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Councillors excluded from clinic ceremony

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MHAssura Group officially opened its £4.8 million state of the art health centre in Milford Haven today, amongst murmurings from local Councillors that some dignitaries had been snubbed from the launch. Chris Martin, The Chairman and Trevor Purt, Chief Executive of the Local Health Board were there with the Health Minister, Prof. Mark Drakeford and local AM’s Joyce Watson and Paul Davies.

There were also representatives from the Community Health Council and a couple of reporters but the lack of an appearance from the Mayor or County Councillors who represent the 20,000 patients at the new 22,000 sq ft centre was an obvious to anyone who has ever attended a grand opening ceremony.

Town Councillors Stan Hudson and Jon Cole had not been invited either but turned up outside the clinic to voice their concerns to Assembly Members and the LHB about the car parking problem at the new centre.

Speaking from the pavement, Cllr Stand Hudson said “Why weren’t the mayor and Chairman of Pembrokeshire County Council invited, or any local Councillors. How many other big health centres have opened like this in the last ten years? None.”

“I’m not willing to make any comment to why I think we were not invited” he added.

Cllr John Cole said “Landowners Assura has promised Milford Haven Town Council, and their Managing Director of Property, Andrew Darke has indicated, that they have no intention to build homes on the fenced of area of the car park and they are willing to lease the spaces to the Local Health Authority. I have passed this information onto our local Assembly Members and to Chris Martin, Chairman of the Local Health Authority.

“The District Valuer has said that only 38 spaces are needed. Experience has shown us that this, plus only four disabled spaces, is wholly inadequate. Patients are having to park on double yellow lines” he added.

Ian Tuddenham from LSP Developments, who developed the centre in conjunction with Assura, said: “The fenced off area of the car park is private land and is therefore not insured for use by clinic patients. We want to avoid insurance claims and claims of ‘posessionary’ title against our land.”

Assembly Member Joyce Watson told The Herald yesterday: “I have had an email from Milford Haven Town Council about the possibility of acquiring additional spaces, but this would obviously come at a cost to the Local Health Board.”

When asked about the fence Joyce Watson said “The fence is dangerous. When you put children into the mix I think we need to start thinking about safety.”

Ian Tuddenham then told The Herald: “It’s difficult when the fence keeps getting vandalised. We had to pay for the fence to be re-erected this morning after it had been knocked down, and driven over by vehicles”

“We know what our land is worth, I’m not going to mention figures now, but if the Council or Health Board wants to approach us then we are open to offers. As a developer we don’t want to be in the situation where we have to keep maintaining fences, it would be easier if we sold the land” he added.

When pressed as to why local Councillors or the Mayor had not been invited to yesterdays official opening of the 22,000 sq ft facility, Beverley Gardener from the Local Health Board said: “As you can see this is a busy working practice. We have to think about patients at the end of the day.”

“Its not about upsetting anybody, but how man people we can fit, especially when showing everyone around” she added.

 

Milford Haven Central representative Cllr Stephen Joseph was asked by text message by The Herald if he had heard of or been invited to the opening, he quickly replied “Not a word about it.”

Speaking at the ceremony, Health Minister, Prof. Mark Drakeford said: “Firstly a whole series of different players in primary care are here together in this building, all under one roof. I know that physical proximity really matters to people. Everything is here, no more need for phone calls or travelling across the county. Secondly, we know the future of the health service is in primary care. As much as possible this needs to be close to where people live, and what people have in this building is a different world what they had before.”

 

“Here in Milford Haven people can access a wide range of services and see the future of the NHS. Thirdly and finally, we use our primary care facilities to tackle health inequalities. We at the Welsh Assembly want there to be local services for people who really need them. Tackling health inequality through primary care is one of our key priorities” he concluded.

Education

Creative contributions in Operation Ivydene ASB poster competition

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STUDENTS from across Carmarthenshire, Ceredigion, Pembrokeshire and Powys have been recognised for their outstanding contributions to a poster competition run as part of the Dyfed-Powys Police Operation Ivydene initiative.

Over the past few months, primary and secondary schools across the four counties were invited to submit designs highlighting the impact of anti-social behaviour (ASB) and the importance of promoting safer neighbourhoods.

Last week, the posters were judged by a panel of police officers and crime prevention specialists to come up with the winners.

A special prize-giving ceremony was held on Monday 18th November, where the five winning students were honoured for their outstanding contributions.

‘Antisocial behaviour’ is a broad term which includes behaviour that has caused or is likely to cause harassment, alarm or distress to a member or members of the public. Criminal and non-criminal behaviours such as littering, vandalism, public drunkenness, aggressive dogs, or noise nuisance may also be considered ASB. 

