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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.

Charity

Shalom House adapts to community needs amid financial struggles

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A HOSPICE in St Davids is finding new ways to support the community after financial challenges forced changes to its operations. Shalom House, a well-loved facility on Nun Street, has shifted its focus in recent years, balancing healthcare provision with its founding mission.

Established in 2007, Shalom House was originally designed as a five-bed hospice offering respite and palliative care. Its creation was made possible by the donation of the property from Elizabeth de Guise, a novelist with a deep connection to Pembrokeshire. However, rising costs and funding shortfalls have led to significant changes in how the hospice operates.

In late October, the closure of St Davids Surgery prompted Shalom House to repurpose two of its rooms for use by a branch surgery. The facility is now home to a service staffed by practice nurses under Hywel Dda Health Board, ensuring local residents continue to have access to healthcare.

Balancing priorities

While the move has been welcomed by many in the area, it has come at a cost. Shalom House now operates with three respite beds instead of five, a change that has sparked concern among some supporters.

“We had to make a difficult decision,” a spokesperson for the hospice said. “Our primary goal is to serve the community, and this arrangement allows us to do so in multiple ways. The branch surgery provides vital medical care while helping us generate income to keep Shalom House open.”

The hospice continues to offer day-care services to several patients each week, with additional respite care provided as resources allow. Trustees are optimistic that full capacity can be restored in the future, depending on funding.

Community campaign brings hope

Despite the challenges, Shalom House has received overwhelming support from the Pembrokeshire community. A recent campaign, “Save Shalom,” has seen donations increase dramatically, offering a glimmer of hope for the hospice’s long-term future.

Local resident and campaign volunteer, Jenny Williams, said: “Shalom House means so much to so many people. It’s more than a building—it’s a lifeline for families across the county. We’re determined to do everything we can to keep it running.”

Looking ahead

The trustees are exploring new ways to raise funds and expand services, with plans to launch a series of community events next year. They have also expressed gratitude for the continued generosity of local residents, whose donations remain crucial.

“Shalom House has always been about Pembrokeshire’s people,” said the spokesperson. “Every penny donated helps us provide care and support to those who need it most. We’re confident that, with the community behind us, we can overcome these challenges.”

For more information about Shalom House or to make a donation, visit www.shalomstdavids.org.

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Entertainment

A Christmas spectacular at St Davids Cathedral delights audience

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A CHRISTMAS celebration of music and song enthralled audiences at St Davids Cathedral on Saturday (Dec 14), as the St Davids Cathedral Choir and Vox Angelica presented A Christmas Spectacular. The event, which began at 7:00pm, offered a festive evening of performances set against the awe-inspiring backdrop of one of Wales’ most iconic landmarks.

The concert featured the talented harpist Bethan Semmens, who captivated listeners with her intricate and emotive playing. A Cardiff native, Semmens studied at the Royal College of Music and has performed at prestigious events across the UK and internationally. Her contributions to the evening brought an enchanting touch to the programme.

The night was packed with beloved seasonal pieces, showcasing both choral and soloist performances. Highlights included the timeless Good King Wenceslas, Winter Wonderland, and festive classics such as The Twelve Days of Christmas. The Cathedral Choir delivered stirring renditions under the vaulted ceilings, with carols and arrangements that beautifully resonated throughout the space.

Special moments featured solos by Harriet Pearce and Sophie Cooke, who lent their voices to favourites like There Is No Rose and Balulalow. The audience was further treated to a moving arrangement of A Ceremony of Carols by Benjamin Britten, performed in harmony with Bethan Semmens’ harp accompaniment.

A medley of carols encouraged audience participation, culminating in a joyful and spirited atmosphere. Families, friends, and visitors joined their voices for classics that brought warmth and festivity to the wintry evening.

The performance concluded with an uplifting recessional, leaving attendees with a sense of seasonal cheer. The Cathedral, adorned with Christmas trees and lights, provided the perfect setting for what many described as an unforgettable musical experience.

The Herald understands that A Christmas Spectacular was a resounding success, with plans already underway for next year’s event.

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Greyhound racing in Wales: Future hangs in balance as decision delayed until 2025

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THE WELSH GOVERNMENT’S decision to postpone a ruling on the future of greyhound racing until 2025 has sparked mixed reactions, with animal welfare groups voicing disappointment and industry representatives welcoming the extended timeline for discussion.

Welfare groups demand urgent action

Animal welfare organisations, including Dogs Trust, RSPCA Cymru, Blue Cross, Greyhound Rescue Wales, and Hope Rescue, have expressed dismay at the delay. The coalition, known as Cut the Chase, has long advocated for an end to greyhound racing in Wales, calling the postponement a missed opportunity to prevent further harm.

Their concerns mirror recent developments in New Zealand, where greyhound racing will be banned by August 2026 due to concerns over injuries and fatalities. Owen Sharp, Chief Executive of Dogs Trust, stated:
“The call to end greyhound racing in Wales has received overwhelming support from the animal welfare community, Members of the Senedd, and the public, with over 35,000 people signing a petition demanding change.

“It is unacceptable that so many dogs die or are seriously injured every year, all in the name of entertainment. Wales now stands alongside only a handful of countries, including England and Scotland, where this outdated and inhumane practice persists. The Welsh Government must take the only meaningful action to stop this cruelty: end greyhound racing once and for all.”

Public supports a phased ban

A consultation conducted by the Welsh Government revealed that 64.69% of respondents supported a phased ban on greyhound racing. Despite this, officials have opted to extend deliberations, with a final decision now expected in 2025.

Animal welfare groups highlighted troubling figures from the Greyhound Board of Great Britain (GBGB), which reported 359 racing greyhound deaths and 4,238 injuries in 2023 – a 47% increase in fatalities compared to the previous year. Concerns extend to off-track welfare, including reports of poor living conditions, inadequate nutrition, and lack of enrichment for retired greyhounds.

Industry defends its welfare standards

The GBGB has countered criticism by emphasizing welfare improvements at licensed tracks such as Valley Stadium in Wales. Mark Bird, GBGB Chief Executive, said:
“Valley Stadium’s licensing has brought significant welfare improvements, overseen by expert veterinarians and our national network of professionals. Racing greyhounds receive more oversight and protection than many pet dogs across Wales.

“We remain committed to working with the Welsh Government to promote and protect greyhound welfare through effective and proportionate regulation.”

Broader calls for change

The debate in Wales reflects a growing movement to end greyhound racing across the UK and beyond. In Scotland, a Proposed Prohibition of Greyhound Racing Bill aims to outlaw the sport, while New Zealand has committed to a ban, citing ethical concerns.

Decision delayed but debate intensifies

The Welsh Government has emphasized the need for thorough consideration before making a final decision. However, the delay has intensified divisions, with animal welfare groups urging an outright ban and the industry advocating for improved regulation as a viable alternative.

A final verdict is not expected until 2025, leaving the future of the sport – and the welfare of thousands of greyhounds – uncertain.

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