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Hywel Dda’s decision to close St Davids Surgery sparks outrage

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Hywel Dda University Health Board has decided to close St Davids Surgery, leaving patients, especially the elderly with limited travel options, without access to local medical care. Nearly 3,000 patients in the UK’s smallest city are set to be transferred to other practices ahead of the surgery’s closure. St Davids will now be the only city in the UK without medical facilities.

The health board has resolved to relocate patients from the surgery in St Davids, Pembrokeshire, prior to its shutdown at the end of October. The decision follows the resignation of the practice’s sole GP, Dr Stephen Riley, who stepped down from the General Medical Services contract in April after failing to recruit new partners.

In June, 520 concerned residents attended an open day hosted by the health board to discuss the future of GP services, where a protest was staged. The overwhelming majority of the 2,728 patients, approximately 2,500, will be transferred to the surgery in Solva, which is managed by the health board. An additional 161 patients are expected to transfer to Fishguard, while 28 will go to the St Thomas’s practice in Haverfordwest and 26 to the town’s Winch Lane practice.

Jill Paterson, Director of Primary Care, informed a meeting on Thursday (Jul 25) that establishing a health board-managed surgery in St Davids would cost an extra £267,000 on top of the £586,000 annual cost of providing a GP service. Paterson noted that renaming the Solva practice could provide a sense of “ownership” for St Davids residents, suggesting the name “Peninsula Practice,” though final details remain undecided.

Neil Wooding, Chairman of the Health Board, stressed that the future of GP services in St Davids must be “affordable and sustainable.” The health board agreed to explore the possibility of establishing a branch surgery in St Davids, offering about 20 hours of nurse-led care and services such as phlebotomy and physiotherapy.

St Davids representative on Pembrokeshire County Council, Cllr Bethan Price said: “Obviously there is disappointment that the surgery is going. We will have a nurse led-practice in the city for 20-hours a week, but we do not know yet where this will be. There is concern about elderly and vulnerable people and transport, but at least we still have Solva surgery in the Peninsula.”

Senedd Member Paul Davies has condemned the health board’s decision, warning that relocating GP services could have devastating effects on patients, particularly the elderly and vulnerable who lack transport options. The board decided on 25th July 2024 to manage the dispersal of patients to surgeries in Solva, Fishguard, and Haverfordwest while continuing to develop a local branch surgery for limited services.

Davies stated, “I’m appalled that the Health Board has taken this decision. The Health Board is fully aware of the impact that this closure could have on patients, particularly those that are elderly, vulnerable, and have no means of transport to travel to a surgery further away. Whilst the Health Board has undertaken a consultation exercise, it’s clear that the views of patients haven’t been sufficiently addressed and many will have to travel further for vital treatment.”

He added, “It’s absolutely critical that the Welsh Government intervenes to support the local community. People living in St Davids should have access to GP services in their community, and the Welsh Government must now do everything possible to prevent this closure from happening. I will be raising this matter at the Senedd at the earliest opportunity.”

“For years, health services have been under threat across Pembrokeshire, which is fast becoming a blind spot for the Welsh Government and the Health Board. The people of Pembrokeshire deserve better, and we will keep fighting until this decision is overturned.”

In a detailed statement sent to the press on Thursday afternoon, Jill Paterson, Director of Primary Care said: “We recognise the strength of feeling in the community and the value which the community attach to retaining services as locally as possible.

“While the Board has decided that the best option to secure stable and sustainable services is to transfer the patients to other neighbouring practices, the Board also recognised that a branch surgery should be established in St David’s to address the concerns of those patients transferring to Solva Surgery who are concerned about travelling for appointments.

“The vast majority of patients including all those living in St David’s will be transferred to Solva Surgery at the end of October. 

“This represents an important step on the route to establishing a single Practice for the Peninsula, and reflects the ambition of the Peninsula Stakeholders Group which includes representatives from St David’s City Council and Solva and Llanrhian Community Councils.  

“The Health Board is grateful for the ongoing contributions of local representatives and other stakeholders to the longer-term vision of a single Peninsula Practice for the wider community.

“We would like to thank Dr Stephen Riley and his team and for the care that they have provided over the years. We very much appreciate the continuing support given by the Community to the team at St David’s Surgery throughout this challenging period.”

Ms Paterson explained that a Panel met twice during the process to consider the available options, both before and after the engagement period. 

“After carefully considering all feedback, the Panel supported a recommendation whereby patients of St David’s Surgery would be allocated to another GP practice closest to their home address,” Ms Paterson said.

