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12 hour A&E service would be ‘end game’ for Withybush Hospital

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Protest: Cardiff earlier this year

Protest: Cardiff earlier this year

A LEAKED document has revealed 24 hour A&E services are to be cut at Withybush General Hospital and replaced with a 12-hour service, The Pembrokeshire Herald understands.

A report prepared by Dr Iain Roberston-Steele has been revealed on-line on the SWAT website. The letter states: “It is no longer possible to sustain a traditional 24/7 A&E service at Withybush General Hospital based on middle grade locums and locum consultants”.

Health Board chairman Bernardine Rees was asked by councillors at Full Council recently if the A&E would remain a 24 hour services seven days a week, but she did not confirm that it would.

The shocking document also reveals that since the downgrade in paediatric services overnight there has been increased burden on the out of hours service and that too is branded as “short staffed and at risk”.

The leaked letter says that staffing issues led to the latest crisis in the service, and that a solution needs to be found.Other services that Withybush should not provide services for patients where further or onward care is required will also include ENT, ophthalmology, urology, palliative care, oncology, paediatrics, gynaecology and other specialist services, according to the document.

“Limiting provision at WGH to those services at WGH which are fully staffed and skilled,” it adds.

SWAT chairman Dr Chris Overton told The Herald that the news was  the “end game” for Withybush Hospital. He added: “As predicted for many many years, there will be nothing much will be left at the hospital”

The hospital action group has previously raised concerns that the knock on effect of services removal will result in changes having to be made at Withybush A&E.

Stephen Crabb MP told The Herald: “This leaked document appears to confirm our worst fears about what Hywel Dda and Mark Drakeford have got planned for Withybush. A dark cloud is hanging over the future of our hospital.”

“The removal of a 24 hour A&E service from Withybush is just unacceptable. The Welsh Health Minister should stop hiding away in Cardiff and come down to Pembrokeshire to either denounce these reckless plans or explain why he thinks they make our community safer. People in Pembrokeshire deserve more than behind-the-scenes plotting.”

“Today the UK Government is giving Welsh Ministers an extra £70 million as a result of the increase in English NHS spending. I have asked that the Welsh Government confirm that it will use this money solely for Welsh health services. After all the recent cuts to services, Pembrokeshire should be first in the queue for this spending.”

Party of Wales Mid and West Assembly Member Simon Thomas said: “This is another broken promise on the Welsh NHS by Labour Ministers in Cardiff Bay. I will demand answers from the Welsh Government in the Senedd at the first opportunity to do so on this issue. The people of Pembrokeshire deserve better A&E services.”

“This development about emergency services at Withybush Hospital is very concerning indeed. Welsh Ministers rejected my concerns that losing 24/7 paediatrics would undermine the long term viability of A&E.

“I suspected this but I am amazed it has come so soon. The people of west Wales have been misled by Labour. A Plaid Cymru Welsh Government would recruit 1,000 extra doctors. We would train new doctors to keep services local.”

South Pembrokeshire MP Simon Hart said: “I have not seen first-hand the report that SWAT refers to but if it is accurate, then everything we feared is coming true.  This is death by a thousand cuts for Withybush.  Hywel Dda Health Board has struggled with these staffing issues for years and has yet to solve the problem.  If they are going to use “staff shortages” as an excuse to close any department where they can’t recruit then this will become self fulfilling. We already know that one reason for the GP shortages in the county is the uncertainty over the future of the hospital. Mark Drakeford and the Welsh Government in Cardiff needs to get a grip of this situation and bring this uncertainty to an end.”

Commenting on reports that 24 hour Accident and Emergency, and other specialist services are to be removed from Withybush Hospital, Welsh Liberal Democrat Leader Kirsty Williams AM said: “This news is obviously a huge blow to communities across Pembrokeshire, especially all the campaigners that have worked tirelessly to keep their local services open. A quick response is vital for people suffering from trauma and accidents, and cutting 24 hour A&E cover could well put lives at risk.

“The fact that these services are seen as unsustainable at all shows that there is a major recruitment crisis in our NHS that the Welsh Labour Government seems determined to ignore. I have been repeatedly calling for a cross-party commission with doctor, nurse and patient representatives to sort out the major problems and plan for the future of our NHS. Today’s news shows that this commission can’t come soon enough.”

William Powell, the Welsh Liberal Democrat AM for Mid and West Wales, added: “Having supported local campaigners in their efforts to protect these services since 2006, this is obviously a huge disappointment. Removing specialist services and a full A&E from Withybush will leave it as nothing more than a glorified cottage hospital, with no equivalent services for miles around.

“With a health board intent on centralising services and a Welsh Labour Government content with them doing so, the people of Pembrokeshire deserve better.”

