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Mums in Wales face shortfall in mental health services

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THOUSANDS of women in Wales who need specialist support for mental health problems during pregnancy or following birth are unable to access the care they need because of where they live. And others needing specialist inpatient care must receive it in England because Wales does not have a mother and baby inpatient unit for women suffering the most severe mental health conditions.

Perinatal mental health problems are one of the most common complications experienced during pregnancy and after birth with up to one in five women – and up to one in 10 dads affected. Symptoms include depression, anxiety, obsessive compulsive disorder, eating disorders and postpartum psychosis.

It means that in Wales more than 6,000 new mothers every year will experience a mental health problem during pregnancy or in the 12 months following the birth of their child. If left untreated, these conditions can have a devastating impact on women and their families, making it harder for parents to provide the care babies need for healthy social, intellectual and emotional development.

As the NSPCC launches its new campaign, Fight for a Fair Start, which calls for improved perinatal mental health provision, the charity has highlighted that Wales’s seven health boards have just one specialist health visitor and four specialist perinatal mental health midwives between them.

These roles can offer vital early help and continuity of care to mums and their families affected by perinatal mental health problems and help reduce demands on other services which have to support parents suffering problems.

The charity has also highlighted that new mothers experiencing the most severe perinatal mental health conditions are not able to access appropriate inpatient care in Wales because there is no mother and baby unit. Instead, women who need specialist inpatient care are either admitted for treatment in adult psychiatric wards – where they may be separated from their child – or in mother and baby units in England.

Launching Fight for a Fair Start today (19 July) NSPCC Cymru has called for:

  • Dedicated specialist perinatal mental health midwives and health visitors in each health board area, to help identify and support women and their families affected by perinatal mental health problems.
  • All women and their families to be able to access a mother and baby unit in Wales.
  • Greater investment in specialist services to ensure that all women and their families can access high quality specialist perinatal mental health services, wherever they live in Wales

Dr Sarah Witcombe-Hayes, Senior Policy Researcher at NSPCC Wales, said: “New mums and dads in Wales are still not receiving the mental health support that they need to give their babies the best start in life. Experiencing perinatal mental health problems can make it harder for parents to provide the sensitive and responsive care that babies need at such an important time, and that is why it is so crucial to have the right support in place for families.

“Access to this vital support should not be dependent upon where you live. Having at least one specialist mental health midwife and specialist perinatal mental health visitor in each health board in Wales would be a significant step towards ensuring that these problems are identified early and mums and their families receive the best care.

“Greater investment is also needed. The Welsh Government must make sure that all women and their families affected by the most serious problems can access potentially lifesaving treatment and support from a mother and baby unit in Wales when they need it.”

North Wales mum Sally Wilson developed postpartum psychosis in 2015 just days after the birth of her daughter Ella but was unable to access the locally-based help she needed such as a mother and baby unit. She said: “I experienced delusions, hallucinations and I was terrified I had harmed Ella but I was admitted to a general adult psychiatric unit, which was scary and traumatic, while Ella went home with my partner.

“In North Wales there weren’t any specialist perinatal mental health teams and no specialist mother and baby unit with the nearest two hours away in England. It took me a long time to access the correct treatment and not only did this have an impact on my recovery but it also affected early bonding with Ella.

“In the absence of specialist help, I was fortunate that my partner’s research background meant he was able to investigate evidence-based treatment options, I appreciate that is not the case for everyone. I also relied heavily on the charity Action on Postpartum Psychosis to help me recover. Ultimately, this saved my life.”

Dr Jess Heron, CEO of Action on Postpartum Psychosis added that they supported the NSPCC Campaign. She said: “Most women who develop Postpartum Psychosis will need admission to a specialist Mother and Baby Unit. It is not right that women who become ill in Wales have to be admitted far away from their families in England, or risk being separated from their infant.

“Psychiatric illness is the leading cause of maternal death in the postpartum year in the UK. We fully endorse the call made by NSPCC for women to have immediate access to a mother and baby unit within a reasonable distance of their home if they need it, and to have access to specialist care within perinatal mental health teams wherever they live.”

