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Caring for unwell children over Christmas

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withybushHYWEL Dda University Health Board is re-issuing advice to Pembrokeshire parents on how they can care, or access healthcare services, for unwell children in the lead up to the Christmas Bank Holidays.

The vast majority of unwell children are cared for at home by their families when they are unwell, and general advice on how to manage common childhood illness can be found on the NHS Direct website or by calling 0845 46 47.

In the majority of cases, GPs and hospital Emergency Departments also care for children without needing to admit them into hospital.

GP out-of-hours services are available in Pembrokeshire overnight, on weekends and Bank Holidays for urgent care and are accessed by calling your usual GP telephone number. Withybush Hospital’s Emergency and Urgent Care Unit also provides 24 hour urgent care for children with minor injuries.

Clinical lead for Child and Adolecent Health Dr Simon Fountain-Polley explained: “Families generally look after their own children for the majority of acute illnesses. If they need advice they can access NHS Direct, community pharmacists, or their local GP.Most children, thankfully, don’t need to see the hospital paediatric team for acute illnesses. For that relatively small proportion of children who do, their GP can refer them into hospital services.”

For children who need paediatric input, there is a Paediatric Ambulatory Care Unit at Withybush Hospital 10am-6pm and overnight care is provided from Glangwili Hospital, in Carmarthen. There is a dedicated ambulance vehicle for women and children’s transfers between Withybush and Glangwili and a parent or carer can remain with their child on transfer and on the wards.

The health board has issued a question and answer guide that may help parents with any questions they may have.

It follows temporary changes to PACU services at Withybush Hospital that were made recently due to a reduction in the availability of paediatric consultants. This has meant the opening hours have temporarily been reduced from the usual 10am-10pm daily to 10am-6pm daily. There will be one paediatric rota for the south of the Health Board covering Carmarthenshire and Pembrokeshire. This means if there is a paediatric emergency out-of-hours at Withybush Hospital, the on-call paediatric consultants in Glanwgili Hospital offer remote advice to emergency and anaesthetic staff at Withybush Hospital.

What is PACU?

PACU stands for Paediatric Ambulatory Care Unit. About 75% of those children who are referred into Withybush Hospital PACU, are treated there and do not need to be transferred to another hospital. It provides care for children with sudden onset of pain, high temperatures, sickness, infections, or requirements for dressings, blood tests, x-rays or scans.

What about children who need to stay in hospital overnight?

Any Pembrokeshire children who need an overnight, inpatient stay in hospital, are transferred to Glangwili Hospital, in Carmarthen. There is a dedicated ambulance vehicle for women and children’s transfers between Withybush and Glangwili and a parent or carer can remain with their child on transfer and on the wards.

What about sick children who need assessment after 6pm?

Children who require paediatric assessment after 6pm are referred or transferred by ambulance to the PACU at Glangwili Hospital.

What about hospital appointments for children?

Scheduled care including procedures, tests and outpatient clinics continue at Withybush Hospital during the daytime.

What do you do if your child is unexpectedly sick at night?

Parents should continue to access care for their children as they do now.

If your child is unwell, you can do a number of things:

  • 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
  • Use your community pharmacy if open
  • Make an appointment with your GP as usual, including out-of- hours GP services, which are contacted through your normal GP telephone number
  • 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. 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.

 

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Crime

Five-year stalking order imposed on Pembroke Dock man

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Court hears woman was followed to remote locations, threatened and left feeling “like a sitting duck”

A WOMAN has told magistrates she lives in fear after allegedly being persistently tracked, intimidated and threatened by her former husband.

Haverfordwest Magistrates’ Court heard that Michael Sutton repeatedly followed the woman to remote locations, turned up at her workplace and appeared to know details of private conversations with family members.

“This man is considered a risk,” solicitor Sally Rogers, acting on behalf of Dyfed-Powys Police, told the court.

“She knows that he carries a Stanley knife everywhere he goes, and this is undoubtedly adding to her fear.”

The court heard that Sutton, 48, of Victoria Road, Pembroke Dock, had been in a relationship with the woman for approximately 17 years. However, when the relationship ended in May 2025, he was allegedly unable to accept the separation.

“He had previously displayed controlling and coercive behaviour towards her, and research shows that where this is the case, the risks associated with stalking are greater,” Ms Rogers said.

Despite being placed on police bail in February, Sutton allegedly continued to stalk his former wife.

“He continued making or sending unwanted social media posts, turned up at her place of work and repeatedly appeared at various locations, some of which were quite remote,” Ms Rogers said.

“He also bought a number of unwanted gifts, including Valentine’s cards and bunches of flowers, and said that if she ever entered a new relationship, he would slit her throat.

“These acts were fixated, obsessive and unwanted.”

Ms Rogers said the woman also believed Sutton may have installed a surveillance or listening device at her property.

“On one occasion, she told her son that they needed a new oven glove, and the following day a brand-new oven glove appeared at the property,” she said.

“On another occasion, a knife was found underneath her car seat, but she had no idea how it had got there.

“There are a lot of incidents that cannot be explained and, without a shadow of a doubt, this has placed her in fear.

“As a result, she rarely goes out. She feels like a sitting duck.”

After considering the evidence, magistrates imposed a full stalking protection order on Sutton, which will remain in force for five years.

 

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Crime

Fisherman admits safety offence after death of crewman off Pembs coast

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A PEMBROKESHIRE commercial fisherman has admitted failing to ensure his vessel was operated safely following the death of lobster fisherman Jack Walker off the coast of Pembrokeshire.

Adam Evans, aged 31, appeared before Haverfordwest Magistrates’ Court this week in connection with the operation of the fishing vessel FV Wilaya.

