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Ambulance terror response fears in Wales over hospital delays

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Liam Randall, Local Democracy Reporter

AMBULANCE chiefs in Wales say they may not be able to respond properly to terror attacks because of hospital handover delays.

It follows a report highlighting the risk of “catastrophic harm” to the public if crews are busy at A&E departments during major incidents – this includes concerns about the availability of ambulances following a fire on a ferry heading to Fishguard last year.

The Welsh Ambulance Service service raised concerns after a mass-casualty simulation found it would have failed to provide an adequate response three out of four times.

The Welsh government said it expected health boards to prioritise cutting handover delays.

The tests were conducted after the Manchester Arena bombing public inquiry.

That found a host of failings by emergency services in the attack’s aftermath.

The warning follows the service’s claims some medics could not to respond to an explosion at Treforest Industrial Estate, in Rhondda Cynon Taf, in December 2023 because they were stuck outside Morriston Hospital, Swansea.

A major incident was declared after the blast in which a woman died.

Next week a report will be given to the ambulance service board alleging hospital officials failed to release crews from the hospital site.

Swansea Bay University Health Board denied this, saying ambulances were freed.

The ambulance service has questioned the effectiveness of release procedures.

Chief executive Jason Killens has written to Welsh health boards for assurances.

It fears it may not be able to respond to them properly because of hospital handover delays
The ambulance service fears: It may not be able to respond properly because of hospital handover delays

The ambulance report said if a major incident was declared there was a risk an “effective, timely, or safe response” may not happen.

“(This would result in) catastrophic harm (death) and a breach of the trust’s legal obligation,” it said.

The main reason for this was “lost capacity due to hospital handover delays”, over which, it said, it had no control.

It added it was not assured hospitals had plans to release ambulances effectively.

Welsh Ambulance Service operations chief Lee Brooks said it had plans to deliver an effective response to major incidents.

He recognised handover delays were a problem.

“Our ability to send a large-scale response to an incident may be hindered if our people and vehicles are not immediately released by emergency departments,” Mr Brooks said.

The report also highlighted two other occasions where the service had been concerned about ambulances not being released.

These included the fire on the Fishguard in 2023 ferry as well as a gas explosion in Swansea the month after.

Swansea Bay health board said it took its responsibilities seriously and had major incident plans.

Jason Killens
Welsh Ambulance Service boss Jason Killens says as many as 30,000 hours are lost each month due to waits to transfer patients to hospital

“These include agreed protocols to enable the rapid release of ambulances from the emergency department in the event that a major incident is declared,” it said.

“We can confirm that on the evening of the Treforest Industrial Estate fire our major incident plan was invoked and that we did release ambulances.”

Handover delays were raised in the Senedd last week after the health committee was told ambulance crews often see only one patient a shift.

Mr Killens said as much as 30,000 hours were lost monthly in Wales due to waiting to transfer patients to hospital.

Patient safety was at risk, he said, with handover times averaging more than two hours. The target is 15 minutes.

Sam Rowlands MS, Welsh Conservative Shadow Health Minister said: “It’s not good enough for the Labour Welsh Government to just ‘expect’ Health Boards to solve handover delays.

“We need substantial reform of the entire health system to clear the backlogs of getting patients out of hospital as well as in.

“Our Welsh Conservative plan of NHS reservists, along with care hospitals will deliver that immediate support needed to enable the Ambulance Service to save lives.”

The Welsh government said it expected health boards to cut patient handover delays as a priority over the next six months.

It said this year it was investing an extra £180m to help health boards and regional partnership boards manage more people in the community and avoid ambulances and hospital admission.

Crime

Man charged with attempted murder after child found in critical condition

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A MAN has been charged after an incident in Cardigan on Wednesday, January 15.

Police were called to an address in Y Ferwig, Cardigan, shortly before 10:15pm following a report of concerns for the welfare of an infant.

A young child was immediately taken to hospital, where they remain in a critical condition.

Rhydian Jamieson, 27, from Cwm Cou, Newcastle Emlyn, has been charged with attempted murder.

Jamieson has been remanded into custody and is set to appear at Haverfordwest Magistrates Court on Monday (Jan 20).