Caryl Griffiths, ASB Hotspot Co-ordinator for Dyfed-Powys Police said: “The goal of this competition was to engage students in understanding the effects of anti-social behaviour on their communities, and to inspire them to think about how they can contribute to a safer, more supportive environment.

“Judging the competition was challenging due to the high standard of entries, but we ultimately selected five winners who showed exceptional creativity and thoughtfulness.

“A special thanks to Bethan James, our Schools Service Manager, for her role in bringing all the schools together.

Until March 2025, ten of the areas worst hit by antisocial behaviour across Carmarthenshire, Ceredigion, Pembrokeshire, and Powys will receive additional dedicated ‘Hotspot’ police patrols through Operation Ivydene, thanks to an injection of cash from the Home Office, secured for the force by Police and Crime Commissioner Dafydd Llywelyn.

The patrols focus on tackling these types of issues in the following areas: 

  • Carmarthenshire – Tyisha, Elli / Llanelli town centre, Carmarthen town and Ammanford.  
  • Ceredigion – Aberystwyth and Aberaeron. 
  • Pembrokeshire – Haverfordwest town centre and Tenby town centre.  
  • Powys – east Newtown and Brecon. 

Inspector Darren Crockford said: “Operation Ivydene is a targeted initiative that uses a ‘Hotspot’ policing approach to address and behaviour that constitutes ASB and causes harm and alarm in the community.

“Hotspots have been selected as the areas experiencing the highest volumes of violence and antisocial behaviour (ASB) offences and based on local intelligence. 

“The patrols aim to provide a reassuring presence to help people feel safe while also proactively disrupting crime and acting as a deterrent.

“An important element of the overall Operation Ivydene approach will be to engage with our communities having meaningful discussions about how ASB impacts the community, and encourage them to take an active role in creating safe and positive places to live.”

Bethan James, Dyfed-Powys Police Schools Service Manger added: “Our Schools Service offers crime prevention sessions to children and young people on topics such as ASB where we use bespoke films and real-life examples to reflect victims’ experiences and explore the boundaries between fun and fear.

“Sessions delivered by our team of Schools Police Officers are specifically designed to challenge mindsets and attitudes in a safe and supportive learning environment.

“The discussions between the officers and the learners explore the long-lasting, harmful effects of ASB, about crimes and consequences and where children can find advice and support.”

During national Anti-Social Behaviour Week, Dyfed-Powys Police is sharing information to help members of the public recognise, report, and get support for anti-social behaviour. Follow them on Facebook for more information.

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Health

New NHS data shows the same old problems

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ALTHOUGH the latest batch of NHS performance data contained some good news for the Welsh government, chronic problems with meeting targets remain the headline.

The Welsh Government announced further funding to reduce waiting lists earlier this week. Following that announcement, the Health Minister, Jeremy Miles, led a Welsh Parliament debate on waiting times on Tuesday, November 19.

HARD FIGURES

The number of patient pathways increased from 800,163 in August to 801,307 in September, the highest figure on record, equivalent to one-quarter of the Welsh population.

There were still around 618,200 individual patients waiting for treatment in September.

Two-year waits remain at 23,701 in Wales. Eluned Morgan promised to eliminate these waits by March 2023 and again by March this year. The dial is moving slowly in the right direction, but progress is painfully small.

At the end of September, the average (median) time patient pathways had been waiting for treatment was 22.7 weeks.

In October, only 50.4% of red calls (the most serious) received an emergency/ambulance response within eight minutes. This is a tiny improvement but a long way short of the Welsh Government’s performance target for the Welsh Ambulance Service. The Ambulance Service has never hit any of its performance targets since the Welsh Government first set them.

Performance worsened against the 62-day target for patients starting cancer treatment; it is now 55% as of September.

MINISTER FINDS THE POSITIVES

Wales’s Health Minister, Jeremy Miles, responded to the data: “I’m pleased to see the number of patient pathways waiting more than a year and two years for treatment have fallen in the last month.

“This shows positive progress is being made across Wales to reduce the longest waiting times. I hope to see this continue.

“While there has been a small rise in the overall number of patient pathways waiting to start treatment, more than half are waiting less than 26 weeks, and there was a fall in the number waiting more than 36 weeks in September.

“We recognise the impact long waits for treatment can have on someone’s life, both mentally and physically, so we have a laser-like focus on reducing the longest waits and improving access to patient care.

“More than 1,800 people started cancer treatment in September, and nearly 14,000 people received the good news they didn’t have cancer.

“There were also reductions in the long waits for both diagnostics and therapies services and some reductions in the numbers of pathway of care delays.

“Urgent and emergency care services continue to be under great pressure – in October, the Welsh Ambulance Service received the second highest number and proportion of immediately life-threatening calls per day on record, but more than half of these calls received a response within eight minutes.”

