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News

Out-of-hours surgery at Withybush Hospital ended due to ‘staff shortages’

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THE PEMBROKESHIRE HERALD has been contacted by several sources close to Withybush General Hospital expressing concern that the Health Board is withdrawing yet another important service – this time by stealth.

The Herald understands that staff have been asked not to talk about the changes, which were implemented on May 1.

Our source told us: “The Health Board have been using bullying tactics. The staff in certain parts of Withybush Hospital are aware of what I am about to tell you, but they are not allowed to tell anybody. “As of the start of this month Withybush has no longer got emergency surgery from 5pm. “No out of hours surgery will also mean no high dependency units or ICU beds at our hospital.”

Our source added: “Patients admitted after hours with any acute surgical issues will be transferred to Glangwili.”

However, the Health Board has responded to questions put to it by this newspaper this week, saying that although the changes have taken place they are temporary and down to staff shortages and long term sickness.

Andrew Carruthers, Hywel Dda University Health Board Executive Director of Operations, said: “A temporary change to emergency out-of-hours surgery at Withybush Hospital was introduced on 1 May 2023 in response to the fragility of the out of hours emergency on-call consultant rota.

“Mitigations are in place to minimise risks to patient safety as the out of hours on-call consultant surgical staff rota has become unsustainable due to staff vacancies and long-term sickness, despite sustained efforts to recruit to the positions.

“There is no change to how patients access care at Withybush Hospital. In the rare cases where individuals require emergency surgery out of hours, they would be stabilised and transported to Glangwili or Bronglais hospitals before returning to Withybush Hospital.

“A team of surgical doctors at Withybush Hospital continues to provide 24/7 emergency surgical cover for patients with consultant teams at Glangwili and Bronglais hospitals providing support and advice remotely.

“As a result of the temporary change, patients accessing the emergency department at Withybush Hospital will either be treated and discharged; admitted (or discharged to return) for ambulatory surgery the next morning; admitted under surgery (or medicine) department for medical management of conditions not requiring surgery or transferred to Glangwili or Bronglais hospitals if advised by the Withybush surgical team.

The board in their statement highlighted that the current national guidelines discourage performing surgeries out of hours as a general practice.

“The health board aims to adhere to this guidance to ensure improved patient outcomes”, they said

They added that the expected number of individuals affected by this temporary change is anticipated to be minimal, and that thus far, no patients have been relocated to Glangwili or Bronglais hospitals as a direct consequence of this alteration.

Hywell Dda University Health Board has refuted any claims of instructing staff members not to share this information.

The temporary change, which was necessitated by staff vacancies and long-term sickness among the consultant surgical team, was extensively discussed during the public meeting of the Health Board in March of this year. It was shared with the surgical team, who expressed their support.

Ongoing communication with affected staff groups is being maintained to monitor the situation, address any concerns, and continue recruitment efforts in this area.

As the temporary change solely impacts operational procedures and does not affect patients’ access to services, the health board is communicating the alteration to staff members and will directly inform affected patients when required.

Any allegations of bullying are taken seriously, and individuals who believe they have been subjected to such behavior are encouraged to raise their concerns with their line manager or through the health board’s confidential staff helpline.

News

Anger at plans to turn Little Haven shed into holiday let

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PLANS to convert a garden shed to a holiday let at a Pembrokeshire seaside village with the highest rates of second homes and holiday lets in the county have been turned down.

In an application before Pembrokeshire Coast National Park, Shabnam Banihashem of 19a Wesley Road, Little Haven sought permission to convert a rear garden shed, already replace with a summerhouse, to holiday let accommodation.

Local community council The Havens had objected to the scheme, saying it has concerns over parking and highway access arrangements, and concerns about impact on Highway traffic safety-related matters.

The park’s building conservation officer had recommended the plans be refused despite it being a “relatively hidden and constricted site” with a likely low impact on the conservation area, saying there “is likely to be an impact on character due to extra traffic – and the potential for setting a worrying development”.

An officer report recommending refusal said: “The Authority has concerns in connection with the proposal due to the impact upon the residential amenity of the host dwelling, and its immediate neighbours, the impact upon the character of the Little Haven Conservation Area due to the potential for additional traffic, and due to the proposed summerhouse being unsuitable in terms of size for the use of holiday letting.

“Ordinarily, when a proposal would result in the creation of a single residential unit, a financial contribution towards the provision of off-site affordable housing would be required [in accordance with policy].

“However, in this particular case, the unit being proposed would not be suitable for long term residential use due to the limited size of the unit. As such, had the proposal been deemed acceptable, the Authority would have imposed a condition restricting the use of the unit to C6 – short term holiday let.

