News
‘Once in a lifetime’ reorganisation planned by Health Board
THE LOCAL Health Board is embarking on a ‘once in a lifetime’ reorganisational plan which is looking at all potential options to ‘change the status quo and focus on improving health’ of locals.
This will involve, a press release has revealed, transferring more hospital services into the community where appropriate.
This is part of a strategy that the Health Board is looking into, to help solve an acute recruitment problem which is putting a great deal of pressure on the way that the Heath Board operates – and is leading to an untenable level of use of costly temporary staff to plug gaps and services.
In the summer of 2017, the Health Board embarked in an engagement with the public called ‘The Big Conversation’ which involved public workshops and drop-ins being held across the three counties of Pembrokeshire, Carmarthenshire and Ceredigion.
The Health Board now says the it has independently analysed opinions of the general public and has been using that data to explore, challenge and test different scenarios.
It is yet to be seen what these changes will mean for end service users.
The Herald understands it is likely to mean hospital services being reduced or cut, and replaced with community alternatives.
The Health Board has said it will not make any changes, unless it can guarantee the safety of the people which it serves.
The Health Board has insisted that no preferred option for change has yet been determined, and nothing has been signed off or agreed at this stage.
Medical Director Dr Philip Kloer said: “This is a once in a lifetime opportunity for our health service and community to work together to design an NHS which is fit for our generation and beyond. It has been acknowledged for some time across the UK that healthcare services are challenged like never before and we need significant change. Indeed this has been recognised in the recently published ‘Parliamentary Review of Health & Social Care’ here in Wales.
“We need to develop more proactive, resilient and better resourced local community services to support and improve people’s health and wellbeing, and avoid deterioration where possible. This will involve closer working with our partners, particularly colleagues in social care. We are also looking at ways of providing the most modern clinical practice, using the latest digital, technological, and new scientific developments, in fit for purpose facilities to provide better patient outcomes and experience.
“A number of our services are fragile and dependent on significant numbers of temporary staff, which can lead to poorer quality care. For us specifically in Hywel Dda, the geography we cover is large, with many scattered communities that are getting older, needing more holistic health and social care treatment and support. Because of this, we need to better resource our community based care, which is where most of our patient contact is, and help people manage their health conditions. We also need to evolve traditional ways of working and provide a more proactive approach. This should give patients – young, older and frail and everyone in between – the services they need when the need it, so people do not have to wait too long.
“This will mean changing hospital-based care, as well as community care, and we appreciate the attachment local people and our own staff have for their local hospitals. They have been cared for in them, or work in them, and they also play an important role in our wider communities. The options may propose change to a local hospital; however this is about more than the buildings. This is about investing in our communities, attracting doctors, nurses and therapists by operating a modern healthcare system and keeping hospitals for those who really need hospital care.
“We will not put in place any change that isn’t safe for our patients and population. And we will look at all the impacts from ensuring services are safer with better patient outcomes, to considering the wider impact on people, including the most vulnerable.”
Dr Kloer added: “The potential options are evolving, with changes to them on almost a daily basis. Many will never even reach public consultation, for a variety of reasons including safety, accessibility and affordability, or will change significantly as they are tested against population needs and healthcare standards.
“We will be coming back to the public in the spring with fewer options that have been more rigorously tested and we will open and honest about what we think our preferred option is and why. We would not, and cannot, propose something that would not be safe for our population.
“We live in this community, use our NHS and work for our NHS and we want to work with our patients, staff, partners and public to ensure it is the best it can be.”
Meanwhile, Elin Jones, Ceredigion’s Assembly Member, has called for urgency in the implementation of electronic records for NHS patients in Wales, following the publication of a report by the Wales Audit Office, ‘Informatics systems in NHS Wales’.
The report outlines several of the opportunities that electronic patient records can bring to patients and health boards, as well as the current obstacles to achieving this goal.
Elin Jones, who has long-called for a paperless NHS has welcomed the report, saying: “This is an important step in the development of health services in Wales, which is long-overdue. It would make our NHS more sustainable and more flexible to every patient’s needs.
“I have heard of many instances where patients have turned up to appointments in Llanelli, Swansea or Cardiff, only to find that their medical records have not arrived. These are people who have, in some cases, had to wait a long time for a specialist appointment, and have had to travel long distances, sometimes leaving very early in the morning or have arranged overnight accommodation in order to get to a 9 am appointment.
“Being turned away because their paper record has not arrived is a failure in the current system, and would be addressed directly by electronic records.
“The technology is available, it’s just a case of putting the funding in place.
“With the proper investment into the Welsh NHS by the Welsh Government, electronic patient records can help the NHS to deliver better outcomes for patients and to make more efficient and effective use of scarce financial and human resources.”
Local Government
Milford Haven councillor questions need for £150,000 council deputy chief role
Lee Bridges says senior vacancy should prompt a review of management costs as frontline services face financial pressure
A MILFORD HAVEN town councillor has questioned whether Pembrokeshire County Council needs to appoint a new deputy chief executive at a time when local services are under growing financial pressure.
Councillor Lee Bridges spoke out after the authority advertised for a Deputy Chief Executive and Director of Place, with a salary of between £132,063 and £145,050.
The successful candidate would also receive a £9,576 annual lease car allowance and a relocation package, taking the potential overall package above £154,000.

Cllr Bridges stressed that his concerns related to the position itself and were not intended as criticism of the person currently holding, or previously holding, the role.
He said: “At a time when local authorities across Wales are facing significant financial pressures and frontline services are under increasing strain, I do question whether this role is really necessary.
