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Health

RAAC problems to persist at Withybush General Hospital

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WITHYBUSH Hospital in Haverfordwest is facing ongoing challenges due to reinforced autoclaved aerated concrete (RAAC), with management acknowledging the issue “will not go away, ever.” Malcolm Arnold, estates manager, stated that the hospital must continually monitor and manage RAAC throughout the building’s lifespan.

The problem first emerged last year, prompting the closure of six wards in the 12-ward facility. Though these wards reopened in April, Hywel Dda Health Board announced that further closures will be necessary for re-surveying by year-end. Despite these temporary shutdowns, Chief Operating Officer Andrew Carruthers reassured that this round of work will be “nothing like the scale” seen previously.

Shoring props have been used as a temporary measure (Pic: Herald)

Responding to the hospital manager’s statement, Welsh Conservative Shadow Health Minister Sam Rowlands MS expressed concern, calling for more comprehensive support for Welsh hospitals. He stated: “Hospitals in Wales need regular surveying, otherwise we will continue to see further capacity lost and patient lives put at risk. With our hospitals crumbling and leaking across Wales, the Labour Welsh Government needs to get real and put serious capital investment on the table to repair the NHS’ infrastructure.”

Steel polls are also in use in treatments rooms and in sterile areas (Image: Herald)

Raac, a cost-effective but less durable alternative to standard concrete, was commonly used in construction between the 1950s and 1990s. It poses structural concerns due to its limited lifespan, impacting numerous buildings in Wales, including schools, markets, and hospitals like Withybush. The Welsh Government allocated £12.8 million to address affected areas in the hospital.

Crowd barriers, usually used outdoors, have been used to create ‘safe areas’ for staff and patients (Image: Herald)

Following the major incident last year, departments such as outpatient clinics and kitchens have resumed operations, with physiotherapy and pharmacy expected to reopen soon. Nurse Sarah Davies, now working on a reopened ward, remarked on the positive atmosphere, saying: “It feels so good to be back… It’s just nice to have noise here.” However, she acknowledged the frustration that further closures would mean “one step forward, two back.”

The health board plans additional ground floor surveys in 2025 and 2026, with the expectation that Raac management will be an ongoing process. Carruthers commented, “The hospital is over the worst of it… [the re-surveying] will be for a very short period of time in small areas of the facility.” However, for Withybush, Raac is now a “business as usual” concern.

In addition to Withybush, Raac has been found in non-patient areas of Nevill Hall Hospital in Abergavenny, suggesting the material’s widespread reach across healthcare facilities in Wales.

Hywel Dda University Health Board’s Chief Operating Officer Andrew Carruthers said: “We are really pleased that most of the Outpatients services which were relocated while we worked to repair the RAAC-affected outpatients’ clinical areas have now returned to Withybush.”

Because of the return of outpatient consultations to Withybush, patients are being asked to check their appointment correspondence to ensure that they attend the correct venue for their appointments.

Mr Carruthers said that the health board would write to patients to confirm the date, time and location of appointments or ring patients whose appointments are imminent.

“We urge everybody to please read the appointment letter carefully and note any change of venue, as appointments previously held at a community-healthcare sites may now have returned to Withybush,” said Mr Carruthers.

RAAC is a material that was commonly used in the construction of buildings between the 1960s and 1990s. Its presence was confirmed at Withybush Hospital in January 2022.

Although all wards affected by RAAC planks were re-opened in April this year, work will continue until April 2025 on remedial work to the hospital’s ground floors and affected wards will need to be temporarily closed while re-surveying work takes place at the end of this year and in to 2025.

Re-inspection surveys will begin on the ground floor areas affected by RAAC across 2025 and into 2026.

However, the kitchen has now re-opened and the Therapies area – including Physiotherapy – is on schedule to re-open in mid-November.

Work began on the Same Day Emergency Care (SDEC) area in August with the work expected to be finished by the end of the month and operational for mid-November.  Work on the Pharmacy area is expected to begin in November and completed within the month.

“We know that the survey work and remedial action has caused considerable disruption and concern among members of our community, and we apologise for any inconvenience caused,” said Mr Carruthers.

“The health board would like to thank hospital staff, patients and visitors for their patience and understanding over the last months while we have been carrying out this essential work.”

If patients have any concerns or need further information, they are being advised to please contact the Waiting List Support Service by telephone 0300 303 8322 and choose option 3 or e-mail [email protected].

Further information on the RAAC issue at Withybush Hospital can be seen on our dedicated page on our website – RAAC – Hywel Dda University Health Board (nhs.wales).

 

Charity

Local St John Ambulance cadets confirmed national first aid champions

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ST JOHN AMBULANCE is proud to share that three local St John Ambulance cadets have been crowned National First Aid champions after competing against eight other cadet teams representing counties across Wales.

The team, comprising Emily Williams (Yr 10, Ysgol Bro Gwaun), Ruby Collins (Yr 10, Ysgol Henri Tudor), and Gemma Tilbury (Yr 11, Ysgol Henri Tudor) represented the whole of Dyfed, and demonstrated exceptional skill, teamwork, and composure throughout three demanding rounds.

The competition consisted of a first aid knowledge quiz and exam, followed by a practical skills challenge assessing communication, teamwork, and the ability to perform under pressure—an area in which they excelled. The final round featured a complex, theatrically produced first aid scenario. Here, the team showed remarkable calm and professionalism as they stabilised a casualty with a severe compound bleed involving a large object lodged in the wound.  They also managed distressed and aggressive members of the public, and successfully resuscitated an unresponsive, non-breathing casualty using CPR and a defibrillator—all completed in record time.

