News
Health staff recognised for improvements
THE LOCAL health board has announced the three finalists in the ‘Improving Health and Wellbeing’ category at this year’s Best of Health staff awards. The Best of Health awards are organised annually by the University Health Board to recognise and reward the extraordinary achievements of its staff and volunteers, many of whom often go beyond the call of duty in their work for the benefit of patients and service users. This year, 100 entries were received from across Carmarthenshire, Ceredigion and Pembrokeshire.
The winners will be announced at the Best of Health Awards ceremony, sponsored by Health Shield at Parc Y Scarlets in Llanelli on Friday 16 January. Lisa Gostling, Director of Workforce & Organisational Development said: “These nominations reflect just some of the high quality patient care provided by many of our staff and volunteers and highlight the fantastic efforts and achievements above and beyond their normal day-to-day work. I wish all the nominees the very best of luck.”
The ‘Improving Health and Wellbeing’ category, sponsored by Health Shield, seeks to recognise those who have made a significant contribution to the health and wellbeing of others and addressing health inequalities and the finalists for 2014 are: At Risk Mental State (ARMS) Pilot supports the development of very early intervention services designed to work with youngsters with pre-psychotic conditions often called At Risk Mental States (ARMS). To this end the Early Intervention in Psychosis Service has partnered with the Ceredigion Local Primary Care Mental Health Service to assess and deliver therapy to this client group. ARMS is designed specifically to offer much needed evidence based interventions to a population who often find it extremely difficult to access services at this stage of their psychosis, and who research and evidence shows if they are given this level of timely specialist interventions have a very high percentage chance of not developing a psychosis.
ARMS is the first time this sort of collaboration has been developed in Wales is compliant with the Welsh Mental Health Measure and the NICE Guidance for Schizophrenia and allows patients and their carers access to a ‘state of the art service’ in rural Wales. The Early Intervention in Psychosis (EIP) Service is a specialist community mental health resource offering evidence based interventions to individuals between the ages of 14 to 35 (and often their families/carers) who have a First Episode Psychosis (FEP), established psychosis within the first three years of diagnosis or an At Risk Mental State i.e. prepsychotic difficulties. The First Episode Psychosis service is designed to offer NICE Guidance specific treatments such as Cognitive Behavioural Therapy for psychosis, Behavioural Family Interventions, structured Relapse Prevention (RP), physical health monitoring and a non-stigmatising, person centred service designed to improve the recipient’s health and wellbeing.
To date only two services in Wales have been developed and Hywel Dda University Health Board has developed a Hub and Spoke Service, offering EIP in each of the three counties led and managed by a central hub. The Clinical Lead for Psychosis Services at Hywel Dda is also the Welsh National Lead for FEP, a Member of the 1000Lives Plus Faculty and an Improvement Associate. He has and still is helping partner Health Boards across Wales to develop their own FEP service, and sits on a number of Welsh HB FEP Development Committees. Carmarthenshire Integrated Evidence Based Exercise Continuum for Frail Older Adults are finalists for working in collaboration with the leisure department of the Local Authority allowing the appointment of a Health and Activity Coordinator for Older Adults to facilitate Postural Stability Instruction (PSI) and Otago (OEP), the only programmes that are clinically proven to promote functional gain and reduce the risk of falls in frail adults. Since the introduction of the first PSI programme in Llanelli, the service has developed and now supports the delivery of nine sessions in community venues across Carmarthenshire.
The sessions are now not limited to PSI but also encompass Exercise following Stroke (EfS), long term neurological conditions as well as cardiac rehabilitation, recognising that for frail adults ‘one size does not fit all’. The awards are sponsored by Health Shield Friendly Society Ltd and Chief Executive of Health Shield Jonathan Burton said: “It is a big achievement to be recognised for the great work that you do in any profession, but even more so at the Hywel Dda Best of Health Staff Awards. On behalf of all of us here at Health Shield I would like to say congratulations to everyone who has been shortlisted. “We would like to wish everyone the best of luck in the awards, and well done for reaching this stage. You deserve all the recognition you get as I know that you regularly go above and beyond the call of duty.”
Crime
Pembrokeshire man sent to Crown Court over death by careless driving charge
A PEMBROKESHIRE man has been sent to the Crown Court to stand trial accused of causing a death by careless or inconsiderate driving.
Alexander MacCallum, aged 28, of Beach Road, Llanreath, Pembroke Dock, appeared before Llanelli Magistrates’ Court on Wednesday (Dec 18).
The court heard that MacCallum is charged with causing death by careless or inconsiderate driving following an incident on Thursday (June 13, 2024).
