations for 2025/26 and to fulfil my responsibilities as Commissioner, I consulted with the public to obtain their views on the level of police precept increase. It was pleasing to see an increase in respondents since 2024/5 with 76 per cent supporting a precept increase above Nine per cent.”

It added: “I am painfully aware of the pressures that the cost-of-living crisis continue to put on our communities. There is a fine balance between ensuring an efficient and effective, visible and accessible Policing Service, addressing operational services demands to ensure the safety of the public, whilst also ensuring value for money for the taxpayers and sound financial management.

“Having undertaken a comprehensive process, I am confident in the robustness of this MTFP, but this does not underestimate the difficult decisions or indeed mitigate the financial challenges and uncertainties which are outside of our control.

“I therefore submit my precept proposal for scrutiny by the Dyfed- Powys Police and Crime Panel, which will raise the average Band D property precept by £2.39 per month or £28.65 per annum to £360.68, an 8.6 per cent increase. This increase will raise a total precept of £86.366m.

“This will provide a total funding of £153.304m, representing a £9.4m/6.5 per cent increase on the revised funding for 2024/25.”

For the individual council tax bands of A-I, the proposed levels, and increase on last year, are: £240.46 (+£19.10), £280.53 (+£22.29), £320.61 (+£25.47), £360.68 (+£28.65), £440.84 (+£35.02), £520.99 (+£41.39), £601.14 (+£47.76), £721.37 (+£57.31), and £841.60 (+£66.86).

Ceredigion is currently mooting a near-10 per cent increase in that element of the overall council tax bill.

Anyone paying a premium on council tax, such as second home-owners, also pay the premium on the police precept, meaning their bills for this element are proportionately higher.

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