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Withybush and Glangwili to be downgraded following consultation

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THE HEALTH BOARD has presented its recommendations to major changes in the way health services are delivered in west Wales today (Sept 26) – and one of those was to downgrade Withybush General Hospital and Glangwili Hospital in Carmarthen.

At the meeting at County Hall, Carmarthen  the Hywel Dda UHB presented outputs from its recent consultation on the future provision of health and care services to the general population together with a clinical recommendation which will be considered by the Board.

The health board’s recommendation has now been published.

The recommendations were:
• Bronglais and Prince Philip in Llanelli will retain ‘acute hospital services’
• Glangwili and Withybush will be downgraded – they will be ‘repurposed’ to offer a range of services to support a social model for health and well-being, designed with local people to meet their needs.
• A new urgent and planned care hospital will be developed in the south of the health board area.

This is not the final decision, but at this stage a recommendation.

A further detailed meeting is scheduled for the end of November. If the local community health council refuses to back the plan then it could be sent to Health Secretary Vaughan Gething for a final decision.

However, Mr Gething warned earlier this year that NHS services in Wales could ‘collapse’ without urgent transformation and called on politicians from all parties to be ‘grown up’ and to not ‘run away’ from difficult choices.

Campaigners may also ultimately try to challenge the health board’s plans in the courts – although previous attempts to overturn decisions were unsuccessful.

March: Campaigners wanted to retain all Withybush General Hospital’s services (Pic Herald)

One of the recommendations in the board papers is to develop plans for the new hospital. The board is asked to progress consideration of location options within the defined new hospital zone, between Narberth and St. Clears, through a formal feasibility study.

  • Work with local people to develop models to provide enhanced support to those communities furthest from main urgent care and hospital services.
  • Consider the impact and opportunities a new hospital in the south of the Health Board area would provide to Bronglais General Hospital.
  • Develop a plan for the approach to managing emergency conditions which are time-sensitive.
Chair of the Community Health Council Dr John Morgan said: “In our day-to-day work we’re clear that the public’s frustrations come from big problems in the health system, so over the coming years the whole system has to change to give people what they need. For that reason we think the Health Board should continue to make major system-wide plans.
“However, some of the proposed changes have really worried people. Given that we feel any change to health services must provide better quality health services to the public these changes need to be looked at individually with more public involvement. With a number of the proposed changes years away the Health Board needs to provide more detail on how they would work. Only then will the CHC be in a position to consider whether we think the more controversial changes are in the public’s best interests.”

The CHC has seen how people are welcoming more care being provided in community settings close to home.

People are less happy about placing any services further away especially if they needed care in an emergency.

Public involvement in the consultation and large-scale petitions has communicated these views loud and clear.

Dr Morgan continued: “Listening to what the public have said, the consultation has created as many questions as answers. We think that there need to be strong foundations in place to build a new system upon. This means GP practices that are more robust, well-functioning established community services, better use of technology and better travel and transport arrangements, to name but a few.”

Chief Officer Sam Dentten added: “We’re starting a long journey over the next few years. We welcome change because it’s needed, but that change must bring accessible, high quality and safe NHS services. The Health Board must commit to more engagement with the public as its plans unfold and the CHC will be listening closely, maintaining our right to take matters further if we don’t think the change is in the public interest.”

Plaid Cyrmu has responded to the decision of Hywel Dda University Health Board (UHB) to downgrade Withybush and Glangwili hospitals by calling on the Welsh Government’s Health Secretary to intervene and properly merge health and social services.

Helen Mary Jones, Plaid Cymru AM for Mid and West Wales said: “This decision is the latest in a long line in the never ending saga that is hospital reconfiguration and in particular the persistent proposals to remove essential emergency services from smaller hospitals whilst failing to strengthen primary care and tackle the chronic workforce shortages faced by rural health boards.

