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Health chair speaks out

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• The Board must communicate with the people
• ‘There WILL be a Chemotherapy Day Unit at Withybush’
• ‘Ward 10 is not closing’

Health Board Chair Bernadine Rees: Says Ward 10 is not closing

Health Board Chair Bernadine Rees: Says Ward 10 is not closing

IN A WIDE-RANGING interview with The Pembrokeshire Herald Assistant Editor Jon Coles, Health Board Chair Bernadine Rees spoke candidly about the challenges facing the Board in Pembrokeshire and beyond. Ms Rees began by addressing last week’s front page story, which she was concerned had implied Ward 10, the cancer care ward, had closed. Ms Rees was adamant that Ward 10 remained open to offer the same range of cancer care as previously: “I am from Pembrokeshire. I use services across all three counties served by the Health Board.

Make no mistake, we are committed to delivering a model of service that works for all people across the Health Board area. My first clinical experience was at Withybush Hospital in intensive care. But over the years that have passed since that experience, how we deliver care has changed.” Asked about the patient experience of health care, Ms Rees was direct: “Patients will not experience any change in the care they receive.

The core services at Withybush will remain the same. But we have to acknowledge that patients, people generally, are a lot more mobile than they were in the past. As I said above, since my first clinical experience at Withybush, methods of delivering care have changed and so have the ways in which people access it. The Board cannot stand still. The Health Board has to recognize that the way in which care is delivered has moved on.

We must ensure we deliver the best care possible across the whole of the Health Board.” Bernadine Rees revealed that the new service model developed for paediatric care at Withybush provided for on-site care at Withybush to run from 10am in the morning to 10pm at night, supported by 24 hour Accident and Emergency care. We put the problem the Board had with perceptions that it had failed to communicate its plans fully in the past. While declining to comment on past practice, Bernadine Rees said: “We must ensure that good news gets out.

I am concerned that we need to be given the chance to respond to stories in the press and that we work with the press in a much more proactive way. People must have confidence that the decisions we are making are based on evidence and we will work hard to make that evidence available so people can see the reasons behind our decisions. We will be sending more information out so that people know what changes we are making and why we are making them.”

She went on to explain: “I was personally disappointed to find that perhaps the Board has not been as effective communicating with those involved in cancer charities as I would have hoped. We remain committed to working with them to deliver the best possible service for cancer patients and their families in Pembrokeshire.” She confirmed: “Let me be clear: Ward 10 is not closing. We will build a chemotherapy day unit at Withybush.”

After the interview, The Herald received a press statement from the Board in which Dr Sian Lewis, Acute Services, Clinical Director said: “It is important that patients, their families and the general public understand that we continue to provide cancer services at Withybush Hospital. We have had to change the way we provide in-patient care because of problems in recruitment of a suitably trained oncologist.

This means that patients will be admitted under the care of general physicians with the support of specialist oncologist rather than directly under an oncologist. This is the usual model of care in district general hospitals throughout the UK. This change has happened because our recently appointed a locum consultant oncologist left on the 19th of September.

We have re-advertised and continue to work with recruitment agencies however there are currently more than 30 consultant oncologist vacancies across the UK and recruitment is a significant challenge. The new model of care will enable us to maintain in-patient services locally and for certain complications of cancer therapy, should improve the way we deliver care. Importantly, out-patient and chemotherapy services remain unchanged.”

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Health

Resident doctors in Wales vote to accept new contract

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RESIDENT doctors across Wales have voted to accept a new contract, with 83% of those who took part in a referendum backing the agreement, according to BMA Cymru Wales.

The contract includes a four per cent additional investment in the resident doctor workforce and introduces a range of reforms aimed at improving training conditions, wellbeing and long-term workforce sustainability within NHS Wales. The BMA says the deal also supports progress towards pay restoration, which remains a central issue for doctors.

Key changes include new safeguards to limit the most fatiguing working patterns, measures intended to address medical unemployment and career progression concerns, and reforms to study budgets and study leave to improve access to training opportunities.

Negotiations between the BMA’s Welsh Resident Doctors Committee, NHS Wales Employers and the Welsh Government concluded earlier this year. Following a consultation period, a referendum of resident doctors and final-year medical students in Wales was held, resulting in a clear majority in favour of the proposals.

Welsh Resident Doctors Committee chair Dr Oba Babs Osibodu said the agreement marked a significant step forward for doctors working in Wales.

He said: “We’re proud to have negotiated this contract, which offers our colleagues and the future generation of doctors safer terms of service, fairer pay, and better prospects so that they can grow and develop their careers in Wales.

“This contract will help to retain the doctors already in training, and also attract more doctors to work in Wales, where they can offer their expertise and benefit patients.”

Dr Osibodu added that the BMA remains committed to achieving full pay restoration and acknowledged that challenges remain for some doctors.

