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Health

New Years Honour’s for two hard working Hywel Dda employees

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TWO Hywel Dda University Health Board employees have been awarded a King’s New Year’s Honour.

Gina Beard, Lead Cancer Nurse, is awarded the honour of Member of the Order of the British Empire (MBE) in recognition of her services to Cancer Nursing. Dr Mike Bartlett, Associate Specialist Haematology, is awarded a Medal of the Order of the British Empire (BEM) in recognition of his services to Medical Education.

Gina Beard

Gina Beard said: “I feel overwhelmed and honoured to have been nominated for this award and accept it on behalf of all the cancer teams in Hywel Dda, who work tirelessly to support those facing the challenges of a cancer diagnosis.”

“Receiving a cancer diagnosis is a major life event. It is a privilege to be able to lead services that provide patients with the support and care they need, and work alongside a dedicated and kind team of health and care professionals.

“I would also like thank my amazing family, who believed in me and supported my ambitions as a nurse.”

Gina, who lives in Pembrokeshire, has worked as a nurse for over 30 years and chose to develop her specialism in cancer nursing.

Mandy Rayani, Executive Director of Nursing, Quality and Patient Experience, says: “Gina has consistently delivered an outstanding service to patients and played a leading role in the development of cancer services at Hywel Dda University Health Board.

“I am delighted that she has been recognised for going the extra mile to prioritise patient and staff safety and well-being. I am very grateful to her for her continued leadership of the service, she is an exemplar to us all and brings our values to life every day through her work.”

Gina has played a part in several successful projects and service developments. Amongst her many achievements is the refurbishment of Pembrokeshire Haematology and Oncology Day Unit (PHODU) that was recognised by Macmillan as an approved Quality Cancer Care Environment.

With the formation of Hywel Dda University Health Board in 2009 came the establishment of four separate chemotherapy day units covering three counties across which Gina has worked tirelessly to strengthen the nursing agenda, create consistency in philosophy and delivery of care. She has gone above and beyond not just in maintaining services but in leading service design and development.

Gina was key to establishing CaPS, the Cancer Psychological Support Service – providing emotional support to patients and carers throughout their cancer journey and empowering the cancer workforce with psychological skills in their everyday roles.

Linked to the need for consistency in the approach to care, Gina led the redesign of the telephone triage and advice service for patients having non-surgical cancer treatment.  Thanks to this work Health Board can provide a dedicated 24-hour triage and support line that also ensures consistency of service delivery across the four hospitals.

She has been the driving force in the design and implementation of the new Rapid Diagnosis clinic and the Malignancy of Unknown Origin service, which help to meet urgent patient need and transforms the patient experience and care pathway. Such service change has been achieved by Gina’s commitment to collaborative working with senior clinicians, administrators and listening to the needs of patients and their families. 

As an advanced practitioner and despite her significant management and leadership responsibilities, patient contact has remained core to her practice. Gina has led the development of nurse and pharmacist led practices in the four hospitals.

In addition to delivering new and additional services, Gina is a powerful advocate and champion of the nursing agenda. She consistently championed and challenges the teams she leads to develop themselves and to improve patient experience, keeping the patient firmly at the centre of the health board’s work. This was particularly evident during the pandemic when she communicated clearly and compassionately and provided reassurance and confidence to staff and patients.

Judith Hardisty, Interim Chair at Hywel Dda University Health Board said: “I am delighted that Gina has been recognised with an MBE for her service to cancer nursing.

“Gina has dedicated over 30 years to cancer nursing, serving her community with care, compassion, and determination to ensure equity of care to all, breaking through the barriers of rurality.

“Gina is a fantastic leader and nurse, always seeking to improve the services to our patients and her colleagues and frequently asks ‘how can we do things better?’.  She has a deep sense of duty, commitment, and service to members of the Hywel Dda community – both our staff and patients. Thank you, Gina, for your tireless service and ongoing commitment to health and care in west Wales.”

Dr Mike Bartlett

Responding to the news of his nomination, Dr Bartlett, said: “I feel privileged to receive this award, and accept it on behalf of my colleagues at Hywel Dda University Health Board with whom I have the pleasure of working with, and the Royal National Lifeboat Institution (RNLI) whose bravery knows no bounds.

