Health
High level of COVID-19 cases is impacting health service provision locally
HYWEL DDA Health Board has said that the high number of COVID-19 cases locally is a concern and is impacting on our public services across the Hywel Dda area. This is despite While the link between coronavirus infections and serious illness is weakening.
Public bodies have been making efforts this week to reassure that multi-agency partners are continually working together across the region to protect our communities, local public services and the NHS.
There have been 300 new coronavirus cases recorded in the Hywel Dda health board area according to the latest figures. Public Health Wales (PHW) data shows there were 199 new cases in Carmarthenshire, 63 in Pembrokeshire and 38 in Ceredigion since the last report.
The total number of cases across the three counties now stands at 26,930 – 16,620 in Carmarthenshire, 6,742 in Pembrokeshire and 3,568 in Ceredigion. One new COVID-19 related death has been recorded in the Hywel Dda area since the last report, with the total reaching 503 throughout the pandemic.
In total 2,618 new cases of coronavirus have been reported across Wales on Friday (Sept 17), bringing the national total to 320,099 cases.
Steve Moore, health board Chief Executive reported that there are 66 people in our hospitals with confirmed COVID, ten of these are in Intensive Care. He stated that about half of those in ICU have been vaccinated and added that the clinical view is that patients respond more quickly and favourably if they are vaccinated. All COVID deaths in the past few weeks have been of unvaccinated people.
Infection rates are coming down slightly but are still very high, with 506 cases per 100,000 people in Carmarthenshire (the 2nd highest level in Wales) and 293 cases per 100,000 in Pembrokeshire. There is a test positivity rate of 16% across the HB area. It is thought that cases peaked on 6th September, though the full impact of schools going back may not yet have been seen.
Hywel Dda University Health Board, Public Health Wales and Carmarthenshire, Ceredigion and Pembrokeshire local authorities together regularly monitor, review and agree actions needed to respond and manage the ongoing pandemic. This is co-ordinated through the Hywel Dda Regional Incident Management Team, established at the beginning of the pandemic, and continues to be further supported by county specific teams.
The Health Board put out a statement on Friday (Sept 17), saying: “Communicating regularly with our public across the region has been a key focus in our response to the pandemic. Currently, this has involved Community Development Outreach workers engaging with minority ethnic groups within the community”; and supporting youth services and groups in messaging to young people about how to keep safe and encourage vaccination.