Spekaing for the Health Board, Medical Director Dr Sue Fish said: “I would like to reassure staff and members of the public that the Emergency and Urgent Care Centre at Withybush General Hospital remains open 24-hours a day and the University Health Board continues to be committed to the long term provision of this service. Senior clinicians continue to meet, and indeed clinicians and managers from across Hywel Dda are meeting today, to discuss how we continue to maintain safe, high quality services with ongoing and significant recruitment challenges. These challenges are faced by many NHS organisations across the UK and are a particular challenge at Withybush EUCC currently. The document referred to is the viewpoint of a single consultant at one point in time and represents no decision by the University Health Board. Changes to paediatric services at the hospital have not resulted in this position, which is a reflection of the ongoing recruitment challenges discussed.

Associate Medical Director for Quality and Safety Iain Robertson Steel added: “I would like to make it clear that this was a private and confidential paper that presents only one contribution from amongst a number being discussed and I am deeply distressed that this has been leaked without the full context.”

letterA letterB letterC letterD

 

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‘Honest’ caravan site owner ran site ‘under the radar’ for 20 years

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A PEMBROKESHIRE caravan site owner who “honestly” admitted “dodging under the radar” by running his site without permission for some 20 years will not be allowed to continue doing do.

In an application before Pembrokeshire County Council’s April planning committee, Nicholas Kinahan sought retrospective permission to continue operating his caravan site with 19 touring pitches, along with caravan storage and the erection of a storage shed at Penrath Farm, Ryelands Lane, Kilgetty.

The long-running site operation, a kilometre from nearby Kilgetty, off the narrow Ryelands Lane, was discovered as part of an ongoing enforcement action.

The application was recommended for refusal on a long list of grounds including the site was in the open countryside, did not propose any community facility, was not supported by a Green Infrastructure Statement, no biodiversity enhancement features, the nearby road being a narrow single-track lane with no visibility splays for access, and concerns over foul waste disposal.

Kilgetty/Begelly Community Council has objected to the scheme on the basis of a lack of information provided within the application and access safety.

One third party representation was also received, raising concerns including a lack of information in respect of type of caravans and their use, no surface water or foul waste drainage details, a lack of an ecology survey, and no highway impact assessment.

Speaking at the meeting, farmer and caravan site owner Mr Kinahan said there were three caravans on-site after he moved to Kilgetty in 2004, housing tenants “on benefits,” with nine caravans on-site by 2010 and ‘vans from other sites stored on site later.

“We’ve done wrong and we know we’ve done wrong,” he told councillors, adding: “I can’t afford to live there without this little bit of extra income.”

Speaking on behalf of neighbour Micheal Ormond of Ryelands Caravan Park and his concerns, Andrew Vaughan-Harries – a planning agent who normally represents applicants – said to the applicant: “When I look at this application, personally, I think you’ve tried to do the application yourself.

“We see many, many problems with this application, a septic tank is not acceptable in 2024, there are lots of issues; it’s unsustainable and has to fail.”

Councillor Mark Carter said: “What can I say really? I think we’re looking at a very honest man, unfortunately in this case he’s got it wrong; he’s had a 20-year run of dodging under the radar.

“We have to respect the law and the policy and be fair to every caravan site.”

Moving the application be turned down, he said: “Much as I admire the gentleman for his initiative, I have to go with the officer recommendation for refusal.”

Councillor Rhys Jordan thanked the applicant for his honesty, adding: “I don’t think he’s tried to ride roughshod over planning, I think he’s been naïve, but I can’t support this application.”

The application was unanimously refused by planners.

Members heard the saga of Kinahan’s caravans may not be ended with a planning refusal, the option of a potential certificate of lawfulness – if he could prove the development had been in place enforcement-free for a decade-plus – being mooted at the meeting.

Committee chairman Cllr Jacob Williams said: “If you can prove it’s immune from enforcement it could be a ‘trump card’.”

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Housing secretary plays down talk of Wales following Scotland on rent controls

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THE HOUSING secretary poured cold water on suggestions Wales could follow Scotland’s lead by introducing similar rent controls, saying early indications show it has not worked.

Julie James was pressed for her views on rent controls in Scotland while giving evidence to a Senedd inquiry on the private-rented sector.

Altaf Hussain quizzed the housing secretary about affordability, raising concerns about rent rises since the pandemic, with landlords asking for big deposits and months’ rent upfront.

The Conservative warned this is leading some into unmanageable debt as he questioned whether there is a need to regulate a maximum deposit and rent.

Asked about the Welsh Government’s current thinking on rent regulation, Ms James told the local government and housing committee: “It hasn’t really worked in Scotland, I’m afraid.

“We’ve got some evidence, although it’s early days, to be fair, so we’ll want to monitor that for a longer time period. But, so far, the evidence is it’s not having the desired effect.”

Ms James pointed to a Welsh Government green paper calling for evidence on the right to adequate housing and rent control policies, with a second consultation to follow in summer.

