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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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Wizardry night a success at Aberystwyth Library

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The fourth Harry Potter Book Night was held at Aberystwyth Library on Friday, 07 February.

After dark, it was a time for fans to celebrate the iconic series of books with events all around the World.

Ceredigion Library Service held the event at Aberystwyth Town Library, which was decorated with all things Harry Potter.

Emyr Lloyd and Delyth Huws, both Assistant Librarians organised the night. They were very pleased with the success and turnout. Emyr Lloyd said, “We enjoy putting on the Harry Potter Book night. The fourth one was no different with 86 children attending the free event and very positive feedback. We hope events such as these spark a joy of reading in the young and old.”

Three Owls from New Quay Birds of Prey came by and Luke the close-up magician entertained the audience. The children were also entertained with a reading from one of the books and also a crafts and activities area.

Follow the events of the Ceredigion Library Service on Facebook @llyfrgellceredigionlibrary. The next event will be a sale of stock on 22 February between 10am and 4pm at the Bandstand in Aberystwyth.

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Cymraeg

Noson hudolus yn Llyfrgell Aberystwyth

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Cynhaliwyd Noson Llyfrau Harry Potter yn Llyfrgell Aberystwyth ddydd Gwener, 07 Chwefror. Hon oedd y bedwaredd noson o’r fath.

Ar ôl iddi nosi, roedd hi’n amser i edmygwyr y llyfrau ddathlu’r gyfres eiconig gyda digwyddiadau ledled y byd.

Cynhaliodd Gwasanaeth Llyfrgell Ceredigion y digwyddiad yn Llyfrgell Tref Aberystwyth, ac addurnwyd y llyfrgell gyda phob math o bethau sy’n gysylltiedig â Harry Potter.

Trefnwyd y noson gan Emyr Lloyd a Delyth Huws, Llyfrgellwyr Cynorthwyol. Roeddent yn falch iawn â llwyddiant y noson a’r nifer oedd yn bresennol yn y digwyddiad. Dywedodd Emyr Lloyd, “Rydym yn mwynhau cynnal nosweithiau Llyfrau Harry Potter. Nid oedd y bedwaredd noson o’r fath yn eithriad; mynychodd 86 o blant y digwyddiad am ddim, a derbyniwyd adborth cadarnhaol iawn. Rydym yn gobeithio y bydd digwyddiadau fel y rhain yn swyno’r hen a’r ifanc i fwynhau darllen.”

Daeth tair tylluan o Adar Ysglyfaethus Cei Newydd i’r digwyddiad, a bu Luke yn diddanu’r gynulleidfa gyda’i hud a’i ledrith. Diddanwyd y plant hefyd gyda darlleniad o un o’r llyfrau ac ardal gweithgareddau a chrefftau.

Dilynwch ddigwyddiadau Gwasanaeth Llyfrgell Ceredigion ar Facebook @llyfrgellceredigionlibrary. Y digwyddiad nesaf yw arwerthiant stoc ar 22 Chwefror rhwng 10am a 4pm yn y Bandstand yn Aberystwyth.

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Warnings issued as Storm Ciara predicted to hit west Wales

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NATURAL RESOURCES WALES (NRW) is urging people living near the Welsh coast to be prepared for possible flooding this weekend as Storm Ciara reaches the UK.

Current forecasts indicate that strong winds could cause a tidal surge and large waves hitting the coast.

Combined with heavy rainfall which is likely to see rivers rise quickly, NRW expects to issue flood alerts and possibly warnings across the country from Saturday afternoon through to Monday.

With the worst of the conditions expected on Sunday, NRW advises people to keep a safe distance from coastal paths, promenades, piers, and from river banks.

Emergency response workers from NRW are already making preparations ahead of the storm, checking defences are in good working order and making sure any drainage grids and screens are clear, to reduce the risk to people and their homes.

Richard Preece, from Natural Resources Wales said: “Our teams are keeping a close eye on forecasts and predicted river and sea levels this weekend, and if necessary, will issue flood warnings to registered properties in those areas at risk.

“We have already been speaking with our partners from the emergency services and the local authorities so they can put their plans into action.

“We are also warning people to avoid visiting the sea front due to the risk of being swept away by large waves or hit by wave and wind-blown debris.

“Flood water can also be extremely dangerous, and people should not attempt to walk or drive through it unless instructed by the emergency services.”

Network Rail and Transport for Wales have issued joint information ahead of Storm Ciara, which is expected to bring strong winds and heavy rain to the Wales and Borders route this weekend.

The Met Office has issued a yellow wind warning for the whole of the UK and two yellow rain warnings on Sunday.

Transport for Wales Operations Director Martyn Brennan and Amanda Newton, Senior Incident Officer at Network Rail said: “With Storm Ciara set to bring gale force winds of up to 90mph on Sunday, Transport for Wales and Network Rail wish to urge all customers to check their journeys prior to travel.

“We’re expecting very stormy conditions, high tides and winds that have the potential to uproot trees and damage infrastructure.

“The safety of our customers and colleagues is our absolute priority and as such there are likely to be a number of speed restrictions in place around our network, while some other lines may be forced to close entirely. We are working closely together to minimise any disruption and will do all we can to keep our customers moving and informed.”

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