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Crisis? What crisis?

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nhssaveTHE HERALD can reveal that in recent days, expectant mums expecting to deliver their babies at West Wales General Hospital, Glangwili, were turned away and sent to Withybush Hospital instead. A shortage of maternity beds meant that patients could not be admitted at the Carmarthen Hospital. 

• As SCBU cut looms, Glangwili can’t cope

• Transport plans questioned

In addition, the Herald understands that four C-sections, two elective and two emergency, were recently performed at Withybush within one twentyfour hour period. In the case of the emergency C-sections, Welsh Health Minister Mark Drakeford’s purported “safety net” would have been of no use at all in keeping mums and babies safe. The Herald has been told that such was the shortage of SCBU spaces in the Local Health Board area that a baby from Carmarthen requiring special care had to be transported to North Wales to receive appropriate treatment, while another mum had to be transported to Bridgend to have her baby delivered. We spoke to Peter Milewski, retired consultant surgeon and health campaigner: “As a result of the service cuts, I dread to think what is going to happen if the Withybush SCBU is closed in August. The Board will probably find that it’s full and there’s nowhere for the babies to go, so it won’t be able to close it (or relocate the staff that run it). “For many years, significant numbers of Grade 1 or 2 Caesarean sections have taken place each week at Withybush. Grade 1 or 2 means 15 minute urgency so obviously wouldn’t reach Carmarthen. Some of them occur out of the blue in low-risk multiparous women of exactly the type who would be considered (by the health board, not by me!) suitable for an isolated midwifery unit. “These are the women who will lose their babies, and, occasionally, their lives. “On top of that, there are the women who develop their complication at home and will be supposed to be taken to Carmarthen. That can never be eradicated. It’s clear that some will not make it, whereas they would have to Withybush. “It is common for babies to be shifted in various directions between SCBUs. For example Swansea may be full and transfer their babies to Withybush (I’ve seen that happen myself, and it’s not an isolated incident). Again, what’s going to happen to them?” Another confidential source working in the Health Board has confirmed that in 2012 there were 60 Grade 1 (immediate) or Grade 2 (within half an hour) emergency Caesarean sections. That’s at least one expectant mum and baby each week who would not make it to Carmarthen. There were 120 less urgent C-sections. Even some of those may not have made it to Carmarthen. While under the new arrangements, some of those 60 will have been recognized as high risk and sent to Carmarthen, ostensibly low risk and unpredictable patients would not have been sent there. There is no indication that that 2012 was different from any other year. We asked Peter Milewski about the figures and he told us: “It certainly accords with my impression when I was working. When I was in theatre it was not uncommon for me to have to postpone a case to make way for an emergency Caesarean Section.” Patient transport, a major issue which is yet to be resolved has also been thrown into sharp relief with the revelation that expectant mums cannot be transported by Air Ambulance in an emergency. David Williams, from Pembrokeshire Health Concern said: “It has always been the case that women in labour or likely to go into labour cannot be transported by air ambulance for lack of room, equipment and expertise. “Patients are loaded feet towards the tail of helicopter so no room to work at business end and currently helicopter staff are not allowed to go below waist. The Health Board – apparently – did not know this. When challenged it said the Board would get bigger helicopter. However, due to the new A & E, dialysis unit and car park changes nothing bigger than current helicopter can land at Withybush, anyway. To use a larger helicopter, the Board would either have to build bigger helipad or land at Withybush airport and have patients transferred to that location by road ambulance, assuming one is available. “When it comes to emergency consultant cover, the Welsh Government has said that it is not how far away a consultant can live from the relevant site but the time taken to be able to return for emergency work purposes. It is for local employers to consider service needs and establish local limits. “The Deanery requirement for full A & E cover, which is required to meet the out-of-hours paediatric plan, is that the consultants are to be within 20 minutes of hospital 24/7. Therefore transferring to Glangwili, which is minimum of 45 minutes away, means A & E cover will be lacking. “The Health Board may try to say all consultants will have to live around Whitland (!), but as the Board claims to have a recruitment problem (disputed and shown to be contrived). So, telling consultants where to live will not making recruitment easier. “How many are you going to need to keep on call 24/7, as those on duty at Glangwili will be more than twenty minutes away from of Withybush and those off duty surely cannot be on call 24/7 – and that’s without factoring in staff sickness, absence, or holiday cover. A Health Board spokesperson told The Pembrokeshire Herald: “I can confirm that nobody was transferred to another Health Board due to capacity issues. “We would like to reassure the public when our obstetric services is on one site there will be no reduction in beds. Locating our obstetric services on one site is only part of the service modernisation of our maternity services. “In addition to the obstetric service there will be a midwifery led unit on both the Glangwili Hospital and Withybush Hospital sites.”

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Business

Largest Welsh port appoints communications and marketing director

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THE Port of Milford Haven has announced that Anna Malloy has been appointed as its first Communications and Marketing Director.

Anna is appointed to the Senior Management Team and this new role will be pivotal to the delivery of the Port’s long-term growth and diversification agenda and in ensuring that its obligations to coastal communities, future generations and to nature are honoured.

Tom Sawyer, CEO of the Port of Milford Haven, congratulated Anna and said: “Anna has a key role to play in our future and it’s doubly lovely to see ‘port-grown-talent’ flourish and for colleagues to progress up through our organisation.”

Anna will lead across the public affairs, marketing, sustainability, media relations, and community relations activities. She will therefore play a central role in the development of new and existing partnerships, including the Celtic Freeport, the Milford Haven Energy Cluster and the Celtic Collection; sitting alongside the delivery of major projects like Milford Waterfront and the Pembroke Dock Renewables Terminal.

