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Health board statement on ’20-year journey’ in full

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THIS is the full statement from Chief Executive Steve Moore of  Hywel Dda University Health Board following the extraordinary meeting on Wednesday (Sept 26) at County Hall, Carmarthen:

 

HEALTH BOARD STATEMENT

Hywel Dda University Health Board will embark on an ambitious 20-year journey to transform the way we receive health care and support in Carmarthenshire, Ceredigion, Pembrokeshire and borders, it was decided at a public board meeting.

Twelve recommendations from clinicians (doctors, nurses and a range of healthcare professionals such as health scientists and therapists) were approved and can be read in full here https://bit.ly/2NJxft5.

Headline decisions included:

  • more investment will be made in the integration of social care with health and well-being across the seven localities (north and south Ceredigion, north and south Pembrokeshire, Taf/Tywi, Amman/Gwendraeth and Llanelli)
  • a hospital model, will be adopted and includes:
    • a business case to be made for a new hospital in the south of Hywel Dda (somewhere between Narberth and St Clears) to provide specialist urgent and emergency care services and planned care
    • hospital services to be retained and developed at Bronglais Hospital, Aberystwyth, in-line with the Mid Wales Joint Health & Social Care Committee recognising importance of hospital in delivery of services to populations of Ceredigion, Powys and South Gwynedd
    • acute medicine (hospital services that need medical input) to be retained at Prince Philip Hospital, Llanelli, following recent modernisation of services developed with the local community and serving a densely populated area
    • re-purposing Glangwili (Carmarthen) and Withybush (Haverfordwest) hospitals to support community health needs including overnight beds, day case procedures, out-patient and walk-in services such as minor injuries and much more

This follows one of the largest local NHS consultations in the UK (Hywel Dda Our Big NHS Change), which was held between April and July, and which saw a huge and passionate response from the local population. Responses included more than 5,400 questionnaires, 4,000 attendees at events and workshops, hundreds of written submissions, five petitions and extensive social media debate.

Board members considered all they heard from patients, staff, the general public and interested organisations, not just during the consultation, but also in the pre-consultation engagement and option development period.

They also considered recommendations made by Hywel Dda Community Health Council, the clinical viewpoint following consultation, and other matters including safety standards the NHS has to meet and the ability to provide services in the future.

Whilst some key decisions were made, the health board received really insightful feedback from people during the consultation and wants to investigate further, and demonstrate, some developments, including:

  • commitment to work with people and organisations to develop integrated networks (as opposed to hubs) which are unique to the needs of their community and to consider the geographical areas highlighted in the consultation as gaps in current provision
  • work with the community on an early model of the above in Pembrokeshire, focusing on the ability to provide more community based care 24/7 and to demonstrate how it could work and the impact it could have
  • work with local people to explore potential for a range of different types of beds within the local community – whether in existing community hospitals, at home or another setting review, test and challenge the model for acute medicine to be responsive to demand and changes in patient flows associated with the whole system change
  • work closely with Abertawe Bro Morgannwg University Health Board on services where patients could benefit from a regional approach
  • examine the opportunities a new hospital and community model could offer maternity and child health services to ensure doctor and midwifery led care, and care for children (paediatrics) and sick babies (neonatal) are maintained within the boundaries of the Hywel Dda area
  • align with the transformation work in mental health services to ensure mental health and learning disability assessment and treatment units are provided at the new urgent and planned care hospital
  • investigate the practicalities and impacts (through a feasibility study and options appraisal) of locations between Narberth and St Clears for the new hospital
  • work with people living and working in the areas furthest from a new hospital to provide additional support for emergency and urgent care (potential to look at things like placing paramedics within in a community as opposed to within a vehicle)
  • respond to public anxiety over the ability to manage emergency conditions that are time sensitive (e.g. ST Elevation Myocardial Infarction STEMI, stroke and sepsis) consider the opportunities a new hospital in the south would provide Bronglais Hospital
  • work closely with other organisations, including county councils and the third sector, to develop Glangwili and Withybush hospitals
  • develop a detailed plan to address concern heard in consultation regarding access, travel, transport and infrastructure, working with the Regional Transport Group, communities (including those with protected characteristics in response to the difficulties we heard about from people and the equality impact assessment) and Welsh Ambulance Services NHS Trust
  • formally state the Health Board’s support for building a case for provision of a 24/7 service to bring medics to the scene of an accident (e.g. the Emergency Medical Retrieval Transport Service, which operates 12 hours a day and CHANTS (Neonatal Retrieval Service))
  • develop a plan to maximise use of technology in health and care, backed up by secure IT so patient data is safe and joined up between services in the hospital and community
  • put in place a staff plan to deliver future models and provide opportunities for staff
  • work with education and university partners to train a workforce with the skills and expertise to work in the new service model, and drive research, innovation and evaluation into our service development
  • continue to talk the public, staff and interested organisation about all that we do, especially focusing on people with protected characteristics

Chief Executive Steve Moore said: “Today is a hugely momentous day as we confirm we will take a new direction to providing much more preventative and community based healthcare to our population. We’ve heard the concern people have with current healthcare provision and our ability to deliver this sea-change in the years to come but our clinicians have led this work and we believe what has been put before us today offers us the best chance to deal with the fragility our NHS faces and to provide the population with safe, effective care that meets their needs.”

