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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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Haverfordwest interchange: Next stage of £19m project backed

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The second stage of building Haverfordwest’s near-£19m transport interchange has been backed, with senior councillors hearing it could cost the council more to not support it.

The transport interchange, which includes an integrated bus station and construction of a new multi-storey car park, is part of a wider series of regeneration projects in the county town.

The total cost of the scheme in the approved budget is £18.881m, £1.987m from Pembrokeshire County Council; the remainder, £16.894m, from an already-awarded Welsh Government grant.

To date, £3.425m has been spent on advanced works, including the demolition of the old multi-storey car park and a temporary bus station.

Members of Pembrokeshire County Council’s Cabinet, meeting on April 22, were recommended to approve the award of the Stage 2 construction contract for the Haverfordwest Transport Interchange.

The report for members listed two simple options for Cabinet, to authorise the award of a contract, recommended, or to not.

For the latter it warned: “It is envisaged Welsh Government will withdraw the funding awarded and the council would need to repay grants received to date; £10.322m has been received to date of which £3.376m has been offset against expenditure.”

It added: “Cost to cease this project could cost PCC more in terms of grant repayment and any capital work required to make good. PCC match contribution for the project is forecast as £1.987m of the £18.881m.”

Planning permission for the interchange was granted in 2022, with a temporary bus station constructed that year and the old multi-storey building demolished in 2023.

That year, members of the county council’s Cabinet agreed a temporary car park will be sited on the demolished remains of the old multi-storey car park until the Haverfordwest Public Transport Interchange – delayed as no compliant tender had been found at the time – is built.

Speaking at the meeting, Deputy Leader Cllr Paul Miller said: “The interchange is an important part of the regeneration of Haverfordwest, it will not regenerate Haverfordwest on its own, it is part of a wider process. The alternative to us being engaged is we simply allow it to decline and fail.”

He said the interchange was about “making it easier to visit Haverfordwest,” making parking provision “really straightforward, making it easy and convenient as possible”.

Cllr Miller said not progressing with the scheme would risk the grants already obtained, meaning the council could potentially foot the bill for costs to date, at a greater level than progressing.

He said the cost options were a near-£2m subsidised council involvement for the whole scheme or the £3m-plus spent to date if the scheme was ended, which would leave the car park as it is now.

“It’s pretty reasonable that if they give us the money and we don’t build a transport interchange they’ll be looking for that money back,” Cllr Miller said.

He said previous figures from parking revenue – back in 2019 – amounted to £100,000 a year; and could be expected to at least double on a “like-for-like” basis following the increase in parking charges.

Members, after a private and confidential session over the actual contract details, agreed to proceed with the scheme, awarding the contract to Kier Construction Western and Wales.

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Charity

RNLI prepare for summer with medical training exercise in Pembrokeshire

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RNLI lifeguards from the north Pembrokeshire team, volunteers from St Davids RNLI and St Davids Coastguard Rescue Team came together at Whitesands beach on Thursday (18 April), for a multi-agency medical training exercise. Pembrokeshire RNLI lifeguards and St Davids volunteer lifeboat crew took part in a multi-agency medical training exercise alongside St Davids Coastguard Rescue Team in preparation for the upcoming summer season.

The Coastal Medicine programme was set up six years ago at the suggestion of clinicians from Hywel Dda University Health Board. The aim of the programme is train lifeguards, lifeboat crews and HM Coastguard teams in working collaboratively when responding to medical incidents on the coast.

Clinicians from Hywel Dda work with RNLI staff to design exercises simulating mass-casualty incidents on land and afloat. The exercises allow lifeguards, lifeboat crews and Coastguard teams to practise and test their rescue response and casualty care.

The simulated incident at Whitesands involved a medical incident at sea leading to a boat going out of control and ploughing through a group of swimmers causing multiple injuries. RNLI lifeguards responded to casualties on the beach while St Davids inshore and all-weather lifeboat crews dealt with the situation at sea. St Davids Coastguard Rescue supported RNLI colleagues as they would in a real-life scenario.

In total there were six casualties to treat, all of whom were given the immediate medical care by the teams on scene. As in a real-life scenario, they were then prepared to be handed over to the care of the Ambulance Service.

Roger Smith, RNLI Area Lifesaving Manager said: ‘The scenario was based on a real-life incident, it’s so important that we train in dealing with challenging situations.

‘The RNLI lifeguards, lifeboat crew, and the Coastguard rescue team worked really well together collaborating together to achieve the best possible result.

‘The feedback from all the participants was really positive, and our medical colleagues were very complimentary about the competence shown and the inter-agency co-operation.

‘This scenario training gives confidence to our lifeguards and lifeboat crews, and ensures the teamwork and communication is already in place ready for real-life incidents.’

Martin Charlton, an RNLI lifeguard in north Pembrokeshire said:

‘Last night’s exercise was a great opportunity for me and my colleagues on the lifeguard team to upskill ahead of the summer season.

‘We regularly attend incidents in the season that require a multi-agency response. These scenarios are a brilliant opportunity to prepare for the the most challenging situations.

‘The team and I thoroughly enjoyed the exercise and feel better prepared for the season as a result.

‘It’s always a pleasure working alongside the Coastguard rescue team and the lifeboat as one crew.’

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Crime

Brian Davis: Wanted on suspicion of commercial burglary

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POLICE are appealing for information to find Brian Davis, from the Pembroke Dock area.
The 53-year-old is wanted on suspicion of commercial burglary and fail to appear at court.
Have you seen Brian, or do you have information that might help us find him? Please, let the police know:
🖥️ | https://orlo.uk/wr13X
📧 | [email protected]
💬 | Direct message us on social media
📞 | 101
Alternatively, contact the independent charity Crimestoppers anonymously by calling 0800 555111, or visiting crimestoppers-uk.org.
Quote reference: BRC818624

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