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Health

Withybush paediatric care gone for good in yet another blow for hospital

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OVER seven years after “temporarily” closing Withybush’s 24-hour Paediatric Ambulatory Care Unit (PACU), Hywel Dda UHB decided to close the department permanently on Thursday, November 30.
In January, the Board will meet to receive the plan for its implementation plan to make the change permanent.

A FOREGONE CONCLUSION

Describing the Board’s decision as a foregone conclusion would be grossly unfair. But, as Thursday’s meeting chugged along, it became clear it was.
Bluntly, the Board has neither the money, resources, nor staff to return paediatric care to Withybush. It didn’t have them before the consultation began. In the interim period, the only thing that changed was the catastrophically worse financial performance that led to the Board being subject to enhanced monitoring by the Welsh Government.
The Board’s ability to deliver its preferred option, which included returning some outpatient services for children to Withybush, is doubtful.
However, it now needs a plan to implement its plan. That plan to have a plan for its implementation plan will be discussed in January when the Board will discuss the planned plan for a plan.
If the planned plan for a plan doesn’t work out, the Board will go back to the drawing board to draw up another plan for its plan.

A “TEMPORARY” PROBLEM

In three years, the Board moved from a 24/7 service to a promise to return to a 12/7 service to a bold attempt to preserve an 8/7 service.
As our columnist Badger noted five years ago, the next step was bound to be a 0/7 service.
And then Covid came along.
PACU was closed, and its services “temporarily” transferred to Glangwili during the pandemic.
At the end of the pandemic, PACU didn’t return.
Instead, the Board justified its continued cessation because of the risk of a spike in respiratory viruses.
When that spike didn’t happen, the Board consulted on a “permanent solution”.
And that permanent solution – as glaringly obvious for years – was permanent closure.

A DECADE OF WORTHLESS REASSURANCE

In 2014, the Board stopped providing 24-hour paediatric care at
Withybush. At the time, it said that a 12-hour provision was deliverable, and it planned to return 24-hour paediatric care to Withybush once it recruited clinical staff.
By then, there was only ONE advert for a single paediatric consultant at Withybush and NONE for nurses specialising in paediatric care.
At one point at the end of 2015, the Board suspended its recruitment campaign for posts at WithyWithybush’s after claiming to have recruited staff to fill vacancies there. It announced an intention to launch a more focused campaign later.
In November 2016, the Board restated its commitment to maintaining the Paediatric Ambulatory Care Unit’s opening hours at Withybush from 10am-10pm, even though it faced “renewed and significant workforce challenges at the consultant level”.
In 2017, CEO Steve Moore said the Board was clear: “The changes to paediatric services are temporary and in response to us needing to ensure a safe and reliable service for our families with the consultant paediatricians available.”
After ending the 12-hour PACU cover, the Board did not launch an effort to recruit for three months after its closure.
By the end of the same year, the Board said: “Unfortunately, we have not been able to recruit a sufficient number of consultants to support the re-establishment of the 12-hour PACU service, although our recruitment efforts continue.
“In the meantime, the Health Board is working with staff and partners to explore a number of ideas to support a sustainable PACU service for the longer term.”
In 2018, the Community Health Council issued a report.
It said: “The health board needs to do all it can to resolve the current temporary reduced hours arrangements in PACU”.

CONSULT THE PUBLIC, THEN IGNORE THEM

Thursday’s meeting continued to offer mealy-mouthed platitudes instead of health services.

Board members suggested that parents of children in need of paediatric care would be reassured by the clarity the permanent removal of a key service from Pembrokeshire would provide.
Discussing the lack of transport options, Board members said they would publicise the availability of the Designated Ambulance Vehicle and the use of a taxi service to ferry children and parents from Glangwili.
The disconnection between the Pembrokeshire public and the Board over the issues could not be more complete.
Board members said that the main problem with the attitude of Pembrokeshire’s concerned parents was communication.
Pembrokeshire’s respondents to the Board’s conscientious rubber-stamping process were clear the issue was not communication but concern about timely treatment close to home.
70% said PACU should return to Withybush. The Board’s alternative, closing PACU for good, was overwhelmingly rejected.
If communication were the issue, not the provision of treatment at Withybush, the Board could have resolved it by being straightforward and transparent.
It wasn’t.
All the communication in the world, delivered by the best communicators money can buy, cannot circumvent that epic failure of honesty.
Describing the Board’s decision as a foregone conclusion would be grossly unfair. But, as the meeting ground on, it became clear it was.
Bluntly, the Board has neither the money, resources, nor staff to return paediatric care to Withybush. It didn’t have them before the consultation began. In the interim period, the only thing that changed was the catastrophically worse financial performance that led to the Board being subject to enhanced monitoring by the Welsh Government.