“This is such an exciting opportunity. I am proud to be joining the Senior Management Team and look forward to delivering our ambitious strategy,” commented Anna Malloy, Communications and Marketing Director.

She added: “The Port of Milford Haven is playing a key role in the transition of South-West Wales’ economy to a decarbonised future. A beautiful place, with great people, that I am privileged to call my home.”

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Community

First deadlines met following enforcement action at landfill site

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THE first set of deadlines for the completion of actions to tackle the ongoing odour issues at Withyhedge Landfill in Pembrokeshire have been met, one week on following the issuing of further enforcement action by Natural Resources Wales (NRW).  

NRW issued site operator Resources Management UK Ltd (RML) with a further Regulation 36 Enforcement Notice on Thursday 18 April.

This outlined a series of actions to be completed by specified deadlines to address the ongoing odour and landfill gas emission issues at the site.

During the latest site inspection which took place yesterday (Thursday 25 April), NRW was able to confirm that three actions have been completed – two ahead of the imposed deadlines.

The operator has installed 24 pin wells, which have been driven into the waste in the lower section of the cell identified as causing the odour issues (Cell 8). These have also been connected to the landfill gas extraction system.

Capping material has been placed over the same area of the cell and welded to the basal liner to encapsulate gas in this area, allowing for extraction by the pin wells and four horizontal gas wells, which were previously installed.

While progress is being made, NRW officers detected strong landfill gas odours during an offsite assessment on Wednesday (24 April) in Poyston Cross and Crundale. Weather conditions this week appear to have led to a wider spread of landfill gas to surrounding areas, not solely linked to wind direction.

NRW odour assessments follow a set route around the landfill, with designated survey spots, identified to enable consistency of assessment and reporting. This is essential to ensure the regulatory and enforcement responses where there is offsite odour attributed to the landfill is robust. 

The remaining Regulation 36 Notice actions will require significant effort by RML to ensure they are completed on time and NRW continues to closely monitor progress.

Clare Pillman, Chief Executive of NRW, met with representatives from NRW’s South West Industry Regulation Team and Pembrokeshire County Council during a visit to Pembrokeshire on Thursday 25 April.

Clare Pillman, Chief Executive, Natural Resources Wales, said:  “While visiting the area surrounding Withyhedge Landfill with our regulatory team and partners from Pembrokeshire County Council this week, I was able to see and hear for myself just what people living and working in these communities have had to endure as a result of the odour issues from the site.

“What they have been experiencing is unacceptable and our officers have been working tirelessly alongside colleagues at Pembrokeshire County Council to ensure the operator gets this under control as quickly as possible. While it was clear that a lot of work has been done on site, there is still more to do to ensure they address all the actions set out in the enforcement notice.

“We want to make sure that happens, and are exploring every option together with Pembrokeshire County Council to ensure the operator works quickly to resolve the issues which are clearly affecting the quality of life of people in these communities.”

Huwel Manley, Head of South West Operations, said: “While we are reassured that action is being carried out by the operators at Withyhedge Landfill with a sense of urgency, we are continuing our regulatory presence on site to ensure the operator’s focus remains on tackling the issues that will address the continuing odour issues being experienced by surrounding communities.

“We will be closely monitoring progress over the coming days and weeks to ensure the operator complies with all the actions set out in Notice by 14 May. If they are not met, we will pursue additional enforcement action where appropriate.”

NRW requests that instances of odour from the landfill continue to be reported via this dedicated form: https://bit.ly/reportasmellwithyhedge or by calling 0300 065 3000.

Please report odours at the time of them being experienced, rather than historically. Reporting odours in a timely manner will help guide the work of partners more effectively, particularly in the further development of air quality monitoring.

These photos taken on 16 April and 25 April show the progress of capping works on cell 8. Pin wells are visible in both images. These have been connected to the landfill gas extraction system and are extracting gas from the waste mass.

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Community

Milford Haven’s war memorial is 100 years old today

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THE Milford Haven War Memorial, a significant landmark commemorating the fallen heroes of World Wars and subsequent conflicts, marks its 100th anniversary today.

The memorial, which was inaugurated on April 26, 1924 by the Venerable the Archdeacon of St Davids, remains a poignant symbol of sacrifice and hope for peace.

Constructed from 1923 to 1924, the memorial consists of a striking assembly of pink granite and white marble statues that were sculpted in Italy.

Representing the Army, Navy, and Air Force, these life-size statues stand on an unpolished three-step plinth below a main pedestal. A soldier faces west and a sailor east, with an airman atop the central column, surveying the skies.

The names and inscriptions of the fallen are carved into the polished granite shaft, meticulously supervised by surveyor J.P. Morgan with contractor E. Jones of Llanybydder.

Located on Hamolton Terrace with views over the Milford Haven waterway, the memorial is a freestanding structure in an external, roadside setting. It features a serviceman/woman sculpture in marble and Portland stone, set on a concrete base surrounded by railings. Inscribed plaques honour those who served in the First and Second World Wars, the Korean War, and the conflict in Iraq from 2003 to 2009.

The memorial lists the names of 239 men who perished in the First World War on its polished grey granite faces. The Second World War claimed 157 lives from this community, whose names are recorded on bronze plaques around the base. Notably, the memorial also honours one serviceman who fell during the Korean War and another who was killed in Iraq in 2007.

The Milford Haven War Memorial stands not only as a historical monument but also as an enduring reminder of the costs of war and the community’s ongoing commitment to peace.

As the town reflects on a century of remembrance, the hope remains that future generations will continue to cherish and learn from the lessons of the past.

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