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Health board mulls formal public consultation over selection of new hospital site

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HYWEL DDA University Health Board will next week decide whether to hold a formal public consultation to assist with selection of the site for a new urgent and planned care hospital somewhere in the zone between and including Narberth and St Clears.

An extraordinary health board meeting is being held at 9.30am on Thursday 4 August 2022 and one of the recommendations in the report being discussed, and supported by the independent watchdog Hywel Dda Community Health Council, is to hold a public consultation process.

A huge amount of work to review five potential sites for the proposed new hospital – one in Narberth, two sites near Whitland and two near St Clears – has already taken place with public and patient representatives, clinical and non-clinical staff, and stakeholders, including other public sector organisations.

However campaigners fighting to save Withybush Hospital say that the health board has not done enough to engage with the public. They say that most people want services retained at the current Withybush Hospital site.

Ahead of the meeting, Hywel Dda Director of Strategic Development & Operational Planning, Lee Davies said: “We are so grateful for the significant work that has been carried out during the appraisal process and this will be presented to the health board next week. It will be down to the board to determine which sites should be taken forward for further consideration and a recommended public consultation as this is such a fundamental part of our service provision for future generations.”

This would be the next step towards the health board’s long term strategy for a healthier mid and west Wales. It follows submission of a programme business case to the Welsh Government earlier this year, seeking more than a billion pounds of investment in the buildings and capital infrastructure in west Wales.

A fundamental enabler to investing more in community and preventative health and care, and to deal with long standing challenges in the health and care system in the area, is the provision of a new urgent and planned care hospital.

The zone, somewhere between and including Narberth and St Clears, is the most central for the majority of the population in the south and was determined as part of the engagement, option development and public consultation held between 2017 and 2018.

The health board meeting will hear outputs from four separate land appraisal groups, focusing individually on the technical, clinical, workforce, and financial/economic considerations of the possible sites and areas within the zone.

From the reports, there is not a current ‘preferred’ site as there is a range of different evidence, impacts and viewpoints to be considered.

The technical appraisal group, made up of a majority of public from across our localities as well as staff, scored the potential sites considering weighted technical criteria and feedback from public engagement. Four of the five sites had very similar scores, with only one of the sites near St Clears scoring significantly lower than others.

Two distinct clinical groups – one for neonatal services, obstetrics and paediatrics and another for stroke services – considered the implications of siting the new hospital either further east, centrally or further west within the zone.

The neonatal services, obstetrics, and paediatrics expert group found of the three geographical areas within the zone, those furthest east presented the least clinical risk to services. Attendees of the workshop were of the opinion that a site further east outside the zone would be preferable. They were concerned that the zone presents a risk of reduction in critical mass of patients, due to potential for people in the east attending services elsewhere and resulting in a reduction in birth numbers, and neonatal and paediatric admissions. This was outside the scope of the appraisal and the geographical zone was agreed following engagement and consultation in 2018.

The expert group for stroke services reported that any area of the zone would be suitable due to the focus on pathways and how patients are treated beyond their initial admission. It did however state that for access to workforce reasons the sites central or east would be more preferable.

The workforce appraisal focused on the accessibility impact for the Health Board’s workforce. Evidence the group considered, included travel time analysis and potential staffing impact and risk. The group noted that there would be impact on those who traditionally are able to work locally to their homes and those who reasonably expect to travel linked to their professions. Different strategies to reduce this impact would be adopted as work progresses. The group found it inconclusive to say if a site further east would have a greater impact to securing a sustainable workforce overall, including for recruitment.

The financial and economic appraisal focused on appraising the process and outcomes that may be required for capital funding and next steps in land acquisition. It found as a percentage of the overall estimated costs of the development, there was little to distinguish between different sites.

The Health Board will also be presented with information about the overarching and ongoing Equality and Health Impact Assessment and how people with protected characteristics are being involved and considered, as well as how any negative impacts for people will be minimised.

You can watch the meeting on live stream, and a link will be available from the Health Board website.

 

Local Government

Milford Haven council to discuss new powers, safety requirements and finances

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MILFORD HAVEN TOWN COUNCIL will meet on Monday (Jun 22), with councillors due to consider a range of governance, financial and community matters.

The meeting will be held at the Milford Haven Sea Cadets and Royal Marines Cadets Unit, Unit A, Havens Head Business Park, at 6:00pm.

Before the main agenda, councillors will receive a presentation from Mr A Harries, Development Officer for Mid and West Wales at One Voice Wales, on the General Power of Competence.

The power allows qualifying town and community councils in Wales to do anything an individual may generally do, provided it is not prohibited by law. It is intended to give councils greater flexibility in delivering local services and projects.

Members of the public will have the opportunity to ask questions during a ten-minute public question and answer session.

