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Internal major incident at Withybush Hospital over building’s safety

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THE HYWEL DDA UNIVERSITY HEALTH BOARD has today (Aug 15) declared an internal major incident at Withybush Hospital as it seeks to identify the scale and impact of the Reinforced Autoclaved Aerated Concrete (RAAC) found in the hospital building.

The health board has decided to declare an internal major incident in relation to RAAC at Withybush Hospital to enable it to stand up its command and control structures (Gold, Silver and Bronze). In doing so, the health board is also able to prioritise the work of our teams to deal with the emerging issue and draw upon support from partner agencies that are members of the Dyfed Powys Local Resilience Forum.

RAAC is a material that was commonly used in the construction of buildings between the 1960s and 1990s. Its presence has been confirmed at Withybush hospital and at a limited part of Bronglais hospital. It has also been identified at a range of NHS properties across the UK, including several properties in Wales. 

The health board said that it is working with a Welsh Government approved external contractor to identify the scale of the issue – this involves surveying each of the RAAC planks on site. Where structural issues are identified, the extent of the remedial work is also being assessed.

Plans were put in place in May 2023, at the start of the survey process, to manage the impact on the operation of day-to-day services at the hospital and prioritise the availability of hospital beds. However, as they survey progresses the scale of the issues identified is putting additional pressure on the availability of clinical space and is likely to have a knock-on impact on services.

The health board’s statement reads: “To date, three wards in Withybush have needed to close due to the condition of the RAAC planks found, with the situation being managed and patients relocated to other health board locations in Pembrokeshire.

“Our intention is to manage as much of the relocation of patients within Pembrokeshire as possible.

“While best efforts are being made to conduct survey work as quickly as possible, the resulting findings of the survey work is, in some cases, requiring patients to be moved from wards to alternative locations and adapting services to reflect the availability of the site.

“As time progresses, this is likely to have an impact on other health board services at other sites as we move patients and services to alternate locations. Local mitigations are also being put in place, including structural props and temporary closure of impacted areas.

“Unless notified otherwise, patients should continue to attend their appointments and access services at Withybush Hospital as usual. However, this may be subject to change at short notice. Wherever possible, patients will be communicated with directly should a change be made to the service or clinic they are due to attend. Further information will be made available on the health board website at hduhb.nhs.wales/RAAC

“We know that the survey work and remedial action can cause considerable disruption and concern amongst members of our community and we apologise for any inconvenience caused. The health board would like to thank hospital staff, patients and visitors for their patience and understanding over the coming months while we carry out this essential work.”

Concrete safety under investigation

WORK continues on a programme of surveys at Withybush Hospital to determine the condition of concrete roof planks in wards at the hospital site in Haverfordwest.

Withybush’s principal construction is concrete panel and plank. The panels form the walls, and the planks support the panels. Due to several significant design flaws dating to its original construction, Withybush has chronic roof problems.

Those problems are additional to the fact Withybush’s fabric is beyond the end of its predicted service life.

When the then-Pembrokeshire Health Authority’s Estates Directorate carried out surveys of Withybush between 1989 and 1991. Those surveys predicted end-of-life within 20-25 years due to the inferior materials used in construction and the cost of maintaining the building.

The surveys began in May 2023. They aim to manage the risks around reinforced autoclaved aerated concrete (RAAC) planks. They are expected to continue for at least another seven months.

RAAC is a material commonly used in building construction between the 1960s and 1990s. Its presence has been confirmed in National Health Service properties across the United Kingdom, including several properties in Wales.

The UK’s Standing Committee on Structural Safety reported risks associated with aerated concrete in 2019. The product is still manufactured and installed worldwide.

It can be an appropriate construction material if properly designed, manufactured, installed, and maintained.

Professor Chris Goodier, a Materials Scientist from Loughborough University, said: “It is RAAC from the 1950s, 60s and 70s that is of main concern, especially if it has not been adequately maintained. RAAC examples have been found with bearings (supports) that aren’t big enough and RAAC with the steel reinforcement in the wrong place, which can have structural implications. Prolonged water ingress (not uncommon on old flat roofs) can also lead to deterioration.”

NHS England issued an instruction to NHS Trusts affected requiring aerated concrete’s removal by 2030.
Hywel Dda University Health Board’s Director of Operations, Andrew Carruthers, said: “In response to Welsh Government and wider industry alerts on this product, we have put in place a range of measures to manage the risk.

