Community
Winter ops axe causes outrage
HYWEL Dda Local Health Board announced controversial plans this week to make major cutbacks to winter services that will profoundly affect patients awaiting operations at Withybush Hospital.
The decision has enraged local politicians, as well as a leading union, along with scores of patients who will be adversely affected by these cuts.
In a press release issued on their web site, the Hywel Dda LHB said: “The Health Board has a responsibility to ensure continued safe care at this time of increased pressure, and is putting plans in place now to respond to the anticipated increase in activity over the winter season.
‘’In previous winters, we had up to 160 additional beds in place often being managed by temporary staff. This is not a position we can sustain this year. To address this, we propose to manage our bed stock and elective surgical lists in a better way during the busiest months this winter to ensure we have the staff capacity to manage emergencies and the most urgent patients.
‘’We would like to reassure patients that if they have an urgent clinical need they will be seen. Emergency and cancer procedures, the vast majority of orthopaedic day surgery and other elective procedures will also continue.”
The proposals announced by the Health Board state that the use of theatres will be for those with the highest clinical need and they will be reviewing and re-profiling patients on orthopaedic waiting lists, as well as increasing day surgery cases and maximising alternative methods of treatment through non-surgical pathways.
They further state they will monitor the position on a weekly basis and review that position towards the end of the winter surge. There will also be a non-emergency surgical shutdown for two weeks over Christmas.
One such patient awaiting surgery is Angela Burns, Carmarthen West and South Pembrokeshire AM, who is highly critical of the proposals.
She told The Herald: “This shutdown will unfairly hit the elderly and vulnerable hardest, many of whom would have been waiting for months already. While conditions requiring orthopaedic surgery may not be life threatening, the constant pain, loss of mobility and pure daily effort to live with these conditions is immense.
‘’The thought of waiting another six months for my own knee replacement fills me with dread, and I know there are many, many more in far worse situations and far more pain than myself. I cannot begin to comprehend the feelings of some people who attend my surgeries to tell me that they cannot stand long enough to cook, and rely on ready meals alone.
‘’My heart goes out to these patients and their families and I will fight loudly and consistently against these plans. Labour’s record-breaking cuts and its failure to recruit staff are hampering hardworking staff and I urge ministers to put an end to these mistakes”.
The Health Service union, UNISON, reacted angrily to the Health Board plans and, Branch Chairperson, Wendy Evans, said: “The Health Board already has a waiting time of 15 months for patients awaiting orthopaedic surgery. This will clearly add at least another five to six months to their waiting time, causing further distress and possibly further complications to their condition”.
She went on to say that UNISON had immediately written to the Health Minister, Mr Mark Drakeford to complain about the decision. UNISON also suggested that, in staff meetings at Prince Philip Hospital of this week, the Orthopaedic consultant surgeons were also deeply critical of the plans.
UNISON Regional Organiser, Jeff Baker, said: “This is another example of the Health Board making a unilateral decision on service changes without properly consulting either the staff or the community.”
Liberal Democrat, William Powell, AM for Mid and West Wales, has called for clarity following UNISON’s claims, that all planned orthopaedic surgery for the four main hospitals in the Hywel Dda Health Board area have been cancelled until April 2014.
He said: “The Welsh Labour Government and local Health Boards seem surprised that winter comes around every year. Cold weather and snow can cause difficulties in the NHS but proper planning would ensure that patients are treated all year round.
‘’Many people who are waiting for orthopaedic surgery often have to endure months in pain. It is not right that they have to wait even longer because of the Welsh Labour Government’s incompetence. This is not an acceptable way to run a National Health Service”.
Plaid Cymru AM Simon Thomas, who sits on the all-party Finance Committee of the National Assembly, added his concern: “The scrapping of non-urgent surgery is bitterly disappointing for my constituents. It is disappointing that saving money comes before ensuring people get their operations, when the Welsh NHS has had extra money in their budgets this year.
‘’Earlier this year, Plaid Cymru highlighted the lack of action by Welsh Health Boards to recruit more doctors and more nurses from across the European Union.”
The Herald spoke exclusively to Pam O’Dare, one of the unfortunate patients who are likely to be told their wait for hip surgery is to be extended as a result of these cut backs.
She reacted angrily to what she sees as grim news: “I was under the impression my surgery would be in December or January. Now, it is likely to be put back to April 2014, and it might be a lot further on than that.
‘’I had a hip replacement four years ago and the surgeons were excellent, but the wait is very painful. The pain can be very bad and I am taking some very strong painkillers. I have a high pain threshold but this is unbearable. Why is it always about cut backs for patients?”
The Welsh Government appeared to have been caught on the hop by Hywel Dda LHB’s announcement. At questions in the Senedd, First Minister Carwyn Jones revealed he was given 24 hours’ notice of its content.
The Herald contacted the Welsh Government for further comment: “The Health Minister stated at a recent Health and Social Services Committee meeting that his expectation is for winter plans to be published by individual health boards, once they have been through clearance with their individual boards. We are writing to health boards confirming this expectation.”
Meanwhile, patients like Pam O’Dare and AM, Angela Burns, wait to find out what effect these proposals will have on an already lengthy waiting time.
Community
RNLI lifeguards attend Freshwater West memorial service
RNLI senior lifeguards Harry and Nia represented the charity at the annual Landing Craft Memorial Service at Freshwater West on Saturday (Apr 25).
The service is held each year to remember those connected with the wartime landing craft exercises and the area’s military history.
Freshwater West is one of 16 beaches across Pembrokeshire covered by RNLI lifeguards during the summer season.
The charity is reminding beachgoers to choose a lifeguarded beach whenever possible, swim between the red and yellow flags, and call 999 and ask for the Coastguard if they see someone in difficulty in the water.
This year marks the 25th anniversary of the RNLI Lifeguard Service.
Business
Tenby mobile signal crisis sparks more than 500 complaints
TRADERS, VISITORS AND RESIDENTS SAY POOR COVERAGE IS HITTING PAYMENTS, PARKING, BOOKINGS AND SAFETY
HUNDREDS of residents, traders and visitors have responded to a public appeal for evidence about poor mobile phone signal in Tenby, with complaints now running to more than 500 comments.
The appeal was posted by Around Tenby as part of work with Tenby Chamber of Trade & Tourism, which is gathering evidence to take directly to mobile networks in a bid to secure improvements before the summer season.
People were asked to list their network, the worst-affected areas, and how poor signal was affecting them.
The responses paint a picture of widespread problems across EE, O2, Vodafone, Three, Tesco Mobile, Giffgaff, Sky Mobile, Lebara, ID Mobile, Lyca, Talk Mobile and other providers.
Complaints cover Tenby town centre, the High Street, the harbour, North Beach, South Beach, the Esplanade, The Green, Frog Street, the multi-storey car park, Sainsbury’s car park, Kiln Park, Penally, New Hedges, Lydstep, Manorbier and Saundersfoot.