“Given that it would not have then been possible for the unit to benefit from current permitted development rights between C3, C5 and C6 uses, a commuted sum would not have been sought.

“Overall, it is considered that the proposed development would have an unacceptable impact upon residential amenity, and upon the character of the Little Haven Conservation Area.”

The application was refused on grounds including “introducing a significantly greater level of noise and disturbance than the current situation, to the detriment of the residential amenity of neighbouring properties,” and impact on the conservation area.

A previous national park report, based on the second homes council tax premium payable to Pembrokeshire County Council,  has said nearly two-thirds of properties in Little Haven are either second homes or holiday lets.

For the main centres of settlements within the national park, second home rates, at the time of the 2023 report,  were: Tenby 28.07 per cent, Saundersfoot 29.35 per cent, St Davids 20.86 per cent and Newport 30.6 per cent.

For smaller communities within the national park, some of the figures were even higher: Amroth 47.37 per cent, Broad Haven 36.58 per cent, Dale 39.47 per cent, Lawrenny 28.57 per cent, Marloes 29.66 per cent, Moylegrove 22.64 per cent, and Wisemans Bridge 35.71 per cent.

Topping the list, by a large margin, were: Nolton Haven 60 per cent, and 62.96 per cent Little Haven.

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Community

Stena Nordica sailings remain disrupted due to technical fault

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Passengers diverted as Fishguard-Rosslare service still affected

FISHGUARD ferry services have faced another day of disruption, with early hopes of a return to normal sailings dashed again this morning (Tuesday, April 8).

The 1:30am sailing of the Stena Nordica was once again cancelled, marking several consecutive days without service on the Fishguard-Rosslare route. The vessel has not sailed since the early hours of Saturday (April 5).

Stena Line has blamed a combination of adverse weather and an ongoing technical issue for the disruption, which began when Saturday’s 2:00pm sailing was delayed and subsequently cancelled. This also resulted in the evening return crossing from Rosslare being called off.

Passengers affected by the cancellations were either transferred to the Holyhead-Dublin route or remained on board in the hope of a later departure.

Among those onboard on Saturday was George Holland, a regular ferry passenger, who had planned a day trip. He reported that the ferry was busy, with 96 vehicles and many families travelling at the start of the Easter holidays.

Despite expectations that Sunday services might resume, sailings remained suspended, and affected passengers were rerouted via Irish Ferries’ Pembroke Dock to Rosslare service.

Hopes were again raised for a resumption of service on Monday (April 7), but that afternoon’s 2:00pm sailing and the corresponding evening return crossing were also cancelled.

A spokesperson for Stena Line said: “Due to a technical issue with Stena Nordica, sailings on the Rosslare-Fishguard route were cancelled over the weekend and on Monday, April 7. Engineers are working onboard to resolve the issue, and it is currently anticipated that sailings will resume at 1:30am on Tuesday, April 8.”

However, the scheduled early morning crossing did not take place, with Stena’s website again citing a technical issue. Passengers were again transferred to Irish Ferries.

At the time of writing, today’s 2:00pm departure from Fishguard and the 7:30pm return from Rosslare remain on the schedule.

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Crime

Driver claims he took legal CBD after testing positive for THC

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A HEMP user has appeared in court after claiming a legally purchased CBD product caused him to test positive for an illegal drug.

Daren Bradbury, 54, from Seven Steps Road in Sageston, told police he had taken cannabidiol (CBD), a substance derived from the hemp plant and sold legally in the UK. However, blood tests revealed that he had 2.3 micrograms of Delta-9 tetrahydrocannabinol (THC) in his system — just over the legal limit of 2mcg.

THC is the psychoactive compound in cannabis that causes intoxication and remains a controlled substance under UK law.

“He received the CBD from the internet, believing it didn’t contain THC,” said Bradbury’s solicitor, Michael Kelleher, when the case was heard at Haverfordwest Magistrates’ Court this week.

“He handed the packet to the police and was surprised that the test came back positive — albeit only 0.3mcg over the limit.”

Bradbury was stopped by officers on December 4 while driving on the A477 at Milton. A roadside test proved positive, and subsequent analysis confirmed the presence of THC.

He pleaded guilty to the drug driving offence, but Mr Kelleher requested an adjournment to gather further evidence from the CBD supplier.

“We would like to raise a ‘special reasons’ argument as to why the defendant should not be disqualified from driving,” he said. “We hope to obtain proof from the vendor that the CBD should not have contained THC, as the defendant believed it was perfectly legal.”

Mr Kelleher added that CBD products can be legally purchased both online and in pharmacies.

Magistrates adjourned sentencing until May 1.

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