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‘Fog of confusion’ about Withybush Plans

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fog of confusionUNCERTAINTY CONTINUES to dog the future of maternity, paediatric and specialist baby care at Withybush General Hospital, Haverfordwest.

Speaking to The Pembrokeshire Herald, Stephen Crabb, the MP for Preseli Pembrokeshire, said:

“In recent weeks the fog of confusion around the future of vital services at Withybush has got worse, with neither the Hywel Dda Health Board nor the Welsh Health Minister being willing or able to come clean on their true intentions. The Pembrokeshire rumour mill is in overdrive about changes at Withybush and the local community is rightly concerned and angry. This is the biggest issue facing our County and it is time for Welsh Government in Cardiff to hold the Health Board to account and provide certainty and assurance.”

As The Pembrokeshire Herald revealed last week, staff have already been consulted about a planned shift of services from Withybush to West Wales General Hospital, Glangwili. BBC news picked up the story this week and confirmed with Hywel Dda Local Health Board that talks were taking place with hospital staff.

Campaign groups set up

SEVERAL campaigning groups have been set up on Facebook to fight the closures and a public meeting is to be held at The Picton Centre in Haverfordwest this evening (Thursday, November 21) with a view to setting up a fighting fund to resist any closures or relocation of maternity and paediatric services.

The number of people who have joined the on-line campaign groups at the time this article goes to press is just under 20,000.

In January 2013, Pembrokeshire’s Best Magazine revealed that out of 1,567 responses to the ORS consultation on the Health Board’s plans for Withybush, only 9% of respondents in Pembrokeshire (150 people) favoured the Board’s proposal to close SCBU and transfer all care for high dependence neonates, complex ante-natal and perinatal care out of the County to Glangwili. In spite of the level of opposition shown to their plans, the Local Health Board’s decision announced on January 15 was to proceed with its plans, but to retain some paediatric and obstetric services at Withybush “subject to recruiting staff”.

Speaking to The Herald last week with reference to the potential loss of services due to loss of birth numbers at Withybush, the a spokeswoman from the Hywel Dda Health Board said:

“We are at significant risk of losing training posts if we cannot find solutions. Services may become too fragile unless we plan for the future.

“The neonatal element was referred to Welsh Government and the Health Board was requested to provide further details on our models for gynaecology and obstetrics which is being addressed by this ongoing planning work.”

Further criticism of LHB

THE HEALTH BOARD has been separately criticised by Ceredigion AM for delays in recruitment:

“I have been made increasingly aware of recruitment delays across the Hywel Dda region. In some cases such as recently at Ysbyty Bronglais I’m told of instances where six months after the employment process began, nurses have still not been able to take up new posts.

“Delays in appointing key staff members undermine the vital services offered by the Health Board, increase waiting times, erode public confidence and make it even harder to recruit staff in the future.

“The Welsh Government must work closely with the Local Health Boards across Wales to ensure the process is expedited and that residents get the health service they need and deserve.”

AM’s request for scrutiny denied

A REQUEST from local Assembly Member Paul Davies to publicly scrutinise the future of services at Withybush hospital has been denied.

This follows the latest news that overnight paediatric services at the Withybush hospital could be closed. Mr Davies tabled an urgent question to the Welsh Health Minister given the substantial knock-on effect that this closure would have on the hospital’s obstetrics department, A & E department and the Special Care Baby Unit.

Mr Davies said, “This latest news has further escalated concerns in Pembrokeshire that Withybush hospital is signalled for downgrading. Sadly, my request to scrutinise the Health Minister on this has been turned down. Unfortunately, I have repeatedly called for statements from the Welsh Government in relation to Hywel Dda Health Board’s plans, all of which have been denied.”

He added, “This news will once again renew fears over the hospital’s future, and it’s time that the Welsh Government provided certainty and reassurances for west Wales patients. Anything less is unacceptable. Residents will rightly be worried about the potential closure of overnight paediatric services and the effect that it will have on the sustainability of other core services at Withybush. I will of course, keep raising these issues in the Assembly Chamber in the hope that Welsh Labour Ministers will come clean on the future of Withybush hospital as soon as possible.”

Concern from Haverfordwest Town Council

AT THE Haverfordwest Town Council meeting last night councillors discussed the situation regarding Withybush Hospital.

Town Clerk David Williams said “There are serious concerns about what is happening at Withybush Hospital. We don’t know what the proposals are at the moment and the future of the hospital is in the balance.

“Our intentions are to write to the trust and health minister to clarify what the situation is”.

SWAT has suggested that the situation is the thin end of the wedge in relation to other services. A SWAT leaflet sent to The Pembrokeshire Herald claims, amongst other things:Emergency cover for ALL specialities may reduce to 16 hours each day. Date of implementation unknown at present but maybe January 1, 2014. This would mean patients already in hospital would be safe as on call doctors would be on site but with no A&E facility from perhaps midnight people who became ill overnight or have an accident in the community would be taken directly to Glangwili.

