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Paediatric care controversy rages on

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Still questions to be answered: Stephen Crabb on LHB

Still questions to be answered:
Stephen Crabb on LHB

CLAIMS by local health campaigners that there has been a significant change in the arrangements for out of hours paediatric care at Withybush Hospital have been denied by the Local Health Board. SWAT (Save Withybush Action Team) have reported that from December 1 there will be no paediatric cover after 10:00pm at Withybush’s Accident & Emergency Department. SWAT’s Facebook page has received a significant number of comments and shares since its post of Tuesday (Nov 18) on the topic. Responding to SWAT, a Health Board spokesperson has said that the service model for the delivery of paediatric services has not changed. The Board has, however, not denied that the out of hours services of a middle-grade doctor are to end. The Health Board’s stance, while technically accurate is not the whole story.

The Herald has seen internal Health Board documents that suggest that the services of a middle-grade paediatric specialist were not part of the out-ofhours paediatric service’s long-term delivery plans. At the end of September, Bernadine Rees, the Local Health Board Chair, told the Herald that the new service model developed for paediatric care at Withybush provided for on-site care at Withybush to run from 10am to 10pm, supported by 24 hour Accident and Emergency care. Withybush’s 24 hours paediatric facilities were withdrawn by the Local Health Board on October 20. SWAT now state that the services of a middle-grade paediatric specialist, which have been available out of hours at the Haverfordwest hospital since that date, are to cease from the beginning of December.

SERIOUS CONCERNS 

Significantly, the provision of out of hours specialist paediatric middlegrade doctor cover was omitted from the Health Board’s plans for paediatrics published in April 2014. That document refers only to specialist cover being available during the hours the Short Stay Assessment Unit remains open from 10am to 10pm. While the Health Board has confirmed that A&E remains open at Withybush 24 hours a day, there are serious concerns among Pembrokeshire’s vital tourism business about the effect of further downgrading Withybush’s services. The fact that the service withdrawal has been timed to fall outside the main tourist season, upon which Pembrokeshire’s economy depends, has, in the view of some engaged in the tourist industry, stored up significant problems for the 2015 summer season. The Health Board has still failed to come up with a long term solution for minor injuries care around Pembrokeshire’s south east coast. The future of paediatric care at the hospital was raised by Paul Davies AM, when he and Stephen Crabb MP met with the interim Chief Executive of the Local Health Board, Karen Howell, to raise concerns about the future of services at Withybush. Both urged the Health Board to be transparent in their future plans, following community concerns about the future of Paediatric and Cancer services. They were also keen to find out what steps are being taken to address staff shortages and stressed the need for the new Chief Executive, Steve Moore, to regain the trust of Pembrokeshire people when he takes up his role in the New Year.

LOCAL MP’S VIEW 

Commenting, Stephen Crabb MP said: “2014 has been a very challenging year for Withybush and health services in Pembrokeshire following the refusal of the Welsh Health Minister to back down on his downgrading plans. Having already seen the removal of the Special Care Baby Unit, and the cutting of Paediatrics, there is now uncertainty over the future of cancer services. The welcome news last week that the Health Board have committed to the refurbishment of Ward 10, and a new Chemotherapy Day Unit, still does not address the underlying staff shortage problems at the hospital – Withybush does not have an Oncology or Palliative Care consultant. Unfortunately the meeting last Friday left me with more questions than answers. I made it clear that when the new Chief Executive takes up his role in the New Year, he faces an uphill task in reassuring Pembrokeshire people about the delivery of cancer services.” Local Assembly Member, Paul Davies said: “Last week’s meeting was a good opportunity to raise some very real concerns over paediatrics provision in Pembrokeshire. The downgrading of full time paediatric services at Withybush hospital to a 12 hour model has rightly worried families across Pembrokeshire. Unfortunately, following this meeting I still remain unconvinced that these changes will result in safe and sustainable services. Removing services from Withybush Hospital remains a reckless and irresponsible way forward – and I hope the new Chief Executive will seriously examine this issue, when he takes post in the New Year.”

 

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Business

Plaid energy policy challenged by Labour after Adam Price interview

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LABOUR SAYS MINISTERS MUST EXPLAIN COST AND TIMETABLE FOR PYLON PLANS

PLAID CYMRU’S approach to energy infrastructure has come under scrutiny after Energy Minister Adam Price was challenged over plans to reduce the use of overhead pylons in Wales.