TOTAL DISCONNECTION

Board members suggested that parents of children in need of paediatric care would be reassured by the clarity the permanent removal of a key service from Pembrokeshire would provide.
Discussing the lack of transport options, Board members said they would publicise the availability of the Designated Ambulance Vehicle and the use of a taxi service to ferry children and parents from Glangwili.
The disconnection between the Pembrokeshire public and the Board over the issues could not be more complete.
Board members said that the main problem with the attitude of Pembrokeshire’s concerned parents was communication.
Pembrokeshire’s respondents to the Board’s conscientious rubber-stamping process were clear the issue was not communication but concern about timely treatment close to home.
If communication was the issue, not the provision of treatment at Withybush, the Board could have resolved issues by being honest and transparent from the outset. It wasn’t. All the communication in the world, delivered by the best communicators money can buy, cannot circumvent that epic failure.

PERMANENT CLOSURE “BETTER”

Six years ago, “temporary” became the status quo.
Then “temporary” became a further “temporary reduction”. During Covid, the whole service was “temporarily” withdrawn.
So intense was Board members’ collective delusion at Thursday’s meeting that the permanent removal of the PACU service and its replacement with a vague promise of some outpatient clinics for children returning to Withybush sometime over the rainbow was represented as an improvement on the current position.
Even this Thursday morning, the current position was “temporary”, not permanent.
The Health Board’s thesaurus must look very peculiar.
Its word games demonstrate the extent to which the Board had long dispensed with the pretence of PACU’s closure temporary nature.
In the meantime, the Board plans to tell more people about its Dedicated Ambulance Vehicle and plans to fund taxis for distressed parents and sick and injured children.
You can bet that’ll make everything better.

Health

Hywel Dda appoints new of Executive Director of Nursing Quality and Patient Experience

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HYWEL DDA University Health Board has today announced the appointment of Sharon Daniel as its new Executive Director of Nursing, Quality and Patient Care.

Sharon has held the role of Director of Nursing, Quality and Patient Experience at the health board on an interim basis since January 2024, pending the appointment of a substantive Chief Executive Officer.

A well-known and well-respected leader within the organisation, Sharon brings a wealth of experience to the role, having dedicated her entire professional career to healthcare in the Hywel Dda region. Her journey spans clinical, academic and managerial roles — from her early days as an adult nurse to positions in site management, lecturing, infection prevention and control, clinical governance, and general management.

Since 2015, Sharon has served as Assistant Director of Nursing, working across areas including infection prevention and control, professional standards and regulation. She stepped into the role of Deputy Director of Nursing in May 2023 and was appointed interim Director of Nursing in early 2024. Her appointment to the permanent position recognises her leadership and deep commitment to the local population and workforce.

Professor Phil Kloer, Hywel Dda University Health Board Chief Executive, commented:

“Sharon has demonstrated outstanding commitment and leadership throughout her career with Hywel Dda. Her passion for nursing, deep knowledge of our services, and genuine connection to the people we serve make her an exceptional choice for this role. I am delighted to announce her appointment, following a competitive and open process, and look forward to continuing to work alongside her as we drive forward our ambitions for high-quality, compassionate care.”

Speaking on her appointment, Sharon said: “Hywel Dda is home to me. My family and I are part of the population, and I have worked within healthcare here since I finished my formal training.

“I’m incredibly proud to lead such a dedicated and passionate nursing workforce and I’m excited to work with colleagues to celebrate our achievements and build on them as we look to the future. Together, we’ll explore opportunities for interprofessional team working to help deliver our clinical strategy and the very best care for our communities.”

Sharon’s appointment marks a significant step forward in the Health Board’s ongoing commitment to strengthening professional leadership and improving outcomes for patients and communities across Carmarthenshire, Ceredigion, Pembrokeshire.

Swyddfa’r Cyfryngau | Media Office
Cyfathrebu | Communications 
Bwrdd Iechyd Prifysgol Hywel Dda | Hywel Dda University Health Board
mediaoffice.hyweldda@wales.nhs.uk

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Health

Senedd criticises ‘unacceptable’ delays on infected blood compensation

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SENEDD Members urged the UK Government to speed up compensation payments to people infected and affected by the contaminated blood scandal.

Labour’s Julie Morgan, who has campaigned on the issue for three decades, pointed out that nearly a year has passed since Sir Brian Langstaff published his damning final inquiry report.

More than 30,000 people in the UK were infected with HIV and hepatitis C after receiving contaminated blood products in the 1970s and 1980s.

Ms Morgan welcomed £11.8bn set aside by the UK Government but warned of “completely unacceptable” delays in issuing compensation to victims.

She told the Senedd: “But I can’t support the way in which the setting up of the compensation framework, and the Infected Blood Compensation Authority, has caused significant delays, and the delays in registering for the affected.”

Ms Morgan said two people die every week while awaiting compensation and 25 infected or affected people known to Haemophilia Wales have died since the inquiry began.

The former minister warned: “I’ve been told that the compensation tariffs are so complex that it’s extremely difficult to gauge who will be eligible. However, Haemophilia Wales estimates that there’ll be around 300 infected and affected entitled to compensation in Wales.”

She added: “I’ve also heard there have been rejections of transfusion estate applications due to the destruction of medical records held at the University Hospital of Wales.”

