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Concerns over access to hearing services in Wales

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CONCERNS have been raised about access to hearing services, with statistics showing the number of people on waiting lists for a hearing aid has ballooned by 150% in three years.

Janet Finch-Saunders told the Senedd that 527,100 adults – 17% of Wales’ population – have a degree of hearing loss that would benefit from treatment such as hearing aids.

She said that 4,000 people were waiting for a hearing aid appointment three years ago but by September 2023 that number had reached nearly 10,000.

Highlighting that Wales has the highest proportion of over-65s of any UK nation, she told the chamber it is imperative to develop the best hearing services possible.

She explained that incidence increases by about 1% per year of age, so 80% of 80-year-olds and 90% of 90-year-olds will have hearing loss.

The Aberconwy MS raised concerns about a “postcode lottery” in terms of waiting times.

She said only one patient waited longer than 14 weeks in Swansea, 583 in Hywel Dda and a staggering 1,674 in the Betsi Cadwaladr University Health Board area.

Ms Finch-Saunders pointed out there is also an inconsistent spread of audiologists employed by health boards with five in Powys and 65 in Betsi Cadwaladr.

Calling for greater collaboration with independent providers such as Boots and Specsavers, she argued it would help health boards add capacity and improve access.

She said the model, which is in use in England and Ireland, has provided services at a third of the per-patient cost compared to hospital services.

Ms Finch-Saunders highlighted that the National Deaf Children’s Society (NDCS) found that 26% of families were dissatisfied with waiting times for paediatric audiology.

She told MSs: “Health needs to work with education, which has seen a 17% reduction in teachers of the deaf in Wales since 2011.”

Ms Finch-Saunders added that NDCS has found that some children are being denied individual development plans under Wales’ new additional learning needs system.

She warned: “Hearing loss cuts people off from each other. This can increase the risk of social isolation, cognitive decline and other mental issues.

“And I’m given to understand that it can actually bring on early dementia and Alzheimer’s.

“Too often, deaf people who simply cannot hear quite often feel that they are referred to as ‘daft’ people – and that’s the stigma that we’ve got to get rid of.”

Mark Isherwood, who lost his hearing as a younger person, urged ministers to recognise that demand for audiology services is only going to increase.

He echoed calls for the NHS to work with community audiology service providers.

Natasha Asghar, a fellow Conservative, who represents South Wales East, highlighted a Senedd event on adult age-related hearing loss that she sponsored on Tuesday.

Joel James, who spoke about his own experiences of hearing loss at the event, said hearing impairment is linked to cognitive decline but when aids are fitted, it ceases immediately.

He said: “If we look at child development, we know of social isolation, the impact in terms of speech and language, and then also the social skills that can be impaired.

“And then if we look at when we become adults, in terms of the working environment, there are 4.4 million in the entire UK that have hearing difficulties.

“Many of them feel that they’re being discriminated against in the working environment.”

Russell George, the Conservatives’ shadow health minister, emphasised the need for early intervention and diagnosis, saying it can bring a saving down the line.

Responding to the short debate on February 7, Eluned Morgan recognised that hearing loss can be devastating at any age and can leave people feeling isolated.

The health minister said audiology services are delivered differently from the rest of the UK, arguing there is a stronger emphasis on primary and community care than elsewhere.

Baroness Morgan said she does not have any principled objection to exploring private sector options but the Welsh Government will prioritise public sector provision.

“If they can’t do it, then, obviously, let’s look at alternatives,” she told the chamber.

“But I would like to give this a fair wind, and I guess the health boards are on notice that they’ve got to deliver on what we’re asking them to deliver.”

She added: “Let’s stick to the plan, and, if they don’t deliver, then there’ll be ructions.”

Charity

Shalom House adapts to community needs amid financial struggles

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A HOSPICE in St Davids is finding new ways to support the community after financial challenges forced changes to its operations. Shalom House, a well-loved facility on Nun Street, has shifted its focus in recent years, balancing healthcare provision with its founding mission.

Established in 2007, Shalom House was originally designed as a five-bed hospice offering respite and palliative care. Its creation was made possible by the donation of the property from Elizabeth de Guise, a novelist with a deep connection to Pembrokeshire. However, rising costs and funding shortfalls have led to significant changes in how the hospice operates.

In late October, the closure of St Davids Surgery prompted Shalom House to repurpose two of its rooms for use by a branch surgery. The facility is now home to a service staffed by practice nurses under Hywel Dda Health Board, ensuring local residents continue to have access to healthcare.

Balancing priorities

While the move has been welcomed by many in the area, it has come at a cost. Shalom House now operates with three respite beds instead of five, a change that has sparked concern among some supporters.

“We had to make a difficult decision,” a spokesperson for the hospice said. “Our primary goal is to serve the community, and this arrangement allows us to do so in multiple ways. The branch surgery provides vital medical care while helping us generate income to keep Shalom House open.”

The hospice continues to offer day-care services to several patients each week, with additional respite care provided as resources allow. Trustees are optimistic that full capacity can be restored in the future, depending on funding.

Community campaign brings hope

Despite the challenges, Shalom House has received overwhelming support from the Pembrokeshire community. A recent campaign, “Save Shalom,” has seen donations increase dramatically, offering a glimmer of hope for the hospice’s long-term future.