“I gain a great deal of personal joy from sharing my knowledge with others, within the NHS and in the broader community of west Wales. It has been a real honour to develop the Coastal Medical Program and to work alongside members of the RNLI in supporting them to develop skills that can help to save lives.

“During the winter months we hold classroom-based training courses and practice casualty care, which may include performing CPR or trauma scenarios. From April onwards, we work together on the beaches of Ceredigion and Pembrokeshire and participate in live scenarios – testing the skills of the lifeboat crew in near real-life situations.”

Mike has contributed several years of service to organising and directing Advanced Life Support and Advanced Trauma Courses, ensuring that cohort after cohort of doctors are equipped to provide care to critically ill patients. This role is undertaken in his own time in addition to his post as a senior doctor in Haematology and cancer care. 

Unperturbed by the challenges presented by the pandemic, Mike found new ways to teach and worked conscientiously behind the scenes to keep training infrastructure in place. Whilst his leadership and contribution are recognised on a regional basis, he is also an instructor for courses across the UK including at the Royal College of Surgeons, and he is an Honorary Lecturer at Cardiff University Medical School. 

Professor Phil Kloer, Deputy Chief Executive and Executive Medical Director at Hywel Dda University Health Board, comments: “Mike is an outstanding and inspirational medical educator with over twenty-five years of service to the NHS.

“Mike is recognised by his peers as an exemplar of teaching and training. His drive and vision have been hugely beneficial to the provision of medical education within a large swathe of mid and west Wales.”

In addition to his commitment to the staff and patients at Hywel Dda, Mike led the development of a unique educational partnership involving medical staff, the RNLI and HM Coastguards in Pembrokeshire and Ceredigion – Coastal Medicine. This community-driven and pioneering lifesaving initiative, now in its sixth year, has delivered real and validated impact upon the RNLI teams’ performance in casualty care. Clinical Fellow and Foundation level doctors have trained alongside RNLI and Coastguards in both classroom-based activities, and realistic live action simulations on the seas and beaches.

Congratulating Mike on his award, Judith Hardisty, said: “I am very pleased that Mike has been recognised for his contributions to both Hywel Dda and our local community in west Wales.

“Thanks to his dedication to his profession, countless medical students, doctors of all grades, and most recently dozens of lifeguards and boat crew serving with the RNLI have been trained to save lives, both in hospital and in the community.

“I am aware that Mike firmly believes in giving something back to his local area and this is apparent in how he has gone about in developing the Costal Medicines course – taking his professional knowledge and training and sharing them with volunteers in our communities. We will be forever grateful to him that so many staff and first responding volunteers now feel more confident to save lives in peril around the coasts of Wales.”

The New Year Honours List 2024 marks the incredible public service of individuals from across the UK.

Recipients of the New Year Honours List have been awarded for their outstanding contributions across all parts of the UK for their work on areas including sustained public service, youth engagement and community work.

 

Health

Medicine shortages now ‘most severe on record’, health leaders warn

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PATIENTS are facing some of the worst medicine shortages ever seen in the UK, with pharmacists warning the situation now poses a serious risk to safety.

The National Pharmacy Association said shortages affecting commonly used medicines are becoming more frequent, lasting longer, and causing increasing disruption for patients, GP surgeries and pharmacies.

The warning comes as Serious Shortage Protocols for Creon, used by people with pancreatic cancer and cystic fibrosis to help digest food, have been in place since May 2024 and have now been extended until July 10, 2026.

HRT treatment Estradot has also been under a Serious Shortage Protocol since December 2024, with the current extension also running until July 10.

Patients travelling between pharmacies

A survey by the National Pharmacy Association found that 98 per cent of pharmacies had encountered patients who had visited several pharmacies in one day to find a prescription.

It also found that 96 per cent of pharmacies believed the current situation posed a serious risk to patient safety, while 89 per cent said they had been unable to dispense a medicine at least once a day because of supply problems.

Some pharmacy teams have also faced anger and abuse from patients unable to obtain medication.

