Community
Just days left to have say on Withybush hospital services
THERE’S just three days left to respond to a public consultation 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 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 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.
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 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.
Community
Campaign to ‘save’ River Cleddau hits over 2,200 signatures
A PETITION call for a public commitment to save Pembrokeshire’s River Cleddau which has attracted more than 2,200 signatures, and is due to be heard by full council, ends in a few days.
The e-petition on Pembrokeshire County Council’s own website, started by James Harrison-Allen, says: “We call on Pembrokeshire County Council to create and enact a Clean Rivers Policy to restore the Cleddau to good health after decades of neglect and degradation.
“The Cleddau flows through the heart of Pembrokeshire, including our county town, and is the foundation for Pembrokeshire’s prosperity. The river is failing, and we need to act now to save it from irreversible decline.
“What’s the problem? The Cleddau rivers and estuary are the worst (and worsening) polluted SAC (Special Area of Conservation) designated rivers in Wales; worse even than the Wye and the Usk (NRW Water Assessment Report 2024), and considerably worse than the neighbouring Towy and Teifi.
“Damaging impacts on Pembrokeshire’s economy, public health and the natural environment. Ineffective regulation; monitoring, responding, policing, enforcement and prosecutions. What should PCC be doing to address this? Make a formal, public commitment to cleaning up the Cleddau. Make the health of the Cleddau central.”
Earlier this year, Henry Tufnell, MP for Mid and South Pembrokeshire, called for “urgent” action to tackle the poor state of the River Cleddau when he chaired a discussion bringing together key stakeholders, environmental experts, and community voices to address the issues surrounding water quality and pollution.
The panel event, organised by local river action group The Cleddau Project, covered topics including pollution sources, enforcement failures, and potential solutions to improve the river’s health.
The e-petition runs up to February 1, and had attracted 2,207 signatures by January 27.
If a petition gets 500 signatures, the creator will have an opportunity to debate it at a future full council meeting.
Community
Tenby sailing club works approved by national park
PLANS for works at Tenby’s historic sailing club building, part of the ‘iconic view’ of the town’s harbour have been given the go-ahead by the national park.
In an application to Pembrokeshire Coast National Park, Tenby Sailing Club, through agent David J P Morgan RIBA Architect sought permission for the two openings in second floor gable wall along with two new windows at Tenby Sailing Club, Penniless Cove Hill, along with a related listed building consent.
The application was supported by Tenby Town Council and Tenby Civic Society, the latter saying it will “add value to the use of the building and maintain the character and value of the listed building and the conservation area”.
Supporting documents for the application said: “The proposal is to form two new openings in the stonework and install two windows. These will replicate the existing windows at first floor level below. The openings will have red brick head as on existing original openings on the building. The proposal will have very little adverse impact on the listed building.”
They added: “The proposed new windows will improve observation of the harbour and bay from the second-floor level. This is where yacht racing is monitored and observed by officials and safety personnel.”
An officer report, recommending approval said: “The sailing club was built as a warehouse c. 1825, abutting the C17 sluice. Originally wine stores, it was later used by the local fishermen for stores and is now the home to Tenby Sailing Club, established in 1936. The rubble-built building is of three storeys and four bays, the glazing all later C20 with a slated roof and a modernised interior. There is a large steel stair to north (seaward) elevation.”
It added: “The building forms part of a group picturesquely clustered around the sluice, in turn forming part of the iconic view of Tenby Harbour. The proposal is to insert two windows at second floor level to the north (seaward) elevation, flanking the existing door,” adding: “The area retains its mercantile character not just in appearance, but also through its character due to ongoing use as fishing boat stores and winter moorings.
“The sailing club has occupied the building for many years and remains very active. The proposal is intended to improve the amenity of the building to provide better viewing at elevation and seeks to copy the detail and proportions of the windows at first floor stage.”
The application, and the related listed building consent, was conditionally approved by park planners.
Community
Pembrokeshire students speak at national Holocaust Memorial Day event
TWO Haverfordwest High School pupils addressed senior political and religious figures and a Holocaust survivor at Wales’ main commemoration in Cardiff
Holocaust Memorial Day was marked in Cardiff this week with a powerful contribution from two Pembrokeshire students, who were invited to speak at Wales’ national commemoration event.
Awel Jones and Olivia Beal, both Year 13 pupils at Haverfordwest High School, attended the ceremony at the Temple of Peace on Monday (Jan 27) in their roles as ambassadors for the Holocaust Educational Trust.
The pair were asked to deliver speeches reflecting on their work with the Trust and their involvement in the “Lessons from Auschwitz” project, which educates young people about the Holocaust and the dangers of prejudice, discrimination and hatred.
They spoke in front of a distinguished audience that included the First Minister for Wales, Eluned Morgan, the Archbishop of Wales, senior civic leaders and Holocaust survivor Peter Lantos.
The national event formed part of Holocaust Memorial Day 2026, which was held under the theme “bridging generations”, highlighting the responsibility of younger generations to carry forward the lessons of the past as the number of living survivors declines.
Awel Jones and Olivia Beal were the only young Holocaust Educational Trust ambassadors representing Wales at the national ceremony, a distinction described as a significant honour for both the students and Pembrokeshire.
A parent said the occasion was “profoundly emotive and important”, adding that being invited to speak at such a high-profile event was an accolade for the students and a reflection of the strength of Holocaust education work taking place locally.
Holocaust Memorial Day is observed annually on January 27, marking the anniversary of the liberation of Auschwitz-Birkenau in 1945.
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