“Local public sector leaders have come together to acknowledge the sacrifices people have made to keep our communities safe and to appeal to the public for support during the coming days and weeks.
Maria Battle, Chair of Hywel Dda UHB, continued: “The future does bring a degree of uncertainty, such as the roll out of the flu vaccine alongside COVID-19 booster jabs. What is certain however is the commitment of the health board and our partners to be as prepared as possible. The health board’s comprehensive recovery plan outlines, first and foremost, how we recover from the pandemic: how we support our staff to recover after what has been an exhausting year and a half, and how we lay the foundations to recover our services and support our communities.”
Temporary Chief Constable of Dyfed-Powys Police, Claire Parmenter, said: “With the uncertainties we face locally at the moment, we want everyone living, working and visiting this area to keep each other as safe as possible, so please remember the protective behaviours that will help ensure this for us all.
“We want it to be as easy as possible for people to get in touch when they need us. So save your time and report online – as you can now report non-emergency crimes and incidents online quickly and easily on our website
“This includes reports of domestic abuse, crimes, antisocial behaviour, road traffic incidents and collisions, and more. The online reporting isn’t replacing 101. But it’s important to promote the availability of our online services to those who would prefer to use this option, and it does mean we can answer calls from those who cannot contact us online quicker.
“We continue to work with our partners in a coordinated approach to serve in the best interests of our communities at this challenging time.”
Cllr Emlyn Dole, Leader of Carmarthenshire County Council, said: “Carmarthenshire currently has a very high number of COVID-19 cases and is one of the worst affected areas of Wales at the moment. This is putting huge pressure on our services and the NHS.
“This virus does not discriminate – it is affecting people young and old. I would appeal to anyone who has not yet had the vaccine to go and get it as soon as possible. We should also remain vigilant when socialising and follow the measures in place to protect us.”
Councillor Ellen ap Gwynn, Leader of Ceredigion County Council, said “Although Wales is now in Alert Level 0, COVID-19 is still spreading in our communities. We must all continue to consider how we keep each other safe and reduce the risk of spreading the coronavirus. It remains good practice to maintain social distancing and to limit our contacts as much as possible.
“We urge all Ceredigion residents aged 16 and above to ensure that they take up the offer of both doses of the COVID-19 vaccination. It’s easy to go and get the vaccine with walk-in clinics available. Having both doses will not only protect you, but also your family, friends and colleagues. We also look forward to 12-15 year-olds becoming protected through vaccination.”
David Simpson, Leader of Pembrokeshire County Council, said: “It has been easy to think we are through the worst of this pandemic, but the recent weeks have been a reminder how we must all continue to tackle this issue collectively. These past 18 months have been very tough and lockdown restrictions have changed our lives.
“In the past few weeks we have experienced a high volume of visitors to the county which can at times add additional pressures on our services.
“I cannot emphasise enough that this pandemic has not ended. Covid-19 has not gone away and we must all continue to work together and redouble our efforts, particularly as we head into autumn and winter.
“Please continue to socially distance where possible, wear face coverings where required, continue regular handwashing and choose outdoor activities or meet people outdoors over indoors.
“If you have COVID-19 symptoms, get tested. Don’t risk spreading this virus. These are simple actions that we can all take to help. They really do make a difference.
“Our front-line teams are working hard to support our communities and ensure we deliver key services. I would ask for your support to help us to keep Pembrokeshire open and welcoming to all.”
Over half a million doses of vaccine have been delivered in total with 91% of the eligible population having had at least a single dose.
A 3rd dose is soon to be offered to a well-defined group of immunocompromised people. The single dose vaccine for 12-15 year olds will be given out at Mass Vaccination Centres (MVCs) during evenings and weekends starting in early October.
From 27th September booster doses will be given with GPs delivering them to care homes, and the MVCs will be used for everyone else. GPs will be concentrating on administering flu vaccines.
Cases of RSV which can be serious in children under 5 are expected to peak in late October/early November and the HB has been asked to prepare for a 50% increase in cases.

What local Heath Board is doing?
Vaccination – Hywel Dda University Health Board, Public Health Wales and Carmarthenshire, Ceredigion and Pembrokeshire local authorities together regularly monitor, review and agree actions needed to respond and manage the ongoing pandemic. This is co-ordinated through the Hywel Dda Regional Incident Management Team, established at the beginning of the pandemic, and continues to be further supported by county specific teams.
Health care – Board says it has taken steps to ensure it can care for those most critically ill in our hospitals by postponing some operations temporarily and realigning our workforce; has further limited visiting in areas affected by COVID-19.
Supporting communities – through the local county incident management teams (IMTs), local authorities are providing guidance and support to schools following the recent return of pupils.

