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Health

Children to be turned away from Withybush A&E in department downgrade

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WITHYBUSH GENERAL HOSPITAL’S accident and emergency department will be downgraded to an ‘adults only service’ until at least the spring of 2022, according to Simon Hart. There has been no word yet from the Health Board but the local MP has posted the controversial plan to his Facebook page.

Children requiring emergency treatment will have to be ambulanced to further-away hospitals, putting pressure on the local ambulance service, who are already reducing the number of vehicles available in the county from seven to five.

Withybush is experiencing a severe shortage of staff, and is also grappling with the third wave of COVID-19 infections, which is expected to be announced as one of the reasons for the downgrade.

But some hospital insiders are saying things are worse in Carmarthen.

In addition, hospital sources have told the Herald that three unvaccinated COVID-19 patients died in Withybush last week.

The plan has come to a shock to many, but Steve Moore, the Health Board’s Chief Executive, has this week reported that there are 66 people in our hospitals with confirmed Covid, 10 of these are in Intensive Care

The local ambulance service is under great pressure, with many crews spending long waits at the hospital (Pic Herald)

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.

Reacting to the news of the downgrade to A&E, Tracy Olin, who runs the PATCH charity said on social media: “People without cars and/or money already struggle to get to Withybush. How are they supposed to be able to afford to get to Carmarthen? This will be an added pressure on our ambulance service. Sadly I fear, even with excellent arguments against the plans for Withybush the decision will not change.”

Local resident Bev Jenkins also added her concerns, saying: “Paediatrics is needed full time at Withybush, also now with only five ambulances going to be in Pembrokeshire, its shameful. Withybush needs all its services back! Sack half the pen-pushers at the health board, reduce the managers at the hospital, employ more doctors and consultants.”

Heather Scammell commented on Facebook, saying: “Were I to comment what I really think about Hywel Dda’s shameful disregard for the needs of Pembrokeshire residents, I would be permanently banned from Facebook. To leave our County without paediatric care for so long is indefensible and no further downgrade of A&E is acceptable.

More than 1,200 people – many of who credit Withybush Hospital with saving their life or that of a loved one – came out to protest planned cuts to services in November 2018.

Families, staff and current and former patients braved the bad weather to send a message to Hywel Dda health board: Pembrokeshire must keep its A&E department.

Children will need to be ambulanced to Carmarthen in an emergency, adding extra journey time. (Pic Herald)

Demonstrators shared moving personal accounts of how the hospital has helped them, and aired concerns over the potential impact if it is downgraded, and services moved to a new site between Whitland and St Clears.

Addressing the crowd at the time, Preseli-Pembrokeshire MP Stephen Crabb: “When 40,000 people sign a petition to the health board, they mean it.

“Most of us are here because Withybush is part of our lives, it’s part of our community. The campaign is not over. We will keep fighting to defend our A&E.”

The question now is, how does closing the A&E to children affect their safety, and does it put our children’s lives at risk?

The health board has been contacted for a comment.

A demo against cuts to services in Cardiff in 2018 (Pic Herald)

Community

Fresh pleas to save much-needed Pembroke Dock day centre

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A PLEA to keep Pembroke Dock’s Anchorage Day Centre open is to be heard at a full meeting of Pembrokeshire County Council next week.

The Anchorage Day Care Centre in Pembroke Dock has been a “safe and happy place” for adults with learning difficulties and additional needs for decades.

In more recent years it has expanded to support elderly dementia sufferers.

But now the centre is expected to close, with services instead being offered elsewhere in the county, including Haverfordwest and Milford Haven.

A series of engagement events have taken place at The Anchorage recently, outlining the reasons and the options in continued service.

One parent, who wished to remain anonymous, said: “One young woman who attends ran out of the first meeting sobbing when she was told it was going to close. Another, at the second meeting, tried to address the meeting but was so choked up at the thought of not seeing her friends anymore she could hardly speak.”

In a submitted question to be heard at the May 9 meeting, member of the public Peter Welsh will ask: “Is the council aware of the huge impact the impending closure of the Anchorage Adult Day-care Centre in Pembroke Dock is already having to the health and mental wellbeing of my daughter and 20 other vulnerable adults with special needs and learning difficulties, who are unable to cope with changes to routine, or to process and understand what is happening to them?

