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Neyland: St Clement’s Surgery to close in September

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HYWEL DDA UNIVERSITY HEALTH BOARD has approved an application by Argyle Medical Group to close St. Clement’s Surgery, Neyland, from September 1 owing to significant workforce pressures associated with the recruitment and retention of GPs.

Since January, the Health Board has been seeking the views of patients, neighbouring practices, the Community Health Council and other stakeholders on the proposed closure, and has held a well-attended drop-in event in Neyland in which patients spoke about the impact of any closure, including concerns about travel and transport and access to GP appointments.

The Health Board is writing to all affected patients this week to explain the decision and to keep them updated on further developments.

Further discussions have taken place with Argyle Medical Group, which despite trying to recruit GPs for their vacancies is expected to lose another GP in June. As a consequence the Practice’s overall sustainability position is concerning.

Meeting in January: Locals were very concerned

In its decision making over the future of St. Clement’s Surgery, the Health Board says it has tried to balance the needs of patients in the Neyland area with the risks to the struggling Practice and the whole Practice list.

At the same time, detailed discussions have been underway with stakeholders to examine if these important services can be delivered in Neyland in other ways.  These discussions are continuing and have been positive but no firm proposal has been agreed to date.

Elaine Lorton, Assistant Director of Primary Care, said: “As a Health Board we recognise that this decision will be very disappointing for many patients.  Unfortunately however, the scale of the pressures on Argyle Medical Group is increasing and action needs to be taken to ensure the Practice remains stable for the future for the whole of the population.

“Until such a time as a plan for the alternative provision of services for patients in Neyland is successfully developed, the Health Board views the closure of St. Clement’s Surgery as a necessary move.”

A number of conditions have been put in place to help protect services for patients who will be affected.  These conditions include that the Surgery remain open until September 1 and that Argyle Medical Group work to maintain access to their services for patients in the area.

Patients will continue to be registered with Argyle Medical Group after the closure date of September 1 and the Practice will continue to provide services such as home visits where appropriate.

Patients who need to see a GP or nurse for a face-to-face consultation will need to travel to Argyle Surgery in Pembroke Dock.

Mrs Lorton added: “The Health Board will keep patients informed of developments and will provide opportunities for the public to engage. Argyle Medical Group will also be undertaking a major review of their arrangements for accessing appointments at Argyle Surgery and St. Oswald’s Surgery, and this will include telephone consulting services for those patients who do not clinically need to have a face to face appointment.  The Practice will work on arrangements to prevent patients having to make multiple journeys to make appointments.

“The Health Board and Argyle Medical Group will continue to work positively and proactively with the community to identify and support opportunities to deliver services via a network with neighbouring practices and the local Community Pharmacy.”

Assembly Member Paul Davies said: “I’m deeply disappointed that Hywel Dda University Health Board has approved the application to close St Clement’s surgery in Neyland. This will have a detrimental impact on patients at the surgery, who will now have to travel further for treatment and incur a financial cost due to travelling over the Cleddau Bridge.”

He added: “It’s clear that both the local health board and the Welsh Government have failed to attract doctors to the local area and now patients are paying the price. In light of this closure, I will continue to raise this matter with the Welsh Government at every opportunity.”

Stephen Crabb MP also commented, saying: “This a senseless and damaging decision. For years doctors have been warning Welsh Government about growing recruitment problems across Wales and the need for a proper strategy to fill vacancies. And Welsh Government have done nothing.

“St Clements Surgery is a busy, well used and popular surgery. There is no reason for it to shut other than the incompetence of the Welsh Government in dealing with recruitment pressures in rural areas.”

 

Local Government

Welsh councils carry £6.7bn debt as campaigners warn of ‘ticking time bomb’

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Cardiff has the largest overall borrowing, while Wrexham records the highest debt per resident among Wales’ 22 principal councils

WELSH local authority bodies are carrying debts of almost £6.7 billion, according to new figures which have prompted warnings about the long-term burden being placed on taxpayers.

Research published by the TaxPayers’ Alliance puts total local authority debt in Wales at £6.698 billion during 2025-26.

The campaign group said that amount was equivalent to nearly 2.94 million average Welsh Band D council tax bills, based on an average annual charge of £2,283.

The figures were compiled from UK Government borrowing and investment data for the final quarter of the financial year.

Wales’ 22 county and county borough councils accounted for around £6.55 billion of the total, with additional borrowing attributed to other local authority bodies.

Cardiff Council recorded the largest debt among Welsh councils at £1.148 billion, followed by Swansea at £629.2 million and Wrexham at £542.5 million.

Carmarthenshire Council had debts of £434.1 million, while Flintshire recorded £362.3 million and Powys £361.9 million.

However, the picture changes when debt is calculated according to population.

Wrexham had the highest council debt per resident in Wales at approximately £3,924, followed by Denbighshire at £3,431 and Merthyr Tydfil at £3,049.

Cardiff’s debt was equivalent to £2,989 per resident, while Powys recorded approximately £2,680 and Swansea £2,504.

What about Pembrokehire?

In Pembrokeshire, the figures show total council debt of £201.794 million, equivalent to approximately £1,605 for every resident.

Of Pembrokeshire’s total, £170.194 million was recorded as borrowing from the Public Works Loan Board, the government body which provides loans to councils and other public organisations.

Pembrokeshire ranked 12th among Wales’ 22 principal councils for total debt and 15th when borrowing was calculated per resident.

