Health
Pembrokeshire links to Chester Hospital CEO in centre of Lucy Letby row
THE SHOCKING case of Lucy Letby, a nurse found guilty of murdering seven babies and attempting to kill six others, has resonated across the medical community. This national scandal has taken a local twist with revelations of its ties to Pembrokeshire.
Tony Chambers, who once held a key position at Hywel Dda health board, and was often based at Withybush Hospital, Haverfordwest, moved on to become the Chief Executive at Countess of Chester Hospital around February 2013. Chambers was at the helm during the harrowing incidents involving Letby. According to the Guardian, he had directed senior doctors to apologise to Letby in 2017, even amidst ongoing concerns over her actions. These apologies were premised on two external reviews which did not specifically delve into Letby’s involvement in the infant deaths.

Back in 2010, as the director of planning, performance, and delivery, Tony Chambers initiated the downgrading of Withybush hospital. A leaked document from the Hywel Dda Health Board outlined long-term plans to remove histopathology from Withybush. Addressing this leaked information, Chambers stated that the report had been commissioned in light of increasing concerns regarding the “fragility” of the histopathology service. He remarked, “There is an issue around the safety and sustainability of that service. All you’ve got is a report with a range of options and a few recommendations but there’s no process around decision making, around a preferred option. We’ve tried to explain to you that safety and quality is our bottom line, but irrespective of all of that, your concern is that something is moving out.”
In 2012, autopsy and cellular pathology services were shifted from Withybush Hospital to Carmarthen. The local press acquired a document detailing the proposal to merge Cellular Pathology Laboratory and Autopsy Services. This report suggested the transfer of cellular pathology laboratory resources from Withybush to Glangwili and centralising all autopsies at the latter location. Chambers, who was instrumental in this decision, cited the need to address safety concerns. He stated, “The community health council has been fully briefed and we are currently engaging with staff and no decisions have been made.”

Furthermore, The Pembrokeshire Herald understands that Tony Chambers left his latest position with a hefty pension, estimated at £1 million. Subsequently, he held several other lucrative positions within the NHS.
The revelations of senior doctors being asked to extend apologies and express trust, particularly when suspicions loomed large, portrays a concerning picture. Chambers appears central to this narrative, with his decisions from both his tenure in Pembrokeshire and at Countess of Chester coming under the scanner.
Throughout the trial we heard that Lucy Letby’s colleagues were ordered to apologise to her after repeatedly raising concerns that the nurse may have been behind a series of unexplained baby deaths.
Senior doctors had warned for months that Letby was the only staff member present during the sudden collapses and deaths of a number of premature babies on the Countess of Chester hospital’s neonatal unit.
She was not removed from the ward until early July 2016, a year after a doctor first alerted a hospital executive to a potential link. By that time she had murdered seven babies and attempted to kill another six, a court found on Friday.
The Countess of Chester hospital NHS foundation trust is facing serious questions about how it responded to concerns raised about Letby and whether it should have acted sooner.
Hospital executives ordered a formal review into the spike in deaths in June 2016, a year after Letby’s killings began. Letby was removed from the unit the following month, and the police were not contacted for almost another year after that.
After the conclusion of the 10-month trial, a Guardian investigation based on new documents, interviews with hospital consultants and reporting from the trial, has found that: According to two consultant paediatricians, in July 2016 a hospital executive said contacting the police would damage the hospital’s reputation and turn the neonatal unit into a crime scene, after one senior doctor recommended bringing in criminal investigators.
As stated, Tony Chambers’ apology was ordered on the basis of two external reviews, which executives felt exonerated Letby. However, neither review was designed to examine whether she, or any other member of staff, was responsible for the deaths and both recommended that several deaths be investigated further. Doctors were told in early 2017 that Letby’s parents had threatened to refer them to the General Medical Council after her removal from the unit, according to internal documents.
While the grim events at Countess of Chester are a national tragedy, for Pembrokeshire residents, they also signify the need for introspection, especially given Chambers’ connection to local medical decision-making.