Olivier Picard, Chair of the National Pharmacy Association, said: “Medicine shortages are becoming more frequent, lasting longer and causing increasing disruption for patients.

“These shortages are some of most severe the UK has experienced.

“It is deeply distressing to find patients who have travelled from pharmacy to pharmacy to find the medicines they need without success.”

Calls for urgent taskforce

The NPA is calling on the government to convene an emergency taskforce involving manufacturers, wholesalers, clinicians and pharmacists.

It also wants changes to rules which currently stop pharmacists from making simple substitutions, such as changing a tablet to a capsule or a cream to an ointment, even where a safe alternative is available.

Professor Victoria Tzortziou Brown, President of the Royal College of GPs, said medicine shortages were frustrating for patients, GPs and pharmacists, and added pressure to already stretched services.

She said the College supported pharmacists being able to make limited changes to prescriptions where a medicine is unavailable and a safe alternative exists.

She added: “The most important thing is that patients are able to access the medication they need safely and without delay.”

The Cystic Fibrosis Trust and Pancreatic Cancer UK have also raised concerns about the impact of shortages of pancreatic enzyme replacement therapy, including Creon, on people who rely on the medication to digest food, maintain weight and stay well enough for treatment.

 

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Health

Woman jailed assaults on police, harassment and XL Bully possession

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A CARMARTHEN woman has been jailed after admitting a lengthy catalogue of offences including assaults on police officers, harassment, breaching a Community Protection Notice, shop theft, possession of an XL Bully dog and assaulting a paramedic.

Tilly Rees, 25, of Llys Caermedi, Carmarthen, appeared before Llanelli Magistrates’ Court on Wednesday (Jun 18).

The court heard that Rees admitted multiple breaches of a Community Protection Notice issued in 2025, including incidents in which she shouted abuse in public, caused distress to residents and repeatedly targeted individuals named in court proceedings.

Harassment campaign

Among the offences was a harassment charge relating to a course of conduct against a Carmarthen man between March and May this year.

Prosecutors said Rees approached him on multiple occasions, shouted abuse, called him a paedophile and video-recorded him and his home.

She also admitted a series of Community Protection Notice breaches linked to the same behaviour.

Police assaults

The court heard that Rees assaulted a number of police officers during incidents in Llanelli on May 1 and May 5.

Several assault charges against serving police constables were taken into account by the court when sentence was passed.

A further charge of assaulting a paramedic at Dafen Police Station on June 12 was also admitted.

Shop theft and XL Bully

Rees also admitted stealing items including sanitary products, deodorant, skincare products and reading glasses from a Carmarthen pharmacy.

In a separate matter, she admitted possessing an XL Bully dog contrary to the Dangerous Dogs Act. The court ordered the dog to be forfeited and destroyed after Rees relinquished her rights to it.

Restraining orders imposed

District Judge M Layton imposed a number of restraining orders preventing Rees from contacting named individuals or referring to them online.

The orders prohibit direct or indirect contact and restrict social media activity relating to those protected by the orders.

Jailed for 26 weeks

Magistrates concluded that only an immediate custodial sentence could be justified.

Rees was sentenced to a total of 26 weeks’ imprisonment.

The court heard that some of the offences were committed while she was already subject to a suspended sentence, while others involved assaults on emergency workers carrying additional aggravating factors.

 

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Education

Senedd Members walk out after Reform MS’s comments

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COMMENTS made by a Reform MS led to a walkout in the Senedd during a debate on the Welsh Government’s international spending.

A Reform motion, calling for an end to all Welsh Government international spending, was rejected by Senedd Members on Wednesday June 17.

Wednesday’s plenary opened with Llywydd Huw Irranca-Davies reminding members to mind their language and tone when contributing, following clashes between Reform UK’s Joe Martin and the First Minister in Tuesday’s proceedings.

Mr Irranca-Davies said: “Robust disagreement is part of democratic debate, but it must always be grounded in respect and we must avoid using language that has the potential to inflame debate or to increase tensions.”

The debate was opened by Reform’s shadow minister for finance and government efficiency, Cai Parry-Jones, but it was the contribution made by Caerdydd Penarth MS Joe Martin which sparked the most controversy.