“For the vast majority of patients this will mean transferring to the neighbouring Solva Surgery, which is a Health Board Managed Practice, with those patients living closer to Fishguard and Haverfordwest being allocated to practices at those locations.

“St David’s staff will be transferring over to Solva Surgery and we will be making internal alterations to the building to ensure it can accommodate the additional patients and staff.

“We feel that this solution will be achievable by the beginning of November when the contract terminates and would allow for a safe, sustainable and secure model to be established for the future.”

Ms Paterson continued: “We understand local people will want to know what the future of their GP services will look like, and we will be writing to all patients and stakeholders to inform them of the outcome and to share details and services for their new practice.”

News

20mph limit in Wales – one year on, the debate intensifies

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AS Wales marks the one-year anniversary of the introduction of the 20mph speed limit on residential roads, the policy continues to stir controversy.

Initially rolled out by the Labour government with the intention of improving road safety, the reduced speed limit has faced both criticism and support from various quarters, with ongoing debate about its effectiveness and economic impact.

Welsh Conservative Shadow Transport Minister Natasha Asghar has been vocal in her criticism of the policy, calling it a “disastrous 20mph rollout.” She emphasised that despite widespread public dissent, including the largest petition in the Senedd’s history and predictions of a £9 billion impact on the Welsh economy, the government has been reluctant to reconsider the policy. Asghar reiterated the Conservative stance: “Scrap the £33m scheme altogether, only have 20mph in high footfall areas and get Wales moving again.”

The policy has not only faced political opposition but also a significant public backlash. A petition against the default 20mph limit garnered nearly half a million signatures, highlighting the extent of dissatisfaction among the Welsh public. Additionally, there has been a reported rise in offences related to the new speed limit, with many motorists finding the varying speed limits confusing.

The 20mph speed limits have been welcomed by some, such as these St Dogmaels residents (Pic: Herald)

Labour’s Eluned Morgan has acknowledged the policy’s challenges, admitting that the blanket implementation of the 20mph speed limits had caused problems. She indicated that the government recognises that some roads may need to revert to 30mph, and a review is currently underway. The First Minister recently acknowledged that through roads with 20mph limits had been causing the most frustration among the public, and it is now up to local councils to address these concerns.

Lee Waters, the former transport minister who introduced the policy, defended it, stating that reduced speeds have led to fewer accidents and saved lives. However, he conceded that the rollout could have been better executed, citing insufficient public awareness and preparation for such a significant change.

Despite the criticisms, recent figures indicate a positive trend in road safety, with injuries on 20mph and 30mph roads falling by a third in the final quarter of last year. Furthermore, insurer esure reported a 20% drop in accidental damage claims from Welsh customers following the implementation of the 20mph limit, resulting in reduced insurance premiums for Welsh drivers. If this trend were applied across the UK, it could result in a significant economic benefit, with potential savings of approximately £50 per policy, amounting to £1.4 billion nationwide.

The First Minister recently acknowledged that through roads with 20mph limits had been causing the most frustration among the public

The introduction of the 20mph speed limit has also affected events such as the Junior Tour of Wales cycling race, which had to be shortened and rerouted due to the new speed regulations. This has prompted criticism from Conservative figures who argue that such policies should not negatively impact sporting events and other activities.

Natasha Asghar further commented on the need for a “common-sense approach” to active travel, highlighting that while promoting walking and cycling is important, the current strategy of pushing people out of cars through measures like the 20mph limit is not practical or effective.

The Welsh government’s decision to make 20mph the default speed limit in built-up areas has sparked a complex debate, balancing road safety against public opinion and economic concerns. With a review in progress and ongoing discussions, the future of the 20mph policy in Wales remains uncertain. Whether the government will make adjustments or hold firm in its commitment to reduced speed limits will likely continue to be a point of contention in Welsh politics.

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Welsh Conservatives demand vote in Senedd to save winter fuel payments

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THE Welsh Conservatives have forced a vote in the Senedd, urging the UK Government to reverse its decision to end universal winter fuel payments. This move comes amidst growing concern that the UK Labour Government’s policy change will have a severe impact on pensioners across Wales. Approximately 400,000 Welsh households, including 540,000 pensioners, are expected to miss out on payments of up to £300 this winter.

Jane Hutt MS, the Welsh Government’s Cabinet Secretary for Social Justice, Culture, Trefnydd, and Chief Whip, outlined the potential consequences of this decision in response to a written question by Welsh Conservative Leader, Andrew RT Davies MS. Hutt emphasised that the withdrawal of the universal winter fuel payments could push some pensioners into fuel poverty, raising alarms about the wellbeing of Wales’ elderly population.