Mr Price defended the Welsh Government’s position during an appearance on BBC Radio Wales’ Sunday Supplement, arguing that communities must have greater confidence in how major grid projects are handled.

Plaid Cymru has pledged to give communities a stronger voice over energy developments and to look more closely at alternatives to overhead transmission lines, including underground cabling where possible.

The issue has become increasingly sensitive in rural parts of Wales, where proposed pylon routes linked to renewable energy schemes have raised concerns about landscape impact, tourism and local consultation.

However, Welsh Labour said the minister had failed to explain when any restriction on pylons would take effect, or who would pay the additional cost of placing cables underground.

A Welsh Labour spokesperson said: “Adam Price keeps saying how clear their manifesto was and yet he won’t say when they’re banning pylons. They won’t say who is paying for the extra cost of undergrounding cables.

“Without certainty, companies won’t invest. That’s thousands of clean, green energy jobs at risk. Plaid need more than a plan to have a plan.”

Labour said the Welsh Government must now set out how its policy would work in practice, including whether it amounts to an outright ban, what exemptions would apply, and how any extra costs would be funded.

The debate highlights the challenge facing ministers as Wales seeks to expand renewable energy generation while addressing public opposition to large-scale grid infrastructure.

 

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Community

Pembroke Fair praised as well-organised community event

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HORSES, STALLS AND FAMILY CROWDS RETURN TO MONKTON

FAMILIES, horse owners and visitors turned out in force for Pembroke Fair on Saturday (May 23), with many praising the event as one of the best organised in recent years.

Held at the Community Centre Field in Monkton, the annual fair brought together horse owners, traders and local families for a traditional day centred around horses, ponies, stalls and socialising.

Coloured cobs, heavy horses, ponies and horse-drawn traps attracted attention throughout the day, with many visitors gathering around the field to watch the animals being shown and led around the site.

A variety of stalls selling everything from clothing and ornaments to tack and second-hand goods helped create a lively market atmosphere, while food vendors kept visitors fed throughout the day.

Despite overcast conditions at times, the event remained busy, with many attendees staying for several hours to enjoy the traditional fair atmosphere.

Community members later took to social media to praise the smooth running of the event, with several publicly thanking organiser Charlie Price for his efforts in bringing the fair together.

Comments described the day as “well organised” and praised the welcoming atmosphere, with many saying it was encouraging to see a long-standing local tradition continuing to thrive.

The fair once again brought together members of the travelling community, local residents and horse enthusiasts from across west Wales.

A horse drive was also due to take place on Sunday (May 24), continuing the weekend’s celebrations.

Photo captions:

Traditional gathering: Horses, ponies, horse-drawn carts and market stalls drew crowds to Pembroke Fair in Monkton on Saturday (Pic: Herald).

 

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News

Watchdog criticises health board over £10m GP contract checks

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A HEALTH board has been criticised by Audit Wales after GP contracts worth more than £10m were awarded without sufficient due diligence checks.

Aneurin Bevan University Health Board allowed a GP partnership associated with eHarley Street Primary Care Solutions to take on eight GP contracts in south-east Wales, with a combined annual value of around £10.1m.

Audit Wales said the board should have carried out greater scrutiny before approving the arrangements, including checks on financial resilience, workforce plans, business risks and the partnership’s ability to manage several practices at once.

However, the watchdog found no evidence of fraud and noted the board was dealing with significant pressure in general practice, including vacant contracts and limited interest from other bidders.

The report said weaknesses in governance and scrutiny contributed to later disruption and uncertainty for patients and staff when problems emerged.

Concerns included financial and workforce pressures, unpaid invoices, and issues relating to tax and pension payments. Some contracts were later handed back, requiring the health board to step in to protect services.

Natasha Asghar MS, Welsh Conservative Shadow Cabinet Minister for Health and Social Care, said the findings were “deeply concerning”.

She said: “Patients and staff were left facing disruption and uncertainty because proper scrutiny was not carried out before these contracts were awarded.

“The Welsh Conservatives believe lessons must be learned to ensure robust checks are in place, protect frontline services and restore confidence in primary care across Wales.”

Aneurin Bevan University Health Board accepted the recommendations and said it had already strengthened its processes.

Audit Wales said the case highlighted the need for stronger checks before GP contracts are transferred, particularly when a single partnership is taking on multiple practices in a short period.

 

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