She said: “We’re very keen to look at international examples from all over the place in terms of what works to get affordable rents into the sector.”

Ms James said she was very nervous the renters bill and leasehold reforms will not make it through the UK Parliament before a general election is called.

She warned: “We’ve got two years left of the legislative programme and the possibility of bringing a large bill through to replicate this is slim to none.”

Lee Waters, who was Ms James’ deputy until last month, said many tenants have damp or disrepair issues, but are unaware of their rights or too frightened for fear of eviction.

Suggesting the Welsh housing quality standard should be extended to the private sector, the Llanelli MS warned of a fundamental power imbalance between landlords and tenants.

Ms James criticised the UK Government for reneging on a commitment to uplift quality standards for the private rented sector at the last minute.

The housing secretary said protections under Wales’ Renting Homes Act have led to a substantial drop in evictions since coming into force in December 2022.

Mr Waters said tenants who are forced to move because their landlord has decided to sell face an average cost of about £1,700, suggesting two months’ rent should be waived.

Jack Sargeant, also a Labour backbencher, asked about pet-friendly policies, warning some homeless people face the dilemma of having a place to stay or giving up a companion.

Ms James said she was not able to pick which parts of the UK’s renters bill would apply, but she accepted an offer to be involved in “no benefits claimants” and “no children” exclusions.

She pointed to guidance that landlords cannot unreasonably refuse the right to have a pet but Ms James stressed there must be sensible limits

Recalling how she was once called to a high-rise building while working for Swansea council, she said: “We took an engineer with us and the lift kept breaking because people on the seventh floor were keeping a horse in their kitchen.

“This horse was relieving itself in the lift on the way down and it was breaking the mechanism. It was quite something to see this horse in this kitchen, I have to say.”

John Griffiths, who chairs the committee, raised concerns about a mismatch between the number of students and the amount of purpose-built accommodation in university cities.

Ms James said she has tried to persuade council planning departments they have the power to enforce better standards for student accommodation, so it can be more easily repurposed.

She admitted: “I have not been terribly successful at this but I plan to have another go.”

The former lawyer told committee members other levers will be looked at, including any unintended consequences of the council tax exemption for students.

Mr Griffiths also asked about scope for institutional investment in build-to-rent schemes, which often include shared facilities such as gyms.

Ms James said: “It’s not huge in Wales. It’s a lot less huge than it has become in England,” as she argued build-to-rent is not the solution to the housing crisis.

Mr Waters asked about low take-up of Leasing Scheme Wales, which offers incentives for owners to lease homes to councils, amid concerns the application process is “a bit of a faff”.

Ms James said the housing maintenance allowance, which has been frozen for years until the turn of the financial year in April, has been the main barrier.

She vowed to continue pushing the UK Government to say as soon as possible whether it is a one-off or if it will be uplifted next year in line with inflation.

“I think it’s pretty awful that they haven’t said so,” she told the meeting on April 24.

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Welsh National Scooter Rally gears up for a revival in Tenby

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SCOOTER enthusiasts from across the country are set to descend on Tenby for the eagerly anticipated return of the Welsh National Scooter Rally this May Bank Holiday weekend. This marks the event’s grand return to the popular seaside destination for the first time since 2022, promising a vibrant celebration of scooter culture.

Organised by the Scooter Collective South Wales, the rally is expected to draw hundreds to Pembrokeshire’s “jewel in the crown.” Attendees can look forward to a colourful array of scooters lining the historic Tenby High Street, adding a splash of retro charm to the town’s picturesque scenery.

The weekend’s schedule is packed with activities, starting with a scenic ‘ride-out’ from Tenby United RFC on Heywood Lane on Saturday afternoon. This event promises to be a visual spectacle, with a parade of beautifully maintained and creatively decorated scooters cruising through the local area.

Music lovers have plenty to get excited about as well. The Specials Limited, a renowned two-tone tribute band, will be performing at the De Valence Pavilion on Friday night, supported by DJ Steve Foster. Concurrently, the Ex-Servicemen’s Club and Tenby Rugby Club will host rooms dedicated to Northern Soul and Reggae soul, respectively, ensuring that there’s something to suit all musical tastes.

Saturday’s festivities will also feature a customs show and traders fair at the Rugby Ground. This event provides a perfect opportunity for enthusiasts to showcase their scooters and exchange tips and accessories with fellow aficionados.

As the rally winds down, the weekend will conclude with a grand end-of-rally party at the Rugby Club, where participants can celebrate their shared passion for scooters and music, reflecting on a weekend full of fun and camaraderie.

For those planning to attend, the Welsh National Scooter Rally not only offers a chance to revel in scooter culture but also to explore the enchanting town of Tenby.

With its rich history and stunning coastal views, Tenby provides the perfect backdrop for an event that celebrates classic style and community spirit.

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