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Health

MS slams decision to proceed with St Davids GP surgery closure

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SENEDD Member Paul Davies has criticised Hywel Dda University Health Board’s decision to
proceed with the transfer of patients from St David’s surgery to surgeries elsewhere in
Pembrokeshire. In a board meeting held on the 26 th September 2024, the Health Board also
confirmed that it is in discussions with Shalom House in St David’s about the establishment
of a branch surgery to deliver some services.
 
Mr Davies said, “It’s shameful that Hywel Dda University Health Board is pushing ahead with
these plans, despite the vocal opposition shown by the local community.
 
“The city of St David’s will soon be the only city in the United Kingdom without a GP surgery,
and I’m appalled that the Health Board has allowed this to take place. For many people the
travel to other surgeries from St David’s is just too far and too stressful and a weak
commitment to coordinate surgeries with bus times is just not going to cut it.”
 
“Residents have been trying to engage with the Health Board and urging the management to
look at a range of other options and it appears as though the Health Board is unwilling to
consider the views of the people of St David’s. The people of St David’s deserve better, and
I hope all political representatives in Pembrokeshire can work together to stand up for the
local community.”

But Hywel Dda University Health Board says it is continuing the work to prepare for the transfer of patients from St David’s Surgery in Pembrokeshire to nearby surgeries ahead of the end of October when the current contract will come to an end.

The Health Board agreed that the care of patients at St David’s Surgery in Pembrokeshire would be transferred to local practices as close as possible to where they live, in a meeting of the Board at the end of July.

The Health Board also committed to work on establishing a Branch Surgery in St David’s providing services for part of the week for those patients transferring to nearby Solva Surgery.

Jill Paterson, Director of Primary Care, Community and Long-Term Care, at Hywel Dda announced at a Board Meeting today (Thursday, 26 September) that the Health Board is in discussions with Shalom House in St David’s about the establishment of a Branch Surgery

“The location on Nun Street is convenient for patients and is a well-established organisation which is well-supported by the local community and we are delighted to be working with the Shalom Trustees to take forward this development,” said Ms Paterson.

“We are in the process of planning services to be delivered by a multi-disciplinary team and are planning community services there and some cluster-based services too.”

The decision to transfer patients from St David’s Surgery was made following an extensive period of engagement with patients at the practice and Llais, the patient’s voice organisation for Wales. This followed the decision by the one GP who runs the surgery to resign his General Medical Services Contract.

From 1 November 2024 the Solva GP Surgery will be known as the Peninsula Practice/ Meddygfa Penrhyn to reflect the broader reach of the Practice. The name was proposed by the Peninsula Working Group, which includes representatives from St David’s City Council and Solva and Llanrhian community councils. 

The employed staff at St David’s Surgery will transfer to Peninsula Practice to join the growing team there, including administration and nursing staff and the salaried GP.

All patients at St David’s Surgery will have been sent a letter informing them which Practice they will be transferred to, and everyone will be contacted soon with a welcome letter with further information.

Ms Paterson said: “The planning for the transition is well under way. Patients don’t need to do anything – we will be transferring all records and registrations.

“Meanwhile, work to adapt the surgery building in Solva to accommodate the additional staff and patients will be taking place in the coming weeks.  This involves internal alterations to the surgery building which will be taking place over the coming weeks to convert underused rooms into consulting and treatment rooms, and to move some office space to the first floor.”

Ms Paterson said that she was aware that some of the St David’s Surgery patients were concerned about travelling to Solva for appointments.

“In terms of travel, we recognise that this is a challenge. Some individuals are going to have to travel three miles to the Solva Surgery, but we hope that that need will not be significant because we are working to provide as many services in the local community that we can.

“We have also been working with PACTO – the Pembrokeshire Association of Community Transport Organisations. They have helped us develop a leaflet and they are looking for volunteer drivers to assist with this process, so that they can respond to need where buses are not available for individuals.

“We have also had a commitment from the surgery that, as far as possible, when people do need to go to the surgery, they will try to co-ordinate appointment times with bus times.”

For those who need to travel to the Peninsula Surgery in Solva, there will be information regarding public transport options for patients on the surgery website.

Patients who require help or further information should contact the Health Board by telephone us at 0300 303 8322 (option 5), or email [email protected].

 

Health

The growing popularity of overseas medical care

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With waiting lists ever increasing and appointments seemingly booked up forever, more and more people are seeking alternative methods to get the medical care they need. While going private is an option for some, for others, the costs are simply too high, treatments are not specialised enough, or waiting lists remain lengthy. This is why many people are starting to go abroad for their treatment needs. So, with that in mind, let’s explore why overseas medical care has grown in popularity. 

Shorter wait times 

In 2024, more than 500,000 Britons chose to get treated abroad to avoid lengthy wait times on the NHS, more than double compared to numbers reported in 2021. With waiting lists continuously on the rise, it’s becoming increasingly difficult for people to get the treatment they need when they need it. The result is more and more people heading overseas to receive the right medical care. 

Lower costs

The expense of going private in the UK versus going private abroad is significant. For example a hip replacement in the UK costs around £12,000 to £18,000 privately, but will cost around £1,600 to £5,000 in India. These reduced expenses make medical care more accessible to those on lower incomes, increasing the appeal of overseas medical care. 