No plea was entered at this stage of the proceedings.
Magistrates were told the case was too serious to be dealt with at magistrates’ level and ordered that it be sent to the Crown Court for trial.
MacCallum was sent to the Crown Court on unconditional bail, with further proceedings to take place at a later date.
The prosecution was brought by Dyfed-Powys Police. No defence solicitor was formally recorded at the hearing.
Health
NHS Wales spends more than £15.5m on agency radiographers as pressures grow
NHS WALES has spent more than £15.5 million on agency radiography staff over the past five years, as mounting pressure on diagnostic imaging services raises concerns about long-term workforce sustainability.
Figures obtained by the Welsh Liberal Democrats through Freedom of Information requests show that spending on temporary radiographers almost doubled between 2020/21 and 2023/24, despite relatively low headline vacancy rates across Welsh health boards.
Radiographers carry out X-rays, CT, MRI and ultrasound scans, which are essential to emergency care, cancer diagnosis, trauma treatment and elective surgery. Delays or shortages in imaging services can have a knock-on effect across patient pathways, slowing diagnosis and treatment.
The data also highlights an ageing workforce. More than a quarter of radiographers in Wales are aged over 50, with more than one in ten aged 55 or above. In some health boards, a significantly higher proportion of staff are approaching retirement age, raising concerns that experienced radiographers could leave faster than they can be replaced.
Betsi Cadwaladr University Health Board recorded the highest agency spend, at more than £8.1m over the period covered by the FOI requests. Other health boards also reported growing reliance on temporary staff to maintain services, particularly where specialist skills are required.
While official vacancy figures remain comparatively low, professional bodies have previously warned that vacancy data does not always reflect pressure on services, as posts can be held open or covered through overtime and agency staff rather than filled permanently.
Diagnostic imaging demand has increased steadily in recent years, driven by an ageing population, advances in medical imaging technology, and rising referrals linked to cancer and long-term conditions.
Commenting on the findings, Welsh Liberal Democrat Leader Jane Dodds MS said:
“Radiographers are absolutely vital to the NHS. From diagnosing cancer to treating people in A&E, the vast majority of patient journeys depend on timely access to scans.
“These figures show a system increasingly relying on expensive agency staff while failing to plan properly for the future workforce. That is not fair on patients, and it is not fair on staff who are already under huge pressure.
“The Welsh Labour Government must take urgent action to improve recruitment and retention, support experienced staff to stay in the workforce for longer, and ensure NHS Wales has a sustainable radiography workforce fit for the future.”
The Welsh Government has previously said it is working with health boards to improve recruitment and retention across NHS Wales, including expanding training places and supporting flexible working arrangements to help retain experienced staff. Ministers have also pointed to record numbers of staff working in the NHS overall, while acknowledging ongoing challenges in hard-to-recruit specialties.
However, opposition parties and professional bodies continue to warn that without long-term workforce planning, reliance on agency staff could increase further, adding to costs and pressure on already stretched diagnostic services.
Local Government
Essential bridge maintenance and repairs planned for January
Works on Westfield Pill Bridge to affect A477 traffic
ESSENTIAL maintenance and repair work is set to begin on Westfield Pill Bridge, with traffic management in place on the A477 between Neyland and Pembroke Dock.
The programme of works is due to start on Monday (Jan 19) following a Principal Inspection carried out in 2022, which identified a number of necessary repairs to maintain the long-term durability and safety of the structure.
Westfield Pill Bridge is a key route linking communities in south Pembrokeshire and carries a high volume of daily traffic. While major works were last undertaken in 1998 — which required a full closure of the bridge — the upcoming refurbishment has been designed to avoid shutting the crossing entirely.
Instead, the works, scheduled to take place in early 2026, will be managed through traffic control measures to keep the bridge open throughout the project.
The planned refurbishment will include the replacement of both eastbound and westbound bridge parapets, the renewal of expansion joints, and full resurfacing of the bridge deck.
The work is expected to take no longer than three months and will involve weekend and night-time working to help minimise disruption. All construction activity will be carried out from the bridge deck and has been scheduled to avoid clashes with other planned trunk road works, as well as periods of higher traffic demand.
Two-way traffic signals will be in place for the duration of the works. These will be manually controlled during peak periods, with particular efforts made to reduce delays affecting school transport.
Motorists are advised that there may be delays to local bus services during the works, including the 349 (Haverfordwest–Pembroke Dock–Tenby) and 356 (Milford Haven–Monkton) routes.
Drivers are encouraged to allow extra time for journeys and to follow on-site signage while the works are underway.
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