“And would the council, therefore, please review its closure decision and retain the centre and the vital and invaluable service it provides not only to the individuals concerned but also to the parents?

“If not, what specific measures does the cabinet member have in place to support my daughter and these other individuals who need extra assistance to enable them to maintain their independence, value and allow their carers to have valuable respite from their caring responsibilities and what are the estimated costs for these substitute measures?”

A Pembrokeshire County Council spokesman has previously said: “Following the engagement sessions held with families and service users regarding the future of the centre on April 10 and 17 at the Anchorage, families said that they would like to maintain the Anchorage Day Centre and explained that they would write to the council in order to ask for the decision to be overturned.

“People who attend the service will be offered alternative care, all service users are currently having their individual care needs assessed by social work teams to fully understand which other services best meet those care needs.”

An online e-petition, on the council’s own website has been launched calling for it to stay open.

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Health

Chairman opens new NHS 111 Wales Service Centre in Haverfordwest

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IN a ceremonial occasion on Thursday (May 2), Thomas Baden Tudor, Chairman of Pembrokeshire County Council, inaugurated the new NHS 111 Wales service centre at Haverfordwest Ambulance Station. The event was marked by Mr. Tudor cutting the red ribbon, a task he was honoured to perform at the behest of Matthew Jones, Locality Manager of the Pembrokeshire Ambulance Service.

The NHS 111 service, which is accessible round the clock, offers urgent health advice and information about available services, including dental care and general medical guidance. This vital resource also provides support on managing illnesses and conditions and ensures continuity of care when GP offices are closed.

Speaking at the event, Mr. Tudor expressed his pride and privilege in participating in the launch, which underscores the community’s commitment to enhancing healthcare accessibility. The new service centre is expected to play a pivotal role in providing prompt medical advice and support to the residents of Pembrokeshire.

The service is free and can be reached by dialling 111 from any phone, ensuring essential healthcare advice is just a call away.

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Health

Junior doctors secure strike extension in pay negotiations with WG

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BMA Cymru Wales has confirmed a positive development in its pay negotiations announcing that Junior doctors have secured a three-month extension to their overwhelming strike mandate.

This means that junior doctors in Wales now have the right to enact industrial action over their pay until 17 September 2024 instead of 17 June when the mandate was due to run out.

Recognising the strength of feeling amongst junior doctors and the overwhelming 98% vote by members in favour of industrial action back in December 2023, employers have agreed to honour this extension to allow talks with the Welsh Government to continue.

Co-chairs of the Welsh Junior Doctor Committee Dr Oba Babs-Osibodu and Dr Peter Fahey said of this development:

“We are pleased to be able to secure an extension to our overwhelming strike mandate. Whilst we hope to put an end to our pay dispute through pay negotiations by reaching a credible deal and restoring our pay, it was important to secure more time for our mandate.

“The extension allows us to focus on talks but also provides us with the scope to get organised and enact our legal right to strike should we need to. This is about honouring the emphatic mandate of our members.

“Doctors have experienced real terms pay cut of almost a third since 2008. They voted overwhelmingly to put an end to the devaluing of their service, they know they are not worth a third less than their predecessors and they know the time is now to stick up for the profession and turn the tide of the continued erosion of their pay once and for all”.

The Welsh Government and NHS employers have agreed to the extension as part of ongoing pay negotiations where all parties hope to reach an end to the pay dispute with junior doctors, SAS doctors and Consultants in Wales.

Last month, BMA Cymru Wales announced it was suspending forthcoming industrial action for Consultants and SAS doctors and putting plans on hold to announce more strike dates for junior doctors to allow pay negotiations to take place*.

The decision to enter pay negotiations was based on a significant proposal from the Welsh Government to form the basis of talks to end the pay disputes with all secondary care doctors including Consultants, SAS, and Junior doctors, with the aim of reaching deals which can be taken separately to their respective members.

In August last year, the BMA’s committees representing secondary care doctors in Wales voted to enter separate trade disputes with the Welsh Government after being offered another below inflation pay uplift of just 5% for the 23/24 financial year. SAS doctors on some contracts were offered as little as 1.5%. This was the lowest pay offer any government in the UK offered and less than the DDRB, the pay review body for doctors and dentists, recommended last year.

As part of their disputes, SAS doctors, consultants and junior doctors carried out successful ballots for industrial action. Since then, junior doctors have taken part in 10 days of industrial action since January this year.

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