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Paediatric care hours to change from Monday

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withybushTHE OPENING hours at Withybush Paediatric Ambulatory Care Unit will be changed to 10am-6pm from Monday (Dec 5).

The move comes following a decision, taken in the interests of patient safety due to a shortage of consultant paediatricians, by Hywel Dda University Health Board last week.

Referrals to PACU can continue to be made up until 6pm, after which necessary discharges or transfers to Glangwili Hospital when an overnight stay in hospital is required will be made.

Deputy Chief Executive and Director of Operations Joe Teape explained: “We are carefully planning this temporary change and will be spending a lot of time during the coming days finalising the activation plan and making sure that all our staff, GPs, including out-of-hours, and partners such as the Welsh Ambulance Services Trust and NHS Direct are aware and are able to appropriately advise and assist children and their families.”

A task and finish group with clinicians and managers is also being set up to closely monitor the change and ensure further work is progressed in areas including recruitment, technology and engagement with the pubic on a longer term plan to restore the service to a 12 hour one. Weekly updates will be provided to Hywel Dda Community Health Council, as well as regular updates for the general public.

The temporary change has been put in place as a result of national challenges in the recruitment of consultant paediatricians combined with particular problems in Pembrokeshire due to the retirement of one consultant coinciding with maternity leave of another and sickness.

The temporary service change, which will be active from next week, reflects the 10am-10pm model that has been in place and has been providing safe care since service change two years ago, but from the new times of 10am-6pm and with remote consultant paediatric support from Glangwili Hospital at night.

Parents should continue to access healthcare services for children in the usual ways.

Children who present at Withybush Hospital out-of-hours will usually be transferred to Glanwgili Hospital for paediatric input. In the exceptional circumstance where emergency resuscitation is required, emergency and anaesthetic staff will resuscitate, stabilise, and arrange transfer onto another hospital.

In the meantime, the health board continues to reduce the impact on families as much as possible. This includes provision of the dedicated ambulance vehicle for transfers between Withybush and Glangwili hospitals, provision of funded transport schemes such as that provided by Action for Children, help under the NHS Travel Costs scheme and, in exceptional circumstances where no alternatives are available, vulnerable families will be provided with a paid for taxi to return home.

Recruitment efforts will continue, both for substantive, permanent posts and locum (temporary) paediatric consultants. The health board has secured an agency consultant for an extended period of three months and is interviewing a potential candidate for a role at either Withybush or Bronglais hospitals in January. Adverts for Advanced Paediatric Nurse Practitioners are also being placed.

For a paediatric minor injury, go to Withybush Emergency and Urgent Care Centre (EUCC) 24 hours a day. In an emergency, if your child is very sick, you should dial 999 for assistance.

Parents can also call NHS Direct Wales – 0845 46 47 – they can advise you if you are unsure what to do, as well as provide health information on a wide range of conditions, treatment and local health services.

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News

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

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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.

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Health

Major investment confirmed for GP services in Wales

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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.

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Community

Narbelles WI support Food Bank with festive donation

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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.)

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