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Doctor: ‘Glangwili will not cope’

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crash THE PEMBROKESHIRE Herald has received the explosive full text of a letter sent by a senior clinician at Withybush Hospital, which condemns the Health Board’s proposals for future paediatric care in Haverfordwest as “untested” and “untried”.  

The open letter, from Paediatrician Martin Simmonds, was sent to the Board a week after it announced plans to transfer key neonatal services away from Withybush as of August 1. Dr Simmonds letter, exposes the fact that clinicians DO NOT endorse the Health Board’s policy and have grave reservations about the Board’s decision to press ahead regardless of clinician’s concerns.

The Herald’s article (Big Holes in Board’s “safety net”) in our May 9 edition revealed startling deficiencies in the Health Board’s rationale underpinning ending service provision at Withybush. It now appears that the concerns of campaigners and families who contacted us before that article (“Big Holes in Health Board’s Safety Net”) are shared by those clinicians which the Health Board has claimed support the changes being made.

Peter Milewski, a retired consultant surgeon who worked at Withybush for many years, told the Herald: “It feels like a train crash is about to happen.”

Open letter to Hywel Dda University Health Board 

Please reconsider the proposed Paediatric service model for Withybush Hospital. It must be postponed. This may be our last opportunity to be heard and have our concerns communicated to the Health Board Executive. At a meeting earlier this year (of the dozens I have attended), I said that although not our preferred model a PAU model could be considered if the middle grade rota couldn’t be sustained. It was an untested, untried suggestion without research or risk assessment. A few months later it emerged as the Health Board’s preferred service model. I note that historically the public have received reassurances that these decisions were “clinician led”. I understand the importance of this statement to give credibility to the plans. However, a Health Board statement says that the majority of clinicians support this plan. I am not one of them. I do not know of any Paediatricians in Hywel Dda who have given their support to this service model. Work undertaken by two senior nurses at Withybush, both of whom I regret to say are now absent through illness, have produced research indicating that the risk assessment for a PAU here indicates that it is neither safe or resilient enough to serve the needs of the local population this remote from the hub Paediatric inpatient base. We keep being told to provide answers and not to continually raise concerns and objections to the proposals. The impression is that until we provide the “desired” answer we are hindering the Health Board’s attempt to move forward. We are not “yes” men, we are professionals working in a vocation we are passionate about, with a fear that irreversible harm will occur if the current proposals go through. It has become increasingly difficult to have confidence that our concerns reach the Health Board. Tensions and divisions amongst staff are emerging as the “who knew what and when” charade continues. Don’t tell us NOT to mention potential clinical scenarios in the future that are of “low frequency”. Don’t insult our intelligence or compassion. We are not shroud waving; we just feel it isn’t as safe a service as it should be. Glangwili will not cope with the additional work coming its way this winter, either physically or with respect to workforce issues. Families will end up travelling out of hours from here to Glangwili and then instructed to go to Bronglais to be admitted. We will have babies with bronchiolitis that have to be transferred in an ambulance despite potential deterioration en route because if we insisted on keeping them here to administer supportive treatment, I would be guilty of professional misconduct. A&E staff have only one Consultant with Paediatric experience: that is not sufficient to say they can manage out of hours. I don’t expect the current reliance on locum middle grades to be sustainable once they learn of the absence of local Paediatric support at night. Our concerns: 1. I am not a conspiracy theorist but when the Chairman and Chief Executive elect to move on this summer and the two most senior Paediatricians in Glangwili opt for unexpected early retirement before August 1 it is concerning. 2. Midwifery led services and A&E appear to have been given reassurances about the level of Paediatric support they can expect that we do not recognise in the proposed Paediatric model. 3. Our nurses have spent a considerable amount of time involved in Estates planning at Glangwili. Estates, up until last week I believe, didn’t even know about a planned PAU located within ward 14. This does not give the impression of any concern about how Withybush will manage a seismic change in service in August. You can imagine how valued that makes our staff feel. Please tell them that Dr Simmonds got it wrong about the PAU model, go public and punish him as you see fit. I would rather be a “fall guy” to save the Health Board’s blushes than have the whispered comments in the years to come that I was the architect of this proposal. Tell them we can staff a 24- hour Paediatric unit at Withybush with recently secured middle grade staffing. No, tell them we demand a 24-hour service here such that we can admit a child overnight and discharge the next morning or administer phototherapy for the jaundiced baby from St Davids who must otherwise travel to Glangwili for admission. Tell them we can develop a specialist Paediatric nurse role in A&E but that it will take time. Tell them that unless we stop this process now, this winter will see greater challenges and upset than there needs to be, adversely affecting the health of families and staff both here and at Glangwili. Martin Simmonds Paediatrician Withybush Hospital.