Local resident and campaign volunteer, Jenny Williams, said: “Shalom House means so much to so many people. It’s more than a building—it’s a lifeline for families across the county. We’re determined to do everything we can to keep it running.”

Looking ahead

The trustees are exploring new ways to raise funds and expand services, with plans to launch a series of community events next year. They have also expressed gratitude for the continued generosity of local residents, whose donations remain crucial.

“Shalom House has always been about Pembrokeshire’s people,” said the spokesperson. “Every penny donated helps us provide care and support to those who need it most. We’re confident that, with the community behind us, we can overcome these challenges.”

For more information about Shalom House or to make a donation, visit www.shalomstdavids.org.

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Entertainment

A Christmas spectacular at St Davids Cathedral delights audience

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A CHRISTMAS celebration of music and song enthralled audiences at St Davids Cathedral on Saturday (Dec 14), as the St Davids Cathedral Choir and Vox Angelica presented A Christmas Spectacular. The event, which began at 7:00pm, offered a festive evening of performances set against the awe-inspiring backdrop of one of Wales’ most iconic landmarks.

The concert featured the talented harpist Bethan Semmens, who captivated listeners with her intricate and emotive playing. A Cardiff native, Semmens studied at the Royal College of Music and has performed at prestigious events across the UK and internationally. Her contributions to the evening brought an enchanting touch to the programme.

The night was packed with beloved seasonal pieces, showcasing both choral and soloist performances. Highlights included the timeless Good King Wenceslas, Winter Wonderland, and festive classics such as The Twelve Days of Christmas. The Cathedral Choir delivered stirring renditions under the vaulted ceilings, with carols and arrangements that beautifully resonated throughout the space.

Special moments featured solos by Harriet Pearce and Sophie Cooke, who lent their voices to favourites like There Is No Rose and Balulalow. The audience was further treated to a moving arrangement of A Ceremony of Carols by Benjamin Britten, performed in harmony with Bethan Semmens’ harp accompaniment.

A medley of carols encouraged audience participation, culminating in a joyful and spirited atmosphere. Families, friends, and visitors joined their voices for classics that brought warmth and festivity to the wintry evening.

The performance concluded with an uplifting recessional, leaving attendees with a sense of seasonal cheer. The Cathedral, adorned with Christmas trees and lights, provided the perfect setting for what many described as an unforgettable musical experience.

The Herald understands that A Christmas Spectacular was a resounding success, with plans already underway for next year’s event.

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News

Greyhound racing in Wales: Future hangs in balance as decision delayed until 2025

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THE WELSH GOVERNMENT’S decision to postpone a ruling on the future of greyhound racing until 2025 has sparked mixed reactions, with animal welfare groups voicing disappointment and industry representatives welcoming the extended timeline for discussion.

Welfare groups demand urgent action

Animal welfare organisations, including Dogs Trust, RSPCA Cymru, Blue Cross, Greyhound Rescue Wales, and Hope Rescue, have expressed dismay at the delay. The coalition, known as Cut the Chase, has long advocated for an end to greyhound racing in Wales, calling the postponement a missed opportunity to prevent further harm.

Their concerns mirror recent developments in New Zealand, where greyhound racing will be banned by August 2026 due to concerns over injuries and fatalities. Owen Sharp, Chief Executive of Dogs Trust, stated:
“The call to end greyhound racing in Wales has received overwhelming support from the animal welfare community, Members of the Senedd, and the public, with over 35,000 people signing a petition demanding change.

“It is unacceptable that so many dogs die or are seriously injured every year, all in the name of entertainment. Wales now stands alongside only a handful of countries, including England and Scotland, where this outdated and inhumane practice persists. The Welsh Government must take the only meaningful action to stop this cruelty: end greyhound racing once and for all.”

Public supports a phased ban

A consultation conducted by the Welsh Government revealed that 64.69% of respondents supported a phased ban on greyhound racing. Despite this, officials have opted to extend deliberations, with a final decision now expected in 2025.

Animal welfare groups highlighted troubling figures from the Greyhound Board of Great Britain (GBGB), which reported 359 racing greyhound deaths and 4,238 injuries in 2023 – a 47% increase in fatalities compared to the previous year. Concerns extend to off-track welfare, including reports of poor living conditions, inadequate nutrition, and lack of enrichment for retired greyhounds.

Industry defends its welfare standards

The GBGB has countered criticism by emphasizing welfare improvements at licensed tracks such as Valley Stadium in Wales. Mark Bird, GBGB Chief Executive, said:
“Valley Stadium’s licensing has brought significant welfare improvements, overseen by expert veterinarians and our national network of professionals. Racing greyhounds receive more oversight and protection than many pet dogs across Wales.

“We remain committed to working with the Welsh Government to promote and protect greyhound welfare through effective and proportionate regulation.”

Broader calls for change

The debate in Wales reflects a growing movement to end greyhound racing across the UK and beyond. In Scotland, a Proposed Prohibition of Greyhound Racing Bill aims to outlaw the sport, while New Zealand has committed to a ban, citing ethical concerns.

Decision delayed but debate intensifies

The Welsh Government has emphasized the need for thorough consideration before making a final decision. However, the delay has intensified divisions, with animal welfare groups urging an outright ban and the industry advocating for improved regulation as a viable alternative.

A final verdict is not expected until 2025, leaving the future of the sport – and the welfare of thousands of greyhounds – uncertain.

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