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‘Sort finances before service changes’

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Proposals must be financially sound: Dinah Mulholland, Ceredigion CLP

ONE ​of​ ​w​est Wales’ Labour Constituency Parties has called for the Health Board not to proceed with its plans for major health service change until its long-standing financial crisis has been resolved.

On Friday, May 25, Ceredigion Constituency Labour Party passed a motion calling on the Board to think again.

In the last financial year the health board overspent its £760m budget by £70m, or ​9%​, and the board itself describes its regular overspends as ​’​growing year on year​’​.

Ceredigion Labour Party points out that although the changes in service provision which are being proposed may provide better patient care, they cannot also be expected to deliver savings if standards of care are intended to be maintained.

Dinah Mulholland, spokesperson for CCLP, said: ​”​We welcome all attempts to improve local health services. But acceptable proposals must be based on sound financial projections and dependable financial commitments.

“For instance, all three of the board’s alternative proposals for the delivery of clinical services involve the building of a new major urgent and planned care hospital `between Narberth and St Clears’, to replace other hospitals that would be closed or downgraded. Yet the Welsh Government has offered no commitment to provide capital funding for this scheme.

“We are calling for a `Stop and Fix’ approach because unless the financial arrangements are stabilised we see a very real threat that at some point during the next few years progress with major changes in service provision could be overtaken and overwhelmed by a sudden financial collapse.

“And if the board is preoccupied with delivering major changes in service provision it will be paying less attention to managing its ongoing financial problems.

“We would welcome a commitment from Hywel Dda not to proceed with any major reconfiguration of clinical services until it has secured resources to remedy the chronic and ingrained underfunding of health services in mid and west Wales. This proposed reconfiguration cannot and should not be expected to solve Hywel Dda’s long-standing problem with underfunding.”

Last week (May 23) the Welsh Health Secretary announced an annual increase of £27m in Hywel Dda’s revenue funding, but CCLP describes this as “sticking plaster” as it represents only 39% of the deficit in the last financial year.

The Health Secretary has said that this new funding puts Hywel Dda on a “fair funding basis”, but CCLP points out that if the board’s funding has only just become “fair” this raises additional questions about how much the local NHS budget has been “short-changed” in every year since the National Assembly began.

A review by the Welsh Government, as part of the Targeted Intervention support provided to Hywel Dda Health Board, found that two factors, demographics and scale, generated excess costs that were unavoidable to the Board.

The review, undertaken by Deloitte LLP, confirms the view held by many people in Ceredigion and mid and west Wales that Hywel Dda faces a unique set of healthcare challenges.

Hywel Dda is consulting the public on three alternative proposals for providing clinical care, closing and/or downgrading Withybush Hospital, Prince Philip hospital in Llanelli and Glangwili hospital in Carmarthen. In all three proposals community care would be strengthened so that more people can be treated and supported closer to home. In all versions Bronglais hospital in Aberystwyth would remain as a District General Hospital.

The 12-week public consultation began on 19 April and will end on 12 July. Ceredigion CLP is also critical of the board’s plans for obtaining the views of the public, which it points out do not include any meetings with platform speakers open to the general public. CCLP says this is unacceptable.

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Ben Lake MP “disappointed” after Agriculture Bill amendment on the standard of food and agricultural imports is rejected by House of Commons

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The UK’s new Agriculture Bill was put before MPs on Wednesday (13 May) for the final time as it reached the Report Stage and Third Reading.

Alongside farming unions and campaign groups, Ben Lake MP has lobbied for the Bill to include a number of important amendments. One of the amendments sought to introduce a legal requirement that agricultural or food products imported into the UK under future trade agreements would need to be produced or processed according to equivalent animal health, welfare and environmental standards as those required of UK prodcuers.

This amendment, in the form of New Clause 2, and which was tabled by the Chair of the Environment, Food and Rural Affairs Committee Neil Parish MP, was rejected by the Commons. All Plaid Cymru MPs supported the amendment and Ben Lake MP said he was “disappointed” that the house did not vote in favour of an amendment to prevent the importation of products produced to lower animal health and environmental standards, and which in turn would have supported the high standards of Welsh produce.