The NSPCC campaign has been supported by Jo Malone London who also fund direct services to new and prospective parents, focussing on supporting parents with their mental health problems to help them develop secure and healthy relationships with their children.

The NSPCC is inviting people to join the campaign by raising their voice and signing the Fight for a Fair Start petition.

News

Pembrokeshire County Council invites public feedback on budget plans

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PEMBROKESHIRE County Council is calling on residents to share their views on the upcoming budget as it faces significant financial pressures.

The consultation, open until January 5, aims to identify which services are most valued by the community and where savings could be made.

An update on the provisional funding settlement from the Welsh Government was presented to the full council last week. Councillor Joshua Beynon, Cabinet Member for Finance and Efficiencies, noted that while the 3.6% increase—equating to an additional £8.1 million—was more favourable than expected, it still leaves a funding gap of approximately £28.1 million.

Councillor Beynon said: “Difficult decisions lie ahead despite the improved settlement. We need to prioritise services that matter most to our residents.”

Detailed reports on the settlement’s impact and the projected funding shortfall will be discussed by the cabinet and scrutiny committees early next year, before being presented to the full council in February.

Residents can have their say by completing an online response form available on the council’s website. A budget modelling tool is also provided for public use.

Paper copies of the response form can be requested by calling 01437 764551 or emailing [email protected].

All responses must be submitted by January 5.

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Business

Holyhead closure: Storm damage could delay reopening until March

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HOLYHEAD port faces an extended closure following significant storm damage, with fears it may not reopen until March. The disruption has caused widespread consequences for trade, travel, and postal services across the Irish Sea.

The Terminal 3 berth, used by Irish Ferries, sustained extensive damage during Storm Darragh earlier this month. Drone footage revealed a ‘dolphin’ platform had fallen into the sea, exacerbating the situation and impacting the adjoining terminal used by Stena Line.

Currently, all sailings are suspended until January 15, though experts warn this date may be overly optimistic. Garrett Bridgeman, managing director of An Post, Ireland’s national postal service, said: “I don’t think January 15 looks like the date. If you look at the level of work that needs to be done and the safety checks required afterwards, February or March seems more realistic.”

Stena Line stated their priority remains resuming operations safely, while the Marine Accident Investigation Branch (MAIB) is conducting an inquiry into the incident. A spokesperson for MAIB confirmed inspectors are reviewing evidence to understand the circumstances that led to the damage.

The Welsh Government has implemented contingency plans, with additional sailings arranged from Wales and the Mersey area despite challenging weather conditions. Welsh Transport Minister Ken Skates said: “This is a challenge we have never faced before, but we’ll continue working with UK and Irish governments to support businesses and travellers.”

Increased pressure on Fishguard and Pembroke ports

Pembroke Port this week (Images: Martin Cavaney)

With Holyhead out of action, Pembrokeshire’s ports—Fishguard and Pembroke Dock—are facing increased pressure to handle additional sailings. Stena Line and Irish Ferries have already announced extra services from these ports to help ease the disruption.

Irish Ferries has confirmed it will launch a new service from Fishguard, while Pembroke Dock is also experiencing heightened activity with extra crossings scheduled. Passengers and freight operators are urged to check ferry company websites for the latest updates.

Cabinet Secretary for Transport and North Wales Ken Skates praised the efforts of ferry operators and local authorities in managing the surge in activity at Pembrokeshire’s ports. “Both Fishguard and Pembroke Dock are playing a crucial role in maintaining the flow of goods and passengers across the Irish Sea during this unprecedented disruption,” he said.

Local authorities and Transport for Wales are working to ensure traffic flows smoothly around these ports, with additional measures in place to minimise congestion and delays.

Meanwhile, the Irish Road Haulage Association (IRHA) has expressed growing frustration with the lack of clear communication from Holyhead Port authorities. IRHA President Ger Hyland said: “We need correct and true information with a definite timeline. The piecemeal updates have been unhelpful.”

