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Hywel Dda’s decision to close St Davids Surgery sparks outrage

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Hywel Dda University Health Board has decided to close St Davids Surgery, leaving patients, especially the elderly with limited travel options, without access to local medical care. Nearly 3,000 patients in the UK’s smallest city are set to be transferred to other practices ahead of the surgery’s closure. St Davids will now be the only city in the UK without medical facilities.

The health board has resolved to relocate patients from the surgery in St Davids, Pembrokeshire, prior to its shutdown at the end of October. The decision follows the resignation of the practice’s sole GP, Dr Stephen Riley, who stepped down from the General Medical Services contract in April after failing to recruit new partners.

In June, 520 concerned residents attended an open day hosted by the health board to discuss the future of GP services, where a protest was staged. The overwhelming majority of the 2,728 patients, approximately 2,500, will be transferred to the surgery in Solva, which is managed by the health board. An additional 161 patients are expected to transfer to Fishguard, while 28 will go to the St Thomas’s practice in Haverfordwest and 26 to the town’s Winch Lane practice.

Jill Paterson, Director of Primary Care, informed a meeting on Thursday (Jul 25) that establishing a health board-managed surgery in St Davids would cost an extra £267,000 on top of the £586,000 annual cost of providing a GP service. Paterson noted that renaming the Solva practice could provide a sense of “ownership” for St Davids residents, suggesting the name “Peninsula Practice,” though final details remain undecided.

Neil Wooding, Chairman of the Health Board, stressed that the future of GP services in St Davids must be “affordable and sustainable.” The health board agreed to explore the possibility of establishing a branch surgery in St Davids, offering about 20 hours of nurse-led care and services such as phlebotomy and physiotherapy.

St Davids representative on Pembrokeshire County Council, Cllr Bethan Price said: “Obviously there is disappointment that the surgery is going. We will have a nurse led-practice in the city for 20-hours a week, but we do not know yet where this will be. There is concern about elderly and vulnerable people and transport, but at least we still have Solva surgery in the Peninsula.”

Senedd Member Paul Davies has condemned the health board’s decision, warning that relocating GP services could have devastating effects on patients, particularly the elderly and vulnerable who lack transport options. The board decided on 25th July 2024 to manage the dispersal of patients to surgeries in Solva, Fishguard, and Haverfordwest while continuing to develop a local branch surgery for limited services.

Davies stated, “I’m appalled that the Health Board has taken this decision. The Health Board is fully aware of the impact that this closure could have on patients, particularly those that are elderly, vulnerable, and have no means of transport to travel to a surgery further away. Whilst the Health Board has undertaken a consultation exercise, it’s clear that the views of patients haven’t been sufficiently addressed and many will have to travel further for vital treatment.”

He added, “It’s absolutely critical that the Welsh Government intervenes to support the local community. People living in St Davids should have access to GP services in their community, and the Welsh Government must now do everything possible to prevent this closure from happening. I will be raising this matter at the Senedd at the earliest opportunity.”

“For years, health services have been under threat across Pembrokeshire, which is fast becoming a blind spot for the Welsh Government and the Health Board. The people of Pembrokeshire deserve better, and we will keep fighting until this decision is overturned.”

In a detailed statement sent to the press on Thursday afternoon, Jill Paterson, Director of Primary Care said: “We recognise the strength of feeling in the community and the value which the community attach to retaining services as locally as possible.

“While the Board has decided that the best option to secure stable and sustainable services is to transfer the patients to other neighbouring practices, the Board also recognised that a branch surgery should be established in St David’s to address the concerns of those patients transferring to Solva Surgery who are concerned about travelling for appointments.

“The vast majority of patients including all those living in St David’s will be transferred to Solva Surgery at the end of October. 

“This represents an important step on the route to establishing a single Practice for the Peninsula, and reflects the ambition of the Peninsula Stakeholders Group which includes representatives from St David’s City Council and Solva and Llanrhian Community Councils.  

“The Health Board is grateful for the ongoing contributions of local representatives and other stakeholders to the longer-term vision of a single Peninsula Practice for the wider community.

“We would like to thank Dr Stephen Riley and his team and for the care that they have provided over the years. We very much appreciate the continuing support given by the Community to the team at St David’s Surgery throughout this challenging period.”

Ms Paterson explained that a Panel met twice during the process to consider the available options, both before and after the engagement period. 

“After carefully considering all feedback, the Panel supported a recommendation whereby patients of St David’s Surgery would be allocated to another GP practice closest to their home address,” Ms Paterson said.

“For the vast majority of patients this will mean transferring to the neighbouring Solva Surgery, which is a Health Board Managed Practice, with those patients living closer to Fishguard and Haverfordwest being allocated to practices at those locations.

“St David’s staff will be transferring over to Solva Surgery and we will be making internal alterations to the building to ensure it can accommodate the additional patients and staff.

“We feel that this solution will be achievable by the beginning of November when the contract terminates and would allow for a safe, sustainable and secure model to be established for the future.”

Ms Paterson continued: “We understand local people will want to know what the future of their GP services will look like, and we will be writing to all patients and stakeholders to inform them of the outcome and to share details and services for their new practice.”

 

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Welsh Government outlines progress on flood resilience plans

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THE WELSH GOVERNMENT has provided an update on its response to recommendations made by the National Infrastructure Commission for Wales (NICW) on improving flood resilience by 2050.

Deputy First Minister and Climate Change Secretary Huw Irranca-Davies said flooding and coastal erosion remain among the most immediate threats facing communities across Wales due to climate change.

He said the Government’s approach is guided by its national flood strategy, climate adaptation plans, and the Well-being of Future Generations Act, with a focus on reducing risk and strengthening long-term resilience.