Reform MS Cai Parry-Jones
Reform MS Cai Parry-Jones

Announcing to his colleagues that he had “good news”, Mr Martin began his statement by sharing that he had “found the £9 million” needed for Plaid’s “childcare idea”.

However, Mr Martin then added that the “bad news” was to get the money the government would have to stop funding “some of the most pointless schemes known to man”.

One example Mr Martin gave of these so-called “pointless schemes” was a beekeeping scheme in Uganda designed to advance gender equality.

The scheme, run by Bees for Development and their partner organisation, The Uganda National Apiculture Development Organisation, aimed to enhance women’s economic empowerment through beekeeping.

It challenged gender norms in the industry, increasing the visibility of women in technical and policy leaderships roles.

Mr Martin then suggested Wales had won the “Who can find the stupidest use of taxpayer money?” competition because of a scheme supporting tree planting in Uganda.

He said: “We actually asked some Ugandan people what they thought about Wales’s scheme to send them money for trees and they said, ‘Why are you sending us money for trees?’

“We then asked the same question to some Welsh students who had been through our underfunded education system, but we didn’t get a reply because we had e-mailed them and they couldn’t read.”

Mr Martin went on to criticise the money spent on mini embassies abroad.

He said: “In India, one of the functions of those mini embassies is to recruit nurses to come and work in our NHS, which is great because it means that the Welsh people who would have otherwise become nurses can instead go on universal credit.”

The Reform MS then added: “I have enquired as to why we can’t just have an enormous pit where we burn all the money, but apparently that’s not compliant with net zero.”

At this point in Mr Martin’s statement Plaid Cymru’s Zaynub Akbar, of Caerdydd Ffynnon Taf, announced she was going to leave the Siambr.

She said: “I don’t accept any of this and I don’t want to be a part of it, so I’ll be leaving the chamber.”

Plaid Cymru MS Zaynub Akbar
Plaid Cymru MS Zaynub Akbar

She was followed by numerous other Senedd Members, including Trefnydd and chief whip Heledd Fychan.

Mr Martin was then reminded by the Llywydd of Senedd rules, which mandate respect in the chamber, before he could continue his contribution.

He concluded his speech to the Senedd by saying: “In Westminster, the Tory party doubled foreign aid whilst imposing austerity. There are now only seven of them in this chamber. The same fate awaits any party that insults taxpayers by frittering money overseas on feel-good vanity projects.

“So, I want to encourage the Party of Wales to be nationalist, to put Wales first. Spend your constituents’ money on your constituents. That way, when someone is lying in a hospital corridor and they ask you, ‘are you really the Party of Wales?’, you’ll be able to say ‘yes’.”

At the end of the debate, the Llywydd directly addressed Mr Martin calling for him to “reflect” on his remarks and contributions, noting that it was “not in line with [his] expectations”.

Mr Irranca-Davies described it as “particularly disappointing” given the comments he made at the beginning of plenary.

Senedd Llywydd Huw Irranca-Davies
Senedd Llywydd Huw Irranca-Davies

He said: “Going forward, I think we all need to reflect on this and make sure that we comply with our conduct within this chamber and the way we comport ourselves in light of my remarks.”

Welsh Conservative leader Darren Millar expressed his support for the Reform-backed motion, saying it is a debate about where responsibilities lie.

He said: “It’s very clear that foreign relations, international development are matters for the UK Government, not the Welsh Government, and as a result of that, I believe that we respect devolution and can expect respect for devolution back when we respect the boundaries of our legislative competence and the competence of the Welsh Government’s position as well.”

Welsh Conservative leader Darren Millar
Welsh Conservative leader Darren Millar

Mr Millar highlighted that his party has continuously argued against the development of “mini embassies” and “overseas offices”.

The Conservative leader did clarify however that he is not “anti-international aid”, and noted the “generous” nature of the people of Wales.

