News

Recruitment policy plays with patient safety

Published

11 years ago

January 23, 2015

IN A hard-hitting interview with The Pembrokeshire Herald, a veteran health campaigner has revealed that the

Unable to cope: Glangwili Hospital

Board’s recruitment policy runs the risk of putting patients at risk as additional duties are placed on already overstretched staff. Retired surgeon, Peter Milewski calls the Board’s approach a “disestablishment policy” and said that services have been “pared to the bone.” He reveals that the Board deliberately delays recruitment, even when it knows well in advance of future vacancies. Last week, The Herald wrote about the way in which Glangwili Hospital is unable to cope with the influx of patients from Pembrokeshire. In the second of our two-part report on how local health services are coping with change, we turn to how staff at Withybush are coping with the strain.

In 2010, the health board introduced a formal policy that no vacancy was to be filled without jumping through lots of hoops. In practice the Board’s recruitment policy was found regularly to result in about six months’ delay, as shown by the gross delay this year in replacing Dr Anne Barnes MBE, with the result Dr Barnes had to come out of retirement to ‘hold the fort’ for inpatient cancer care. No advertisement was placed to replace Dr Barnes until after her departure, which was closely followed by the departure of the only remaining specialist doctor located permanently at Withybush. Health campaigner Peter Milewski told us: “I don’t know if the ‘disestablishment policy’ is still being applied across Withybush, but just before I spoke with you I heard that – certainly in theatre – people who leave are not being replaced, or if they are, only after a long interval.

“The Board even produced a flowchart showing all the stages to be followed before a recruitment advert could be placed.” Peter Milewski continued: “If, say, 50 posts a year have been managed like this for four years, and the result in each case is a delay of six months, how much money has been saved? Let’s say the relevant incomes were, as a conservative estimate, £15,000 – then you’re talking about 200×7500 = £1.5 million saved in four years. “Of course, it could be a great deal more than that. The saving on a consultant post, for example, would be £40-50k in six months. I think my own post wasn’t filled after I retired for about a year.” Meanwhile the remaining staff – already pared to the bone – have been placed under great stress.

The Herald understands that there are many examples of the stress under which frontline staff are working. One nurse has left a surgical ward saying she is so overworked that she is worried she will make a mistake and lose her registration. Theatre nurses are routinely told to work on the wards at night, though many of the more experienced ones have lost their familiarity with ward work. We asked Mr Milewski about these incidents and he confirmed that he had heard similar complaints from nursing staff: “One experienced nurse recently complained to the Nursing Council about this, and named those at the hospital who were ordering her to go to the wards. Another experienced theatre nurse has previously launched a grievance process about being ordered to work on Intensive Care when she had no intensive care skills, which would put her in a vulnerable position.

“The Nursing Council advice on this, I understand, is quite clear. That is, you should not undertake work for which you are not fully qualified.” Peter expressed his personal concern that if and when things do go wrong, it will be staff who take the blame: “I have become more and more convinced over the last few years that the basic strategy is to squeeze the system till it squeaks. When it squeaks is when mishaps occur. But they don’t care because those mishaps can nearly always be attributed to human error, and not systemic failure. “There is no acknowledgment that what they are doing increases the chance of human error. “The only thing that can then reverse the situation is if the failings are as grotesque as at Stafford in England: only then does an inquiry identify the link between system and humans.”

News

Amber weather warning as ‘danger to life’ rain set to hit Pembrokeshire

Published

2 hours ago

December 14, 2025

Tom Sinclair

Dyfed-Powys Police and council teams prepare as Monday deluge expected

COMMUNITIES across Pembrokeshire are being urged to brace for severe weather after the Met Office issued an amber “danger to life” warning for heavy rain, covering the county from 4:00am to 9:00pm on Monday (Dec 15).

Up to 80mm of rain is expected widely, with 100mm possible on higher ground in north Pembrokeshire and the Preseli foothills. With rivers already running high following weeks of persistent wet weather, Natural Resources Wales says there is a heightened risk of flooding in low-lying areas, including parts of Haverfordwest, Remington Bridge, Merlin’s Bridge, Tenby, Neyland and along the Western Cleddau.

Travel disruption likely

The Met Office warns that fast-flowing or deep floodwater could pose a danger to life, with road flooding likely on key Pembrokeshire routes such as the A40, A487 and A478. Bus and rail services may face disruption.

Dyfed-Powys Police said officers would be monitoring known flood hotspots throughout Monday and urged drivers to avoid non-essential travel during the worst of the downpours.

A police spokesperson said: “Please plan ahead. Do not risk driving through floodwater. Conditions may change very quickly.”