SCBU, Paediatrics and Obstetrics will move to Glangwili in March 2014. This means that there will be NO beds to admit children, babies or pregnant women at Withybush except for very low risk mothers to be.

Anyone needing admission will have to be taken to Glangwili.

A&E will be reduced to 12 hours during the day from April 1, 2014. This means that Withybush will not be able to take any emergency patients overnight and they will all have to be taken to Glangwili for assessment and admission if appropriate.

The leaflet calls on people to demonstrate in support of maintaining services at Withybush outside the hospital every Saturday morning at 11:00 am from January 4, 2014. It also asks for support for a potential legal action to prevent the Health Board’s plans from proceeding.

Joyce Watson AM told us: “I totally support the plan for a Level 2 neo-natal unit in the Hywel Dda area, as we do not currently have one. Withybush maternity unit is the crucial missing piece of the puzzle, however. Until Hywel Dda submits its proposal to the Welsh Government we cannot assess the overall plan.

“What is clear is that Withybush must retain a service that can stabilise mother and baby when complications occur. That is absolutely critical – a red line – and I have consistently urged that point in my discussions with both the Health Board and the Government.”

The Local Health Board responds

In response to the BBC News story, the Health Board released a statement saying:

“The health board can confirm that no instruction has been given to book expectant mothers due in March or April into Glangwili Hospital instead of Withybush Hospital. If any mother has any queries about their booking they are advised to speak to their midwife directly.

“The health board was instructed by the Health Minister in September to clarify the delivery model for obstetric and paediatric services that would be provided to support a Level 2 neonatal unit before a final Ministerial decision is made in relation to new born services.

“The health board is committed to openly discussing the current situation with staff and so meetings are taking place at a hospital, county and health board-wide level.

“The ongoing work with our clinical teams is based on clarifying the service model, taking into account the many service inter-dependencies.

“Proposed models will be submitted to Welsh Government in the next few weeks…the health board’s position [is] that members of staff have not been informed of any final decisions as none have been made.”
Chris Overton of SWAT told The Herald

“Last Tuesday morning the midwifery manager told midwives on the wards that from March there would be a midwifery led service at Withybush. At the same time, the Paediatric Manager told staff that SCBU, paediatric services and Ward 9 admissions would all go to Carmarthen, as that was where paediatric trainee doctors would be based.”

The Pembrokeshire Herald asked for a response from the Welsh Government, shortly before we went to press a spokesperson for Health Minister Mark Drakeford told The Herald:

“This is a matter for the Local Health Board and we have no comment to make on it, at this time.Rebecca Evans AM, Assembly Member for Mid and West Wales said:

“I am obviously concerned by the recent reports, and am seeking clarity from the Health Board because continued speculation and rumour is unhelpful for both patients and our NHS staff.

“The Health Board is due to submit its detailed proposed models to Welsh Government in the next few weeks, and I would expect that those plans should be clinically robust and developed in close collaboration with clinicians and expert obstetricians. I look forward to scrutinising the plans.

“Patient safety – both for the expectant mother and the baby – has to be the overriding concern.”

Mrs Evans is currently seeking reassurances from the Health Board on a number of matters, including that that there is no truth in the reports that all expectant mothers due to give birth after 1 April are being booked into Glangwili Hospital.

 

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Watchdog criticises health board over £10m GP contract checks

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A HEALTH board has been criticised by Audit Wales after GP contracts worth more than £10m were awarded without sufficient due diligence checks.

Aneurin Bevan University Health Board allowed a GP partnership associated with eHarley Street Primary Care Solutions to take on eight GP contracts in south-east Wales, with a combined annual value of around £10.1m.

Audit Wales said the board should have carried out greater scrutiny before approving the arrangements, including checks on financial resilience, workforce plans, business risks and the partnership’s ability to manage several practices at once.

However, the watchdog found no evidence of fraud and noted the board was dealing with significant pressure in general practice, including vacant contracts and limited interest from other bidders.

The report said weaknesses in governance and scrutiny contributed to later disruption and uncertainty for patients and staff when problems emerged.

Concerns included financial and workforce pressures, unpaid invoices, and issues relating to tax and pension payments. Some contracts were later handed back, requiring the health board to step in to protect services.

Natasha Asghar MS, Welsh Conservative Shadow Cabinet Minister for Health and Social Care, said the findings were “deeply concerning”.

She said: “Patients and staff were left facing disruption and uncertainty because proper scrutiny was not carried out before these contracts were awarded.

“The Welsh Conservatives believe lessons must be learned to ensure robust checks are in place, protect frontline services and restore confidence in primary care across Wales.”

Aneurin Bevan University Health Board accepted the recommendations and said it had already strengthened its processes.

Audit Wales said the case highlighted the need for stronger checks before GP contracts are transferred, particularly when a single partnership is taking on multiple practices in a short period.