“It is clear to us that the Health Board’s choice doesn’t address how services will actually be improved in the short to medium term. There is no proposal for better out-of-hours care, no plan for substantial increases in social care services, and no plans for investing in the ambulance services – only the removal of essential services and the hope that maybe, one day, we’ll see a new hospital.

“The decision also makes no mention of the transformation that needs to occur in the relationship with local authorities and the third sector for the changes to be realised.

Adam Price, Plaid Cymru AM for Carmarthen and East Dinefwr, said: “The obsession with endless reconfiguration of secondary care has to stop.  Where are the positive plans, such as those Plaid Cymru has presented, to  strengthen GP services and preventative healthcare; invest in medical training and tackling staff recruitment and retention?  There is a vacuum of information.  Creating an integrated health and social care model which works in the community should be done first in order to shape the hospital services we need.

“There’s nothing radical or transformational about closing a few hospitals and opening a new one.  The transformation comes by recognising that model isn’t delivering, and it is only by working with an integrated health and community care system will we truly change people’s lives.

“Furthermore, the health board intends ploughing ahead with a new hospital without a single penny being guaranteed for its construction. We need an urgent statement from the Health Secretary to confirm the Welsh Government will guarantee the costs.  Without that guarantee, today’s plans are meaningless and nothing more than an attempt to deflect attention from the desire to downgrade local hospitals.”

 

Local Government

Dennison code breach raises serious questions over common sense at County Hall

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Standards Committee finds Milford Haven councillor breached code despite claims he only helped another councillor complete paperwork

A PEMBROKESHIRE councillor has been found to have breached the Members’ Code of Conduct in a case which raises serious questions about proportionality, common sense, and the way standards complaints are pursued at County Hall.

Cllr Alan Dennison was found in breach by Pembrokeshire County Council’s Standards Committee on Tuesday (May 26) following a hearing into his involvement in a planning referral linked to Milford Haven businessman Lee Bridges.

The committee found that Cllr Dennison had no dispensation from the Standards Committee and had made a written representation in relation to the matter.

But the evidence heard during the hearing painted a far more nuanced picture than a simple case of a councillor using his position to influence a planning decision.

The central issue was a planning referral form relating to Mr Bridges’ business at the former Masonic Hall, also known commercially as the Imperial Hall, in Milford Haven.

Cllr Dennison’s case was that he did not act for Mr Bridges at all. He said he signed the document “pp” on behalf of Cllr Terry Davies, the elected local member, who was entitled to request that the matter be referred to committee.

“If Terry Davies had signed it himself, we would not be here today,” Cllr Dennison told the hearing.

He said the document belonged to Cllr Davies, not to him, and repeatedly argued that he should not have been before the committee.

“I rest that the document was signed for Terry Davies, and that I should not be sat here,” he said.

Mr Bridges supported that account. In a statement, he said the matter stemmed entirely from his request for Cllr Terry Davies to submit an appeal in his capacity as the elected member for the ward where the business is located.

He said Cllr Davies had been unable to complete the required paperwork within the allotted timeframe due to family circumstances and had sought assistance from Cllr Dennison, a fellow member of the same democratic group.

Mr Bridges said: “Councillor Dennison simply assisted in completing the paperwork and signed it on behalf of Councillor Davis with his authority.

“At no stage did Councillor Dennison have any involvement whatsoever in the decision-making process relating to the outcome of the matter in question. Consequently, there was no declarable interest requiring disclosure.”

That point goes to the heart of the controversy.

Cllr Dennison did not vote on the planning application. He did not sit on the committee deciding the outcome. He did not, on the evidence heard, have power to determine the application. His role, according to his case and Mr Bridges’ evidence, was limited to helping another councillor complete paperwork.

The Ombudsman’s case focused on Cllr Dennison’s links to Mr Bridges. The committee heard that he had previously provided a private loan to Mr Bridges’ business during Covid, which was later repaid; had briefly been recorded as a non-executive director; had gone on holiday to Mexico with Mr Bridges and their wives; and that Mr Bridges’ wife is godmother to Cllr Dennison’s grandson.