Health
Medicine shortages now ‘most severe on record’, health leaders warn
PATIENTS are facing some of the worst medicine shortages ever seen in the UK, with pharmacists warning the situation now poses a serious risk to safety.
The National Pharmacy Association said shortages affecting commonly used medicines are becoming more frequent, lasting longer, and causing increasing disruption for patients, GP surgeries and pharmacies.
The warning comes as Serious Shortage Protocols for Creon, used by people with pancreatic cancer and cystic fibrosis to help digest food, have been in place since May 2024 and have now been extended until July 10, 2026.
HRT treatment Estradot has also been under a Serious Shortage Protocol since December 2024, with the current extension also running until July 10.
Patients travelling between pharmacies
A survey by the National Pharmacy Association found that 98 per cent of pharmacies had encountered patients who had visited several pharmacies in one day to find a prescription.
It also found that 96 per cent of pharmacies believed the current situation posed a serious risk to patient safety, while 89 per cent said they had been unable to dispense a medicine at least once a day because of supply problems.
Some pharmacy teams have also faced anger and abuse from patients unable to obtain medication.
Olivier Picard, Chair of the National Pharmacy Association, said: “Medicine shortages are becoming more frequent, lasting longer and causing increasing disruption for patients.
“These shortages are some of most severe the UK has experienced.
“It is deeply distressing to find patients who have travelled from pharmacy to pharmacy to find the medicines they need without success.”
Calls for urgent taskforce
The NPA is calling on the government to convene an emergency taskforce involving manufacturers, wholesalers, clinicians and pharmacists.
It also wants changes to rules which currently stop pharmacists from making simple substitutions, such as changing a tablet to a capsule or a cream to an ointment, even where a safe alternative is available.
Professor Victoria Tzortziou Brown, President of the Royal College of GPs, said medicine shortages were frustrating for patients, GPs and pharmacists, and added pressure to already stretched services.
She said the College supported pharmacists being able to make limited changes to prescriptions where a medicine is unavailable and a safe alternative exists.
She added: “The most important thing is that patients are able to access the medication they need safely and without delay.”
The Cystic Fibrosis Trust and Pancreatic Cancer UK have also raised concerns about the impact of shortages of pancreatic enzyme replacement therapy, including Creon, on people who rely on the medication to digest food, maintain weight and stay well enough for treatment.
Health
Woman jailed assaults on police, harassment and XL Bully possession
A CARMARTHEN woman has been jailed after admitting a lengthy catalogue of offences including assaults on police officers, harassment, breaching a Community Protection Notice, shop theft, possession of an XL Bully dog and assaulting a paramedic.
Tilly Rees, 25, of Llys Caermedi, Carmarthen, appeared before Llanelli Magistrates’ Court on Wednesday (Jun 18).
The court heard that Rees admitted multiple breaches of a Community Protection Notice issued in 2025, including incidents in which she shouted abuse in public, caused distress to residents and repeatedly targeted individuals named in court proceedings.
Harassment campaign
Among the offences was a harassment charge relating to a course of conduct against a Carmarthen man between March and May this year.
Prosecutors said Rees approached him on multiple occasions, shouted abuse, called him a paedophile and video-recorded him and his home.
She also admitted a series of Community Protection Notice breaches linked to the same behaviour.
Police assaults
The court heard that Rees assaulted a number of police officers during incidents in Llanelli on May 1 and May 5.
Several assault charges against serving police constables were taken into account by the court when sentence was passed.
A further charge of assaulting a paramedic at Dafen Police Station on June 12 was also admitted.
Shop theft and XL Bully
Rees also admitted stealing items including sanitary products, deodorant, skincare products and reading glasses from a Carmarthen pharmacy.
In a separate matter, she admitted possessing an XL Bully dog contrary to the Dangerous Dogs Act. The court ordered the dog to be forfeited and destroyed after Rees relinquished her rights to it.
Restraining orders imposed
District Judge M Layton imposed a number of restraining orders preventing Rees from contacting named individuals or referring to them online.
The orders prohibit direct or indirect contact and restrict social media activity relating to those protected by the orders.
Jailed for 26 weeks
Magistrates concluded that only an immediate custodial sentence could be justified.
Rees was sentenced to a total of 26 weeks’ imprisonment.
The court heard that some of the offences were committed while she was already subject to a suspended sentence, while others involved assaults on emergency workers carrying additional aggravating factors.
Education
Senedd Members walk out after Reform MS’s comments
COMMENTS made by a Reform MS led to a walkout in the Senedd during a debate on the Welsh Government’s international spending.
A Reform motion, calling for an end to all Welsh Government international spending, was rejected by Senedd Members on Wednesday June 17.
Wednesday’s plenary opened with Llywydd Huw Irranca-Davies reminding members to mind their language and tone when contributing, following clashes between Reform UK’s Joe Martin and the First Minister in Tuesday’s proceedings.
Mr Irranca-Davies said: “Robust disagreement is part of democratic debate, but it must always be grounded in respect and we must avoid using language that has the potential to inflame debate or to increase tensions.”
The debate was opened by Reform’s shadow minister for finance and government efficiency, Cai Parry-Jones, but it was the contribution made by Caerdydd Penarth MS Joe Martin which sparked the most controversy.

