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Cancer care chaos

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• Specialist beds lost in further cuts to Withybush General Hospital

LOCAL healthcare services have been cut again. The Herald can reveal that specialist inpatient cancer care has ended at Withybush, with cancer patients now being treated in general medicine. 

Withybush HospitalOncology and palliative care beds have been re-designated which means that patients needing urgent cancer care cannot be admitted direct to Ward 10. Instead, patients face assessment in A&E before admission before being shared around noncancer specialists to supervise their care. It appears as though despite hundreds of thousands of pounds being raised for Ward 10, the Board is rapidly retreating from its commitment to maintain cancer care services in Pembrokeshire.

As from Friday September 19, there is no longer an on-site consultant oncologist at Withybush for the foreseeable future. Instead of specialist care, cancer patients will be allocated to other physicians and trainees within cancer care will be palmed off onto other consultant physicians. The Pembrokeshire Herald has been informed that a potential consultant oncologist, who has settled in the area, has instead gone to Bronglais where he can achieve certainty and security in his career. The Health Board has been obliged to apply a “sticking plaster” solution by asking Dr Anne Barnes MBE to come out of retirement and work part-time to provide oncology support.

Dr Barnes, awarded an MBE for her services to cancer care in Pembrokeshire, announced her retirement at the beginning of 2014. The Board failed to advertise for a replacement until shortly before she left the Board’s employment in June this year. The Pembrokeshire Herald understands that while doctors are prepared to take up the training of those student doctors previously assigned to cancer care, no cancer training will take place in Haverfordwest. The Board was informing the Deanery of its position this week.

It is understood the one senior doctor has expressed major concerns, in particular criticising the Board for allocating a locum oncologist to Bronglais for a year and not having an oncologist based at Withybush. The Herald believes that the acute intake at Bronglais for cancer care is under half of that at Withybush. The staffi ng issue is understood to be a substantial worry for those concerned in and about cancer care in Pembrokeshire. It is diffi cult to see how advertising a solitary post for one of the sites will attract applicants if there is no proper planned service. There are clinical concerns about inferior care being provided to Pembrokeshire cancer patients if there are no oncologists to look after them.

The Herald spoke to local campaigner Lyn Neville, who said: “It’s crazy. The Board told me that the change might be because of refurbishment, but this is just mad. It is completely wrong that bearing in mind the number of people who need treatment that the Board has withdrawn this specialist service. I am gobsmacked that Bernadine Rees told us all about a refurbished Ward and new Oncology Lounge and failed to tell us this was coming. Is she as bad as the last bloke?” Anne Barnes commented: “The situation currently is that as from last Monday (Sept 22), there are no longer any dedicated inpatient cancer care services at Withybush. There are no longer any palliative, haematology or oncology beds.

They have been re-designated. They Health Board have their reasons, and have expressed a rational but we feel that things could have been handled differently. I am looking forward to meeting with Acute Services Clinical Director, Dr Sian Lewis, on Monday in the effort to resolve the situation satisfactorily and reinstate services at Withybush for the benefi t of patients in Pembrokeshire.” Ms. Barnes added: “I would encourage patients and their families to make their views known to both the Board and their local and national representatives.”

 

Challenge to Board: Where is Pembrokeshire’s money?

CHRIS EVANS THOMAS of Adam’s Bucketful of Hope and Anne Tadman of Cancer C.O.P.S. were appalled at the Board’s conduct. They said as follows: “On September 8 we were at a meeting chaired by Paul Hawkins, the Board’s Chief Operating Offi cer. At that meeting we were told the Board was committed to providing specialist care. We were told of a green light for a new Ward 10 and Cancer Day Unit. “Now this! Does the right hand not know what the left hand is doing, or is the Board treating us like mushrooms? “Well, enough is enough. If the Board cannot or will not provide the care it has failed to deliver for so long, if the Board cannot keep its promises, we will have the money we have raised back so we can do it. “The Board took £3.9m of money raised in Pembrokeshire and dumped it into a central pot. That money was raised in Pembrokeshire to be spent in Pembrokeshire. All the clever, clever bookkeeping in the world cannot hide that. “So we say: ‘Show us the money!’ “We want to see the books to fi nd out where Pembrokeshire’s money went. We challenge the Board to show us. If they won’t, it will show that the Board has something to hide. If they have been honest and straightforward, they have nothing to fear.”