Evans owned the vessel when Mr Walker, aged 35, was dragged overboard and drowned during a fishing operation near Jack Sound, close to Skomer Island, on May 1, 2025.

Jack Murphy KC, prosecuting on behalf of the Maritime and Coastguard Agency, said the offence came to light following the fatal incident.

“Adam Evans’ failure to ensure the boat was operating safely was discovered following the tragic accident when Jack Walker became entangled in a string of pots as he carried out a ‘shooting’ exercise,” he told the court.

Mr Murphy explained that “shooting” involves deploying baited and weighted lobster pots over the side of a vessel, allowing them to sink rapidly to the seabed as the attached rope runs out.

“Jack Walker was dragged into the sea and tragically drowned,” he said.

“This is a high-culpability case involving breaches of safety in which there was wilful blindness to the offending and a high likelihood of causing serious injury or death.”

The court heard that Evans had failed to take adequate steps to ensure the safety of the vessel and its crew.

The prosecution said there had been failures to comply with essential requirements, codes of practice and guidance, including a lack of adequate safety measures and failures to carry out annual maintenance and safety checks.

Evans was also said not to have held the required first-aid training qualification.

At the time of the incident, the vessel was carrying a third person despite not being coded to carry passengers, the court heard.

Evans, of Harbour Way, Hakin, Milford Haven, was interviewed by the Maritime and Coastguard Agency on July 2 and made what the prosecution described as a series of frank admissions.

He pleaded guilty to failing to take all reasonable steps to ensure that FV Wilaya was operated safely at the time of Mr Walker’s death.

“There were a number of breaches here in relation to safety, particularly given the high-risk nature of fishing,” Mr Murphy said.

“As a result, I request that the case be committed to the Crown Court for sentence.”

District Judge Mark Layton declined jurisdiction and sent the case to Swansea Crown Court, where Evans is due to be sentenced on August 4.

He was released on unconditional bail.

 

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Health

More than 500 ambulance handovers took over an hour in West Wales in single month

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Delays averaged 17 a day as MS demands targets, hospital-level figures and a timetable for improvement

MORE than 500 ambulance handovers at hospitals run by Hywel Dda University Health Board took longer than an hour during a single month, newly disclosed figures have revealed.

A total of 528 handovers exceeded 60 minutes in October 2025, equivalent to an average of around 17 lengthy delays every day.

Each delayed handover can leave a patient waiting in an ambulance outside hospital while the crew remains unavailable to respond to another emergency.

Even using one hour as the minimum, the 528 incidents represent more than 528 ambulance-hours spent on lengthy hospital handovers. The true figure will have been higher because every handover included in the total exceeded the hour mark.

However, the information released does not show which hospitals recorded the most delays, how long the worst handover lasted or how many ambulance hours were lost beyond the normal handover period.

It also provides no indication of whether performance improved or deteriorated in the months following October.

Claire Archibald, Reform UK Member of the Senedd for Ceredigion Penfro, obtained the figure after submitting a written question to the Welsh Government.

She has challenged ministers to publish a measurable recovery plan for West Wales, including targets for reducing delays and regular health-board-level performance figures.

The disclosure comes against a backdrop of sustained pressure throughout the Welsh emergency care system.

Official figures show that almost 96,800 people attended emergency departments across Wales in October 2025. Only 66 per cent were admitted, transferred or discharged within four hours, against a national target of 95 per cent.

A further 10,499 patients spent 12 hours or more in emergency departments during the month, an increase of 414 compared with September.

Problems moving patients out of hospital were also evident. On the day discharge data was collected in October, nearly 1,500 patients who were medically ready to leave hospital were still waiting for care, support or suitable accommodation.

Those patients had accumulated more than 64,100 days of delayed hospital stays between them.

Delayed discharges reduce the number of available hospital beds. This can leave patients waiting in emergency departments for admission and, in turn, prevent ambulance crews from handing over new arrivals promptly.

The latest Welsh Government figures suggest that pressure has continued well beyond October.

In May 2026, 11,066 people waited 12 hours or more in Welsh emergency departments, while only 64.4 per cent were admitted, transferred or discharged within four hours.

There were also more than 1,300 recorded delayed discharges, involving almost 57,200 accumulated days of delay.

The median response to the most serious red-category ambulance emergencies was nine minutes and 12 seconds, outside the target range of six to eight minutes.

Ms Archibald said: “More than 500 ambulance handovers taking over an hour in a single month is deeply concerning.

“Behind every one of those figures is a patient waiting for care and an ambulance crew unable to respond to another emergency.

“The Welsh Government’s response contains many of the same general assurances we have heard before, but it does not provide a deadline, a measurable target or explain what specific action is being taken within Hywel Dda.

“Ambulance crews and hospital staff are working incredibly hard, but they are being let down by a system that is struggling to move patients safely through hospitals and back into the community.”

In its written response, the Welsh Government said it was working with Hywel Dda University Health Board, the Welsh Ambulance Service and other partners to improve patient flow, timely discharge and same-day emergency care.

Ms Archibald said the answer did not include a reduction target, timetable or detailed health-board-specific action plan.

She added: “People across Pembrokeshire and Ceredigion need to know when these delays will be reduced and how progress will be measured.

“I will continue pressing the Welsh Government for a clear and accountable plan to ensure patients receive urgent care when they need it.”

The figures leave a number of important questions unanswered, including how the 528 delayed handovers were divided between individual hospitals, the longest time any patient waited, the total operational hours lost and whether any patient-harm incidents were associated with the delays.

Ms Archibald has called for monthly handover figures to be published for each health board, alongside clear targets showing when ministers expect the number of hour-long delays to fall.

 

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