The Pembrokeshire Herald asked the Health Board for a response to Martin Simmonds’ letter. A Health Board spokesperson said: “We welcome the fact that Dr. Simmonds has recognised that change is needed and we want to reassure our patients and we are continuously working with our clinical teams and Welsh Government to find the right solutions and ensure ‘safety nets’ are in place as instructed by the Minister following an independent review of these services by an expert panel. The safety of these services is paramount and we are being very clear that only when we are confident our solutions are safe and sustainable will we implement them.”

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News

Angle RNLI launch stood down after false distress beacon alert

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ANGLE RNLI were paged at 10:47am this morning after an EPIRB (Emergency Position Indicating Radio Beacon) was triggered on a local fishing vessel in the Dale Roads area.

Dale Coastguard Rescue Team was also tasked to investigate the alert.

As the lifeboat crew prepared to launch, further checks by HM Coastguard — along with direct contact from the vessel’s skipper — confirmed the beacon had been activated accidentally.

With no-one found to be in difficulty, the launch was cancelled.

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Business

Cardiff Airport announces special Air France flights for Six Nations

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Direct services to Paris-Charles de Gaulle launched to cater for Welsh supporters, French fans and couples planning a Valentine’s getaway

CARDIFF AIRPORT and Air France have unveiled a series of special direct flights between Cardiff (CWL) and Paris-Charles de Gaulle (CDG) scheduled for February 2026.

Timed to coincide with two major dates — the Wales v France Six Nations clash on Saturday 15 February and Valentine’s weekend — the flights are designed to offer supporters and holidaymakers an easy link between the two capitals.

For travelling French rugby fans, the services provide a straightforward route into Wales ahead of match day at the Principality Stadium, when Cardiff will once again be transformed by the colour, noise and passion that accompanies one of the tournament’s most eagerly awaited fixtures.

For Welsh passengers, the additional flights offer a seamless escape to Paris for Valentine’s Day, as well as opportunities for short breaks and onward travel via Air France’s wider global network.

Cardiff Airport CEO Jon Bridge said: “We’re thrilled to offer direct flights to such a vibrant and exciting city for Valentine’s weekend. Cardiff Airport is expanding its reach and giving customers fantastic travel options. We’ve listened to passenger demand and are delighted to make this opportunity possible. There is more to come from Cardiff.”

Tickets are already on sale via the Air France website and through travel agents.

Special flight schedule

Paris (CDG) → Cardiff (CWL):

  • 13 February 2026: AF4148 departs 17:00 (arrives 17:30)
  • 14 February 2026: AF4148 departs 14:00 (arrives 14:30)
  • 15 February 2026: AF4148 departs 08:00 (arrives 08:30)
  • 15 February 2026: AF4150 departs 19:40 (arrives 20:10)
  • 16 February 2026: AF4148 departs 08:00 (arrives 08:30)
  • 16 February 2026: AF4150 departs 16:30 (arrives 17:00)

Cardiff (CWL) → Paris (CDG):

  • 13 February 2026: AF4149 departs 18:20 (arrives 20:50)
  • 14 February 2026: AF4149 departs 15:20 (arrives 17:50)
  • 15 February 2026: AF4149 departs 09:20 (arrives 11:50)
  • 15 February 2026: AF4151 departs 21:00 (arrives 23:30)
  • 16 February 2026: AF4149 departs 09:20 (arrives 11:50)
  • 16 February 2026: AF4151 departs 17:50 (arrives 20:20)
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Crime

Mother admits “terrible idea” to let new partner change her baby’s nappies alone

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Court hears from timid mother who was barely audible in the witness box who said she carried out no checks to establish whether Phillips was safe to be around her child

A MOTHER who cannot be named for legal reasons gave evidence yesterday in the trial of Christopher Phillips, the man accused of physically and sexually assaulting her infant son – referred to as Baby C – and causing him life-changing injuries in January 2021.