Mr Bridges accepted he and Cllr Dennison remained friends, but said he had not known him before taking on the lease of the premises.

He also stressed that Cllr Dennison had never been a shareholder, employee, or paid officer of his business.

“For transparency, I want it to be crystal clear,” Mr Bridges said. “I can confirm I am the sole and only shareholder of the business, and always have been.

“Councillor Dennison has never been a shareholder or an employee. He has never received any salary payments, dividends, or any other financial remuneration from the business at any time whatsoever.”

He said Cllr Dennison’s non-executive directorship had been temporary and linked to the Covid-era loan, which was repaid.

Mr Bridges said he felt “very aggrieved” for Cllr Dennison and believed he had been placed in this position for helping a fellow councillor who was unable to complete his responsibilities at the time.

Cllr Hugh Murphy also gave evidence supporting Cllr Dennison’s position.

He said: “I hold the belief that Mr Dennison is correct. If you sign a document pp, the owner of that document is in the name of the person, it is not Councillor Dennison.”

Cllr Murphy said his understanding was that only the local member could submit the planning delegation application, and that the local member in this case was Cllr Terry Davies.

He also questioned the circumstances in which Cllr Dennison spoke at a planning meeting, saying it had been “the chair’s decision to ask him to speak” and adding that he believed “the chair acted in error.”

Cllr Murphy also raised concerns about the way the case had been framed, saying the Ombudsman’s report made “great play” of the close personal relationship between Cllr Dennison and Mr Bridges.

He suggested the wider background involved political objections raised by other councillors. Cllr Dennison himself referred during the hearing to objections raised by Cllr Jacob Williams and the late Cllr Mike Stoddart, saying: “This is why we are here.”

Mr Stoddart was no political ally of Mr Bridges, who had stood against him in a recent council election.

Under questioning from David Gardner, appearing for the Ombudsman, Cllr Murphy was referred to a section of council procedure which provides for a deputy local member to be designated where a councillor is prevented from seeking a referral because of a personal and prejudicial interest or prolonged absence.

Cllr Murphy said he had not been advised that such a procedure was available.

“If a legal expert who knows the constitution informed me, then yes, we might have adopted that procedure,” he said.

He added that no officer had made him aware of that aspect of the planning delegation policy, which he said “might be a matter of regret.”

That exchange may prove one of the most important of the hearing. If a formal route existed for another councillor to act, why was that route not clearly pointed out at the time? And if officers accepted the form as submitted, is it fair to later treat the method of submission as a standards breach?

Cllr Dennison repeatedly complained that his corrections to the factual account had not been properly taken into account.

“No one is listening to my corrections,” he told the hearing.

At one point, he challenged the way the Ombudsman’s report described the building, saying the historic building was the Masonic Hall and that Imperial Hall was Mr Bridges’ trading name. The chair suggested the distinction was “semantics”, while the barrister said the impact was minimal.

Cllr Dennison responded that not taking his views into account was “not minimal”.

The committee ultimately found a breach on the basis that he had no dispensation and had made a written representation.

That is the formal finding.

But the wider public interest question remains whether this was a proportionate use of the standards regime.

On the evidence heard, this was not a case of a councillor voting in secret, making a planning decision for a friend, or financially benefiting from an outcome. It was a case about a councillor helping another councillor complete a form — a form the council accepted — in circumstances where the final decision would still rest with the proper planning process.

Mr Bridges described the case as “deeply concerning” and said it appeared to be “being used as part of what can only be perceived as a personal campaign against Councillor Dennison, seemingly designed to damage his reputation rather than address any genuine procedural wrongdoing.”

He also criticised the wider handling of the planning issue, saying it had been characterised by “excessive bureaucracy, inconsistency” and concerns about “transparency and fairness within County Hall.”

The committee was continuing on Tuesday afternoon to consider what sanction, if any, should be imposed.