NHS “AT CRISIS POINT”

Sam Rowlands MS, Welsh Conservative Shadow Health Minister, said: “I fear that we are at a crisis point as waiting list figures continue to head in the wrong direction in Labour-run Wales.

“The Labour Health Minister’s latest initiatives, even if his expectations are met, will barely scratch the surface in terms of tackling these excessive, record-breaking waits for treatment. Something needs to change fast.

“The Welsh Conservatives will stand up for the Welsh people’s priorities by eliminating restrictive guidance blocking cross-border and cross-sector working and by enacting a substantial workforce plan to boost staffing numbers, with a tuition fee refund for healthcare workers at its heart.”

LOCAL TRENDS

The month-to-month performance data provide a limited snapshot of the details. Their nature encourages politicians to exchange barbs and engage in self-praise. Specious comparisons between Welsh NHS performance and English NHS performance crumble under the gentlest scrutiny, not least as the English NHS counts waiting times and collates patient data differently from the Welsh.

Long-term trends are more revealing.

Immediately before the Covid pandemic (data released in March 2020), 1.6% of patients in the Hywel Dda UHB area waited over 36 weeks from referral to treatment. 85.7% of patients went from referral to treatment within 26 weeks.

By March 2022, 35.2% of patients in the local health board area were waiting for more than 36 weeks, and the percentage seen within 26 weeks had fallen to 56.7%. By the following March, just over 60% were seen within 26 weeks, and the proportion of patients waiting more than 36 weeks had fallen to 28.2%.

If you move forward to September 2024, Hywel Dda UHB’s performance figures have marginally slipped. There are no peaks and troughs in the performance data; they remain steadily bumping along at the same level and are far worse than they were in March 2020.

The Health Minister’s honest acknowledgement that the £50m funding injection to address waiting times is a short-term measure to boost performance and not a long-term solution highlights the scale of the problem. The question of waiting lists is not how much money it will take to tackle them but how much money will be spent before radical reform tackles systemic problems with healthcare delivery.

Placing Hywel Dda’s difficulties in a national perspective, the Welsh Government’s planned care recovery plan established a target to eliminate two-year waits in most specialities by March 2023. ‘Most’ refers to all specialities, excluding seven recognised as exceptionally challenging even prior to the pandemic.

Those specialisms, which include Orthopaedics, ENT, and Gynaecology, are large areas of surgical practice. They are excluded from targeted improvements because tackling them is too difficult. Proposals to establish surgical hubs made by the Welsh Conservatives have not attracted Welsh Government support as resources and staffing remain highly problematic. However, a quick win for the Welsh Government on the longest waiting times is potentially available.

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News

Labour’s leaders enjoy Llandudno love-in

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LABOUR’S conference in Llandudno last weekend was an opportunity for the Party’s great and good to come together and tell each other how wonderfully things are going.

The key message was that, while the Labour Government in Cardiff Bay was nothing less than a roaring success, things could only get better with Labour governments at either end of the M4. Labour in Wales must hope that this last phrase sticks in the electorate’s consciousness and glosses over Welsh Labour’s problems.

There are plenty of those problems, although you’d be hard-pressed to identify any of them from the keynote speeches delivered to the faithful.

Speakers hit all the important notes:

  • Labour was delivering more money to the Welsh Government to spend (big cheer).
  • There would be money to spend on the NHS (bigger cheer).
  • There were no more Conservative MPs from Wales in Westminster (ecstatic rapture).

And so on and so forth in all the key speeches.

PREACHING TO THE CHOIR

It’s only fair to begin with the big cheese himself, Sir Keir Starmer. Cheese is the right word. The Prime Minister recapped his October speech at Labour’s national conference, and he laid on added Welsh schtick with a trowel. Nye Bevan, the NHS, the Industrial Revolution, the sense of community. All his speech lacked was the Morriston Orpheus Choir humming “A Hyd a Nos” in the background.

Thankfully, as is the way things are nowadays, there were no big announcements in Keir Starmer’s speech. Its content had been well-trailed. Bashing the Tories while taking credit for their policies and adding the odd million here and there is enough for a Labour leader in Wales to get a rapturous reception. And he got one.

Eluned Morgan was more old school: “There’s a new Wales on the horizon, and I intend to lead us there,” the First Minister began.

She continued to explain that: “The people’s priorities are my priorities.

Improved health and social care, delivering future-proofed jobs and growth, higher standards in our schools and more social housing because your postcode should never determine your prospects, improving transport and keeping people in touch. New trains, a new bus bill, better roads.”

Nobody could disagree with those objectives. Nobody casting a more critical eye over them could help but wonder why it’s taken 25 years for the penny to drop.