Hyland highlighted the financial toll on hauliers, with some operators facing losses of up to €3,000 per vehicle weekly. He urged ferry companies to increase their efforts to ease the crisis and called on the Irish government to explore financial compensation for affected businesses.

The situation has been escalated to UK Prime Minister Keir Starmer, with calls for direct intervention to expedite repairs and alternative arrangements. Minister of State James Lawless, who met with haulage industry leaders, acknowledged the urgent need for clarity and support.

With Pembrokeshire ports now under increased strain, stakeholders are closely monitoring the situation, awaiting updates from Stena Line in mid-January.

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Education

Steinbeck’s Of Mice and Men cancelled in Wales over racial concerns

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WJEC, the Cardiff-based Welsh exam board, has announced that John Steinbeck’s Of Mice and Men will no longer be included in the GCSE English syllabus in Wales. The decision comes amid concerns over the book’s repeated use of racial slurs and its potential emotional impact on students.

First published in 1937, the novella explores the friendship between Lennie and George as they navigate life during the Great Depression. Despite its literary significance, the text will be phased out from classrooms starting in September.

Rocio Cifuentes, the Children’s Commissioner for Wales, supported the decision, describing the text as “psychologically and emotionally harmful” to Black students.

She explained: “During our research into racism in schools, many Black children specifically mentioned this text and the harm it caused them.”

In Of Mice and Men, the character Crooks, a Black stable hand, is subjected to racial slurs and repeated use of the N-word.

‘Not Censorship’

Ms Cifuentes emphasised that the decision was not about censorship but safeguarding students’ wellbeing.

“This is about protecting children who have told us how harmful classroom discussions around this text have been for them,” she said.

“They’ve often been the only Black child in the room when these discussions occur, surrounded by derogatory depictions of people who look like them.”

WJEC said the decision was part of a broader overhaul that merges English Language and Literature into one GCSE. The board also employed an anti-racism consultant to advise on the selection of appropriate texts.

A WJEC spokesperson said: “We’ve provided a choice of works from writers of diverse backgrounds, nationalities, genders, and communities. This new selection aims to enrich the educational experience with themes that resonate with modern learners.”

Tory Criticism

Natasha Asghar MS, the Shadow Education Secretary, has spoken out against the decision, arguing that banning the book is counterproductive and limits educational opportunities.

“Instead of banning Of Mice and Men, we should teach it within its historical context, showing students how overt racism and sexism were commonplace and accepted in the past, and why this was harmful and wrong.

“Censorship doesn’t solve the problem; it prevents young people from confronting and understanding these prejudices, some of which, sadly, continue.

“Even in 2024, we continue to see racism and sexism in society. If we want to tackle this, then instead of banning a classic text, we would do better to challenge media companies that produce music containing misogynistic language and words with racist connotations.”

Teachers React

Rhian Evans, an English teacher at Ysgol Gyfun Gymraeg Bro Myrddin in Carmarthen, acknowledged the book’s value but understood the reasoning behind its removal.

She said: “We always addressed the use of the N-word carefully in class, discussing why it shouldn’t be repeated. But as a white woman, I can never fully understand how it feels for a child of colour to encounter that word in an educational setting.”

She added: “There are other authors from diverse backgrounds who explore similar themes in ways more relevant to today’s students.”

Previously, Of Mice and Men and Harper Lee’s To Kill a Mockingbird were removed from the OCR English Literature syllabus in 2014, after then-Education Secretary Michael Gove pushed for the inclusion of more British authors.

The updated WJEC syllabus includes classics such as Jane Austen’s Pride and Prejudice, Charles Dickens’ A Christmas Carol, and William Golding’s Lord of the Flies. Contemporary additions include Matt Haig’s The Midnight Library and Christy Lefteri’s The Beekeeper of Aleppo.

The changes aim to ensure a more inclusive and representative literary curriculum for Welsh students.

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