Yellow warnings already in place

A yellow rain warning is active for southwest Wales from midnight tonight (Sun 14 Dec). A separate yellow warning for mid and north Wales began this afternoon.

Pembrokeshire County Council said its highways and emergency planning teams are on standby, with extra staff monitoring river gauges and drainage across the county. Sandbags are available where required.

Residents urged to prepare

Natural Resources Wales is advising residents in flood-prone areas to take precautions today, including:

Checking local flood alerts
Moving valuables upstairs where possible
Securing outdoor items against strong winds
Checking on vulnerable neighbours

The Herald understands that emergency services expect the heaviest rainfall between 6:00am and 3:00pm on Monday, with further unsettled weather forecast later in the week.

More updates to follow

This is a developing story. The Pembrokeshire Herald will bring live updates as information comes in from the Met Office, NRW, PCC and emergency services.

Health

Major investment confirmed for GP services in Wales

Published

3 hours ago

December 14, 2025

Tom Sinclair

Government unveils £41m boost, but practices warn pressures remain acute

MORE than £41m in extra funding will go into general practice in Wales this year following a new agreement between the Welsh Government, NHS Wales and GP leaders. Ministers say the deal provides stability at a time of rising demand — but the settlement comes against a backdrop of sustained pressures, recruitment challenges and concerns over patient access.

The package includes a 4% uplift to the General Medical Services (GMS) contract for 2025-26, in line with independent DDRB pay recommendations, and a guaranteed 5.8% recurrent uplift from 2026-27. The Welsh Government says the multi-year commitment will allow practices to plan ahead, modernise systems and strengthen community-based services.

Health Secretary Jeremy Miles said the investment showed an “unwavering commitment” to general practice, adding: “The 4% pay uplift ensures fair recognition for GPs and practice staff who work tirelessly to deliver care for communities across our country. Multi-year funding gives practices the confidence to invest in the transformation primary care needs.”

However, the announcement comes at a time when many Welsh practices continue to report severe workforce pressures, rising demand, and longstanding challenges in recruiting new partners. GP numbers have fallen over the past decade, with some practices handing back contracts or operating list closures because of unsustainable workloads. Patient satisfaction with access has also declined, according to the latest Welsh GP Patient Survey.

What the deal includes

The settlement for 2025-26 comprises £37.9m of new investment and £4m in re-invested capacity funding, with the key elements including:

A 1.77% uplift in expenses, intended to help practices manage inflationary pressures in energy, staffing and running costs.
A recurrent £20m stabilisation fund to support practices facing immediate operational pressures and to prepare for wider reform under the incoming Sustainable Farming Scheme model for health.
An increased partnership premium, aimed at retaining experienced GPs and encouraging new partners into a model that some say has become less attractive due to financial and regulatory risk.
A full review of the GMS allocation formula — the first in more than 20 years — which determines how funding is distributed between practices. Some rural and deprived communities have long argued the current system does not reflect the complexity of local health needs.

Wider context

General practice remains the foundation of the NHS, accounting for around 90% of patient contacts, yet it receives a proportionally small share of the overall health budget compared with hospital services. Both the Welsh NHS Confederation and GPC Wales have repeatedly warned that without sustained investment, primary care risks being unable to meet increasing demand from ageing populations and rising chronic illness.

The Welsh Government’s own “community-by-design” programme relies on shifting more care closer to home, reducing pressure on emergency departments and supporting earlier intervention. For that to be achieved, GP leaders say investment needs to be matched with workforce expansion, improved digital systems, and clear strategies to retain experienced clinicians.

Working groups will now be set up to examine access standards, diabetes prevention and new service models.

Mr Miles said he was pleased that GPs would be “actively contributing to creating innovative care models that enhance access, improve outcomes and deliver care locally.”

GP representatives broadly welcomed the deal but have stressed that it is only one step in addressing the scale of challenge across primary care.

Community

Narbelles WI support Food Bank with festive donation

Published

3 hours ago

December 14, 2025

Tom Sinclair

Group marks December meeting with charity collection and Christmas celebrations

NARBELLES WI rounded off the year with a festive December meeting featuring a bring-and-share buffet, party games and a Secret Santa gift exchange.

Members also used the occasion to support families in need across the county, collecting food items and presenting a £120 cheque to Ann Watling from Pembrokeshire Food Bank. The donation represents the proceeds of the group’s bucket collection during Narberth Civic Week 2024.

A spokesperson for the WI said the group was delighted to finish the year “with fun, friendship and a chance to give something back to the community.”

(Photo: Narbelles WI members presenting the cheque to Ann Watling, Pembrokeshire Food Bank.)