Ben Lake MP said:

“Without this amendment there remains no legal requirement for future UK trade agreements to ensure that any agricultural or food imports are produced to the same standards as those required of domestic producers.

“Farmers in Wales strive to produce quality food in a sustainable manner, but the failure to include this amendment to the Agriculture Bill risks undermining these efforts by keeping the door open to imports produced to lower environmental and animal welfare standards.

“I have always argued that in order to protect our own high standards it is crucial that a level playing-field is maintained in relation to imports, and that farmers in Wales are not put at a disadvantage by having to compete with imports that are produced to lower standards. I sincerely hope that this amendment will be adopted by the House of Lords, so that the House of Commons has another opportunity to support it.”

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£1 billion deal for ‘Shared Rural Network’ to improve mobile coverage goes ahead

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Ceredigion MP, Ben Lake says he is delighted that a scheme to extend mobile coverage in hard-to-reach rural areas making poor mobile phone coverage a thing of the past has been given the green light, thanks to a major new deal between the Government and UK mobile network operators.

The ‘Shared Rural Network’ will mean that high quality 4G coverage will be available for 95 percent of the UK by 2026 which means consumers will get good 4G signal wherever they live, work or travel. The new plans involves four operators (EE, O2, Three and Vodafone) joining forces to create a new organisation to deliver the ‘Shared Rural Network’. Each will be able to make the maximum use out of existing and new phone masts by being able to host their own equipment on them allowing their customers to access a mobile signal. The scheme will cost more than £1billion made up of £530m from the mobile operators and a £500m investment from the Government.

Ben Lake MP, who was one of 78 cross-party MPs who wrote to the Secretary of State for Digital Culture, Media and Sport last year to ask for government support for the scheme, said:

“This is really good news for my constituents. Better mobile connectivity will make flexible working, access to education and leisure opportunities easier. It will boost regional economic growth and begin to close the digital divide that exists across the country. The mobile has become an essential tool for most of us. It will certainly come as a relief to many people living in my constituency who are frustrated by the persistent ‘not spots’ which prevent them from carrying out many tasks which other people take for granted”.

The ’Shared Rural Network’ will eliminate the substantial majority of the country’s partial not-spots with the added benefit of increasing competition for mobile services, especially in rural areas; deliver on the Government’s 95% coverage manifesto commitment to extend coverage across the country; improve road coverage by reaching a further 16,000 kilometres of roads; involve minimum environmental impact and reduce the need for duplicate infrastructure and ensure that the UK has one of, if not the best, mobile coverage in Europe.

The initiative, which is a world first, follows government proposals for an overhaul of planning rules and is part of the Prime Minister’s plan to level up the country with world-class digital infrastructure across the UK to make sure homes and businesses are better connected.

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Elin Jones welcomes speed reduction, but says it should be even lower

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Following a meeting and correspondence with the Welsh Government, Elin Jones AM has welcomed the confirmation of an initial reduction in the speed on the A487 between Bow Street and Aberystwyth.

This stretch of the A487 is particularly dangerous, and there were two fatal accidents there last year.

Ken Skates, the Welsh Government Minister for Economy and Transport, confirmed to Elin Jones via letter that the route between Waun Fawr to 300m beyond Dorglwyd Junction will be reduced to 50mph, with work taking place in the next financial year.

The reduction to 50mph has been initially welcomed by Elin Jones, however she has called for the speed limit to be reduced further to 40mph.

Elin Jones said:

“The need for a review of the safety on the A487 is clear, particularly following the two tragic accidents that took place last year. I was pleased to be able to discuss the issue directly with the Welsh Government Minister in Bow Street recently, and for him to see for himself why a speed reduction was needed.

“I’m also pleased that this has resulted in the safety and speed limit review concluding that a reduction was necessary.

“However, I and many constituents who regularly use this route feel that the speed limit could be reduced further to 40mph, which I will raise again with the Minister.

“I will also continue to call for upgrading safety at the Dorglwyd junction. There are also many areas on the A487 where safety can be improved, either with a speed limit reduction, or by providing cycle lanes and footpaths to remove pedestrians and cyclists from danger. I have called on the Welsh Government to consider all options.”

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