Stressing the practical impact of delays, she explained that if an affected person, such as a widow, dies the claim to compensation dies with them unlike with an infected person.

Ms Morgan said those infected and affected, some of whom gathered on the Senedd’s steps before the debate, have been fighting for justice for 40 years.

During topical questions on April 2, she told the debating chamber: “I think it’s up to us in this Senedd to do all we possibly can to urge the UK Government, and say, ‘Look, just get on with it, it’s just been far too long.’ This has been going on for years and years.”

James Evans, the Conservatives’ shadow health secretary, added his voice to a chorus of calls to increase the pace of compensation payments.

As did his Plaid Cymru counterpart Mabon ap Gwynfor who said: “Some patients’ families who have been in contact with me believe that the matter is being dragged out and that it’s intentional on the part of the government … to avoid paying out the compensation.”

Labour’s Hefin David, who represents Caerphilly, similarly raised the case of a constituent, echoing concerns the compensation scheme may unfairly discriminate against spouses and partners.

Rhun ap Iorwerth, who chairs the Senedd cross-party group on haemophilia and infected blood, urged Welsh ministers to press the case for compensation.

The Plaid Cymru leader quoted a constituent: “The government line is to meet its legal responsibilities as slowly as possible, in the hope we will all die soon and stop bothering them. We feel we are again being bullied by those in power, adding insult to severe injury.

“The situation cannot go on. The 4,000 or so infected victims must be compensated immediately so they can put the past behind them and enjoy the time they have left.”

Jeremy Miles, who was appointed Wales’ health secretary in September, said officials continue to press the UK Government on the need for timely compensation payments.

Health secretary Jeremy Miles
Health secretary Jeremy Miles

Mr Miles explained that the Infected Blood Compensation Authority is recruiting hundreds of claim managers who will prioritise claims for those nearing the end of their life.

Urged to make people’s frustration and anger known, he said: “The strength of feeling in the chamber is clear … it’s important to have a set of arrangements that can command confidence, so I’d be very happy to put the points to the UK Government in those terms.”

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Health

Welsh public want NHS, cost of living and infrastructure prioritised

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Report highlights top concerns and calls for long-term vision

THE WELSH public want the government to prioritise improvements to the NHS, tackle the cost of living, and invest in infrastructure, according to Deloitte’s latest State of the State report.

The 2025 report, published in partnership with the independent think tank Reform, reflects the views of both public sector leaders and the people who use public services.

For the third consecutive year, the state of the NHS and the cost of living were the most pressing concerns for people in Wales, with both issues cited by 75% of those surveyed. Social care for the elderly and vulnerable adults followed, mentioned by 48%.

Jobs and the economy (47%) and affordable housing (43%) were also high on the public’s list of priorities. One of the most notable increases was in concern about infrastructure—roads, railways and broadband—with 42% calling for improvements, a rise of six percentage points on last year.

When asked about the biggest drivers of future growth, respondents in Wales chose improving the nation’s health (45%), boosting education and skills (44%), and increased investment in infrastructure (39%).

Despite these priorities, most people were pessimistic about the outlook. Some 75% expected the NHS to stay the same or get worse, while 74% said the same about infrastructure.

Council chief executives interviewed for the report stressed that government infrastructure spending would be key to future growth. Other public sector leaders highlighted progress in Welsh transport, crediting a clear vision and strong partnership working for recent successes.

The biggest challenge facing public services, according to respondents, was a lack of funding, with 66% citing it as a concern. A further 55% expressed fears about a loss of trust in public services.

While trust in the Welsh Government remains higher than in the UK, Scottish or Northern Irish governments, the public remain sceptical about delivery. Some 63% said they had low trust in its ability to deliver major projects on time and on budget, while 61% doubted it could deliver outcomes people want.

On the question of taxation, Welsh public opinion was divided. Some 31% supported higher taxes and public spending, while 37% preferred lower taxes and reduced spending. Nearly half (47%) said they expected higher taxes and spending regardless of their preference.

Deloitte’s interviews with senior public sector leaders revealed ambitious long-term goals, including frictionless digital interaction with government services, improved collaboration between agencies, place-based planning for integrated transport and healthcare, and a shift toward long-term, commercially aware decision-making.

Dave Tansley, Deloitte’s senior partner for the South West and Wales, said: “The State of the State 2025 report shows the Welsh public remain concerned about the cost of living and the NHS. But our survey also found heightened interest in infrastructure, more so than in other parts of the UK, suggesting the public recognises the importance of connectivity to economic growth.”

He added: “Infrastructure investment supports jobs, housing, roads and rail—but more importantly, it provides the platform for long-term economic resilience. With public finances under pressure and the 2026 Senedd election approaching, the next administration faces difficult choices and the chance to deliver transformational change.”

Ian Howse, Deloitte’s senior partner for Wales, said: “Public sector leaders want bold reform—services that are joined-up, citizen-focused and tech-driven. While the Welsh Government is addressing immediate pressures, our research points to the need for a long-term vision. Leaders report growing urgency to deliver ahead of the next election, especially on economic growth, which is a positive sign for the future.”

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