“In May 2023 we appointed a structural engineering company to undertake further intensive surveys of the areas in question and provide a full report on each RAAC plank.”

Survey work is being undertaken at pace and is likely to continue for several months. The work includes a visual survey of affected areas before a plank-by-plank detailed survey.

Where structural issues are identified, the extent of the remedial work is also assessed. This may see more local mitigations, including structural props and temporary closure of impacted areas.

Mr Carruthers continued. “Survey and repair work will have an impact on clinical areas and hospital wards, so all arrangements for repair work are being supported by the clinical hospital managers.”

Plans were put in place at the beginning of the survey process to manage the impact on the operation of day-to-day services at the hospital, with the availability of hospital beds a priority.

The order of surveys and associated remedial works have been arranged to maximise clinical capacity and ensure routine and emergency surgery can continue with minimal disruption to patient care.

To compensate for the temporary loss of beds at Withybush, 14 additional beds have been made available in Cleddau Ward at South Pembrokeshire Hospital in Pembroke Dock.

“Our hospital and community teams are working closely together to provide effective alternatives to the reduced capacity at Withybush, ensuring our patients are cared for in a place that best suits their needs, and this includes more beds and treatments in our community hospitals,” said Mr Carruthers. “This, in turn, has enabled us to treat more patients who have required hospital care and reduce the time they stay in hospital.”

Teams are now implementing plans for the next phase of the surveys on the remaining wards and offices on the ground floor at Withybush Hospital. This includes a visual inspection of planks in the first instance, which will identify any areas of concern.

Mr Carruthers continued: “We know that the survey work can cause considerable disruption and I would like to thank hospital staff, patients and visitors for their patience and understanding while we are carrying out this essential work.”

Professor Goodier said: “The Department for Education (in England) has requested all of the country’s 20,000+ schools to check if they contain RAAC, but some still have not, and hence urgently need to. Several have found RAAC and have been advised to seek expert guidance from a qualified Structural Engineer.

“The Ministry of Defence also issued a safety alert in 2019 on the back of the SCOSS report and is also investigating the problem.”

Preseli Pembrokeshire MS Comments

Preseli Pembrokeshire Senedd Member Paul Davies said: “It’s of critical importance that survey work is done quickly and I hope that Hywel Dda University Health Board is doing everything possible to make sure that happens.”

“The Welsh Government also has an important role to play in supporting the Health Board and ensuring it has the support and resources it needs to understand the scale of the problem – and to ensure remedial work takes place as quickly and safely as possible, so that patients can continue accessing services at Withybush hospital.”

“Given the seriousness of the situation and the impact it will have on the delivery of services in Pembrokeshire, I will be writing to the Health Minister to ensure the Welsh Government provides the Health Board with the support that it will need.”

“Remedial work needs to take place as soon as possible so that services continue at Withybush hospital.”

 

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Starmer battles to survive as revolt inside Labour deepens

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Seventy MPs now calling for Prime Minister to quit or set departure timetable after disastrous election losses

SIR Keir Starmer’s premiership was hanging by a thread on Monday night as a growing rebellion inside Labour threatened to spiral into a full leadership crisis just hours after his major “reset” speech.

The Prime Minister had attempted to relaunch his government with a high-stakes address in London following Labour’s disastrous election results across the UK.

But instead of calming unrest inside the party, pressure on Starmer intensified dramatically throughout the day.

By Monday evening, the BBC reported that 70 Labour MPs had now publicly called for Starmer either to resign immediately or set out a timetable for his departure.

The number rose steadily throughout the afternoon and evening following the speech, with several ministerial aides resigning from government positions and openly declaring they had lost confidence in the Prime Minister.

Leadership crisis deepens

Starmer used the speech to admit Labour had “made mistakes” and acknowledged that the election results had been “tough, very tough”.

He insisted he would not resign and pledged to fight any leadership challenge.

The Prime Minister said: “I know I have my doubters, and I know I need to prove them wrong, and I will.”

Asked directly whether he would stand aside, Starmer replied: “I’m not going to walk away.”

The speech had been billed as a make-or-break moment for his premiership, with growing numbers of Labour MPs openly questioning whether he could recover politically after the party’s heavy losses.

Instead, the situation appeared to worsen.

BBC political correspondents described the Prime Minister as being in a “very vulnerable” position, with some MPs now openly discussing whether his premiership is becoming unsustainable.

Government aides quit

The most damaging developments came later in the day as parliamentary private secretaries — junior government aides often seen as future ministers — began resigning.