‘Better signal on Caldey’
One commenter, Elizabeth Perrella, summed up the frustration, writing: “We had a better signal on Caldey than we do in Tenby!”
Others said the lack of coverage was the only downside to an otherwise beautiful town.
One EE user said: “Can’t pay with my phone in places. It’s the only downside to this beautiful place.”
Another resident, who uses Vodafone, said they live in Tenby and had “not had a signal for months now”.
Several people said the issue becomes significantly worse during busy periods, when visitor numbers rise sharply.
David Walters, an EE customer, said: “EE works in the winter but appears network can’t cope in the summer.”
Another commenter said their phone showed two or three bars, but calls and texts still failed when the town was busy because the mast appeared to be over capacity.

Businesses affected
Many of the comments raised concerns about the effect on businesses, especially those relying on phone calls, card payments, online bookings and mobile payment terminals.
One business owner said poor signal was causing lost sales because customers could not call someone to discuss a purchase.
Karen Ward wrote: “Really bad for business, if a customer needed to call someone regarding a sale and can’t get signal we lose a sale, this unfortunately happens often.”
Debz Jones, who uses Vodafone, said she was “losing lots of direct bookings because no one can get hold of us”.
Rhys Jones, an O2 user, said the problem was making it difficult to run a business, adding: “Can’t run a business to take calls for job enquiries or take payments.”
Road Runners Kilgetty said unstable signal was costing taxi work and making card payments difficult, adding: “NASA can talk to people going to the moon and we can’t talk to people from one village to another.”

Parking and EV charging problems
One of the strongest themes in the comments was the difficulty of using parking apps in Tenby’s car parks.
Several people said they had been unable to pay for parking using mobile apps because there was no signal in or around the multi-storey car park, Sainsbury’s car park and North Beach.
Paul Villa, an EE customer, said he could not get a signal in the multi-storey car park to pay, adding that he had to walk “a long way outside” and still struggled to load the app.
Mark Goodridge said there was “zero O2 reception” in the multi-storey where motorists are expected to use an app.
Others said poor signal was affecting electric vehicle charging, with drivers unable to access apps needed to start or pay for charging sessions.
Alison Lydia Sinclair wrote that Pembrokeshire car parks needed card machines, adding: “Remote payment is usually impossible because of the signal problems.”

Health and safety concerns
Some commenters said the problem was more than an inconvenience and could become a safety issue.
Mike Bennett, who works from the ambulance station at the Salterns, said the outage was now affecting “some elements of ambulance operations”.
Kate Thomas said she was on the beach when an ambulance was needed and the group struggled to get through and hear instructions from the call handler.
Another commenter said her brother, who is on dialysis and diabetic, lives in Tenby and would struggle to contact anyone in a medical emergency because of the lack of signal.
Parents also raised concerns about being unable to contact children when they are in town, while visitors said they had struggled to use maps, book taxis, contact family, or make arrangements after splitting up from groups.