The First Minister’s attempt to create some pithy soundbites was undermined by how she introduced them: “They offer soundbites – and we deliver sound policies. They sow division – we build unity. They promise walls – we build bridges. They complain – while we campaign.

And while they look backwards – we move forwards.”

It was a bit like Tony Blair. “Now is not the time for soundbites, but the hand of history is on out shoulders.”

STEVENS STANDS OUT

Jo Stevens, the Secretary of State for Wales, hit an altogether stronger note.

She announced £13 million to provide support for workers, families and businesses affected by the closure of the Tata Steel blast furnaces in her first address to the Welsh Labour Conference since Labour won a landslide General Election result in July.

The investment from the Transition Board, which will provide non-repayable grants of up to £10,000 to help workers and their families set up their own businesses, is part of a wider £26.5 million package committed by the UK Labour Government since taking office, and part of an £80 million commitment to fully fund the Transition Board and to support workers that came out of Labour’s Autumn Budget.

Jo Stevens developed her theme by attacking the Conservatives’ failure to bankroll a scheme they’d announced: “In October last year, the Tories had promised £80m to support workers and businesses in Port Talbot. Nine months later, they hadn’t delivered a single penny.

 “Now we know why – the £80 million was never there. It was one of a long list of unfunded spending commitments.

 “Today, I am announcing a £13 million fund to support existing and new businesses in Port Talbot and across our steel communities. And Labour’s first Budget confirmed that £80 million in full.”

The conference loved it all. But apart from Jo Stevens repeating an attack line that Labour had already developed in the preceding weeks, it was rather thin gruel, albeit enthusiastically delivered.

THE PARTY OF GOVERNMENT

Wales’s Transport Minister, Ken Skates, announced a “new” Bus Bill to re-regulate bus services and integrate train and bus timetables, tickets and routes. The inverted commas around the word “new” are advisable as this is a Bill that’s long been out for consultation. Councils have already outlined their responses to it, and it was one of his predecessor’s major pieces of legislation. When the Bill is finally published next March, it will be only four years since the commitment appeared in the 2021 Manifesto and seven years since the Welsh Government announced its intention to legislate.

Having announced £22m to cut waiting times just over a fortnight before the Labour conference, Health Minister Jeremy Miles announced a further £28m, which included £3m to shorten waiting lists for children awaiting neurodevelopmental assessments.

Remarkably, the entirely nonpartisan Welsh Government press office was on hand to announce these initiatives in almost identical terms to the Labour Party’s press releases on the same subjects and as they were made to the Party faithful. There is a separation between the party political activities of Welsh Government ministers on the one hand and Welsh Government actions on the other. While the lines have blurred over recent years, it is not the business of Welsh Government employees to assist Ministers with campaigning activities, such as a conference speech.

Labour is the Party of government in Wales, but it is not the Party of the Welsh Government.

LABOUR’S WELSH PROBLEM

In Westminster opposition, Labour made many of the right noises about doing right by Wales. Chief among those noises was sending Wales “£4bn” as a consequential payment for the HS2 project that the Conservatives (boo!) had denied Wales. There were other promises, too:

  • Rejigging the basis upon which Westminster allocated money to the devolved governments.
  • Making sure the Welsh Government regained control over the funding that had replaced the European Union’s money.
  • Devolving more powers to the Welsh Government.

Big promises, all of them.

In the thrill of victory and delivering and taking the credit for projects launched by the Conservatives (boo!), those promises have vanished into talking shops and the language of “hard choices”.

And so, to make up for the fact that the Westminster Labour Government has left its Cardiff comrades in the same position as the Emperor wearing his new clothes, Labour’s conference speeches were long on triumphalism and mood without any sign of much that was new. 

Turnout in Wales on July 4 was down over 10.5%, and Labour’s share of the vote fell by 3.9%. Labour’s share of the General Election vote in Wales has only twice slipped below July’s level (in 2010 and 2015). Even in 2019, Labour polled better. In 1997, when Tony Blair’s New Labour swept the Conservatives from power almost as dramatically as in July, Labour won almost 55% of the vote in Wales.

Labour’s polling for the next Senedd election is even more dire than July’s outcome, with some polls showing support hovering around 30%. In 2026, the low turnout and divided vote that skewed General Election outcomes in Welsh constituencies could cause a very different outcome. Turnout in Welsh elections is often pitiful, and the new voting system could erode Labour’s dependable “red rosette on a donkey” vote.

Between now and May 2026, Labour must not only say what it wants to deliver but also get on with it. The lack of urgency about its previous Manifesto commitments and the ongoing omnishambles that is the Welsh NHS leave Eluned Morgan little room for manoeuvre.

In opposition, parties abuse the government of the day. In government, parties abuse the preceding government. In Wales, where Labour’s been in power for twenty-five years, the problem goes without saying.

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