Tom Rutland became the first government aide to quit, saying he no longer had faith in Starmer’s leadership and calling on the Prime Minister to set out a timetable for departure.

Joe Morris, parliamentary private secretary to Health Secretary Wes Streeting, also resigned, saying Starmer no longer had “the trust or confidence of the public”.

Naushabah Khan later resigned as parliamentary private secretary to the Cabinet Office while calling for “new leadership”.

Melanie Ward also quit her role as parliamentary private secretary to Foreign Secretary David Lammy.

Several MPs warned privately that more resignations could follow if Starmer refuses to stand down.

The growing revolt now appears to span multiple factions within Labour, including MPs linked both to the left of the party and to senior figures on the party’s more centrist wing.

Three key pledges

Earlier in the day, Starmer had attempted to reset his leadership by announcing a series of major policy pledges.

The Prime Minister promised a closer relationship with Europe, saying the next EU summit would mark a “new direction for Britain” and place the country “at the heart of Europe” once again on trade, defence and economic cooperation.

He also announced plans for a major youth opportunity scheme allowing young people to work, study and live in Europe more easily.

Starmer pledged further investment in apprenticeships, technical colleges and special educational needs provision, alongside a guarantee that every young person struggling to find work would receive a job, training place or work placement.

The biggest announcement centred on steel.

Starmer confirmed legislation would be introduced this week to allow the government to take full ownership of British Steel, subject to a public interest test.

The move follows government intervention to protect the Scunthorpe steelworks after concerns over its Chinese owner Jingye.

Wales criticism grows

In Wales, however, the speech triggered immediate criticism.

Opponents accused Starmer of failing to address Welsh Labour’s historic collapse in last week’s Senedd election and pointed out that Wales was barely mentioned during the speech itself.

Welsh Liberal Democrat Westminster spokesperson David Chadwick MP accused Labour of becoming “out of touch” with Welsh communities.

He said the Prime Minister had failed to offer “the fresh thinking people are crying out for”.

The British Steel announcement also reignited anger over the handling of the Tata Steel crisis at Port Talbot.

Critics contrasted the move to potentially nationalise British Steel in Scunthorpe with the lack of full government intervention for Port Talbot workers and communities during the closure of the blast furnaces.

The issue is likely to become increasingly politically sensitive in Wales, particularly following Labour’s severe election losses.

Mounting danger

Despite the growing revolt, senior Labour figures continued rallying behind the Prime Minister on Monday evening.

Housing Secretary Steve Reed said the “quiet majority” of Labour MPs still supported Starmer and warned against creating a “revolving door of leaders”.

Labour chair Anna Turley also publicly backed the Prime Minister, saying she was “proud” of his leadership.

But BBC political editors reported that the pressure on Starmer was now intensifying by the hour.

Some MPs are believed to be pushing for a rapid leadership contest, while others are reportedly trying to buy time for Greater Manchester Mayor Andy Burnham to return to Westminster and potentially contest the leadership.

Other names being discussed include Health Secretary Wes Streeting and Deputy Prime Minister Angela Rayner.

The Prime Minister insisted during the speech that Labour had to prevent Britain going down what he described as a “dark path” and warned against “division” and “grievance politics”.

But by Monday night, the biggest political battle appeared to be inside Labour itself.

For Starmer, the speech was meant to draw a line under Labour’s election disaster.

Instead, it may have accelerated the crisis threatening to end his premiership.

 

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Health

NHS Wales users share mental health support stories

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Two Welsh patients say free online programmes helped them manage anxiety and stress

TWO people who transformed their mental wellbeing with the help of NHS Wales’ online support services are encouraging others to seek help during Mental Health Awareness Week.

Kate, 39, from Cardiff, and George Ryley, 27, from Aberystwyth, both say free online self-help programmes helped them regain control during difficult periods in their lives.

The pair were supported through SilverCloud Wales, a suite of digital mental health programmes based on Cognitive Behavioural Therapy, managed by Powys Teaching Health Board.

The stories are being highlighted as part of Mental Health Awareness Week, which this year focuses on the theme of “Action”.

Parental anxiety

Kate sought help after her young son began suffering febrile seizures, triggering severe anxiety that quickly escalated.

“My chest would tighten and I’d get this feeling like a wave of nausea,” she said. “I couldn’t eat, couldn’t focus.”

She described becoming consumed by fear, constantly checking on her son and worrying about possible seizure triggers.