Tourism impact
Several visitors said the lack of signal made their stay more difficult.
One holidaymaker said they had no signal with Tesco Mobile anywhere in Tenby over the weekend.
Another Vodafone user said they had paid extra for WiFi on an upcoming trip, only for it to be cancelled because of the wider connectivity problems, warning that the issue could affect whether people choose to visit.
Remote workers and caravan owners also said the poor signal was limiting how often they could stay in the area.
Carl Singleton, an EE customer with a caravan near Lydstep, said he was self-employed and used Teams daily, but the signal was not strong enough to work from his caravan. He said the poor mobile network was preventing him from spending more time in Pembrokeshire.
Kathryn South, another EE user with a van near Lydstep, said she could use it more often if she could work from home there, but the internet was “non-existent”.
Mast removal concerns
A number of commenters linked the deterioration in signal to the removal of a mast earlier this year.
Margaret Wales wrote that the mast opposite the cemetery had been shared by all networks and claimed its removal in January was why the signal was now “terrible all over Tenby”.
She said: “You can’t get signal without a mast. Until the networks rebuild it, things won’t change. That’s where the effort needs to be focussed. Rebuild the mast, restore the signal.”
Other users said they had been told by their providers that a mast had been removed or that a site was affected by a rent dispute.
The Herald has not independently verified those claims, but they echo concerns raised by Mid and South Pembrokeshire MP Henry Tufnell in a letter to BT Group.
MP demands answers
Mr Tufnell has written to BT Group asking for an update on the proposed EE mobile base station at Petals Plant Nursery, Strawberry Lane, Penally.
Pembrokeshire County Council has granted planning permission for a new 20-metre 4G telecommunications mast at the site.
In his letter, Mr Tufnell said constituents had also advised him that the telecommunications mast at Slippery Back Lane, Tenby, had been removed but had not yet been replaced.
He said this had reportedly left the Tenby area with very limited mobile phone signal, causing concern for residents and businesses.
Posting online, Mr Tufnell said: “Tenby deserves better phone signal.
“The lack of coverage is failing our residents, local businesses, and tourists. I have taken your concerns directly to EE and BT.
“With summer fast approaching, we need urgent answers and a clear timetable for improvements.”
Call for evidence
Around Tenby said the information being gathered would be pulled together and taken directly to the networks.
The post said: “Right now, poor signal isn’t just frustrating, it’s affecting local businesses, card payments, bookings, and the experience visitors have when they come here.
“The more responses we get, the stronger our case becomes.”
With Tenby preparing for another busy summer season, the scale of the response suggests mobile coverage has become one of the town’s most pressing practical problems.
For residents, it affects daily life. For businesses, it risks lost income. For visitors, it affects payments, parking, maps and bookings. And for some, the concern is now about safety.
Network providers will now face growing pressure to explain what has gone wrong, what temporary measures can be put in place, and when Tenby can expect reliable mobile coverage.
Business
Fresh call to approve Fishguard children’s home after previous refusal
AN AMENDED scheme for a children’s care home on the edge of Fishguard have been submitted to county planners after a previous call was refused.
In an application to Pembrokeshire County Council, Martin Leahy of Ty Caredig Ltd seeks permission for a change of use of a dwellinghouse to a residential care home for up to two children at Bryn Delyn, Y Fraich, Fishguard.
Last November, a call to allow Bryn Delyn to be used as a children’s home, which raised fears from local objectors the scheme was being ‘rubber stamped’ by the council, was refused.
In that application to the council, Cardiff-based Ty Caredig Ltd sought permission for a Certificate of Lawfulness on the basis the use was not materially different from the property’s existing lawful use.
Residents had accused the council of “pushing through a highly controversial children’s home application behind closed doors”.
A supporting statement for that scheme, with many redacted parts, said the four-bed property had a lawful use as a dwelling house; saying the use as a care home did not require planning permission through a change of use.
However, planners said the use of the dwelling as a care home “would represent a material change of use requiring the benefit of planning permission”.
Since then, amendment to the scheme, for for a change of use has been submitted, a supporting statement saying Ty Caredig Ltd operates homes throughout Wales that provide specialist care for children, the latest scheme “seeks formal confirmation that the proposed use of Bryn Delyn as a children’s care home for up to two children (plus care staff) would not require planning permission”.
Fishguard Town Council has objected, on the grounds of highway safety and parking issues.
It also raised points of “apparent discrepancies between the planning application and the information available on the website,” but stressed it did support provision of suitable accommodation for vulnerable young people and children “with the correct infrastructure in place”.
Local county councillor Cllr Par Davies has said the scheme has her “full support,” as did the certificate call, adding: “Rumours abound regarding this application with objections concerning the usage of the property as a care home for young people. The application states that only two young people would be cared for in the property.
“This type of property is needed as we often talk as councillors for the need for Pembrokeshire children in care to remain in Pembrokeshire instead of the alternative of moving them to other areas in the country and this application fulfils that need.”
Her statement of support went on to say she could not agree with objections regarding an increase in traffic on the unadopted road at Y Fraich, with no objections or concerns raised when there were working farms there.
The application will be considered by county planners at a later date.
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