“Whilst this contract sets the foundations for a brighter future for resident doctors in Wales, we recognise that there are still doctors who are struggling to develop their careers and secure permanent work,” he said. “We need to work with the Welsh Government and NHS employers to address training bottlenecks and underemployment.”

The Welsh Government has previously said it recognises the pressures facing resident doctors and the importance of improving recruitment and retention across NHS Wales, while also highlighting the need to balance pay agreements with wider NHS funding pressures and patient demand.

The new contract is expected to be phased in from August 2026. It will initially apply to doctors in foundation programmes, those in specialty training with unbanded rotas, and new starters, before being rolled out to all resident doctors across Wales.

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Crime

Swansea man jailed for online child sex offence dies in prison

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A SWANSEA man who was jailed earlier this year for attempting to engage in sexual communication with a child has died while in custody.

Gareth Davies, aged 59, of the Maritime Quarter, was serving an 18-month prison sentence after being convicted in May of sending sexually explicit messages to what he believed was a 14-year-old girl. The account was in fact a decoy used as part of an online safeguarding operation.

The court heard that Davies began communicating with the decoy between November and December 2024 and persistently pursued the individual, later attempting to arrange a face-to-face meeting. He was arrested after being confronted by the decoy operators.

Davies had pleaded not guilty but was convicted following a trial. At the time of sentencing, police described the messages as extremely concerning and said his imprisonment was necessary to protect children.

It has now been confirmed that Davies died at HMP Parc on Wednesday (Nov 27) while serving his sentence.

The Prisons and Probation Ombudsman has launched an independent investigation into the death, which is standard procedure in all cases where someone dies in custody. No cause of death has been released at this stage.

A coroner will determine the circumstances in due course.

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Farming

Welsh Conservatives warn climate plans could mean fewer livestock on Welsh farms

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THE WELSH CONSERVATIVES have challenged the Welsh Government over climate change policies they say could lead to reductions in livestock numbers across Wales, raising concerns about the future of Welsh farming.

The row follows the Welsh Government’s decision, alongside Plaid Cymru and the Welsh Liberal Democrats, to support the UK Climate Change Committee’s Fourth Carbon Budget, which sets out the pathway towards Net Zero greenhouse gas emissions by 2050.

The Carbon Budget, produced by the independent Climate Change Committee (CCC), states that meeting Net Zero targets will require a reduction in agricultural emissions, including changes to land use and, in some scenarios, a reduction in livestock numbers.

During questioning in the Senedd, the Welsh Conservatives pressed the Deputy First Minister and Cabinet Secretary for Climate Change and Rural Affairs on whether the Welsh Government supports reducing livestock numbers as part of its climate strategy.

Speaking after the exchange, Welsh Conservative Shadow Cabinet Secretary for Rural Affairs, Samuel Kurtz MS, said the Welsh Government could not distance itself from the implications of the policy it had backed.

Mr Kurtz said: “By voting in favour of these climate change regulations, Labour, Plaid Cymru and the Liberal Democrats have signed up to the UK Climate Change Committee’s call to cut livestock numbers in Wales, and they cannot dodge that reality.

“The Deputy First Minister’s smoke-and-mirrors answers only confirm what farmers already fear: that Labour, along with their budget bedfellows in Plaid and the Lib Dems, are prepared to sacrifice Welsh agriculture in pursuit of climate targets.”

He added that the issue came at a time of growing pressure on the farming sector, pointing to uncertainty over the proposed Sustainable Farming Scheme, the ongoing failure to eradicate bovine TB, nitrogen pollution regulations under the Nitrate Vulnerable Zones (NVZs), and proposed changes to inheritance tax rules affecting family farms.

The Welsh Government has repeatedly said it does not have a target to forcibly reduce livestock numbers and has argued that future emissions reductions will come through a combination of improved farming practices, environmental land management, and changes in land use agreed with farmers.

Ministers have also said the Sustainable Farming Scheme, which is due to replace the Basic Payment Scheme, is intended to reward farmers for food production alongside environmental outcomes, rather than remove land from agriculture.

The UK Climate Change Committee, which advises governments across the UK, has stressed that its pathways are based on modelling rather than fixed quotas, and that devolved governments have flexibility in how targets are met.

However, farming unions and rural groups in Wales have warned that policies focused on emissions reduction risk undermining the viability of livestock farming, particularly in upland and marginal areas where alternatives to grazing are limited.

The debate highlights the growing tension between climate targets and food production in Wales, with livestock farming remaining a central part of the rural economy and Welsh cultural identity.

As discussions continue over the final shape of the Sustainable Farming Scheme and Wales’ long-term climate plans, pressure is mounting on the Welsh Government to reassure farmers that climate policy will not come at the expense of the sector’s survival.

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