In Pembrokeshire, cadets train every Monday evening during term time from 5:45–7:15pm, with sessions focussing on practical, hands-on learning of real-life first aid skills, including CPR, defibrillator use, treatment of severe wounds, allergic reactions, choking, strains and sprains, head injuries, heart attacks, hypothermia, and much more. Training is engaging and interactive, often involving active, game-based learning, ensuring there is rarely a dull moment.

 Cadets also have the opportunity to support a wide range of events delivered by St John Ambulance Cymru. Working alongside adult volunteers and healthcare professionals, they engage with the public at events of all sizes, applying their skills in real-world, and sometimes life-saving, situations.

 Beyond events, cadets are encouraged to share their knowledge within the community, helping to lead first aid demonstrations and inspire others. Previous outreach has included sessions with Scouts, Cubs, Brownies, and Girlguiding groups, as well as senior community organisations such as the Pembroke Lions and specialist charities like Pembrokeshire People First. On a larger scale, cadets played a key role in organising and delivering “Defibruary,” where they helped lead a team of St John first aiders to train over 950 students at Henri Tudor in a single day in February 2026.

If you are interested in volunteering, opportunities are available for cadets aged 11–16 and adults aged 16+. We are always keen to welcome new members and are happy to discuss opportunities for adults to support the cadet programme as youth leaders.    

To find out more visit https://www.sjacymru.org.uk/volunteer

 

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Charity

Paul Sartori receives generous support from the James Tudor Foundation

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Paul Sartori Hospice at Home is celebrating a major support package from The James Tudor Foundation thanks to an unrestricted grant to help fund the charity’s vital end-of-life care services throughout the county. 

The £46,364 grant award ill be paid over three years.

Commenting on the windfall, the new Chief Executive Officer, Laura Hugman, said, “At a time where funding and funding partnerships are challenging, we’re very grateful to The James Tudor Foundation in helping us achieve our aims and passion for supporting and bringing reassurance to the local families who need us.” 

Paul Sartori Hospice at Home provides an holistic approach to end-of-life care, which encompasses home nursing, equipment loan, complementary therapies, bereavement and counselling support, physiotherapy, future care planning, and training. The team provides thousands of hours of day and night respite care each year, ensuring that patients can receive the support they need, complementing the statutory provision within the comfort of their own homes.

Judith Williams, Grant Development Officer at Paul Sartori Hospice at Home, expressed the charity’s gratitude: “We’re incredibly thankful to The James Tudor Foundation for their continued generosity. Their support helps us maintain our nursing service, which is a lifeline for many families facing end-of-life care challenges.”

Paul Sartori Hospice at Home offers a comprehensive range of services to individuals with life-limiting illnesses, ensuring they can be cared for at home with dignity, independence, and comfort.

 

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Health

FOI raises fresh questions over plan to close Pontyates GP surgery

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Health board accused of misleading claims over recruitment as pressure mounts ahead of final decision

A FREEDOM of Information disclosure has raised serious questions over plans to close Meddygfa’r Sarn in Pontyates, with claims the health board failed to properly attempt to recruit permanent doctors before recommending its shutdown.

The row centres on Hywel Dda University Health Board, which is due to make a final decision on the surgery’s future later this month.

An FOI response reveals that while the board cited a “lack of recruitment interest” in its January report, there is limited evidence of any recent, targeted recruitment campaign specifically aimed at the Pontyates practice.

Instead, the board confirmed that salaried GP roles were advertised in 2020 across its wider portfolio of managed practices — rather than as a focused effort to fill posts at Meddygfa’r Sarn itself. Those vacancies did not result in successful appointments.

‘No real attempt’

Independent Senedd candidate Carl Peters-Bond, who is also a patient at the surgery, has strongly criticised the health board, accusing it of presenting a misleading picture to justify closure.

He said: “They cited a lack of recruitment interest as justification for closing this surgery — but they never actually ran a proper recruitment campaign for it.

“Sending out general adverts years ago is not the same as making a serious, targeted effort to keep a vital community service alive.”

He also raised concerns about the consultation process, claiming it focused on the impact of closure rather than asking whether closure should happen at all.

Fully reliant on locums

The FOI confirms that Meddygfa’r Sarn currently has no salaried GPs and is entirely dependent on locum doctors.

While the health board says this model is unsustainable in the long term, the same disclosure shows several other managed practices across the region also rely heavily on locum staff — some to a significant degree.

Cost data included in the response suggests Meddygfa’r Sarn is not the most expensive practice per patient within the health board’s area.

Alternative options unclear

Another key issue raised by campaigners is the apparent lack of explored alternatives.

The FOI response indicates that the health board does not hold information on alternative local solutions, including potential relocation or different service models within the Pontyates area.

Campaigners argue this suggests closure was considered before all options had been properly examined.

A 52-page independent report submitted as part of the consultation process states that dispersing patients to other surgeries should only be considered as a last resort, after full recruitment efforts and capacity assessments have been carried out.

Health board position

Hywel Dda University Health Board maintains that the surgery, which serves around 4,350 patients, has faced long-standing recruitment difficulties and increasing reliance on temporary staff.

It says a Vacant Practice Panel concluded that dispersing patients to neighbouring surgeries would provide a more sustainable long-term solution.

The board has also acknowledged that transport and access concerns are likely to be a major issue for patients if the closure goes ahead, with a full Equality Impact Assessment expected to be considered before a final decision.

Decision later this month

The future of Meddygfa’r Sarn will be decided at a meeting of Hywel Dda University Health Board on Wednesday (May 28) at Yr Egin in Carmarthen.

With local anger growing and new questions emerging from the FOI disclosure, pressure is mounting on board members to reconsider the proposal.

Campaigners say the case now hinges on a simple question: whether enough was done to save the surgery before moving to close it.

 

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