In the Senedd session on 18th July 2024, the Welsh Conservatives tabled a motion calling on the UK Government to reconsider its stance on the universal winter fuel payment. Welsh Labour Members of the Senedd (MSs) are set to vote on this motion, which could determine whether the payment scheme will be reinstated.

Ahead of the debate, Andrew RT Davies MS, Leader of the Welsh Conservatives, urged Labour MSs to prioritise the interests of their constituents over party allegiance. “This debate is a chance for Labour MSs to show that they have the courage to put their constituents’ interests before their party interests,” Davies stated. “The Welsh Conservatives will not stop fighting to keep pensioners warm this winter.”

Joel James MS, the Welsh Conservative Shadow Minister for Social Partnership and Social Justice, echoed these sentiments, condemning the decision to scrap winter fuel payments. “Labour’s shameful decision to scrap winter fuel payments risks creating a fuel poverty crisis among pensioners in Wales,” he said. “In the Senedd this week, I look forward to bringing forward our Welsh Conservative debate calling on the UK Government to reverse their decision to end the universal winter fuel payment.”

The decision to cut winter fuel payments has also drawn criticism from Age Cymru. Chief Executive Victoria Lloyd expressed concern about the impact on vulnerable pensioners. “Age Cymru firmly believe that cutting the winter fuel payment this winter, with virtually no notice and no compensatory measures to protect poor and vulnerable pensioners, is the wrong decision,” Lloyd stated. “People have been sharing with us how they’ll struggle this winter without the winter fuel payment. We have heard from people who have long-term health conditions who need to have a warm home and will need to cut back on food to ensure that their homes are warm.”

The motion submitted by the Welsh Conservatives reads:

To propose that the Senedd:

  1. Expresses deep concern that around 400,000 households in Wales will lose up to £300 per person after the UK Government’s decision to end the universal Winter Fuel Payment.
  2. Notes the Welsh Government’s Cabinet Secretary for Culture and Social Justice, Trefnydd and Chief Whip’s response to WQ93698 where she stated that the UK Government’s decision to end the Winter Fuel Payment will risk pushing some pensioners into fuel poverty.
  3. Calls on the UK Government to reverse their decision to end the universal Winter Fuel Payment.

The outcome of this vote could significantly affect the financial stability and wellbeing of Welsh pensioners this winter.

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Charity

St John’s mark Falls Awareness Week by announcing new rapid response service

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SAINT John Ambulance Cymru has secured a contract to provide a new Welfare and Falls Rapid Response service in the Pembrokeshire area, which will see staff responding to incidents to assess and assist people, reducing demand on Emergency Medical Services.

The Haverfordwest-based scheme will be run in partnership with Hywel Dda University Health Board (HDUHB) and will initially run from October 1st 2024 until March 31st 2025.

The scheme will follow on from the Falls Response scheme which has been operated by St John Ambulance Cymru in partnership with HDUHB and Wales Ambulance Services University NHS Trust (WASUT) in the same area since January 2023.

The announcement comes as St John Ambulance Cymru marks Falls Awareness Week from 16-20 September alongside fellow members of the National Falls Prevention Taskforce Wales.

The Falls Taskforce is an alliance focused on falls prevention for older people in across the country and includes Age Cymru, Age Connects Wales, Care & Repair Cymru, St John Ambulance Cymru, representatives from all seven health boards, as well as national and local government, public, private and other third sector organisations.

St John Ambulance Cymru’s Head of Ambulance Operations, Helen Coulthard said: “This new contract is a testament to the great service our staff have provided to people in this area of West Wales as part of the current scheme. To date the scheme has attended to over 1,000 people and saved an ambulance from attending on more than 500 occasions.

“St John Ambulance Cymru continues to build on its record of providing high quality help to patients all over the country and we look forward to continuing that work with this new scheme.”

St John Ambulance Cymru operates Falls Response schemes in communities across Wales, working in partnership with WASUT, Aneurin Bevan University Health Board and the Vale of Glamorgan Council. In 2023 these schemes, together with the current Pembrokeshire scheme, helped a total of 12,815 patients.

Falls Response is just one of the services provided by the charity’s Ambulance Operations team, with more than 24,000 patients helped in 2023, including patient transport and other schemes such as the Taith Dda Mental Health Response Service.

For more information on the healthcare services provided by St John Ambulance Cymru, visit www.sjacymru.org.uk/en/page/healthcare-services.

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