CONCERNS IN NORTH WALES
Welsh Conservative Shadow Minister for North Wales, Darren Millar MS, has called for a statement and assurances from the Betsi Cadwaladr University Health Board in the wake of the Lucy Letby trial.
Letby, who worked as a nurse at the Countess of Chester Hospital, was found guilty of murdering seven babies and attempting to murder six more in a trail that ended this week.
Commenting on the issue, Welsh Conservative Shadow Minister for North Wales, Darren Millar MS said:
“This is a devasting and shocking case which is causing a great deal of alarm in North Wales.
“Maternity services at the Countess of Chester Hospital have been used by many mothers from North East Wales over many years. So, it is vital that the Betsi Cadwaladr University Health Board makes a statement about when it was altered to concerns about baby deaths at the Countess of Chester and whether pregnant women from North Wales continued to be referred to the hospital after that date.”
“The people of North Wales need these assurances from the Health Board and the Welsh Government’s Health Minister, given that the NHS in North Wales was in special measures at the time that concerns were raised.”
He added: “We also need to know what action is being taken to ensure that there is full disclosure of such concerns in the future when cross border healthcare arrangements are in place between one NHS body and another to ensure that patients are protected from unsure risk of harm.”
Charity
Local St John Ambulance cadets confirmed national first aid champions
ST JOHN AMBULANCE is proud to share that three local St John Ambulance cadets have been crowned National First Aid champions after competing against eight other cadet teams representing counties across Wales.
The team, comprising Emily Williams (Yr 10, Ysgol Bro Gwaun), Ruby Collins (Yr 10, Ysgol Henri Tudor), and Gemma Tilbury (Yr 11, Ysgol Henri Tudor) represented the whole of Dyfed, and demonstrated exceptional skill, teamwork, and composure throughout three demanding rounds.
The competition consisted of a first aid knowledge quiz and exam, followed by a practical skills challenge assessing communication, teamwork, and the ability to perform under pressure—an area in which they excelled. The final round featured a complex, theatrically produced first aid scenario. Here, the team showed remarkable calm and professionalism as they stabilised a casualty with a severe compound bleed involving a large object lodged in the wound. They also managed distressed and aggressive members of the public, and successfully resuscitated an unresponsive, non-breathing casualty using CPR and a defibrillator—all completed in record time.
In Pembrokeshire, cadets train every Monday evening during term time from 5:45–7:15pm, with sessions focussing on practical, hands-on learning of real-life first aid skills, including CPR, defibrillator use, treatment of severe wounds, allergic reactions, choking, strains and sprains, head injuries, heart attacks, hypothermia, and much more. Training is engaging and interactive, often involving active, game-based learning, ensuring there is rarely a dull moment.
Cadets also have the opportunity to support a wide range of events delivered by St John Ambulance Cymru. Working alongside adult volunteers and healthcare professionals, they engage with the public at events of all sizes, applying their skills in real-world, and sometimes life-saving, situations.
Beyond events, cadets are encouraged to share their knowledge within the community, helping to lead first aid demonstrations and inspire others. Previous outreach has included sessions with Scouts, Cubs, Brownies, and Girlguiding groups, as well as senior community organisations such as the Pembroke Lions and specialist charities like Pembrokeshire People First. On a larger scale, cadets played a key role in organising and delivering “Defibruary,” where they helped lead a team of St John first aiders to train over 950 students at Henri Tudor in a single day in February 2026.
If you are interested in volunteering, opportunities are available for cadets aged 11–16 and adults aged 16+. We are always keen to welcome new members and are happy to discuss opportunities for adults to support the cadet programme as youth leaders.
To find out more visit https://www.sjacymru.org.uk/volunteer
Charity
Paul Sartori receives generous support from the James Tudor Foundation
Paul Sartori Hospice at Home is celebrating a major support package from The James Tudor Foundation thanks to an unrestricted grant to help fund the charity’s vital end-of-life care services throughout the county.
The £46,364 grant award ill be paid over three years.
