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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.”

 

Community

Who has the power to save Tenby Summer Spectacular?

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As Henry Tufnell MP joins calls for a solution, questions remain over harbour access, pedestrian safety and who can legally authorise the event

WITH Tenby Summer Spectacular still at risk, attention is now turning to a simple but crucial question: who actually has the power to save it?

The much-loved charity event, run by Tenby Round Table, has become one of the town’s biggest summer attractions, bringing thousands of people into the harbour area and raising money for local good causes.

But organisers have warned that the event may not be able to go ahead unless outstanding concerns over pedestrian safety and access around the harbour are resolved.

Henry Tufnell MP has now added his voice to calls for a solution, saying he is “very concerned” that the event is at risk.

The local MP said he had written several times to Pembrokeshire County Council over the past few months to help resolve the outstanding issues, and that his office met with the council this week to press for progress.

Mr Tufnell said he welcomed the council’s public statement confirming its support for the Spectacular, and said he would continue speaking to the council, Tenby Round Table and police.

At the heart of the row is a practical but important issue: how the harbour area can be made safe for thousands of visitors while still allowing access for residents, businesses and emergency services.

Pembrokeshire County Council has said it supports the event and wants it to go ahead. It has also said it has not directed organisers to cancel.

However, Tenby Round Table has said one key legal question remains unanswered after months of discussions.

That question appears to be whether the organisers can legally control or restrict access in the harbour area in the way required to satisfy safety concerns.

For an event of this size, the issue is not simply whether the council, police or organisers want it to happen. The question is whether the right legal powers, safety plans and permissions are in place.

The council has a role through licensing and public safety. The police may advise on safety, traffic and crowd management. The organisers are responsible for putting forward an event plan that can be safely delivered.

That means no single person can simply “save” the Spectacular by saying it should go ahead.

Instead, the event now appears to depend on whether the council, police and Tenby Round Table can agree a workable solution over harbour access, crowd control and emergency arrangements.

The row has also sparked strong reaction online, with many residents frustrated at the possibility of losing one of Tenby’s best-known summer events.

Supporters say the Spectacular is not only a family night out, but an important boost for traders and a major charity fundraiser.

Others have argued that safety concerns cannot simply be brushed aside, particularly when large crowds gather in a confined harbour setting.

Mr Tufnell said: “The Tenby Summer Spectacular is an incredible event run by the Tenby Round Table for our community, supporting local businesses and raising hundreds of thousands of pounds for charity.

“Like many of you, I am very concerned to see that the event is at risk of not going ahead.

“I have written several times to Pembrokeshire County Council to help resolve the outstanding issues regarding pedestrian safety and access around the harbour.

“I welcome the statement published by the council reinforcing their support for the Spectacular. I am reassured by their public commitment to finding a path forward.”

The coming days are now likely to be crucial.

For the event to be rescued, the key question is whether a legally sound and practical access plan can be agreed quickly enough for organisers to proceed with confidence.

Until then, the future of Tenby Summer Spectacular remains uncertain — not because there is a lack of public support, but because no one has yet produced a final answer to the question of who can lawfully control the harbour when thousands of people arrive.

 

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Police watchdog referral made after fatal A4075 crash

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No suggestion of pursuit or contact between police vehicle and motorcycle, force says

A VOLUNTARY referral was made to the Independent Office for Police Conduct following the fatal A4075 crash which claimed the life of 22-year-old Callum Hanson.

Dyfed-Powys Police has confirmed the referral was made because a police vehicle was in the vicinity of the collision, which happened between Canaston Bridge and Yerbeston on Wednesday (Jun 17).

The force said the referral was made to ensure full transparency and independent oversight.

However, police have stressed that there is no suggestion of an active pursuit or any contact between the police vehicle and the motorcycle at the time of the incident.

The IOPC has now referred the matter back to Dyfed-Powys Police for an internal investigation by the force’s Professional Standards Department.

A Dyfed-Powys Police spokesperson said: “A voluntary referral was made to the Independent Office for Police Conduct in relation to this case, due to the presence of a police vehicle in the vicinity.

“This was to ensure full transparency and is a standard requirement in order to ensure independent oversight.

“There is no suggestion of an active pursuit or any contact between the motorbike and the police vehicle at the time of the incident.

“Due to this, the IOPC have referred the matter back to Dyfed-Powys Police for an internal investigation by the Professional Standards Department.

“While PSD carry out their enquiries it would not be appropriate to comment on the matter further.

“The thoughts of Dyfed-Powys Police remain with Callum’s family and friends at this time, and we would still ask that anyone with information about the incident contacts the force.”

Callum, from Haverfordwest, died in hospital following the collision involving a grey Kia Sorento and a white Yamaha motorcycle. A 22-year-old woman who was travelling as a pillion passenger was also taken to hospital.

His family later paid tribute to him as a “kind, loving” young man who lived life to the fullest despite his own personal challenges.

They said he was deeply caring and had spent the last month looking after his grandad, who had also recently passed away.

Callum had a passion for gaming and motorbikes and was training to become a mechanic at college.

Police are continuing to appeal for witnesses or anyone with dashcam footage from the A4075 between Canaston Bridge and Yerbeston at around 6:15pm on Wednesday (Jun 17).

Anyone with information is asked to contact Dyfed-Powys Police online, by emailing [email protected], by calling 101, or by direct message on social media.

Quote reference 362 of June 17.

 

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Wales inactivity rate rises as opposition warns economy is ‘flatlining’

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ALMOST one in four working-age people in Wales are economically inactive, according to the latest labour market figures.

The Welsh Government’s June labour market overview shows the economic inactivity rate in Wales was 24.8% for people aged 16 to 64.

That is down 0.6 percentage points on the previous quarter, but up 0.6 percentage points over the year. The UK rate stood at 21.0%.

Economic inactivity refers to people who are not in work and are not classed as unemployed because they are not actively seeking work or are not available to start.

The figures have prompted criticism from the Welsh Conservatives, who said Wales’ economy was failing to grow strongly enough.

Janet Finch-Saunders MS, Shadow Minister for Enterprise, Connectivity and Energy, said: “These latest figures show the Welsh economy has continued to flatline with too many people economically inactive.

“We urgently need welfare reform to get people off benefits and into work, where they can pay their taxes and help generate more revenue to invest in better public services.

“The new Plaid Cymru government needs to focus relentlessly on creating the conditions for businesses to start up and expand because this is the only way to grow the Welsh economy and make Wales more prosperous.”

The latest statistics also show Wales’ unemployment rate was 3.8%, up 0.3 percentage points on the quarter but down 0.9 percentage points over the year. The UK unemployment rate was 4.9%.

The Welsh Government said evidence from a range of sources suggested the Welsh labour market was following a similar trend to the UK as a whole.

It also said Cabinet Minister for Enterprise, Connectivity and Energy Adam Price was keen to meet the Office for National Statistics to discuss the reliability of labour market data for Wales.

The issue is likely to remain politically significant because economic inactivity affects the size of the workforce, business recruitment, tax receipts and pressure on public services.

Across Wales, inactivity can include people out of work because of long-term illness, caring responsibilities, study, early retirement or other reasons. For rural and coastal areas, including Pembrokeshire, the challenge is often linked to the availability of suitable jobs, transport, skills and seasonal work.

 

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