Councillors will also receive updates from the Mayor, reports on councillor engagements and community activities, and feedback from representatives on outside bodies.

Items on the agenda include the approval of minutes from the council meeting held on June 8, reports from the Estates Group and Social Media Group, and a report on a Meeting Owl 3 video conferencing system.

The council is also due to consider the appointment of the chair of the Finance, Governance and Projects Committee, which was deferred from the previous full council meeting.

Other business includes a report on health and safety requirements for Milford Haven Town Council, representation on an outside body as an additional community governor at Gelliswick VC School, and financial matters including the May 2026 schedule of accounts and bank reconciliation.

Remote access to the meeting can be provided to councillors and members of the public on request.

 

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Health

Welsh Government announces £145m NHS funding boost

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NEW funding of £145 million has been announced for NHS Wales as ministers seek to cut waiting times, improve hospital facilities and increase capacity across the health service.

The package, announced as part of the Welsh Government’s Supplementary Budget for 2026 to 2027, includes money to reduce waiting lists, develop surgical and diagnostic hubs, and carry out essential maintenance across the NHS estate.

Health leaders and nursing representatives have welcomed the investment, but warned that money for buildings, equipment and waiting list initiatives must be backed by a wider plan for staffing, primary care, community services and social care.

The Welsh NHS Confederation said the additional funding was welcome, but called for a “whole-system” approach to health and care.

Its director, Darren Hughes, said: “NHS leaders in Wales welcome this additional funding for the NHS to reduce waiting times and make essential maintenance across the NHS estate.

“We also welcome the Health and Care Minister’s focus on developing a long-term strategy to address waiting times. We agree that a long-term solution is required to build sustainable capacity and drive whole-system improvements.”

Mr Hughes said strengthening primary and community care would be essential, including programmes designed to move more services closer to people’s homes.

He added: “Alongside improvements in primary care, we must also prioritise the social care sector.

“We would also welcome a broader and more balanced approach to how NHS and social care performance is measured and published. Focusing solely on waiting times does not provide a complete picture, and there needs to be more comprehensive data published across the breadth of the NHS and social care services.”

The Royal College of Nursing Wales also welcomed the investment, but warned that new facilities alone would not reduce waiting lists unless there were enough appropriately trained staff to run them.

Nicola Williams, Executive Director of RCN Wales, said investment in surgical and diagnostic hubs and essential maintenance had the potential to reduce delays, improve patient experience and increase NHS capacity.

But she said: “Buildings and equipment alone will not reduce waiting lists.

“Delivering sustainable improvements depends on having the right, appropriately trained and skilled workforce in place, and nurses will play a pivotal role in the provision of safe, effective and efficient care.”

RCN Wales said nursing staff across Wales were reporting rising patient complexity and demand, missed breaks, and difficulty providing the level of care patients need.

The union also raised concerns that newly qualified nurses had faced uncertainty about securing permanent employment, despite continued pressure on services.

Ms Williams said Wales could not afford to lose the talent and commitment of a generation of nursing graduates.

She added that any move towards strengthening primary and community care must be matched by investment in the nursing workforce needed to deliver those services.

The announcement will now raise questions about how much of the funding will reach west Wales, and whether Hywel Dda University Health Board patients will directly benefit from any new surgical or diagnostic hub.

No specific locations for the proposed hubs have yet been confirmed.

 

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Community

Rivers groups to meet local Senedd Member over pollution concerns

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CAMPAIGNERS from across north Pembrokeshire and south Ceredigion are set to come together later this month to press for action on the growing problem of river pollution.

Representatives from several river groups will meet local Senedd Member Anna Nicholl at Haverhub in Haverfordwest on Monday, June 29, to discuss concerns about the health of local waterways and explore potential solutions.

The event follows the recent Senedd election and comes as environmental groups seek to influence policy under the new Welsh Government. Organisers say there is an opportunity to tackle what they describe as an environmental crisis affecting rivers across Wales.

Groups attending include those representing the Rivers Cleddau, Teifi, Nanhyfer and Gwaun. Members have been involved in monitoring water quality, gathering environmental data, engaging with local authorities and the Welsh Government, and promoting greater public appreciation of rivers and their ecosystems.

While each organisation operates independently and focuses on issues affecting its own river catchment, the groups regularly work together on wider environmental initiatives, including river festivals and awareness campaigns.

Organisers say the meeting will provide an opportunity for campaigners to share their concerns directly with the local Senedd Member and discuss what further action may be needed to improve river health and reduce pollution.

The session will be chaired by Fishguard County Councillor Billy Shaw and community campaigner Vicky Moller.

The public is invited to attend the meeting, which takes place from 2:00pm to 4:00pm at The Sorting Office, Haverhub, Haverfordwest.

 

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