Commenting on the windfall, the new Chief Executive Officer, Laura Hugman, said, “At a time where funding and funding partnerships are challenging, we’re very grateful to The James Tudor Foundation in helping us achieve our aims and passion for supporting and bringing reassurance to the local families who need us.”
Paul Sartori Hospice at Home provides an holistic approach to end-of-life care, which encompasses home nursing, equipment loan, complementary therapies, bereavement and counselling support, physiotherapy, future care planning, and training. The team provides thousands of hours of day and night respite care each year, ensuring that patients can receive the support they need, complementing the statutory provision within the comfort of their own homes.
Judith Williams, Grant Development Officer at Paul Sartori Hospice at Home, expressed the charity’s gratitude: “We’re incredibly thankful to The James Tudor Foundation for their continued generosity. Their support helps us maintain our nursing service, which is a lifeline for many families facing end-of-life care challenges.”
Paul Sartori Hospice at Home offers a comprehensive range of services to individuals with life-limiting illnesses, ensuring they can be cared for at home with dignity, independence, and comfort.
Health
FOI raises fresh questions over plan to close Pontyates GP surgery
Health board accused of misleading claims over recruitment as pressure mounts ahead of final decision
A FREEDOM of Information disclosure has raised serious questions over plans to close Meddygfa’r Sarn in Pontyates, with claims the health board failed to properly attempt to recruit permanent doctors before recommending its shutdown.
The row centres on Hywel Dda University Health Board, which is due to make a final decision on the surgery’s future later this month.
An FOI response reveals that while the board cited a “lack of recruitment interest” in its January report, there is limited evidence of any recent, targeted recruitment campaign specifically aimed at the Pontyates practice.
Instead, the board confirmed that salaried GP roles were advertised in 2020 across its wider portfolio of managed practices — rather than as a focused effort to fill posts at Meddygfa’r Sarn itself. Those vacancies did not result in successful appointments.
‘No real attempt’
Independent Senedd candidate Carl Peters-Bond, who is also a patient at the surgery, has strongly criticised the health board, accusing it of presenting a misleading picture to justify closure.
He said: “They cited a lack of recruitment interest as justification for closing this surgery — but they never actually ran a proper recruitment campaign for it.
“Sending out general adverts years ago is not the same as making a serious, targeted effort to keep a vital community service alive.”
He also raised concerns about the consultation process, claiming it focused on the impact of closure rather than asking whether closure should happen at all.
Fully reliant on locums
The FOI confirms that Meddygfa’r Sarn currently has no salaried GPs and is entirely dependent on locum doctors.
While the health board says this model is unsustainable in the long term, the same disclosure shows several other managed practices across the region also rely heavily on locum staff — some to a significant degree.
Cost data included in the response suggests Meddygfa’r Sarn is not the most expensive practice per patient within the health board’s area.
Alternative options unclear
Another key issue raised by campaigners is the apparent lack of explored alternatives.
The FOI response indicates that the health board does not hold information on alternative local solutions, including potential relocation or different service models within the Pontyates area.
Campaigners argue this suggests closure was considered before all options had been properly examined.
A 52-page independent report submitted as part of the consultation process states that dispersing patients to other surgeries should only be considered as a last resort, after full recruitment efforts and capacity assessments have been carried out.
Health board position
Hywel Dda University Health Board maintains that the surgery, which serves around 4,350 patients, has faced long-standing recruitment difficulties and increasing reliance on temporary staff.
It says a Vacant Practice Panel concluded that dispersing patients to neighbouring surgeries would provide a more sustainable long-term solution.
The board has also acknowledged that transport and access concerns are likely to be a major issue for patients if the closure goes ahead, with a full Equality Impact Assessment expected to be considered before a final decision.
Decision later this month
The future of Meddygfa’r Sarn will be decided at a meeting of Hywel Dda University Health Board on Wednesday (May 28) at Yr Egin in Carmarthen.
With local anger growing and new questions emerging from the FOI disclosure, pressure is mounting on board members to reconsider the proposal.
Campaigners say the case now hinges on a simple question: whether enough was done to save the surgery before moving to close it.
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