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GP shortage ‘caused by Withybush downgrades’

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docsPEMBROKE residents have expressed concerns about reduced opening hours in the town’s doctors surgery as a result of a shortage of doctors. Since September 1, the surgery at St Oswald’s has closed at 1pm on weekdays. Until then, it had been open until 6.30pm on Monday, Wednesday and Friday. The surgery, a member of the Argyle Medical Group which also has practices in Pembroke Dock and Neyland, serves Pembroke, Monkton, and a number of outlying communities in the area. The surgery in Pembroke Dock will remain open from 8am – 6.30pm.

However, concerns have been raised about how the reduction of provision in Pembroke will affect elderly patients, or those with reduced mobility. Speaking to The Herald, Practice Manager for the Argyle Medical Group Juliet Goldsworthy confirmed that the reduction in surgery hours was a deirect result of staff shortages: “We’re two doctors down at the moment – its a common problem across Wales,” she said.

Safety was apparently a major consideration for the shorter opening hours. The practice was unwilling to let one doctor work at the surgery alone. “Its about managing the surgery safely andwe can’t do that at the moment,” Ms Goldsworthy added.

When we asked how long the staff shortage had been a problem for, she said that the staffing shortages were ‘relatively recent,’ though admitted that they had ‘struggled on’ over recent months. However, staff holiday time had meant that they were unable to keep the current provision. “The first doctor left about 18 months ago, and we lost another one 12 months ago,” she added.

“We have been advertising in national publications, but haven’t had any response. Accepting that the situation for patients was ‘far from ideal,’ she said that the problem was an all-Wales issue. Ms Goldsworthy confirmed that the practice had 10.75 FTE (full-time equivalent) doctors.

There are around 25,000 patients registered with the practice, which equates to 2325 patients per GP. Several years ago, the average number of patients per GP in Wales was 1640, and while Ms Goldsworthy said that this had risen to around 1900-2000, she still acknowledged that Argyle Street still did not meet these levels.

“Its not ideal – it puts a lot of pressure on both patients and doctors,” she added. Ms Goldsworthy pointed out that Argyle Street employed full-time nurse practitioners, who worked supporting GPs, as well as a full-time pharmacist who could ease the burden on doctors with work related to medication. “We were one of the first practices to take on a full-time pharmacist,”she added. “The health board seems to be looking more at approaches like this now. I understand that patients hanker for days gone by, but times have changed.”

With regards to the opening hours at St Oswalds, Ms Goldsworthy told us that if two new doctors could be recruited the situation would be reviewed after six months. At present, she said that the practice has been advertising ways for those unable to drive to attend the Argyle Street Surgery to travel there more cheaply.

“Services like country cars, and public transport can save people money on taxis,” she pointed out. Ms Goldsworthy emphasised that the surgery would still be open in mornings, and that hopefully people who would struggle to get to Pembroke Dock would be able to attend then. “We do visit a lot of people at home, if they are unable to get out. Our visiting rates are quite high,” she added. She pointed out that a shortage of GPs could lead to a continuing problem, because constant staff-shortages would lead to an increased workload, and the job becoming less attractive for medical trainees.

“There is talk of a ‘Golden Hello’ in Wales, but I’m not sure what is going to become of that,” she said. Concerningly, Ms Goldsworthy agreed with other commentators, including Simon Hart MP, who has previously said that a reduction in service provision at Withybush will lead to a knock-on effect on the county’s medical community.

“As Withybush downgrades and less doctors come to work there, their partners, who often used to work in surgeries won’t come here either, leading to the health community shrinking. We had a doctor who worked with us who was fantastic, but his wife worked in paediatric care, and when the department in Withybush downsized she had to move to Swansea to find work.

“There may also be issues with GP training at the hospital.” Speaking to The Herald, MP Simon Hart agreed that Issues faced by Withybush Hospital were a definite contributing factor in staffing problems across the medical community in the area: “From what I can discover there is a definite connection between recruitment and uncertainty over Withybush. For once the problem is not entirely about money,” he said.

“For the County to be able to attract Doctors and their families, they need to assure them that the services have a future and that there is certainty as far as their jobs are concerned. The Welsh Labour Government continues to fail in this regard and our county suffers accordingly.” We asked Hywel Dda University Health Board whether this was a fair reflection, and what if anything could be done to attract more GPs to the county.

At the time of going to press The Herald had received no reply. A spokesperson for Hywel Dda UHB said: “We would strongly urge caution when drawing ‘definite’ links between recruitment issues at a hospital and GP level as there is no absolute or clear evidence for this. GP recruitment is challenging across Wales, this is well documented, and we are experiencing this in areas across Carmarthenshire and Ceredigion as well as Pembrokeshire.

“Whilst we are taking clear actions to address recruitment at our hospitals, we have numerous responses to recruitment challenges at a GP level. For example, we are in the process of developing a Primary Care Support Team to offer support to Practices with workforce issues to which we have successfully appointed a GP clinical lead and three Advanced Practitioners, due to start shortly.

“We are also supporting the development of other roles that can provide patient care in General Practice working alongside GPs. For example, Argyle Surgery have employed a practice based pharmacist to support the GPs on a day to basis. This is alongside developing portfolio GP roles to increase the appeal of working in the Hywel Dda area to those wanting diversity within their role.”

