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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.”

Crime

Detective Chief Inspector describes child’s death as ‘heartbreaking’

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POLICE have described the death of seven-year-old Louis Linse at the hands of his mother as a “heartbreaking incident” that has deeply impacted officers and the local community.

Papaipit Linse, 43, from Haverfordwest, pleaded guilty to manslaughter by diminished responsibility at Swansea Crown Court earlier this week. Louis was found unresponsive in his bed on January 10 after Linse called emergency services to report his death.

Detective Chief Inspector Gary Williams, who led the investigation, reflected on the tragic events and the challenges faced by his team.

“This was a truly heartbreaking incident, involving the death of a young child at the hands of his mother,” DCI Williams said. “Officers who attended the scene were met with an incredibly difficult and emotive situation, yet they acted with professionalism and care, ensuring that a thorough investigation was conducted.”

The case has not only shocked the local community in Haverfordwest but has also brought to light the deep personal struggles and trauma faced by Linse in the years leading up to the tragedy.

Tragic story: Edward and Papaipit Linse

A troubled family history

Linse, originally from Chiang Mai, Thailand, is the estranged wife of 51-year-old Edward Linse, a former businessman now detained in a psychiatric facility. Their marriage was marked by years of domestic violence, financial hardship, and failed business ventures.

In 2017, Edward assaulted his wife at their £1.2m Cheshire home during an argument about visa issues. The attack, carried out with a children’s book as a weapon, highlighted the volatile nature of their relationship. His lawyer, Peter Malone, told the court that Edward struggled to control his emotions, which he traced back to difficulties experienced during his boarding school years.

The couple said that in 2016 they had a lot of fun and good memories with this property – A café and pretend beach in Chiang Mai, Thailand

The violence escalated over the years, with Edward eventually convicted of a brutal assault on his own parents. Following his incarceration in a psychiatric facility, Linse was left to care for their two children alone.

The breakdown of their marriage was compounded by financial woes. After the failure of a café venture in Chiang Mai, the couple relocated to the UK. In 2022, their landscaping business, Alderley Landscapes, ceased trading, leaving Linse to move to Haverfordwest with her children in search of a fresh start.

Edward Linse, estranged husband of Papapait Linse

Life in Haverfordwest

Neighbours in Upper Market Street described Linse as a quiet, reserved figure who homeschooled her two children. Despite her struggles, those close to the family said Louis appeared well-cared-for, with one neighbour, Dr Sean Phelan, expressing disbelief at the tragedy.

“I never thought something like this could happen,” Dr Phelan said. “The children were polite and seemed happy. It’s shocking to think of what must have been going on behind closed doors.”

Forensic teams have been working at the scene since the incident, piecing together the circumstances surrounding Louis’ death. Floral tributes have been placed outside the property as the community mourns the young boy’s loss.

Police dedication

DCI Williams praised the dedication of the officers involved in the investigation, acknowledging the emotional toll such cases can have on emergency responders.

“Our team has worked tirelessly since January to uncover the circumstances of Louis’ death and to ensure justice was brought for him,” he said. “While no result in court can undo this loss, we hope it offers some measure of closure to those who knew and loved Louis. Our thoughts remain with them during this devastating time.”

The case also serves as a reminder of the importance of early intervention and support for families facing domestic violence and mental health issues. Police urged anyone in similar situations to seek help from local services.

Awaiting sentencing

Linse has been remanded in custody and will be sentenced on December 13. The court is expected to consider the impact of her mental health struggles and the years of abuse she endured when determining her sentence.

As the investigation concludes, the police and community alike continue to grapple with the profound loss of a young life under such tragic circumstances.

Papaipit Linse: Admits killing her son, but denies murder

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Business

Deposit Return Scheme diversion ‘illogical’ says Pembrokeshire brewery 

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TENBY HARBOUR BREWERY and local Senedd Member Samuel Kurtz have urged the Welsh Government to reconsider its decision to withdraw from a UK-wide Deposit Return Scheme (DRS) due to its insistence on including glass.

Earlier this week, Climate Change Secretary Huw Irranca-Davies announced that the Welsh Government would no longer participate in the development of a UK-wide DRS, citing issues arising from the UK Internal Market Act 2020. This decision is believed to be influenced by the Welsh Government’s plan to include glass in its scheme—a factor that contributed to the collapse of Scotland’s DRS in 2023.

The move has been met with frustration and anger from numerous organisations, who argue that this divergence will increase costs for Welsh producers and consumers.

Commenting on the matter, Samuel Kurtz said: “This decision is deeply frustrating, and to diverge from a UK-wide scheme shows that it is not one made with the best interests of Welsh consumers and producers at its core.

“The UK market is so interlinked that any decision which places Welsh businesses at a competitive disadvantage should not proceed. These calls from a range of industry and business representatives have been ignored by the Welsh Government.

“For the sake of our businesses and consumers, I urge the Welsh Government to reconsider its decision, align itself with the UK-wide scheme, and provide proper support to Welsh businesses.”

Industries, especially the micro-brewery sector, would be especially hit hard in Wales by the Welsh Governments choice.

Speaking following this announcement, Richard Johnson, Head Brewer at Tenby Harbour Brewery said:

“The brewing industry has had to tread a path through covid lockdowns, energy price increases, a cost of living crisis and rising wage and national insurance bills, making it increasingly difficult for brewers get good returns and re-invest in their businesses.

“Wales is a recycling nation, so a blunt ‘one size fits all’ approach creates additional logistical and financial burdens on the smallest producers, when the very largest producers are generating the majority of the recycling demand.

“It also seems illogical to diverge away from a UK wide scheme which will put Welsh brewers and drinks producers at a disadvantage.

“The UK and Wales has a proud brewing heritage, but adding in measures such as DRS to small brewers means that their time and money are directed to these activities, instead of using their time for innovation and R&D, of which the UK brewing scene is known and revered for.” 

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Business

Bluestone crowned ‘Best Small Company for UK Parks and Lodge Holidays’

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BLUESTONE is celebrating a major win after being named the Best Small Company for UK Parks and Lodges Holidays at the prestigious British Travel Awards 2024.

The announcement was made at the prestigious awards ceremony this week, marking yet another significant achievement for the popular West Wales destination.

This award recognises Bluestone’s commitment to providing exceptional family holiday experiences at its 500-acre resort in the stunning Pembrokeshire Coast National Park.

“We are absolutely thrilled to receive this award,” said Bethan Rees, Head of Marketing at Bluestone. “It’s a testament to the hard work and dedication of our entire team, who create magical and memorable experiences for families all year round. We are incredibly grateful to every single one of our guests who voted for us and who choose to visit us year on year.

“When you look at the array of other finalists, the award demonstrates why we’re so proud of winning it. This is due to our continued investment, team, and commitment to environmentally sustainable tourism.”

This award builds on Bluestone’s impressive track record. It has consistently received high praise for its family-friendly facilities, commitment to sustainability, and dedication to providing outstanding customer service. Earlier this year, Bluestone was again recognised by Which? as one of the UK’s top holiday destinations and the best rated in Wales.

The British Travel Awards are the largest consumer-voted awards programme in the UK. Winning this award highlights Bluestone’s position as a leader in the family holiday market and reinforces its reputation as a top choice for unforgettable family getaways.

Bluestone, which employs over 800 people and is one of the largest employers in West Wales, is also committed to investing in its people and local community. It provides extensive training and development through its People Services team and the Bluestone Academy. In addition, it supports a wide range of local projects and initiatives through the Bluestone Foundation.

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