Chair Bernardine Rees added: “We are really grateful to everyone who got involved in our consultation as it has given us really rich feedback. Our ambition is to continue that conversation and input so that we can grow services in our seven localities, using schemes we have already delivered, such as the front of house project at Prince Philip Hospital and Tenby walk-in, as the basis of what can be achieved.”

The next step will be for clinicians and staff to work with the public and other organisations to bring the additional detail together into a draft Health Strategy to put before public Health Board at the end of November.

Medical Director and Director of Clinical Strategy Dr Philip Kloer said: “We’re aware that some people, particularly those who live furthest from the new hospital zone between Narberth and St Clears may be anxious about these changes. They will not happen overnight and we are committed to working with those communities and our partners to demonstrate and test what additional provision can be made, particularly for time-sensitive emergency conditions.

“For example we are working with partners to build the case for the Emergency Medical Retrieval Team (doctors who are brought to the scene to treat and then transfer) and CHANTS (the Neonatal Retrieval Team) to be a 24-hour service, and also investigating the potential to place advanced paramedics in communities so they are available solely to that community.

“Another important factor in providing life-saving treatment is getting people quickly to the definitive hospital which will provide their care. At the moment, people in our coastal areas of Pembrokeshire have to travel to Glangwili for some treatment, which in the future, we will be able to offer at a more equitable location, for the south of Hywel Dda, in the new hospital zone.”

The new hospital will be dependent also on a full business case, which will be made to the Welsh Government.

Crime

Police offer advice after 60 reports of stolen quad bikes from farms

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DYFED-POWYS POLICE is advising the rural community to make sure security measures are in place to protect quad bikes and other farm equipment, in response to a spate of thefts.

There have been over 60 reports of stolen quad bikes across the force in 2024.

Farmers and other owners of quad bikes are reminded to be vigilant of suspicious vehicles and people in their community and to report any concerns to police.

Dyfed-Powys Police has acquired 150 SelectaDNA Rural Kits to support their efforts in combating rural crime. These advanced DNA asset-marking kits will be used to offer free property marking services to farmers, helping them protect their valuable equipment and machinery.

In addition to property marking, our Rural Crime Team officers, who are also qualified Crime Prevention Tactical Advisors (CPTAC), will visit farms to conduct comprehensive crime prevention audits. These audits are designed to ensure farms have the best security measures in place to deter criminal activity and safeguard their livelihoods.

The SelectaDNA Rural Kits use a unique DNA solution that can be applied to tools, vehicles, machinery, and other valuable assets. This marking is virtually invisible but can be detected under UV light, providing an indisputable link between stolen property and its rightful owner. This has proven to be a powerful deterrent against theft and an invaluable tool in recovering stolen items.

Rural communities are often targeted by criminals due to their remote locations and the high value of farming equipment.By offering free property marking and crime prevention visits, Dyfed-Powys Police aim to empower farmers with effective tools and advice to protect their assets and reduce the risk of crime.

Sergeant Paul Roberts from our Rural Crime Team, said: “I ask that local farmers and other quad bike owners take appropriate action to minimise the opportunities of these thefts occurring. This includes removing keys from ignitions after use and locking barns or outbuildings wherever the vehicles may be kept.

“I’m aware that thefts of quad bikes and farming machinery causes disruption to farmers’ work, as well as the financial implications, and I would like to reassure the public that police are thoroughly investigating these matters.

“I encourage anyone living in rural communities to remain vigilant to this type of theft, and to report any suspicious vehicles or behaviour to police either online at: https://bit.ly/DPPContactOnline, by emailing [email protected], or by calling 101. Alternatively, contact the independent charity Crimestoppers anonymously by calling 0800 555111, or visiting crimestoppers-uk.org.”

The Rural Crime Team will be attending marts across the force, where community members can bring items such as tools, machinery, and bikes to be marked.

Farmers can also arrange a visit from our Rural Crime Team to mark equipment and conduct a security audit by emailing [email protected]

Visit our website for more information and advice about rural crime and what prevention measure you can take – https://www.dyfed-powys.police.uk/advice/advice-and-information/rc/rural-crime/

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Family pays tribute to ‘budding artist’ after tragic loss

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THE FAMILY of a 14-year-old girl who died on Friday (Nov 15) has paid tribute to a “budding artist, rugby player and social media lover.”

Seren Jenkins, from Tycroes, Ammanford, tragically passed away following a medical emergency at Ammanford Rugby Club.