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Change of course over Wales’ 20mph speed limit

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WALES’ new transport secretary confirmed a change of course on the controversial 20mph policy but continued to face calls to scrap the default speed limit completely.

Ken Skates told the Senedd the 20mph policy will be targeted at schools, hospitals, nurseries, community centres, play areas and built-up residential areas.

Mr Skates said the Welsh Government will revise guidance on exceptions by the summer, with work to adjust speed limits expected to begin from September.

In response to councils’ concerns about costs, such as for swapping signs, he confirmed the Welsh Government will foot the bill for reverting roads back to 30mph.

Mr Skates said: “What I am doing now is listening to what people want for the roads in their communities and pressing ahead with refining the policy.”

Giving a statement on his priorities, the newly appointed cabinet secretary for north Wales and transport committed to listening to people to get the “right speed on the right roads”.

He said: “Ultimately, the degree of change in each of our 22 local authority areas will not be determined by me and the Welsh Government but by the public and councils.”

Mr Skates encouraged people to contact their local council via the Welsh Government’s website to have their say about where 20mph should be targeted.

The transport secretary, who returned to the frontbench in Vaughan Gething’s reshuffle in March, said an external review of the 20mph policy will be published in the next few weeks.

Mr Skates, who replaced Lee Waters, told the chamber new roads will be built and existing ones improved, with the network better designed to accommodate bus priority lanes.

Nearly half a million people signed a record-breaking Senedd petition, calling for the “disastrous” 20mph policy, which came into force in September, to be scrapped.

Pointing out that 20mph will remain the default, Natasha Asghar, the Conservatives’ shadow transport secretary, also called for the “daft, divisive and destructive” law to be abandoned.

She said: “It is clear from the rhetoric that the Welsh Government has finally cottoned on to the fact that the 20mph policy has been a complete shambles.”

The South Wales East MS urged the Welsh Government to go further by making 30mph the default speed limit with exceptions made for 20mph, rather than the other way around.

Ms Asghar warned that anything less than rescinding the law is just paying lip service.

However, Mr Skates argued the Conservatives’ suggested approach, which would require traffic regulation orders, would bankrupt Wales and increase red tape.

Delyth Jewell, Plaid Cymru’s shadow transport secretary, criticised the Welsh Government’s decision not to pursue legal action against UK ministers over HS2 funding.

Ms Jewell, who also represents South Wales East, told the chamber billions of pounds are at stake which would have a material effect on improving Wales’ transport services.

She said: “HS2 tracks don’t travel into Wales at all but we are paying for it all the same,” with Mr Skates responding that legal advice suggesting a challenge would likely fail.

The Plaid Cymru deputy leader raised concerns about drastic cuts to vital bus services, arguing investment in rail should not come at the expense of buses.

Turning to 20mph, Ms Jewell said it is important not to lose sight of the radical policy’s aim as she highlighted that a four-year-old girl was killed in a crash in Birmingham last week.

Plaid Cymru’s Heledd Fychan raised concerns about cuts to learner travel, saying no child should miss a day of school because they cannot afford the bus.

Vowing to work with Lynne Neagle, Wales’ new education secretary, on home-to-school transport, Mr Skates said the future of buses is one of his very top priorities.

Swansea East MS Mike Hedges called for a rebalancing of support between buses and rail.

Mr Skates told the Labour backbencher a forthcoming bill on bus services will correct the “great mistake” of privatisation in the mid-1980s.

Pressed by Plaid Cymru leader Rhun ap Iorwerth about calls for a third Menai crossing, Mr Skates did not rule it out but warned that public finances are incredibly tight.

Hefin David, the Labour MS for Caerphilly, welcomed plans to review the 20mph guidance, calling for councillors, who know their communities best, to be involved in discussions.

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County Hall to offer space for community banking

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A CALL for Pembrokeshire County Council to potentially change its banking arrangement with Barclays, after it closed its Haverfordwest branch has been turned down, but County Hall is to offer space for community banking.

Barclays Bank, on the town’s High Street, is to close on May 10.

The council has had a banking services contract with Barclays since 2013.