Specialised treatments or experimental therapies

Some countries have dedicated more time and effort into certain health conditions than others. For example many people seek epilepsy treatment in Germany, thanks to the country’s reputation for advanced investment into the condition. 

Some tests, treatments, and experimental therapies aren’t available in the UK, causing people to venture further afield to make progress with their health. 

Easier access to information

Thanks to technology like the internet and social media, it’s now easier than ever to research practices, facilities, and treatment options in different countries. Those who are dubious about going abroad for medical treatment, can now get the reassurance they need to go ahead. 

And it’s not just the treatment itself, but the travel and accommodation, too. It’s never been easier to compare prices for airplane tickets, hotels, and transfers, making the entire process straightforward. 

What does the future of medical care look like?

It’s evident that for Brits, going overseas is becoming increasingly popular. As NHS wait times and private costs increase, the appeal of treatment overbroad will likely continue to rise. 

 

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Health

£2m hospital upgrade to ease A&E pressure at Carmarthen site

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MAJOR refurbishment work has begun at Hywel Dda University Health Board’s Glangwili Hospital after more than £2 million in funding was secured from the Welsh Government.

The £2.096m investment will be used to overhaul the hospital’s Same Day Emergency Care (SDEC) unit, creating extra consultation rooms, a redesigned reception, and a more comfortable environment for both patients and staff.

Health chiefs say the expanded unit will help reduce pressure on the hospital’s busy Emergency Department by allowing more people to be treated quickly without needing an overnight stay.

The project forms part of wider efforts to improve urgent and emergency care across the health board’s sites, including the Minor Injury Unit at Prince Philip Hospital.

Keith Jones, Director of Operational Planning and Performance for the health board, said the funding would increase capacity and speed up patient flow.

He said: “This investment will help us reduce pressure on the Emergency Department and provide a smoother, swifter experience for patients. We’re grateful to Welsh Government for the support.”

Services temporarily relocated

While the work takes place, several services have moved elsewhere on the hospital site.

The SDEC unit, Discharge Lounge and Medical Day Unit have relocated to Y Lolfa, formerly Padarn Ward.

The Cancer Information and Support Service and Cancer Psychological Support Service have also moved, although contact details remain unchanged.

Some clinics, including podiatry, neuro-rehabilitation and occupational therapy, will stay at the Priory Day Hospital, but patients may need to use different access routes.

Patients are being notified through appointment letters, and extra signage will be in place around the hospital. Staff are urging visitors to check their letters carefully or contact departments directly if unsure where to attend.

Cabinet Secretary for Health and Social Care Jeremy Miles said the upgrade would help tackle overcrowding and delays.

He said: “This investment will reduce waits, ease handover pressures and improve the overall experience for patients and staff when they need urgent or emergency care.”

Work is expected to continue over the coming months.

 

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Community

Work on new 26-home Pembrokeshire development gets underway

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CONSTRUCTION work has started on a Haverfordwest scheme to provide sheltered housing apartments for the over-55s.

The Tŷ Haverfordia affordable housing and reablement development of 26 sheltered housing apartments for the over-55s alongside a dedicated 12-bed reablement centre to support residents returning home from hospital at the former Haverfordia House site, delivered by Wynne Construction, forms part of Pembrokeshire County Council’s “continued commitment to increasing high‑quality, accessible housing and deliver effective modern health and social care support across Pembrokeshire”.

Initial works began on January 26 and include securing the site, setting up a small compound and contractor parking area, installing controlled access for site personnel, and positioning temporary office and welfare units.

To maintain safe access to nearby facilities, including the GP surgery and Haverfordwest Leisure Centre, pedestrian routes through the area will remain open.

In addition, a minimum number of public parking spaces, including disabled bays, have been kept with Pay & Display machines relocated to reduce inconvenience.

In keeping the minimum number of parking spaces as well as needing to accommodate essential contractor welfare facilities, a small section of Rifleman Field has had to be used during the duration of the development of the site.

This space will be securely fenced off, and the footprint minimised. Any areas of Rifleman Field affected by the works will be fully reinstated on completion and restored to a condition that is equal to or better than at present.

To ensure residents and stakeholders are kept informed and have the opportunity to engage with the development, Pembrokeshire Housing Services will be hosting a Community Engagement Drop-in Event on Thursday, February 19, 5-7pm, at The Green Room, Haverfordwest Leisure Centre.

Pembrokeshire County Council Cabinet Member for Housing, Cllr Michelle Bateman, said: “I am pleased that we have finally reached the stage of commencing on site and look forward to seeing the development progressing.

“We have been able to progress with the development after receiving much-needed Welsh Government grant assistance for both the reablement and housing parts of the development.”

Last year, Pembrokeshire County Council’s Cabinet, members approved awarding a fixed contract of £13,560,454.21 to C Wynne & Son for the Haverfordia House works.

In 2019, Cabinet backed the acquisition of the freehold of Haverfordia House, with the overall intention to deliver a new housing and wellbeing facility following its demolition.

A report for members at last year’s June meeting said: “As well as providing long-term residents with a sense of place and community, it will provide short-term reablement users with the facilities and in-house support which they need to relearn the skills required to keep them safe and independent when they return home.”

It said there was a need for one-bed properties, and a review of sheltered over 55 accommodation was undertaken in 2018-19 which identified that existing sheltered housing stock is “no longer fit for purpose”.

 

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