The figures do not, however, mean that each household personally owes the amount calculated per resident.

Council borrowing is commonly used to finance long-term capital projects such as schools, council housing, roads, leisure facilities and regeneration schemes.

Under the prudential borrowing framework, Welsh councils are permitted to borrow for capital purposes provided they judge that the repayments are affordable. Welsh Government figures state that authorities can borrow without specific government consent where they can afford to service the debt.

Audit Wales has also stressed that capital spending is essential for providing services, including the construction of schools, improvements to libraries, social care equipment and the maintenance of public buildings.

However, borrowing must eventually be repaid, and interest and repayment costs can place continuing pressure on the annual budgets used to fund frontline services.

Across the UK, local authority debt reached a record £154.6 billion during 2025-26, an increase of £6 billion, or 4.1 per cent, compared with the previous year.

The TaxPayers’ Alliance said council debt had risen by £84.6 billion since 2009-10, representing a cash increase of 121 per cent.

Around £116 billion, or three quarters of the UK total, was borrowed from the Public Works Loan Board.

John O’Connell, chief executive of the TaxPayers’ Alliance, described the level of local authority debt as a “ticking time bomb” and called for councils to bring their borrowing under control.

He said taxpayers ultimately risked being left responsible for obligations accumulated through borrowing, statutory service pressures and, in some parts of the UK, unsuccessful commercial investments.

The figures should nevertheless be treated as a measure of gross borrowing rather than a complete assessment of the financial health of an individual council.

They do not deduct councils’ cash balances or investments, assess the value of assets funded through borrowing, or show the interest rates, repayment dates and annual servicing costs attached to each loan.

A council with substantial borrowing may also hold valuable housing, property and infrastructure assets, while an authority with less debt can still face serious pressure because of falling reserves, rising demand or an ongoing budget deficit.

The findings are likely to increase pressure on Welsh councils to provide clearer information showing what their borrowing has funded, how much taxpayers are paying each year in interest and repayments, and whether those costs remain affordable as spending pressures continue to grow.

 

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Farming

Heatwave puts added pressure on autumn-calving dairy herds

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Farmers urged to review dry cow nutrition as grazing shortages and heat stress increase pre-calving risks

DAIRY farmers preparing autumn-calving cows are being urged to pay close attention to pre-calving nutrition as prolonged hot and dry weather reduces grazing availability and increases the risk of heat stress.

Dr Alison Bond, Technical Services Manager at Rumenco, said the six to eight weeks before calving were particularly important, with farmers needing to maintain suitable body condition and address any nutritional deficiencies.

She said: “Milking cows will naturally be front of mind when farmers are assessing grazing and rationing, but it is important not to forget the dry cows.

“Farmers should assess body condition during late lactation and adjust drying-off dates where necessary. Cows in poorer condition may need to be dried off earlier, with the aim of calving at around body condition score three and in optimum health.”

Where grass is limited, Dr Bond said farmers may need to consider housing dry cows and feeding a ration based on good-quality silage with appropriate supplements.

Careful nutrition during the dry period can help cows make a smooth transition from pregnancy into lactation and reduce the likelihood of problems including difficult calvings, milk fever, mastitis and retained placentas.

It can also affect fertility after calving and the quality of colostrum provided to newborn calves.

Dr Bond said: “Good-quality colostrum is essential during the calf’s most vulnerable period. It helps to prime the immune system and provides protection against challenges such as scour and respiratory disease.

“With the added pressure of heat stress and possible disruption to forage supplies, closer attention to the needs of dry cows will be particularly important this year.”

Farmers who have moved cattle indoors are advised to provide good-quality forage and, where possible, have it analysed for its mineral and trace element content so that any deficiencies can be identified.

Dr Bond said shortages of forage, or changes in its quality, could leave cows more vulnerable to deficiencies in minerals and trace elements during the weeks before calving.

Rumenco recommends using a specialist pre-calving supplement where necessary. The company produces LIFELINE Pre-Calver, available as a mineral bucket or crumb, which is designed to supply vitamins, minerals and trace elements to cows before calving.

The company says the product contains a low-calcium and high-magnesium balance intended to reduce the risk of milk fever and difficult calvings.

Rumenco also says trials have shown improvements in colostrum quality of up to 20 per cent, although farmers should seek independent nutritional or veterinary advice when deciding what supplementation is appropriate for their herd.

Dr Bond added: “Ensuring cows receive the nutrition they need is recommended best practice, particularly when they are facing additional stresses such as extreme heat and reduced grazing.

“Taking action before calving can support the health of the cow, improve calf vigour and help protect future fertility and milk production.”

 

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Crime

Cardigan man resentenced after curfew breaches

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Community order revoked following failures to comply on two consecutive nights

A CARDIGAN man has been resentenced after admitting breaches of a court-imposed curfew.

Daniel Saunders, aged 28, of Golwg y Castell, appeared before Haverfordwest Magistrates’ Court on Monday, July 13.

The court heard that Saunders had failed to comply with a community order imposed by Ceredigion and Pembrokeshire Magistrates’ Court on November 19, 2025.

He breached the curfew requirement on December 12 and again on December 13, and failed to provide acceptable evidence explaining the breaches within the required period.

Magistrates revoked the original community order and resentenced Saunders under a separate case reference.

A warrant previously issued by Aberystwyth Magistrates’ Court in February was withdrawn following his appearance.

The register provided to the media does not state the terms of the new sentence.

 

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