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Future of The Pembrokeshire Herald newspaper secured

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THE COMPANY, which runs the Pembrokeshire Herald newspaper in west Wales, says it has secured an eleventh-hour investment to prevent the company from going into administration.

On Friday, The Herald’s management announced that a decision had been made to cease trading after a key investor pulled the plug – but now a deal has been struck with a new investor, which will secure the future of The Pembrokeshire Herald weekly print title, as well as three other news websites.

At least ten of the 24 staff working at The Herald have been told that they will keep their jobs following confirmation of the investment.

Herald News UK Limited has entered into a six-figure cash-for-shares agreement with Spanish advertising firm Rigographic Espana.

Its CEO, Ricardo Rigobon, who has 20 years experience in publishing and advertising, said that The Herald deserved to be saved.

He said: “As a campaigning newspaper, The Pembrokeshire Herald has served its customers well over the last six and a half years. Its circulation is strong, and the website is extremely popular. I believe with the new reduced costs business model we can secure the future of the newspaper.

“The Llanelli Herald and The Carmarthenshire Herald will continue online.”

Managing Director of Herald News UK Limited, John Hammond said that he was delighted that the future of the firm, and almost half the workforce was now secure.

He explained: “We have worked tirelessly over the weekend to get the necessary financing in place since our original investor pulled out. As a result of those efforts, we have now got a new partnership with a long-established firm in our industry.”

Editor of The Pembrokeshire Herald, Thomas Sinclair said: “I am excited that we have been given a new opportunity. It’s not a time for celebration as we still have colleagues who have lost their jobs. However, for the remaining team we now have a get on with the job of reporting the news and getting the papers out each Friday.”

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Herald publisher ceases operations

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HERALD NEWS UK LTD, the company which prints The Pembrokeshire Herald, The Carmarthenshire Herald and The Llanelli Herald has ceased operations.

Editor of Pembrokeshire Herald, Thomas Sinclair said: “After finalising today’s paper to go to print yesterday, a meeting was held last night. It was confirmed that the expected further investor funding would not be made available for the company.

“This meant that operations need be halted as the businesses was not able to pay its ongoing costs.

“At 10am today the 24 members of staff working at the newspaper have today been given notice of redundancy.

“We are absolutely devastated that after nearly 7 years and hundreds of editions of the paper we can no longer continued.”

“I would like to think that over those years, some of the stories we have written have made a difference to Pembrokeshire and beyond.”

Director of Herald News UK Limited, John Hammond said: “The company accountant could be appointing administrators as soon as next week.”

“The Owners of The Pembrokeshire Herald came to the conclusion last night during a finance meeting that the venture is no longer financially viable.

“Whilst every conceivable effort has been made to improve the financial situation of the business, we have to face the fact that there is no way that we can now continue in a solvent position.

“Whilst there has been a slow decline in readership of local newspapers, our costs for wages, printing and transport have substantially increased.”

“We would like to thank all of our loyal readers and staff.”

<img class=”wp-image-51343 size-large” src=”http://pembrokeshire-herald.com/wp-content/uploads/2019/03/herald2-1024×678.jpg” alt=”” width=”740″ height=”490″ /> Community: Herald titles were campaigning newspapers<img class=”wp-image-51344 size-large” src=”http://pembrokeshire-herald.com/wp-content/uploads/2019/03/herald3-1024×565.jpg” alt=”” width=”740″ height=”408″ /> Popular: 45,000 people read Herald titles each week in west Wales

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Theatr Felinfach Performing School presents CAMAU

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OVER the past few months enthusiastic members of Theatr Felinfach Performing School have been developing new skills through a series of masterclasses with Theatr Genedlaethol Cymru.

The members have been busy creating material through scripting, directing, choreography, clog dancing, folk dancing and much more. All their hard work will be shown in their ‘CAMAU’ (steps) performance on Monday 28 October, 7:00pm at Theatr Felinfach. This is your chance to see the fruits of their labour!

The Performing School was established in January 2017 and has now grown into a very popular group. It’s a great opportunity for 7-18 years olds to gain new experiences in theatre skills through the medium of Welsh and to make new friends who share the same passion for performing.

This year two trips were organized for members of the Performing School. In June, the group visited the ‘Lexicon’ show by the UK’s leading large-scale circus company ‘NoFitState’ in Bluestone, Narberth. The audience was amazed at the performers’ talents and agility and seeing the children’s faces was invaluable.

Later in July, the group visited ‘Chores’ at Aberystwyth Arts Centre, a production organised by Cluster Arts, an Australian company. The story was about two young boys playing in their mess of a room where they began using their acrobatic skills to sort out the carnage. The show was inspired by ‘slapstick’ legends Buster Keaton and Charlie Chaplin.

Theatr Felinfach hopes to continue taking members to see various shows and productions to give them the opportunity to experience professional theatre.

The Performing School meet each Thursday evening – the primary members (7-11 years) from 4:30pm to 5:30pm and the older members (12-18 years) from 5:30pm to 7:00pm.

Membership fees are every half term and range between £30 and £35 depending on the age of the members.

If you would like more information about the Performing School and how to become a member in the new year, please contact sioned.thomas@ceredigion.gov.uk or call 01570 470697.

Tickets for ‘CAMAU’ are £6 for adults, £5 for OAPs and theatre members and £4 for students and Children. They’re available from the Box Office on 01570 470697 or online at theatrfelinfach.cymru.

 

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