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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.

 

Finance

Young people urged to claim share of £1.6bn in forgotten savings

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HUNDREDS of thousands of young people are being urged to check whether they are entitled to forgotten savings held in Child Trust Fund accounts.

The UK Government has launched a new drive to reunite young adults with more than £1.6bn in unclaimed savings, with more than 750,000 matured accounts still unclaimed.

Child Trust Funds were set up for children born between September 1, 2002, and January 2, 2011, with Government payments made into accounts to give young people a financial asset when they reached adulthood.

Around 6.3 million accounts were opened, mostly by parents or guardians, with some set up directly by HMRC where no account was opened.

The average unclaimed account is worth around £2,200.

Economic Secretary to the Treasury Rachel Blake MP has now convened a new Child Trust Fund Taskforce, bringing together government and providers to improve tracing and encourage more young people to access their money.

Members include OneFamily, Coutts, Nationwide, HSBC UK, Pilling, The Coventry, Sheffield Mutual, Unity Mutual, Forester, Healthy Investments and The Share Foundation.

Ms Blake said: “Too many young people are missing out simply because they are not aware of where their Child Trust Fund is or how to access it.

“We are acting to fix that by bringing government and industry together, improving coordination and making it easier for people to find and claim what’s rightfully theirs.”

HMRC chief executive JP Marks said many young people had an average of £2,200 waiting to be claimed.

He said: “This is their money, and we want to do all we can to help them find and access it.

“If you think you have one, you can use the Find my Child Trust Fund tool on GOV.UK to find out where your account is held.”

Accounts began maturing on September 1, 2020, when the oldest eligible young people turned 18.

Anyone born between September 1, 2002, and January 2, 2011, can search for their account for free on GOV.UK using their National Insurance number.

Those aged 18 or over can access the funds immediately.

 

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Local Government

Seven candidates contest Pembroke Dock Market Ward by-election

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VOTERS in Pembroke Dock’s Market Ward will head to the polls on Thursday, July 9, to elect a new county councillor, with seven candidates standing.

The by-election has attracted candidates from across the political spectrum, alongside three independents, with priorities including healthcare, education, regeneration, cleaner streets, social care and community services.

Independent Hayley Wood says her campaign is centred on listening to residents and ensuring their concerns are represented. She has pledged to support community groups and volunteers, improve transparency and accountability, protect local services, including healthcare, and work collaboratively for the benefit of Pembroke Dock.

She has also highlighted dog fouling as a priority, calling for targeted patrols, mobile CCTV in problem areas and closer working with residents to identify hotspots.

Independent Paul Haywood Dowson is highlighting what he describes as a strong record of campaigning on local issues. He says he helped defeat proposals for a waste storage site at Pembroke Port, opposed plans for a fuel tanker depot on Criterion Way, tackled problems linked to a rogue landlord at the former Coronation School and Commercial Row, worked to remove fly-tipping and overflowing bins, and campaigned on issues surrounding Penally Camp.

Independent Claire Francis-Boswell is focusing on community involvement and volunteering. She says she has worked alongside organisations including Pater Hall Community Trust, Pembrokeshire Pride, Pennar Hall, Friends of Pembroke Pool, the neighbourhood policing team and the town council.

She highlighted her continued work with Pembroke Dock’s Warm Rooms initiative, describing it as an important source of support for vulnerable and isolated residents. She also says she works with local businesses to promote the town centre, while campaigning on issues including antisocial behaviour, dangerous driving and dog fouling.

Welsh Liberal Democrat candidate Lee Herring has identified cleaner and safer streets as a key priority, including repairing potholes and damaged pavements. He is also calling for greater support for young people, improved healthcare services at Argyle Street Surgery, better standards at Ysgol Harri Tudur and stronger accountability from elected representatives.

Reform UK candidate Ryan Morgan says his experience working in social care and running a business has shaped his priorities. He has pledged to campaign for improved social care provision, support the regeneration of neglected sites and empty properties, and improve additional learning needs provision.

Morgan, who is also a local authority school governor, says his personal experience as the parent of a child with autism has given him first-hand insight into the challenges facing families seeking support.

Plaid Cymru candidate Chloe Louise Richards says her background as a registered nurse and clinical practice educator has equipped her with leadership, communication and problem-solving skills. She also serves as a trade union steward, representing colleagues and negotiating on their behalf.

Richards says she wants to see stronger local services, greater opportunities for residents and businesses, and a council that listens to local people.

Welsh Conservative candidate Jamie Street says being part of an established Conservative group at Pembrokeshire County Council would provide access to experience and support while enabling him to raise local issues effectively.

Street says he wants to challenge what he describes as wasteful council spending, arguing that greater focus should be placed on core services including schools, roads, housing and social care. He has pledged to scrutinise council decisions, ensure value for taxpayers’ money and put Market Ward’s interests first if elected.

The by-election was called following the death of veteran county councillor Brian Hall in April. Cllr Hall had represented Pembroke Dock’s Market Ward since 1996 and served in a number of senior roles during three decades of public service.

 

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Crime

Historic Vagrancy Act repealed as rough sleeping is decriminalised

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A 200-year-old law which criminalised rough sleeping and begging has been repealed in England and Wales.

The Vagrancy Act 1824, long criticised by homelessness charities as outdated and inhumane, was formally repealed today, Monday, June 29.

The change means people can no longer be criminalised simply for sleeping rough or begging, although existing laws remain in place to deal with criminal behaviour or anti-social behaviour where necessary.

Welsh homelessness charity The Wallich welcomed the repeal, describing it as a major step away from punishment and towards support.

Sian Aldridge, Interim Chief Executive at The Wallich, said: “If you are forced to sleep on the streets, you are not a ‘vagrant’, you’re a human being who needs support and love.

“Experiencing homelessness is extremely traumatic and the 200-year-old Vagrancy Act was altogether cruel, inhumane and actively prevented people from breaking repeated cycles of homelessness. It’s been a long fight get it repealed.”

The charity said it had campaigned for years alongside Crisis, Liberty, Shelter Cymru, St Mungo’s, Centrepoint, Cymorth Cymru and Homeless Link for the law to be scrapped.

Ms Aldridge added: “The final repeal of the Vagrancy Act shows that when we speak out together, change is possible. Change that could be transformative to tackling homelessness in Wales.

“We only hope now that policing and local authorities in Wales do not use other means to unnecessarily penalise people for sleeping rough.”

The Wallich said it remained concerned about the use of dispersal orders, public space protection orders and “hostile architecture”, such as anti-sleep benches or doorway spikes, where these are used to move people on rather than address the causes of homelessness.

The repeal comes after years of pressure from charities and campaigners, who argued that criminalising rough sleeping pushed vulnerable people further away from help.

The UK Government said the move marked a shift from punishment to prevention, with ministers saying homelessness should be treated as a social issue requiring support rather than prosecution.

 

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