Announcing to his colleagues that he had “good news”, Mr Martin began his statement by sharing that he had “found the £9 million” needed for Plaid’s “childcare idea”.
However, Mr Martin then added that the “bad news” was to get the money the government would have to stop funding “some of the most pointless schemes known to man”.
One example Mr Martin gave of these so-called “pointless schemes” was a beekeeping scheme in Uganda designed to advance gender equality.
The scheme, run by Bees for Development and their partner organisation, The Uganda National Apiculture Development Organisation, aimed to enhance women’s economic empowerment through beekeeping.
It challenged gender norms in the industry, increasing the visibility of women in technical and policy leaderships roles.
Mr Martin then suggested Wales had won the “Who can find the stupidest use of taxpayer money?” competition because of a scheme supporting tree planting in Uganda.
He said: “We actually asked some Ugandan people what they thought about Wales’s scheme to send them money for trees and they said, ‘Why are you sending us money for trees?’
“We then asked the same question to some Welsh students who had been through our underfunded education system, but we didn’t get a reply because we had e-mailed them and they couldn’t read.”
Mr Martin went on to criticise the money spent on mini embassies abroad.
He said: “In India, one of the functions of those mini embassies is to recruit nurses to come and work in our NHS, which is great because it means that the Welsh people who would have otherwise become nurses can instead go on universal credit.”
The Reform MS then added: “I have enquired as to why we can’t just have an enormous pit where we burn all the money, but apparently that’s not compliant with net zero.”
At this point in Mr Martin’s statement Plaid Cymru’s Zaynub Akbar, of Caerdydd Ffynnon Taf, announced she was going to leave the Siambr.
She said: “I don’t accept any of this and I don’t want to be a part of it, so I’ll be leaving the chamber.”

She was followed by numerous other Senedd Members, including Trefnydd and chief whip Heledd Fychan.
Mr Martin was then reminded by the Llywydd of Senedd rules, which mandate respect in the chamber, before he could continue his contribution.
He concluded his speech to the Senedd by saying: “In Westminster, the Tory party doubled foreign aid whilst imposing austerity. There are now only seven of them in this chamber. The same fate awaits any party that insults taxpayers by frittering money overseas on feel-good vanity projects.
“So, I want to encourage the Party of Wales to be nationalist, to put Wales first. Spend your constituents’ money on your constituents. That way, when someone is lying in a hospital corridor and they ask you, ‘are you really the Party of Wales?’, you’ll be able to say ‘yes’.”
At the end of the debate, the Llywydd directly addressed Mr Martin calling for him to “reflect” on his remarks and contributions, noting that it was “not in line with [his] expectations”.
Mr Irranca-Davies described it as “particularly disappointing” given the comments he made at the beginning of plenary.

He said: “Going forward, I think we all need to reflect on this and make sure that we comply with our conduct within this chamber and the way we comport ourselves in light of my remarks.”
Welsh Conservative leader Darren Millar expressed his support for the Reform-backed motion, saying it is a debate about where responsibilities lie.
He said: “It’s very clear that foreign relations, international development are matters for the UK Government, not the Welsh Government, and as a result of that, I believe that we respect devolution and can expect respect for devolution back when we respect the boundaries of our legislative competence and the competence of the Welsh Government’s position as well.”