Councillor Huw Murphy, in a notice of motion heard by Pembrokeshire County Council’s Cabinet meeting of April 22, asked the council to review its banking arrangements with Barclays following the announced closure.

e said the loss of a branch “not only impacts upon town centres and businesses but also disproportionately impacts the elderly who are less likely to embrace on-line banking options”.

A report for Cabinet members said, in terms of the impact on Pembrokeshire residents, Barclays has said that it is “not leaving Haverfordwest and [will] continue to provide face-to-face support for those who need it” via community locations.

Two options were presented to Cabinet: to retender the banking services contract, and, the favoured, to work with Barclays to ensure a community location is set up in Haverfordwest.

Members heard the costs associated with moving to a new banking service provider could be in excess of £50,000.

For the second, favoured option, members heard Barclays was in discussions with the council about a location for potential community banking.

Cabinet Member for Corporate Finance Cllr Alec Cormack, after outlining the risks in the report for members, and moving the notice be not adopted, said he had “considerable sympathy” with Cllr Murphy’s notice.

He told councillors there was a glimmer of light for banking arrangements in the county, with an agreement now signed for two ground floor rooms at County Hall, Haverfordwest, to be used for community banking.

From April 25, the rooms will be available on Wednesdays, Thursdays, and Fridays, members heard.

Cabinet Member for Planning & Housing Delivery Cllr Jon Harvey also said he had “a lot of sympathy” for the motion, adding: “It’s excellent news a deal has been struck to occupy the ground floor rooms three days a week; hopefully this will mitigate, to a certain amount, the closure.

“If we can work with the respective banks to get a community-type approach let’s move forward.”

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Haverfordwest interchange: Next stage of £19m project backed

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The second stage of building Haverfordwest’s near-£19m transport interchange has been backed, with senior councillors hearing it could cost the council more to not support it.

The transport interchange, which includes an integrated bus station and construction of a new multi-storey car park, is part of a wider series of regeneration projects in the county town.

The total cost of the scheme in the approved budget is £18.881m, £1.987m from Pembrokeshire County Council; the remainder, £16.894m, from an already-awarded Welsh Government grant.

To date, £3.425m has been spent on advanced works, including the demolition of the old multi-storey car park and a temporary bus station.

Members of Pembrokeshire County Council’s Cabinet, meeting on April 22, were recommended to approve the award of the Stage 2 construction contract for the Haverfordwest Transport Interchange.

The report for members listed two simple options for Cabinet, to authorise the award of a contract, recommended, or to not.

For the latter it warned: “It is envisaged Welsh Government will withdraw the funding awarded and the council would need to repay grants received to date; £10.322m has been received to date of which £3.376m has been offset against expenditure.”

It added: “Cost to cease this project could cost PCC more in terms of grant repayment and any capital work required to make good. PCC match contribution for the project is forecast as £1.987m of the £18.881m.”

Planning permission for the interchange was granted in 2022, with a temporary bus station constructed that year and the old multi-storey building demolished in 2023.

That year, members of the county council’s Cabinet agreed a temporary car park will be sited on the demolished remains of the old multi-storey car park until the Haverfordwest Public Transport Interchange – delayed as no compliant tender had been found at the time – is built.

Speaking at the meeting, Deputy Leader Cllr Paul Miller said: “The interchange is an important part of the regeneration of Haverfordwest, it will not regenerate Haverfordwest on its own, it is part of a wider process. The alternative to us being engaged is we simply allow it to decline and fail.”

He said the interchange was about “making it easier to visit Haverfordwest,” making parking provision “really straightforward, making it easy and convenient as possible”.

Cllr Miller said not progressing with the scheme would risk the grants already obtained, meaning the council could potentially foot the bill for costs to date, at a greater level than progressing.

He said the cost options were a near-£2m subsidised council involvement for the whole scheme or the £3m-plus spent to date if the scheme was ended, which would leave the car park as it is now.

“It’s pretty reasonable that if they give us the money and we don’t build a transport interchange they’ll be looking for that money back,” Cllr Miller said.

He said previous figures from parking revenue – back in 2019 – amounted to £100,000 a year; and could be expected to at least double on a “like-for-like” basis following the increase in parking charges.

Members, after a private and confidential session over the actual contract details, agreed to proceed with the scheme, awarding the contract to Kier Construction Western and Wales.

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