Phillips, 37 at the time, had been in a relationship with the mother for only a few weeks when Baby C, then around 10 weeks old, suffered catastrophic anal injuries at a flat in Haverfordwest, Pembrokeshire. The child was rushed to Glangwili Hospital in the early hours of January 24 and survived, but the harm was permanent. Phillips denies 11 counts of sexual penetration of a child under 13, four counts of causing grievous bodily harm with intent, and one count of assault occasioning actual bodily harm, all between December 20, 2020, and January 25, 2021. The mother denies two charges of causing or allowing a child to suffer serious physical harm and two charges of child cruelty by neglect.

The prosecution alleges that Phillips deliberately inflicted the injuries while alone with the baby during nappy changes, using a finger coated in Sudocrem as lubricant on multiple occasions, leading to escalating harm including blood in the nappies and ultimately a massive tear and prolapse. A central part of their case is that the mother repeatedly allowed Phillips unsupervised access to her son – including taking him into another room to change his nappy and shut the door – despite knowing very little about him and despite behaviour that should have raised alarm, such as his insistence on privacy and her own unease.

Late on Thursday morning (Dec 4), under lengthy and forceful cross-examination by Caroline Rees KC, prosecuting, the mother appeared composed but spoke so quietly and timidly that people in court struggled to hear her answers. She conceded point after point:

  • She carried out no checks to establish whether Phillips was safe to be around her child.
  • She allowed him to be alone with Baby C from the very start of January 2021 (possibly even before 2 January).
  • She ignored her own concerns and permitted Phillips to shut the door while changing the baby’s nappy, telling her not to enter or accusing her of “micromanaging”.
  • She accepted that this had exposed her son to “a massive risk” and had been “a terrible idea”.

The mother explained that Phillips had said he wanted to learn nappy-changing because he “never got the chance” with his own child. She initially stayed in the room but soon permitted him to take Baby C into a separate room alone. She also recounted noticing odd details during changes, such as Phillips having Sudocrem around his finger “as if it had come from a pot” – despite her not owning a pot of the cream – and him leaving the room without putting the baby’s babygro back on after fastening the nappy, which immediately struck her as wrong. A few days earlier, she had discovered extensive bruising to the baby’s bottom, a swollen testicle and blood in his nappy, prompting her to confide in family and seek medical advice, though Phillips became angry when she mentioned the appointments.

Key moments from the cross-examination

Caroline Rees KC: “You took no steps whatsoever to keep Baby C safe, did you?” Mother (barely audible): “No.”

Caroline Rees KC: “You did absolutely nothing to keep him safe, did you?” Mother: “No.”

When His Honour Judge Paul Thomas KC asked her to clarify for the jury why she let Phillips change the baby alone, she confirmed:

“I wasn’t allowed in the room. If I tried to go in he would accuse me of micromanaging.”

She said this made her feel “annoyed”, but she “ignored it”.

Caroline Rees KC put it directly to the mother:

  • “The signs were all there, weren’t they?”
  • “It was a terrible idea, wasn’t it?”
  • “You could have stopped it at any time – by doing the changes yourself or by ending the relationship.”
  • “This man wanted to have your baby on his own more than is normal.”

The mother eventually accepted each proposition, agreeing that:

  • Allowing Phillips to change the baby alone had been “a terrible idea”;
  • The warning signs that she should have stopped it were present;
  • Phillips’ desire to be alone with her son was greater than normal.

She admitted she had been “keen to have company” and had tolerated behaviour she should never have accepted.

Legal matters will be dealt with tomorrow morning only. Closing speeches are expected to continue into Monday.

The trial continues.

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