Community
West Wales patients could be moved to different counties
A PUBLIC consultation is being launched which could see some west Wales hospitals losing services, including an option for Withybush patients needing specialist critical care being transferred to Glangwili.
Another option, in Ceredigion, includes the loss of Bronglais’s stroke service, becoming a ‘treat and transfer’ hospital, with patients transferred to to other hospitals in the board area, including Withybush for their inpatient stroke care.
Hywel Dda University Health Board’s Clinical Services Plan focuses on nine healthcare services that are “fragile and in need of change,” it has said.
The services, and potential changes at the four main hospitals of Haverfordwest’s Withybush, Carmarthen’s Glangwili, Llanelli’s Prince Philip and Aberystwyth’s Bronglais, included are critical care, emergency general surgery, stroke, endoscopy, radiology, dermatology, ophthalmology, orthopaedics, and urology.
There are no changes to how people access emergency care (A&E) or minor injury care as part of the consultation, with an ongoing separate consultation on minor injury care at Prince Philip.
These nine clinical services were selected because of risks to them being able to continue to offer safe, high-quality services, or care in a timely manner, the board has previously said.
At the May 29 meeting of the board, members agreed to back the launching of a public consultation, running to August 31, into the proposed changes, with many different options in each of the nine services across the area, with some hospitals gaining or losing services, along with community site options in some cases.
The full consultation details may be viewed online.
In the case of critical care, there are three options.
- Intensive care units kept at Bronglais and Glangwili. An enhanced care unit would be provided at Withybush and Prince Philip. Another enhanced care unit would also be developed at Glangwili, so the intensive care unit at Glangwili can focus on the sickest patients.
Patients at Prince Philip or Withybush needing specialist critical care would be transferred to Glangwili.
- Intensive care units would be kept at Bronglais, Glangwili and Withybush. Prince Philip would have an enhanced care unit. Patients needing specialist critical care would be stabilised at Prince Philip and transferred to Glangwili intensive care unit.
- Intensive care units kept at all sites.
In the case of emergency general surgery, there are two options.
Currently, full emergency general surgery services, including surgical operations, for adults are provided at Glangwili, Bronglais and Withybush. Patients from Prince Philip are taken to Glangwili.
- Emergency general surgery consultant surgeons would be based at Bronglais and Glangwili, providing full emergency general surgery services including surgical operations. Patients at Withybush needing surgery would be transported to Glangwili for their operation, before returning to Withybush when fit to do so to recover.
- Emergency general surgery consultant surgeons would be based at Bronglais, and at either Glangwili or Withybush on alternate weeks to provide surgical operations.
There is an additional need with this option for surgical cover to remain at Glangwili for children and young people (paediatrics) on weeks when the service is operating in Withybush.
There are two options proposed for stroke services, currently operated at all four main hospitals, including Prince Philip and Withybush having stroke units, with specialist cover 12-hours a day, meaning stroke patients from ‘treat and transfer’ hospitals at Bronglais and Glangwili would be transferred to Prince Philip or Withybush for their inpatient stroke care.
For endoscopy, operating from from Bronglais, Glangwili, Prince Philip and Withybush, there are three options, including Bronglais no longer offering urology, as it does now, and Glangwili no longer offering respiratory and urology.
For radiology, there are four options.
Planned diagnostic radiology and planned day case interventional radiology (both Monday-Friday, daytime) is provided from Bronglais, Prince Philip and Withybush.
One option includes planned diagnostic radiology provided from a new and dedicated diagnostic hub (site to be confirmed), in a community setting, which is not part of the other options.
This new hub and the extended working hours for planned diagnostic radiology would mean Prince Philip and Withybush could provide a dedicated cancer focus.
For dermatology, there are four options.
Since the Covid-19 pandemic, dermatology services including outpatient appointments and minor operations have mainly been provided at Prince Philip.
For ophthalmology, there are three options, including a community setting (site not yet confirmed) in Pembrokeshire.
For orthopaedics, there are four options; and for urology, currently provided at all four main hospital sites, there is one option, to bring overnight patients (inpatients) together at Prince Philip Hospital. Outpatients, day cases and other diagnostics would remain at Bronglais and Withybush. Glangwili would only look after emergency cases that come through the emergency department.
At the May 29, meeting, Medical Director Mr Mark Henwood said: “No decisions have been made on the options presented, and there are currently no preferred solutions. The changes we are looking to make are to ensure we have safe, high-quality services and affordable healthcare in the future, and have at their heart the best interests of the people of west Wales and their patient experience.”
“We ask that you review the consultation documents and share your views on which options you believe are best able to address service fragilities, improve standards, or reduce waiting times.”
“We want to listen to your concerns or potential impacts you think options may have and your views on the future role of our hospitals. We also welcome any alternative options or ideas you may have.”
Following consultation, the proposals will be further discussed at a future health board meeting, expect to be November of this year.
Public drop-in events are being held throughout the region over June and July.
Community
Cilgerran Church in Wales school petition to be heard
A PETITION opposing proposed changes for a north Pembrokeshire school is to be heard by councillors later this week.
At last May’s meeting, Pembrokeshire County Council considered a report of the School Modernisation Working Group which outlined the findings of a review of education provision in the Preseli area.
A later July meeting backed a general consultation to discontinue Cilgerran Church in Wales Voluntary Controlled School, and to establish it as a 3-11 community school.