“I was so distracted at work that I had to stay behind after hours, and at home I didn’t feel I was always present with my son in the right way,” she said.

After speaking with her GP, Kate was diagnosed with parental anxiety and referred to SilverCloud’s “Space from Anxiety” programme.

She said the flexibility of the online course made it easier to fit around family life.

“I could do it in the evening when my son had gone to sleep, or during breaks in the day. It worked around me,” she said.

Kate says she still regularly uses mindfulness, breathing exercises and writing techniques she learned through the programme.

“I haven’t had a single anxiety attack since I started it,” she added. “I’ve not looked back.”

Stress and illness

Meanwhile, Aberystwyth resident George Ryley turned to the service after work pressures and illness left him physically and mentally exhausted.

“I was used to being busy and active,” he said. “Then suddenly, even having a shower would sap all my energy for the day.”

George said a period of poor health linked to mould toxicity left him bed-bound for several weeks and badly affected his mental wellbeing.

After contacting his GP, he was referred for counselling and encouraged to try SilverCloud’s “Space from Stress” programme.

“I didn’t have the most positive mindset at first,” he said. “But as I worked through it, I was amazed at how effective it was.”

Each SilverCloud user is assigned a dedicated supporter who provides encouragement and advice throughout the course.

“Having such lovely feedback on my progress was really motivating,” George said.

“I’ve recommended SilverCloud to so many people who I know have been struggling with stress.”

Taking the first step

Fionnuala Clayton, project manager for NHS Wales’ Online CBT Service, said the stories showed how small actions could make a major difference.

“This Mental Health Awareness Week reminds us that action doesn’t have to be dramatic or overwhelming – sometimes it’s simply about taking that first step to seek support,” she said.

“SilverCloud Wales gives people the tools to understand their thoughts, manage anxiety and stress, and build resilience in a way that fits around busy working and family lives.”

SilverCloud Wales is free to access through NHS Wales and can be used on phones, tablets or laptops.

The service is not intended as a crisis support platform or for those requiring high levels of intervention.

People can sign up at nhswales.silvercloudhealth.com/signup.

 

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Community

Fishguard RNLI volunteers respond after yacht runs aground

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SOLO SAILOR HELPED TO SAFETY BY COASTGUARD CREWS

FISHGUARD RNLI volunteers were paged on Saturday evening (May 9) after a 26ft yacht broke free from its mooring and ran aground near Fishguard Lower Town quay.

The charity’s D-class inshore lifeboat, Edward Arthur Richardson, was launched at 7:56pm following a request from HM Coastguard.

Information received was that the yacht, with one person on board, had grounded on the seaward side of the quay.

When the lifeboat arrived, the helm assessed the situation and sea conditions. Swells were lifting the yacht before dropping it back onto rocks below the surface.

Because of the yacht’s position and the weather conditions, it was decided that the safest way to assist the sailor was from the shore. Fishguard Coastguard officers, who were already on the quay side, helped the casualty from the vessel and back up the steps on the quay wall.

The lifeboat remained on standby while coastguard crews assessed the situation. During that time, the helm kept the inshore lifeboat facing into the conditions to ensure the safety of those on board.

Once it was confirmed that the sailor, members of the public and coastguard officers were safely away from the water, the lifeboat was stood down and returned to station.

‘Not viable to tow’

Fishguard RNLI volunteer Lifeboat Press Officer, Cedwyn Rogers said: “Fishguard’s volunteer crew responded to a request from HM Coastguard to attend a yacht with one person on board that was being pushed onto rocks by the weather.

“Once on scene, the helm made an assessment and it was determined that, given the proximity to the quay and accessibility of the casualty vessel from shore, the most appropriate way in which to preserve life was for the casualty to be assisted from the yacht by coastguards.

“With the vessel already aground and the nature of the surf due to the northerly winds, it was not viable to attempt a tow without presenting further unnecessary risks to the lifeboat crew and casualty.

“Once a vessel has grounded, the structural integrity and stability of a vessel is unknown, and to tow it off could compromise that further. In these situations, other means of assisting a casualty will be utilised.

“With the casualty sailor safe with HM Coastguard and no further persons near the water’s edge, the lifeboat returned to station.”

The RNLI added that anyone who is in trouble at sea, or who believes someone else may be in difficulty, should call 999 or 112 and ask for the Coastguard.

Pic: RNLI/Rhodri Pugh-Dungey.

 

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