News
Out-of-hours surgery at Withybush Hospital ended due to ‘staff shortages’
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.
Health
Resident doctors in Wales vote to accept new contract
RESIDENT doctors across Wales have voted to accept a new contract, with 83% of those who took part in a referendum backing the agreement, according to BMA Cymru Wales.
The contract includes a four per cent additional investment in the resident doctor workforce and introduces a range of reforms aimed at improving training conditions, wellbeing and long-term workforce sustainability within NHS Wales. The BMA says the deal also supports progress towards pay restoration, which remains a central issue for doctors.
Key changes include new safeguards to limit the most fatiguing working patterns, measures intended to address medical unemployment and career progression concerns, and reforms to study budgets and study leave to improve access to training opportunities.
Negotiations between the BMA’s Welsh Resident Doctors Committee, NHS Wales Employers and the Welsh Government concluded earlier this year. Following a consultation period, a referendum of resident doctors and final-year medical students in Wales was held, resulting in a clear majority in favour of the proposals.
Welsh Resident Doctors Committee chair Dr Oba Babs Osibodu said the agreement marked a significant step forward for doctors working in Wales.
He said: “We’re proud to have negotiated this contract, which offers our colleagues and the future generation of doctors safer terms of service, fairer pay, and better prospects so that they can grow and develop their careers in Wales.
“This contract will help to retain the doctors already in training, and also attract more doctors to work in Wales, where they can offer their expertise and benefit patients.”
Dr Osibodu added that the BMA remains committed to achieving full pay restoration and acknowledged that challenges remain for some doctors.
“Whilst this contract sets the foundations for a brighter future for resident doctors in Wales, we recognise that there are still doctors who are struggling to develop their careers and secure permanent work,” he said. “We need to work with the Welsh Government and NHS employers to address training bottlenecks and underemployment.”
The Welsh Government has previously said it recognises the pressures facing resident doctors and the importance of improving recruitment and retention across NHS Wales, while also highlighting the need to balance pay agreements with wider NHS funding pressures and patient demand.
The new contract is expected to be phased in from August 2026. It will initially apply to doctors in foundation programmes, those in specialty training with unbanded rotas, and new starters, before being rolled out to all resident doctors across Wales.
Crime
Swansea man jailed for online child sex offence dies in prison
A SWANSEA man who was jailed earlier this year for attempting to engage in sexual communication with a child has died while in custody.
Gareth Davies, aged 59, of the Maritime Quarter, was serving an 18-month prison sentence after being convicted in May of sending sexually explicit messages to what he believed was a 14-year-old girl. The account was in fact a decoy used as part of an online safeguarding operation.
The court heard that Davies began communicating with the decoy between November and December 2024 and persistently pursued the individual, later attempting to arrange a face-to-face meeting. He was arrested after being confronted by the decoy operators.
Davies had pleaded not guilty but was convicted following a trial. At the time of sentencing, police described the messages as extremely concerning and said his imprisonment was necessary to protect children.
It has now been confirmed that Davies died at HMP Parc on Wednesday (Nov 27) while serving his sentence.
The Prisons and Probation Ombudsman has launched an independent investigation into the death, which is standard procedure in all cases where someone dies in custody. No cause of death has been released at this stage.
A coroner will determine the circumstances in due course.
Farming
Welsh Conservatives warn climate plans could mean fewer livestock on Welsh farms
THE WELSH CONSERVATIVES have challenged the Welsh Government over climate change policies they say could lead to reductions in livestock numbers across Wales, raising concerns about the future of Welsh farming.
The row follows the Welsh Government’s decision, alongside Plaid Cymru and the Welsh Liberal Democrats, to support the UK Climate Change Committee’s Fourth Carbon Budget, which sets out the pathway towards Net Zero greenhouse gas emissions by 2050.
The Carbon Budget, produced by the independent Climate Change Committee (CCC), states that meeting Net Zero targets will require a reduction in agricultural emissions, including changes to land use and, in some scenarios, a reduction in livestock numbers.
During questioning in the Senedd, the Welsh Conservatives pressed the Deputy First Minister and Cabinet Secretary for Climate Change and Rural Affairs on whether the Welsh Government supports reducing livestock numbers as part of its climate strategy.
Speaking after the exchange, Welsh Conservative Shadow Cabinet Secretary for Rural Affairs, Samuel Kurtz MS, said the Welsh Government could not distance itself from the implications of the policy it had backed.
Mr Kurtz said: “By voting in favour of these climate change regulations, Labour, Plaid Cymru and the Liberal Democrats have signed up to the UK Climate Change Committee’s call to cut livestock numbers in Wales, and they cannot dodge that reality.
“The Deputy First Minister’s smoke-and-mirrors answers only confirm what farmers already fear: that Labour, along with their budget bedfellows in Plaid and the Lib Dems, are prepared to sacrifice Welsh agriculture in pursuit of climate targets.”
He added that the issue came at a time of growing pressure on the farming sector, pointing to uncertainty over the proposed Sustainable Farming Scheme, the ongoing failure to eradicate bovine TB, nitrogen pollution regulations under the Nitrate Vulnerable Zones (NVZs), and proposed changes to inheritance tax rules affecting family farms.
The Welsh Government has repeatedly said it does not have a target to forcibly reduce livestock numbers and has argued that future emissions reductions will come through a combination of improved farming practices, environmental land management, and changes in land use agreed with farmers.
Ministers have also said the Sustainable Farming Scheme, which is due to replace the Basic Payment Scheme, is intended to reward farmers for food production alongside environmental outcomes, rather than remove land from agriculture.
The UK Climate Change Committee, which advises governments across the UK, has stressed that its pathways are based on modelling rather than fixed quotas, and that devolved governments have flexibility in how targets are met.
However, farming unions and rural groups in Wales have warned that policies focused on emissions reduction risk undermining the viability of livestock farming, particularly in upland and marginal areas where alternatives to grazing are limited.
The debate highlights the growing tension between climate targets and food production in Wales, with livestock farming remaining a central part of the rural economy and Welsh cultural identity.
As discussions continue over the final shape of the Sustainable Farming Scheme and Wales’ long-term climate plans, pressure is mounting on the Welsh Government to reassure farmers that climate policy will not come at the expense of the sector’s survival.
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