The update outlines progress since commitments were made in April 2025, with ministers confirming that much of the work will continue into the next Senedd term due to the scale of the challenge.

Investment and long-term planning

The Welsh Government says it is maintaining record levels of investment in flood and coastal erosion management, alongside expanding natural flood management schemes and working more closely with Natural Resources Wales, councils and local communities.

Plans for wider reform of water governance are also under consideration, with a public consultation currently open until April 7. Any major structural changes are expected to be decided by the next Senedd.

Ministers also confirmed they are working towards a longer-term flood resilience strategy beyond 2030, aimed at creating a more integrated national approach.

Catchment approach and community support

A key focus is the development of catchment-based strategies, with pilot work underway on the River Taff. Similar collaborative schemes in areas such as the Wye and Usk are already being used to reduce flood risk while delivering environmental benefits.

The Government says improving community resilience remains a priority, with work ongoing alongside the National Flood Forum to better support communities before, during and after flooding.

Officials are also exploring new roles, including so-called “agents of change”, to strengthen engagement with vulnerable groups.

Funding challenges remain

More than £5 million has been committed to natural flood management projects in 2026–27, but ministers acknowledge public funding alone will not be enough.

Work is underway to attract private and partnership investment, including from infrastructure providers and insurers, alongside the development of a new sustainable finance framework.

While multi-year funding is seen as beneficial, the Government said annual budget cycles remain a barrier, though more flexible funding arrangements are being explored.

Skills, education and property protection

Efforts are also being made to strengthen the workforce, including new placements for students in local authorities, with further expansion planned.

Property-level flood protection will continue to be delivered by councils and Natural Resources Wales, with additional support for high-risk households under review.

The Welsh Government said the update demonstrates “clear progress” but acknowledged that long-term adaptation will require continued partnership working and sustained investment.

 

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Reform MPs storm out of Commons after Starmer brands Farage an ‘absolute disgrace’

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Fiery PMQs clash descends into chaos as Labour jeers and Reform exits chamber

REFORM UK MPs dramatically walked out of the House of Commons on Wednesday (Mar 25) following a heated Prime Minister’s Questions exchange that saw Sir Keir Starmer launch a scathing attack on Nigel Farage.

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The confrontation erupted after Farage challenged the Prime Minister on small boat crossings, prompting a blistering response from Starmer.

Addressing the Commons, the Prime Minister said: “This is from the man and the party that voted against giving law enforcement counter-terrorism style powers to tackle it.

“So he wants the grievance, he doesn’t want it sorted and he has absolutely no judgment.”

Starmer went further, accusing the Reform leader of inconsistency on foreign policy and opportunism in politics.

“He again said, ‘let’s join the war, let’s all go to war’… A week later, a screeching U-turn. We don’t want to go to war. And he says trust his judgment. It’s hard to take anything he says seriously.”

The Labour leader concluded with a stinging remark: “Reform don’t want to solve problems, they only want to exploit them… it’s an absolute disgrace.”

Within moments of the comments, Reform MPs began leaving the chamber in protest. Farage was followed out by fellow MPs including Robert Jenrick and former Home Secretary Suella Braverman.

Labour MPs responded with loud jeers, with some shouting “bye” as the group exited.

The walkout quickly drew criticism from Labour figures. Cabinet minister Jo Stevens later posted on social media: “What a bunch of snowflakes.”

The dramatic scenes underline the increasingly volatile atmosphere in Westminster, as Reform UK continues to position itself as a disruptive force in British politics ahead of upcoming elections.

The Herald understands tensions between Labour and Reform MPs have intensified in recent weeks, particularly over immigration and national security policy.

 

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Health

Same Day Emergency Care unit at Glangwili to reopen after £2m refurbishment

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THE SDEC unit at Glangwili Hospital in Carmarthen will reopen to patients and staff on Monday (Mar 30) following a major £2m refurbishment.

The upgrade, funded by the Welsh Government, has delivered additional consultation rooms, a redesigned reception area, and improved facilities aimed at enhancing the experience for both patients and staff.

Health board chiefs say the revamped unit is expected to ease pressure on the hospital’s Emergency Department and forms part of wider efforts to improve urgent care services across Hywel Dda University Health Board sites, including the Minor Injury Unit at Prince Philip Hospital.

Keith Jones, Director of Operational Planning and Performance at Hywel Dda, said: “We are very grateful to the Welsh Government for the £2.096 million investment, which has allowed us to increase capacity within the SDEC unit at Glangwili.

“We expect these improvements will help reduce pressure on the Emergency Department and enable our teams to deliver a smoother, faster experience for patients.”

During the works, several services were temporarily relocated to Y Lolfa, formerly Padarn Ward. These will now return to the SDEC building, including the Discharge Lounge, Medical Day Unit and the Primary Care Out of Hours Service.

Cancer support services, including the Cancer Information and Support Service (CISS) and Cancer Psychological Support Service (CaPS), will also move back to the unit.

Access routes for services that remained at the Priory Day Hospital during the refurbishment – including podiatry, neuro-rehabilitation and occupational therapy – will return to normal.

Patients are advised to follow on-site signage or ask staff for directions. The health board said appointment letters will include updated information, but urged patients to double-check details and contact departments directly if unsure.

Mr Jones added: “I would like to thank staff, patients and visitors for their patience during these works.”

Cabinet Secretary for Health and Social Care Jeremy Miles said the investment would deliver “real improvements” for patients and staff.

He added: “This is part of our ongoing commitment to improving hospital facilities across Wales, ensuring people receive the right care, in the right place, as quickly as possible.”

 

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