 

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Mystery as hundreds of dead dogfish wash up on Saundersfoot beach

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Concerns raised after mass stranding stretches hundreds of yards along shoreline

HUNDREDS of dead dogfish have washed up on a Pembrokeshire beach in a strange incident that has left locals and visitors searching for answers.

The fish, believed to be dogfish — a small species belonging to the shark family — were discovered scattered along Saundersfoot Harbour Beach on Thursday (May 21), with one witness estimating the carcasses stretched for around 500 yards.

Holidaymaker Colin Hill, who came across the scene, said the scale of the wash-up was shocking, with large numbers of fish appearing to have washed in at roughly the same time.

While the exact cause remains unclear, early indications suggest the fish may have been discarded at sea before drifting ashore on changing tides.

Natural Resources Wales (NRW), which attended the scene, said there was no sign of a pollution incident.

A spokesperson for NRW told The Herald: “We investigated reports of dead fish at Saundersfoot and found no evidence of a pollution incident.

“The fish appear to be dogfish, and this is likely linked to fishing by-catch being discarded at sea.

“Tides have since cleared the majority from the shoreline and no wider environmental impacts were identified.”

Fishing link suspected

Marine experts say one of the most likely explanations is that the dogfish were unintentionally caught by fishing vessels targeting more commercially valuable species before being thrown back into the sea.

Dogfish, also known as catsharks, are common around the Pembrokeshire coast but are not generally landed commercially in large numbers.

However, local marine conservationist Cliff Benson of Sea Trust Wales said the scale of the incident appeared unusual.

“We quite often see dogfish or catsharks seemingly intent on suicide and beaching themselves, though nobody seems to know why,” he said.

“However, this is on a different scale and looks like they might have been caught by some fishing boat that was hoping to catch more commercial species and thrown overboard dead.”

He added that pollution was another possible explanation, although less likely if only one species had been affected.

Not the first time

Pembrokeshire has seen smaller incidents involving dead dogfish washing ashore before, but similar mass strandings elsewhere in Wales have previously been linked to fishing activity.

In one case at Burry Port in 2019, fisheries experts suggested dead dogfish found on the shoreline had likely been dumped following the clearing of fishing nets. In Barry in 2021, hundreds more washed up, some still attached to hooks and tackle.

For now, the mystery remains unresolved — although NRW believes discarded fishing by-catch is the most likely explanation.

Caption:

Hundreds of dead dogfish washed up on Saundersfoot Harbour Beach on Thursday (Pic: Colin Hill).

 

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RNLI urges beachgoers to stay safe as warm weather hits Wales

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Lifesaving charity warns of cold water shock risk despite rising temperatures

THE RNLI is urging people planning trips to the coast over the Bank Holiday weekend to choose lifeguarded beaches and follow essential water safety advice as warm weather draws crowds to the seaside.

With temperatures expected to rise across Wales, the lifesaving charity has warned that, although conditions may appear ideal, the sea remains dangerously cold and poses a serious risk of cold water shock.

The RNLI says the safest place to swim is between the red and yellow flags at lifeguarded beaches.

In Pembrokeshire, RNLI lifeguards will be on patrol at Whitesands, Newgale Central and Tenby South Beach throughout the May half-term, operating daily between 10:00am and 6:00pm.

Other lifeguarded beaches across Wales include Langland, Caswell, Aberavon, Pembrey, Three Cliffs and Port Eynon in Swansea; Barry Island, Coney Beach, Trecco Bay and Rest Bay in Bridgend; Llangrannog and Borth in Ceredigion; and Rhyl and Prestatyn in Denbighshire.

The RNLI is encouraging anyone unable to visit a lifeguarded beach to check local conditions before setting off, including tide times, weather forecasts and any safety signage.

Chris Cousins, the RNLI’s Regional Water Safety Lead, said: “There will likely be a huge number of people visiting the coast this weekend and we want everyone to remember Float to Live advice, which could save lives.

“Instinctively, most people who find themselves struggling in the water will begin to gasp, panic and try to swim or thrash about.

“We’re urging people to ignore this instinct and remember to float. Tilt your head back with your ears submerged, relax and try to breathe normally, and move your hands and legs to help you stay afloat if needed.”

He added that practising floating in a supervised setting, such as a swimming pool, could help prepare people in case they find themselves in difficulty.

‘Phone, Float, Throw’

The RNLI is also reminding the public to remember the “Phone, Float, Throw” guidance if they see someone struggling in the water.

People are advised to call 999 or 112 and ask for the Coastguard, encourage the casualty to float on their back, and throw something buoyant to them, such as a life ring.

The charity recently relaunched its “Float to Live” campaign, citing new research suggesting younger adults, particularly Generation Z, may underestimate the dangers posed by the coast.

According to the RNLI, there were 193 accidental drowning deaths in the UK in 2024, with men accounting for 84 per cent of fatalities. Men aged between 20 and 29 represented the highest risk group.

The RNLI’s beach lifeguard service is marking its 25th anniversary this year.

For more information on staying safe at the coast, visit the RNLI’s Float to Live campaign.

 

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