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Withybush Hospital to lose emergency general surgery

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EMERGENCY general emergency surgery is to be removed from Pembrokeshire’s Withybush hospital as part of a wide range of changes backed following by Hywel Dda University Health Board.

Last year, the Health Board consulted with its communities on options for change in critical care, dermatology, emergency general surgery, endoscopy, ophthalmology, orthopaedics, stroke, radiology and urology.

It said its Clinical Services Plan focuses on nine healthcare services that are “fragile and in need of change”.

At the launch of the consultation it 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, would see no changes to how people access emergency care (A&E) or minor injury care as part of the consultation.

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.

The proposed changes included an option for Withybush patients needing specialist critical care being transferred to Glangwili.

Another option, in Ceredigion, included 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.

During the consultation, communities shared an additional 190 alternative ideas for the services, which have been narrowed down to 22 alternatives to the multiple options outlined in the consultation.

At a two-day meeting into the proposed changes, held on February 18 and 19, the board backed changes into emergency general surgery which will see no emergency general surgery operations taking place at Withybush, but a strengthening of the same-day emergency care (SDEC).

For the other three hospitals, there would be no change in emergency general surgery provision, other than a strengthening of SDEC at Glangwili.

Members stressed the changes would not happen overnight, with the board hearing from chief executive Phil Kloer the changes were about “improving the quality of service for the public,” adding a Pembrokeshire public-preferred option of emergency general surgery operations taking place on alternate weeks, with a similar arrangement at Glangwili, had raised concerns from clinicians and managers.

The Board also backed changes to the critical care service, which will see the current intensive care units situation remaining the same at all hospitals other than Prince Philip, which will see the Intensive care unit (with transfer of sickest patients) changed to an enhanced care unit.

Reacting to the change, local Senedd member Paul Davies MS: “I’m appalled that Hywel Dda University Health Board has voted to remove general emergency services from Withybush hospital – but I’m not surprised.

“The Health Board is obsessed with removing services from Pembrokeshire and has spent years downgrading and removing services from Withybush hospital. As one constituent has rightly said, the Board should be rebranded the Carmarthenshire Health Board, as it continues to strip assets from other hospitals in west Wales.”

He added: “Removing general emergency services critically undermines the sustainability of Withybush hospital’s A&E department and will result in patients having to be transported for urgent treatment.

“This is not acceptable – I will be taking this to the Welsh Government and urging Ministers to intervene and stop the Health Board from making this catastrophic decision.”

 

Community

Letterston Fun Week raises more than £2,500 in memory of Mabli

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LETTERSTON came together for a packed week of entertainment, sport and community spirit, raising more than £2,500 in memory of local girl Mabli.

Letterston Fun Week featured a treasure hunt, bingo, pool, junior football, men’s and ladies’ darts, a quiz night and children’s disco, before concluding with a hugely successful Fun Day.

Organiser Tim Evans thanked the volunteers, performers, sponsors and residents who helped make the week possible, describing the support received at every event as “incredible”.

The Fun Day began with a chicken wing challenge, won by Shaun McVey of Letterston, before young singers Arthur, Mila, Etta and Nancie from Ysgol Ger y Llan took to the stage alongside Cassidy from Tonna.

They were followed by dancers from the Lowri Jones School of Dance, who performed in front of a packed field.

Live music came from Chrissy D and Steve Bartram, while children were entertained by Crazy Clayton.

As the evening continued, the Fishguard and Goodwick Rugby Club Choir delivered what organisers described as an outstanding performance.

Local band Roccanna then took to the stage, led by Letterston’s own Tristan Mansell, before headline act Forever Elton brought the celebrations to a close with a tribute to the music of Elton John.

Tim said: “This year has been a challenging one to organise, with plenty of obstacles along the way, but seeing the whole week come together so successfully made every bit of hard work worthwhile.

“To every volunteer who helped set up, sold raffle tickets and programmes, marshalled events, cleared away afterwards or simply stepped in wherever needed, I honestly could not be prouder.

“You worked your socks off to give Letterston an event to be proud of, and I cannot thank you enough.”

More than £2,500 has already been raised, with organisers expecting the final total to increase as the remaining proceeds are counted.

Fun Week is held each year in memory of Mabli, whose life continues to be celebrated by the Letterston community.

Paying tribute, Tim added: “Rob, Gwen and all the family, it is a privilege for us to organise this event each year and create a day where Mabli’s life can be celebrated by the whole community.

“We send you all our love and look forward to doing it all again next year.”

Organisers thanked everyone who attended, donated, volunteered, performed, sponsored or supported the events.

Letterston Fun Day will return on Saturday, July 17, 2027.

 

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Call for investigation into Manorbier school closure as councillor seeks apology

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A CALL for an impartial investigation into the contentious closure of Manorbier school, along with an apology from a senior councillor in connection with that closure, are to be heard next week.

Back in June, the final decision to close fire-ravaged Manorbier school was given the go-ahead, despite a heartfelt last-minute plea by local councillor Phil Kidney to keep it open.

Manorbier Church in Wales VC School and its adjoining schoolhouse was severely damaged by a fire in October 2022, which broke out in the school roof space.

After that, a ‘school from school’ was set up in Jameston Village Hall.

It had been hoped the school would be rebuilt, but last year councillors backed a report of the School Modernisation Working Group which, amongst other recommendations, included a statutory consultation on proposals to discontinue Manorbier Church in Wales Voluntary Controlled School.