Mr Millar highlighted that his party has continuously argued against the development of “mini embassies” and “overseas offices”.
The Conservative leader did clarify however that he is not “anti-international aid”, and noted the “generous” nature of the people of Wales.
But he added: “I do not believe that when people are dying waiting for ambulances, when we’re at the bottom of the educational tree as far as the league table of the United Kingdom is concerned, and when our road infrastructure isn’t working, our transport infrastructure is creaking, that it’s right to spend those millions of pounds on those things, when the Welsh Government should be focused on the things for which it is responsible.”
Taking an intervention from Labour’s Huw Thomas, Mr Millar was questioned on whether he recognises that the majority of international spending is on economic development for Wales.

Mr Millar once again referred to the role of the UK Government, noting that it is their responsibility to bring inward investment to the UK as a whole.
He said: “We will always want to be an internationalist country, looking out and seeking to influence the world, but we do that as part of the United Kingdom, an integral part of the United Kingdom.
“And I’m proud to be a member not only of the Welsh Conservative Party, but of the Conservative and Unionist Party, and I believe in the union of the United Kingdom, and that these foreign relationships and international development are done better as a United Kingdom as a whole.”
Plaid Cymru’s Gwyn Williams shared a notably different perspective to that of his Conservative and Reform colleagues.
Prior to being elected to the Senedd, Dr Williams was a consultant ophthalmologist specialising in retina care at Swansea Bay University Health Board.

Speaking as someone who has worked within the Welsh NHS Dr Williams said: “Wales has long been a country that looks beyond our own horizons, looking to make a difference in the world and help where we can, but also we rely on help coming in to us as well.
“Many, many healthcare workers, of course, come from abroad, especially here in Wales, and every hospital in the country would crumble if all the international workers went home.”
He continued: “In Singleton Hospital in Swansea, in the eye department, I am the only Welsh-speaking, Welsh-origin consultant there, and much as I like to convince myself that I can do the work of ten people, I cannot, especially now because I am here.
“Chronic shortages in these sectors increase hospital discharge delays, reduce bed availability and create bottlenecks across the healthcare system.
“At a time when the NHS is struggling, we need the support from abroad as well, though we also, of course, need to grow our own ability.”
Concluding his statement Dr Williams said: “This whole debate tries to position international investment and domestic investment as a zero-sum game. It isn’t.
“Looking outwards does not come at the expense of looking inwards. I suggest that such a simplistic outlook condescends to the people of Wales and stymies science.”

The cabinet minister for government effectiveness, Dafydd Trystan Davies, called for reflection on the tone of the debate, suggesting that the “standard of this debate [had] descended to the level of a public house, not of a national Senedd”.
He said: “My friend the leader of the Welsh Conservatives made a speech, and I disagree with more or less all of it, and yet it was conducted properly and in line with the standing orders and the procedures of this Senedd.
“I think we should all take our duties properly as parliamentarians, whatever views we agree or disagree on.”
Dr Trystan Davies highlighted that international spending makes up just 0.03% of the Welsh Government’s overall budget, which he described as a “small contribution” to “building our prosperity, protecting our public services, strengthening our culture, and promoting our values”.
He said: “Our international work turns that belief into action, creating jobs and investment, exports and partnerships, life-changing experiences for students, new colleagues for our NHS and enabling communities in Wales and beyond to learn from one another.
“When Wales works internationally, Welsh people benefit. Our businesses reach new markets, universities build global partnerships, young people return home with skills and confidence, and Wales’s reputation grows.
“We should be proud of that, not in a narrow way, not with our backs turned to others, but proud to be generous and outward-looking, proud to share, proud to learn – internationalist, not isolationist.”
The motion to end all Welsh Government international spending, tabled in the name of Blaenau Gwent Caerffili Rhymni’s Reform MS Llŷr Powell, was rejected by the Senedd with 37 members for and 48 against.
The Siambr then agreed Plaid Cymru minister Heledd Fychan’s amendment, which proposed the Senedd “regrets Reform UK’s isolationist approach to Wales’s place in the world” and “celebrates Wales’ reputation as an internationalist, tolerant and outward-looking nation open for business, which is enhanced by its international engagement, including spending.”
The amended motion was agreed with 48 in favour and 37 against.
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