“The council already has a chief executive, directors responsible for each service area, together with multiple layers of senior managers, middle managers and team leaders.
“When opportunities arise through senior vacancies, they should also be seen as opportunities to review and streamline management structures rather than simply replacing like-for-like.”
The senior post carries responsibility for areas including regeneration, economic development, planning, transport, environmental services, climate change and major capital projects.
The successful applicant would also support major investment opportunities linked to the Celtic Freeport.
Cllr Bridges said strong leadership remained important, but argued that the cost of senior management needed to be balanced against the pressure on council services.
He said: “Every pound spent on senior management is a pound that cannot be invested in frontline services that residents rely upon every day.
“Over recent years, we have repeatedly heard that difficult financial decisions have had to be made, with services being reduced or placed under increasing pressure because budgets are stretched.
“If that is genuinely the case, then it seems entirely reasonable that senior management structures should be reviewed with the same level of scrutiny as every other area of council spending.”
He said the vacancy should have prompted the authority to consider whether the responsibilities could be divided among existing senior officers.
Cllr Bridges added: “I would have welcomed a strategic review of whether this post is genuinely essential, or whether its responsibilities could be absorbed within the existing leadership team.
“Any savings could then be redirected towards protecting services for Pembrokeshire residents, whether that is highways, social care, education, environmental services or other frontline functions.”
He said his comments were intended to encourage debate about council priorities rather than criticise individuals.
“This is not about personalities,” he said. “It is about ensuring that, when opportunities arise through natural vacancies, the council asks whether there is a better way of structuring itself for the future.
“At a time when every public pound counts, I think residents would expect those questions to be asked before another senior appointment is made.”
Community
Six people rescued after being cut off by tide beneath Tenby hotel
Four adults and two children were taken to safety after the sea rapidly surrounded them below the Imperial Hotel
TENBY’S inshore lifeboat was launched on Tuesday evening after four adults and two children became cut off by the incoming tide.

The alarm was raised at around 5.50pm when the coastguard received several 999 calls reporting that the group was trapped on the beach below the Imperial Hotel, with the water rising quickly around them.
Tenby RNLI’s volunteer crew reached the scene within a minute and found the six casualties with an RNLI beach lifeguard, who had heard they were in difficulty and paddled around to assist them.
All six were taken aboard the lifeboat and brought safely to Castle Beach.
They were reported to be unharmed following the incident and were able to make their own way home.
Entertainment
BBC loses more than half a million TV licences in a year
Broadcaster warns its current funding model is becoming unsustainable as viewers move away from live television and BBC iPlayer
THE NUMBER of television licences in force across the UK has fallen by almost 540,000 in just one year, according to the BBC’s latest annual report.
A total of 23.3 million licences were active at the end of the 2025/26 financial year, compared with 23.8 million 12 months earlier.
The reduction of 539,000 was considerably larger than the fall recorded during the previous year and reflects the growing number of households which say they no longer watch programmes requiring a television licence.
Households need a licence to watch or record television programmes as they are being broadcast on any channel, or to use BBC iPlayer. Those who only use other streaming services to watch programmes on demand do not generally require one.
The number of households declaring that they did not need a licence rose by 62,000 during the year, reaching approximately 3.7 million.
Licence numbers have now fallen by more than 2.5 million since the beginning of the decade, when around 25.9 million were in force.
BBC chief financial officer Berangere Michel said the majority of the decline appeared to be caused by people no longer consuming content covered by the licence.
She warned that the trend was unlikely to reverse and was instead expected to accelerate, strengthening the BBC’s argument that the way it is funded must be reformed.
The corporation’s annual report said its financial outlook had worsened during the second half of 2025, with licence sales falling more quickly than previously forecast.
Inflation, rising production costs and difficult trading conditions across the wider media industry have also increased the gap between the BBC’s income and its expenditure.
Although licence fee income stood at around £3.87 billion in 2025/26, the value of that income has fallen sharply when inflation is taken into account.
In today’s prices, the corporation received approximately £1.34 billion less than the equivalent amount raised in 2016/17, representing a real-terms reduction of around 26 per cent.
The BBC reported an operating loss of £121 million for 2025/26 despite an increase in the price of the television licence during the year.
Director-general Matt Brittin described the situation as a “moment of real jeopardy” for both the BBC and public service broadcasting in the UK.
He said the corporation continued to play an important role in public life, the economy and Britain’s cultural influence, but acknowledged that it would have to change substantially to remain relevant in a rapidly evolving media market.
The report shows that 94 per cent of adults use at least one BBC service each month, but fewer than 80 per cent of households now contribute through the licence fee.
BBC chairman Samir Shah said the difference between the number of people using BBC services and those paying for them demonstrated that the existing system could no longer support the corporation’s public service responsibilities.
The BBC is preparing for negotiations over its next Royal Charter, with the current arrangements due to expire at the end of 2027.
Options being discussed include retaining a reformed licence fee, extending payments to some households using commercial streaming services, or developing a different funding system. The Government has not yet made a final decision.
The future of the licence fee also has implications for broadcasting in Wales. S4C receives its public funding through the television licence, with £97.6 million allocated to the Welsh-language broadcaster during 2025/26.
The BBC has already announced plans to reduce spending across its news, nations and content divisions.
The first phase is expected to save around £160 million, contributing towards a wider target of £500 million by 2028/29. The programme is expected to result in between 1,800 and 2,000 job losses over three years.
BBC executives maintain that substantial reform will be needed alongside those savings if the organisation is to continue providing television, radio, news, online and regional services on their current scale.
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