The decision attracted strong local opposition, with more than 1,500 people signing a petition on the council’s own website calling for the school to be rebuilt.

The formal consultation for the discontinuation of Manorbier closed last December.

However, many of the council’s figures, especially on the level of surplus places at the school, were disputed.

At a special extraordinary council meeting held on June 15, members were asked to consider a report on a summary of 62 objections received in respect of the proposal to discontinue Manorbier VC school, which included options to end that discontinuation or to launch a fresh consultation.

However, it was recommended, in a report presented by deputy leader Cllr Paul Miller, who now also has responsibility for education, for the discontinuation be proceeded with.

At the meeting, local councillor Phil Kidney, who has been a staunch supporter of the keeping the school open, thanked the campaigners and staff.

“We’ve all let these people down, the way this council has handled this situation is appalling; from day one not one of the executives came up to see these children, no-one came out; if that was Haverfordwest or Tenby they’d be all over the place.”

He said the wording of the consultation had seen more mentions of St Florence [ the alternative school for pupils in the event of a discontinuation] than Manorbier, describing it as “like a brochure for St Florence”.

He also warned the Diocese of St Davids, which had always pressed for the school to be rebuilt, would not allow the council to “walk away from our liabilities lightly”.

Members later heard the diocese had, in a letter received by councillors, made “damning accusations the council is being biased against voluntary controlled schools,” with Cllr Jamie Adams saying the council administration should be “ashamed of this debacle”.

Cllr Miller said his only consideration was “the future welfare of the children,” adding: “I do not think 20 children educated in a welfare centre in Jameston is the best for them.”

Members, by 30 votes to 23, with four abstentions, supported the final steps to close the school.

Following that decision, issues around the contentious closure will be heard at the forthcoming meeting of the council, taking place on July 16.

In a notice of motion before councillors, Cllr Kidney proposes: “That council considers a full impartial investigation into the process of closing Manorbier school, specifically the time it has taken, broken promises, inadequate insurance, and the involvement of HR department.”

A supporting statement for his motion says: “The review should be carried out by someone not employed by the authority, with powers to recommend disciplinary action if they deem necessary.

“A full impartial review should hopefully stop another school being treated so appallingly.”

Cllr Kidney is also, in a submitted question, seeking an apology from the deputy leader, who now has responsibility for education: “Would the Cabinet Member for Education like to apologise to the staff and parents of Manorbier School for his comments at the last council meeting, where he stated children would get a better education in St Florence and children in Manorbier were being taught in one room?

“This is both factually wrong and insulting to staff, who have worked tirelessly to provide teaching of an excellent standard, and if he had taken the time to read the last Estyn report, he may not have made these derogatory comments.”

Both the motion and question will be heard by councillors next week.

 

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Fire service issues safety warning as extreme heat raises wildfire risk

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MID AND WEST WALES FIRE AND RESCUE SERVICE is urging residents and visitors to take extra care as extreme heat and prolonged dry conditions increase the risk of wildfires and water-related emergencies.

The warning follows the issuing of a red extreme heat alert for parts of Wales, with exceptionally high temperatures forecast and emergency services preparing for added pressure in the days ahead.

Fire chiefs say the hot, dry weather has left grassland and vegetation particularly vulnerable, meaning even a small spark could develop into a fast-moving countryside fire.

Aled Griffiths, Head of Community Safety for Mid and West Wales Fire and Rescue Service, said: “With very high temperatures forecast across Wales this week, it’s important that we all take extra care to stay safe and reduce avoidable risks.

“We want everyone to enjoy the sunshine, but these conditions can increase the likelihood of incidents, including fires and water-related emergencies.

“Small actions can make a big difference, whether that’s using barbecues safely, disposing of smoking materials responsibly or taking extra care around open water.”

Barbecue and outdoor fire safety

Anyone using a barbecue is being advised to place it on a flat, non-combustible surface, well away from buildings, fences, dry grass and shrubs.

Barbecues should never be left unattended and must be completely extinguished and allowed to cool before ashes are disposed of.

The public is also being asked not to light campfires or other open fires, particularly in rural areas where dry vegetation can allow flames to spread rapidly.

Cigarettes, matches and glass bottles should never be discarded in the countryside.

The fire service has also reminded residents that burning grass or garden waste is prohibited at this time of year.

Open water warning

The hot weather is also expected to encourage more people to swim in lakes, rivers, reservoirs and other open water.

However, the fire service warned that water temperatures can remain dangerously cold even during periods of extreme heat.

Cold water shock can cause an involuntary gasp, rapid breathing, panic and a sudden loss of swimming ability, significantly increasing the risk of drowning.

People are advised never to jump or dive into unfamiliar water and not to enter open water after drinking alcohol.

Float to Live

Anyone who gets into difficulty in the water should:

  • Tilt their head back, keeping their ears submerged
  • Relax and try to breathe normally
  • Move their hands and legs gently to remain afloat
  • Avoid panicking if their legs begin to sink

Once breathing is under control, they should call for help or attempt to swim to safety.

The fire service recommends practising floating in a supervised environment, such as a swimming pool.

Phone, Float, Throw

Anyone who sees another person in difficulty should remain on land and follow the Phone, Float, Throw advice:

  • Phone 999 and ask for the emergency services
  • Encourage the person to remain calm and float on their back
  • Throw rescue equipment or another floating object towards them

Members of the public should not enter the water themselves, as this can place both people in danger.

Further wildfire and water safety advice is available through Mid and West Wales Fire and Rescue Service’s website and social media channels.

 

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