In a heartfelt statement, her family said: “We as a family are devastated by the loss of Seren.

“She was a loving daughter, big and little sister.

“Seren lived her short life to the full and was a budding artist, rugby player and social media lover.

“Seren was loved by all who knew her and no doubt will also be remembered for her sense of humour.

“We would like to take this opportunity to thank the emergency services at the scene and everybody for the GoFundMe page donations for Seren, where proceeds will likely be donated to various asthma services, the Wales Air Ambulance, and a possible memorial for her friends to remember her.

“We would also like to thank people for their kind words and support at this horrific time, but would now like to ask for this time to grieve in private.”

A GoFundMe page set up in Seren’s memory has received widespread support, reflecting the community’s shock and sadness at her loss.

Seren’s family described her as someone who brought joy to all who knew her, with a zest for life and a talent for art and rugby. She leaves behind a lasting legacy of love and laughter.

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Teenager’s death not linked to bullying or social media, says coroner

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A “KIND, strong” teenager who tragically took her own life was not driven to her actions by bullying or social media, the Pembrokeshire Coroner has concluded following a five-day inquest.

Megan Evans, aged 14, was found in her home in Milford Haven on February 7, 2017. Described by her family as “a kind and beautiful soul,” Megan was remembered for her intelligence, thoughtfulness, and the love and laughter she brought to her home.

Her death prompted a significant examination of the pressures faced by teenagers today, particularly concerning bullying and the influence of social media. However, Pembrokeshire Coroner Paul Bennett stated there was no evidence to suggest these factors played a role in Megan’s death.

Coroner’s findings

Dyfed-Powys Police’s digital crime investigation unit analyzed Megan’s social media activity and found “no evidence of targeted abuse or bullying directed at Megan.” The coroner also reviewed the school’s anti-bullying measures, which included assemblies, PSE lessons, and an intranet reporting tool.

“Pupils knew what route they could take should bullying arise,” said Mr. Bennett. “That does not mean that pupils did avail themselves of those options.” He added that perceptions of bullying could vary widely, stating that “bullying to one may be banter to another.”

The inquest heard that Megan had been upset by incidents at school, including one five days before her death. However, Mr. Bennett found no link between these events and her decision to take her own life. He also ruled out other factors such as reprimands about her uniform or concerns about her father’s health as contributing to her actions.

“Megan Catherine Evans died as a result of self-suspension, having intended to take her own life. The decision to do so was not influenced by bullying or social media,” Mr. Bennett concluded.

Family’s heartbreak

Megan’s family expressed profound sadness over the coroner’s findings. Earlier in the week, they pledged to honor her legacy by continuing to fight for kindness and love.

“She is missed more than we could ever express,” they said. “She made the world a better place just by being in it.”

However, Megan’s mother, Nicola Harteveld, took to social media to voice her anger and frustration with the coroner’s conclusions.

“It’s utterly heartbreaking and beyond disgusting to see a conclusion that tries to blur the lines between bullying and banter,” she wrote. “Megan is dead—she clearly did not take it as banter. How is it acceptable to claim that such words don’t amount to targeted bullying or abuse?”

Her comments have sparked widespread support online, with many echoing her concerns. One local woman commented: “Banter—it most certainly is not. Those words kill. What has this life become when so-called professionals see no wrong in this type of behavior?” Others called for accountability, suggesting the case should be subject to judicial review.

Megan’s death sent shockwaves through the Milford Haven community. Tributes poured in after her passing, and her story became a rallying point for discussions on mental health, bullying, and the pressures faced by young people. Milford Haven School has since emphasized its commitment to creating a safe and supportive environment for pupils.

Headteacher Jane Smith said in a statement: “Megan’s death was a tragedy that deeply affected everyone at our school. We continue to work tirelessly to ensure all students feel supported and to address any concerns they may have.”

Local organizations have also stepped in, launching campaigns to promote mental health awareness and kindness. A vigil held in Megan’s memory shortly after her death drew hundreds of attendees, many of whom highlighted the urgent need for change.

Expert perspectives on bullying and banter

The distinction between bullying and banter, highlighted by the coroner, has drawn criticism from experts and advocates. Child psychologist Dr. Sarah Davies noted: “For some young people, what may seem like lighthearted jokes can have devastating emotional impacts. We must listen to their experiences and validate their feelings rather than dismissing them as misunderstandings.”

Mental health charity Mind Cymru echoed these concerns, urging schools and communities to take every report of harmful behavior seriously. “Words have power, and the way we address this issue has consequences for how young people perceive support systems around them.”

The tragedy of Megan Evans has reignited conversations about how to protect young people from harm and foster kindness both online and offline. Megan’s family remains steadfast in their commitment to honoring her memory, calling for accountability and cultural change.

“She deserved so much more,” said Nicola Harteveld. “We will continue to fight for her and for others who are struggling.”

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