“In particular, the review considered the extent of surplus school places in the area, set against a significant decline in the pupil population,” the council in its consultation has said.
The consultation closed on January 30.
Hundreds have opposed the proposed changes, with a petition, on the council’s own website opposing the changes recently closing after gaining 391 signatures.
Any petition of more than 100 signatures triggers a debate at one of the council’s scrutiny committees, in the case of Cilgerran that debate taking place at Pembrokeshire County Council’s February 5 schools and learning overview and scrutiny committee.
The Cilgerran e-petition, created by Louise Williams, raised concerns including the school could become part of a federation, a loss of permanent head teacher on site, a shared head teacher would have to oversee several schools, loss of funding control and the ability to maintain the school’s current healthy and stable funding, and a loss of commitment to the church, in turn could impact on the school’s and pupils values, beliefs and cultural beliefs.
It said: “Ysgol Cilgerran VC school has strong links with the Church community in Cilgerran and we believe this will have a negative impact on the children who attend the school, the community of Cilgerran and the links between the two.
“We are proud of our school ethos and values which are strengthened by our links with the church. The school has close and strong relationships with our Church in Wales federation governors one of which is also our safeguarding governor.
“Our Church Federation governors work closely with the school and are regular visitors to the school and the children. They provide vital support and guidance to the school and have a positive impact on the Children’s education. We believe these links will be weakened by this proposal to remove our VC status and we believe this is an un-necessary action.”
The proposals for Cilgerran are part of a wide range of potential education changes in the county.
Two petitions, opposing the potential closures of Manorbier and Ysgol Clydau schools, were recently heard at full council and a further petition opposing the potential closure of Stepaside School has recently been launched, which has generated enough support to be heard at a future council meeting.
Charity
Vincent Davies raises £13,682 for air ambulance charity
Independent Haverfordwest store backs lifesaving crews with year of community fundraising
A WEST WALES department store has raised more than thirteen thousand pounds for a lifesaving emergency service after a packed year of community fundraising.
Staff at Vincent Davies Department Store collected £13,682 for the Wales Air Ambulance Charity, after voting the organisation their Charity of the Year for 2025.
The independent retailer organised events throughout the year, including an Easter bingo, bake sales, quizzes, raffles, staff sales, Christmas jumper days and a festive wreath-making workshop. Charity jam jars placed in Café Vincent also helped gather steady donations from customers.
One of the most popular attractions was the store’s charity singing penguin trio, which drew smiles from shoppers of all ages and boosted collections.
Sarah John, Joint Managing Director at Vincent Davies, said: “Raising £13,682 for the Wales Air Ambulance Charity is something we are extremely proud of at Vincent Davies Department Store. As a director, it’s wonderful to see our community come together to support a charity that makes such a lifesaving difference.”
The air ambulance is consultant-led, delivering hospital-level treatment directly at the scene of serious incidents and, when needed, transferring patients straight to the most appropriate specialist hospital.
Working in partnership with the NHS through the Emergency Medical Retrieval and Transfer Service, crews can provide advanced critical care including anaesthesia, blood transfusions and even minor surgical procedures before reaching hospital.
Operating across the whole of Wales, its teams travel the length and breadth of the country by helicopter and rapid response vehicle to reach patients quickly in both rural and urban areas.
This is not the first time the Haverfordwest store has backed the cause. In 2016, staff previously raised £5,831 when the charity was also chosen as their beneficiary.
Mike May, the charity’s West Wales Regional Fundraising Manager, said: “We are so grateful to Vincent Davies Department Store for raising an incredible amount for our charity. Throughout the year they put on a variety of different events and what a successful fundraising year it was.
“The charity needs to raise £13 million every year to keep our helicopters in the air and our rapid response vehicles on the road. By raising £13,682, the staff and customers have played an important part in saving lives across Wales.”
The store says it will announce its Charity of the Year for 2026 in the coming weeks.
Community
Councillor meets chief constable to address Monkton and Pembroke concerns
COUNTY COUNCILLOR Jonathan Grimes has met with the new Chief Constable of Dyfed-Powys Police to discuss crime, antisocial behaviour and wider community issues affecting residents in Pembroke and Monkton.
Cllr Grimes, who represents Pembroke St Mary South and Monkton, said the meeting followed his invitation for senior police leaders to visit the area and hear first-hand about local concerns.
The Chief Constable, Ifan Charles, attended alongside officers from the Pembroke Neighbourhood Policing and Protection Team, meeting the councillor in Monkton for what were described as open and constructive talks.
As part of the visit, they also spoke with Monkton Priory Community Primary School headteacher Dylan Lawrence and Danny Nash from Pembrokeshire County Council Housing Services to gather views from education and housing professionals.
Discussions covered a range of issues raised by residents, including domestic abuse, drug and alcohol misuse, antisocial behaviour and environmental concerns such as littering, dog fouling and dangerous or inconsiderate driving.
Cllr Grimes acknowledged recent police successes, particularly in tackling drug-related activity, but said enforcement alone would not solve the area’s challenges.
He said closer cooperation between the police, council services, schools and the wider community would be needed to deliver longer-term improvements.
The councillor added that he plans to encourage residents to form a local community group in the coming weeks, aimed at developing practical solutions and strengthening partnership working across the area.
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