 

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Farming

Welsh dairy farmers face ‘perfect storm’ as costs surge

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Rising fuel and fertiliser bills add to pressure as milk prices remain below production costs

WELSH dairy farmers are being warned that rising fuel and fertiliser costs are threatening the viability of family farms already under pressure from weak milk prices.

The Farmers’ Union of Wales says the sector is being squeezed by a combination of global instability, higher input prices and returns that are failing to keep pace with the cost of production.

The union said recent tensions in the Gulf, together with fears over disruption to energy supplies through the Strait of Hormuz, had contributed to sharp rises in costs facing farmers.

Fertiliser prices are reported to have increased by up to 53% compared with levels before the latest conflict, while red diesel costs have effectively doubled in recent months.

The pressure comes at a difficult time for dairy producers, many of whom the FUW says are still receiving milk prices below the cost of production.

The situation could worsen as the spring flush brings higher milk volumes, which can place further downward pressure on farmgate prices and add to cashflow difficulties.

The Central Association of Agricultural Valuers has also warned that tightening oil markets could reach a tipping point in early June, with higher energy costs already feeding through into agriculture.

In response, the FUW has met major lenders, including HSBC and NatWest, to discuss support for farming businesses. The talks focused on flexibility over lending, overdrafts and cashflow arrangements.

The union is urging farmers who are worried about their finances to speak to banks, accountants and advisers at the earliest opportunity.

FUW President Ian Rickman said Welsh farmers were facing a “perfect storm” of international instability and soaring input costs.

He said: “The sharp increases we are seeing in fertiliser and fuel costs are placing enormous pressure on farm businesses at a time when many dairy farmers are already producing milk below the cost of production.

“These challenges are completely outside farmers’ control, yet they are having a direct and immediate impact on the viability of family farms and rural communities across Wales.

“It is therefore vital that farmers speak openly and early with their banks and professional advisers if they are facing difficulties.

“Our recent discussions with major lenders have been constructive. It is encouraging that banks recognise the exceptional circumstances currently affecting the agricultural sector. Flexibility and understanding will be crucial in helping viable farm businesses navigate this period of uncertainty.”

 

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Education

Parents urged to rally as final decision looms over Ysgol Clydau

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Campaigners call for supporters to attend ‘crucial’ County Hall meeting in bid to save village school

SUPPORTERS fighting to save Ysgol Clydau are urging parents, children and members of the community to gather at County Hall in Haverfordwest next month as councillors prepare to make a final decision on the school’s future.

The grassroots campaign group Save Ysgol Clydau – Cadw Clydau yn Gadarn has called on as many people as possible to attend an extraordinary meeting on Monday, June 15, describing it as a “crucial” moment in the battle to keep the school open.

Campaigners are asking supporters to gather outside County Hall from 9:00am ahead of the meeting, which is due to begin at 10:00am.

In a public appeal shared online, organisers said the day would likely be emotional regardless of the outcome, but stressed the importance of showing a united front.

A spokesperson for the campaign said: “We need as many parents, children, and supporters as possible at County Hall, Haverfordwest to help save our school.

“A final decision will be made. Please do your very best to attend and stand with our community.

“It will be an emotional day, whatever the outcome — but together we can show the county and the country that we are here, united, and determined to be heard.”

The campaign has become a rallying point for local families concerned about the future of education in rural communities, with supporters arguing that closing the school would have a lasting impact on village life and young children.

Promotional material shared by the group encourages families to bring children and “their voices” to the demonstration, with campaigners insisting: “Together we are stronger.”

The Herald understands the meeting is expected to draw strong local interest, with campaigners hoping a large turnout could influence councillors ahead of what may be a decisive vote.

Ysgol Clydau has been at the centre of an ongoing debate about the future of smaller rural schools in Pembrokeshire, with supporters arguing the school plays a vital role at the heart of the community.

The meeting takes place at County Hall, Haverfordwest, on Monday, June 15, with supporters gathering from 9:00am.

 

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