But he added: “I do not believe that when people are dying waiting for ambulances, when we’re at the bottom of the educational tree as far as the league table of the United Kingdom is concerned, and when our road infrastructure isn’t working, our transport infrastructure is creaking, that it’s right to spend those millions of pounds on those things, when the Welsh Government should be focused on the things for which it is responsible.”

Taking an intervention from Labour’s Huw Thomas, Mr Millar was questioned on whether he recognises that the majority of international spending is on economic development for Wales.

Labour MS Huw Thomas
Labour MS Huw Thomas

Mr Millar once again referred to the role of the UK Government, noting that it is their responsibility to bring inward investment to the UK as a whole.

He said: “We will always want to be an internationalist country, looking out and seeking to influence the world, but we do that as part of the United Kingdom, an integral part of the United Kingdom.

“And I’m proud to be a member not only of the Welsh Conservative Party, but of the Conservative and Unionist Party, and I believe in the union of the United Kingdom, and that these foreign relationships and international development are done better as a United Kingdom as a whole.”

Plaid Cymru’s Gwyn Williams shared a notably different perspective to that of his Conservative and Reform colleagues.

Prior to being elected to the Senedd, Dr Williams was a consultant ophthalmologist specialising in retina care at Swansea Bay University Health Board.

Plaid Cymru MS Gwyn Williams
Plaid Cymru MS Gwyn Williams

Speaking as someone who has worked within the Welsh NHS Dr Williams said: “Wales has long been a country that looks beyond our own horizons, looking to make a difference in the world and help where we can, but also we rely on help coming in to us as well.

“Many, many healthcare workers, of course, come from abroad, especially here in Wales, and every hospital in the country would crumble if all the international workers went home.”

He continued: “In Singleton Hospital in Swansea, in the eye department, I am the only Welsh-speaking, Welsh-origin consultant there, and much as I like to convince myself that I can do the work of ten people, I cannot, especially now because I am here.

“Chronic shortages in these sectors increase hospital discharge delays, reduce bed availability and create bottlenecks across the healthcare system.

“At a time when the NHS is struggling, we need the support from abroad as well, though we also, of course, need to grow our own ability.”

Concluding his statement Dr Williams said: “This whole debate tries to position international investment and domestic investment as a zero-sum game. It isn’t.

“Looking outwards does not come at the expense of looking inwards. I suggest that such a simplistic outlook condescends to the people of Wales and stymies science.”

Dafydd Trystan Davies, minister for government effectiveness and the constitution

The cabinet minister for government effectiveness, Dafydd Trystan Davies, called for reflection on the tone of the debate, suggesting that the “standard of this debate [had] descended to the level of a public house, not of a national Senedd”.

He said: “My friend the leader of the Welsh Conservatives made a speech, and I disagree with more or less all of it, and yet it was conducted properly and in line with the standing orders and the procedures of this Senedd.

“I think we should all take our duties properly as parliamentarians, whatever views we agree or disagree on.”

Dr Trystan Davies highlighted that international spending makes up just 0.03% of the Welsh Government’s overall budget, which he described as a “small contribution” to “building our prosperity, protecting our public services, strengthening our culture, and promoting our values”.

He said: “Our international work turns that belief into action, creating jobs and investment, exports and partnerships, life-changing experiences for students, new colleagues for our NHS and enabling communities in Wales and beyond to learn from one another.

“When Wales works internationally, Welsh people benefit. Our businesses reach new markets, universities build global partnerships, young people return home with skills and confidence, and Wales’s reputation grows.

“We should be proud of that, not in a narrow way, not with our backs turned to others, but proud to be generous and outward-looking, proud to share, proud to learn – internationalist, not isolationist.”

The motion to end all Welsh Government international spending, tabled in the name of Blaenau Gwent Caerffili Rhymni’s Reform MS Llŷr Powell, was rejected by the Senedd with 37 members for and 48 against.

The Siambr then agreed Plaid Cymru minister Heledd Fychan’s amendment, which proposed the Senedd “regrets Reform UK’s isolationist approach to Wales’s place in the world” and “celebrates Wales’ reputation as an internationalist, tolerant and outward-looking nation open for business, which is enhanced by its international engagement, including spending.”

The amended motion was agreed with 48 in favour and 37 against.

 

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