Investigators have expressed gratitude for the support of the community while enquiries continue.

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Crime

Air ambulance called to Parc Prison as inmate suffers ‘severe medical episode’

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THE TROUBLED HMP Parc prison in Bridgend faced yet another incident today (January 18), with an air ambulance called to respond to a medical emergency involving an inmate suffering from psychosis.

According to the HMP Prisons Justice Group UK, the incident unfolded during a visitation session when the inmate, reportedly diagnosed with psychosis, experienced a severe panic attack that left him struggling to breathe. Despite prior warnings from medical professionals about his condition, it is alleged that neither G4S, the private firm managing Parc, nor Cwm Taf Morgannwg University Health Board, acted to ensure the prisoner received the treatment he urgently needed.

Eyewitnesses described the scene as chaotic and distressing, with children and visitors visibly upset. Reports suggest healthcare staff on-site intervened by administering a “salt shot” to alleviate the inmate’s breathing difficulties, but the situation escalated, leading to the inmate collapsing and requiring emergency evacuation to the University Hospital of Wales in Cardiff for further assessment.

Parc Prison, Bridgend (Pic: Herald)

The inmate’s history reveals a troubling pattern of neglect. After a psychiatric assessment on December 13, 2024, he was diagnosed with psychosis and deemed unfit to plead during a court hearing on December 20. The court ordered his transfer to a mental health facility for treatment and anti-psychotic medication. However, as of today, the transfer had not been carried out, leaving the individual untreated for over three months while on remand.

The HMP Prisons Justice Group claims that G4S initially attempted to attribute today’s episode to drug use, a claim that has since been refuted. “When the salt shot was administered, his breathing improved, which wouldn’t have happened if it was drug-related,” the group stated. They accused G4S of using this defense to divert attention from what they describe as systemic neglect.

Campaigners are now calling for urgent reforms to prevent further incidents at Parc Prison. The facility has been plagued by controversy, with ongoing allegations of corruption, inadequate healthcare, and rising violence. Last year alone, assaults on staff increased by 109%, and the prison recorded 17 deaths within 11 months.

The inmate involved in today’s incident is reportedly undergoing psychological assessment at the Heath Hospital, with calls for his immediate sectioning to secure the treatment he needs. Critics argue that the prison’s failure to act on prior court orders highlights the ongoing crisis at Parc.

Campaigners insist that the incident underscores the urgent need for systemic reform at the privately-run facility.

This latest incident raises questions about the prison’s capacity to manage vulnerable inmates and provides further evidence of the deteriorating conditions at Parc Prison, which continues to make headlines for all the wrong reasons.

The Wales Air Ambulance has confirmed attendance.

Both Cwm Taf Morgannwg University Health Board and G4S has been asked to comment.

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Community

Fire crews join St Davids Cathedral on collaborative training day

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CREWS from the Mid and West Wales Fire and Rescue Service joined staff at St Davids Cathedral on Thursday for a collaborative training day, blending skills and expertise in a unique historic setting.

The fire service conducted a series of exercises, including a dramatic rescue simulation, where they practiced retrieving a ‘body’ from the cathedral tower. The exercise demonstrated the precision and teamwork required for emergency scenarios, particularly in complex environments like heritage buildings.

Such training is essential due to the unique challenges posed by historic landmarks. St Davids Cathedral, with its ancient architecture and narrow stairways, presents potential obstacles in emergency situations. Fire crews must be prepared to navigate these complexities to ensure the safety of visitors, staff, and the preservation of the structure itself.

Additionally, the presence of large numbers of visitors during peak periods increases the need for effective response strategies. Collaboration between the cathedral’s staff and emergency services ensures everyone is prepared to act swiftly and efficiently in the event of a fire or medical emergency.

A spokesperson for St Davids Cathedral said: “It was great to have the fire crews join us – their training exercises added an exciting and valuable dimension to our day. Their work highlights the importance of being prepared for any eventuality.”

The fire service also benefited from the day, as training in real-world settings like St Davids Cathedral helps refine their approach to tackling emergencies in historic and culturally significant buildings.

Photo caption: Rescue simulation: Fire crews conducted a ‘body’ rescue from the tower during a joint training day (Pic: St Davids Cathedral).

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