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
Pembrokeshire projects are building success

PEMBROKESHIRE County Council’s Building Control Team is congratulating local building and design projects for success in the LABC Building Excellence Awards 2024.
The LABC Building Excellence Awards are the largest business to business awards in the building control sector.
They celebrate buildings and design teams that have overcome the challenges of complex technical and construction issues and put the spotlight on innovative and creative building work.

In Pembrokeshire, D & O Construction Ltd, Julian Bishop Architect, Redstone Architecture and AB Rogers & Son Ltd, Hayston Development & Planning Ltd all achieved success on some high profile local projects.
In the Regional LABC Building Excellence Awards 2024, Berry Lodge, Newport won the Best Residential Extension in Wales prize with work carried out by D & O Construction Ltd and with agents Julian Bishop Architect and Redstone Architecture.
Highly Commended was the development at Plas Y Castell, Llawhaden, carried out by AB Rogers & Son Ltd and Hayston Development & Planning Ltd.
The Berry Lodge development then went forward to the Grand Finals at Grovesnor House in London where the top projects across the UK were celebrated.

Council Building Control Manager Sam Goodwin said: “Building Control is delighted to work on these projects which highlight the skill and innovation of developers locally.
“Pembrokeshire County Council Building Control is proud to be part of LABC Awards. The Local Authority Building Control (LABC) awards were set up to celebrate excellence achieved through high building standards, technical innovation and sustainable designs.
“The Awards are an opportunity for the industry to celebrate good building practice and winners demonstrate how positive working relationships with local Council building control teams achieve high quality, sustainable buildings.
“The awards are unique because they recognise how this cooperation improves building standards and professionalism across the industry and it is great to see local contractors, agents and designers within Pembrokeshire receive recognition in achieving these standards.”
If you would like to contact Building Control at Pembrokeshire County Council, please contact Building Control via the website www.pembrokeshire.gov.uk/building-control or alternatively contact 01437 764551
Community
Forties dance to mark end of Second World War

PEMBROKE DOCK will step back in time this summer to mark 80 years since the end of the Second World War, with a special one-off Forties-themed dance.
The event, taking place on Saturday, June 21, will commemorate both VE Day and VJ Day in a night filled with 1940s fashion, music, and nostalgia. It will be held in a 400-capacity marquee at the former Royal Dockyard, generously sponsored by the Port of Milford Haven and supported by street food vendors.
Organised by the Pembroke Dock Heritage Centre team, the dance will also raise funds for a unique heritage project – returning the RAF Pembroke Dock Memorial Window to the town. The memorial has been on display at the RAF Museum in London for the past 30 years.
Wartime favourites will be brought to life by the renowned Phil Dando Big Band, making a welcome return to Pembroke Dock. The band, known for its Glenn Miller-era repertoire, has delighted local audiences in previous Forties dances that saw guests turn out in period fashion and vintage military uniforms.
Peter and Marilyn Mitchell, long-standing members of the Heritage Centre’s volunteer team, are already planning their outfits.
“Check out local charity shops for wartime-era fashions,” they said. “Forties fashion was stylish, and it’s surprising what you can still find today – or recreate quite easily and affordably.”
Tickets for the dance cost £25 and are available via Eventbrite, directly from the Pembroke Dock Heritage Centre (01646 684220), or from the Pembroke Dock Town Council offices on Dimond Street.
Community
Ground breaking event marks start of key Haverfordwest Public Transport project

KIER and Pembrokeshire County Council held a traditional ground breaking event at Haverfordwest Public Transport Interchange (HPTI) last month – celebrating the official start of work on site.
Council members including the Leader Councillor Jon Harvey, Deputy Leader Councillor Paul Miller, Cabinet Member for Residents’ Services Councillor Rhys Sinnett and for Haverfordwest Castle ward Councillor Thomas Tudor, joined Kier for the event with the ceremonial breaking of the ground marking a key milestone in the project’s progress.
The scheme includes the construction of a modern bus station and multi-storey car park to Haverfordwest’s town centre, providing a new interchange for buses and coaches, with upgraded passenger facilities.
Designed by architects BDP and built by Kier, the completed scheme will include more than 300 parking spaces, seven bus bays, public toilets and accessible changing facilities for people with disabilities.
The project also has a number of sustainable features including electric vehicle charging facilities and an array of solar panels on the roof which will supply the vast majority of the building’s energy usage and help Pembrokeshire County Council meet their commitment to be net zero carbon by 2030.
Ian Rees, regional director at Kier Construction Western & Wales, said: “We have been on site for a number of months now undertaking essential enabling works, this ground breaking ceremony is an important milestone as we progress into the construction phase of this vitally important transport hub.
“This transport interchange for Pembrokeshire County Council will really begin to take shape over the coming weeks and months and will ultimately deliver a much-needed, modern transport hub for the local community, improving connectivity and accessibility for residents and visitors alike.”
Cllr Paul Miller, Deputy Leader of Pembrokeshire County Council, said: “It’s great to see work starting on this new transport interchange, which is an important part of the wider Haverfordwest Masterplan. It’s designed to make it easy and convenient to visit Haverfordwest town centre which is a key part of our efforts to regenerate the town.
“I think we can all agree the previous multi-story car park had reached the end of its useful life.
“Once we’ve completed this project, the town centre will be easily accessible both by bus and of course by car with the car park element of the project benefiting from wider spaces, EV Charging, single tap exit and payment and of course a much nicer, lighter and safer environment for users.”
Architects, landscape architects and civil and structural engineers from multidisciplinary design practice BDP designed the transport interchange.
Matthew Mayes, architect director at BDP, said: “This significant regeneration scheme will be transformational for local people, offering improved access to bus, taxi and cycling facilities with excellent connectivity to the riverside, shopping centre and railway centre.
“Our designs include striking aluminium fins that wrap around the building with stone cladding at ground level to reflect the town’s historic features and a new public square with plenty of greenery and seating for people to relax.”
Built on the site of a demolished multi-storey car park and bus station, HPTI will form part of the South West Wales Metro project, which aims to better integrate sustainable modes of transport and complements the wider regeneration work in Haverfordwest.
The design of HPTI is being funded from the Welsh Government’s Local Transport Fund.
Kier has significant experience in south-west Wales spanning over 60 years and has included the delivery of schools, hospitals and even the home of Welsh television, S4C, in Carmarthen.
This project was procured by Kier through the South West Wales Regional Contractors Framework (SWWRCF).
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