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‘Fog of confusion’ about Withybush Plans

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fog of confusionUNCERTAINTY CONTINUES to dog the future of maternity, paediatric and specialist baby care at Withybush General Hospital, Haverfordwest.

Speaking to The Pembrokeshire Herald, Stephen Crabb, the MP for Preseli Pembrokeshire, said:

“In recent weeks the fog of confusion around the future of vital services at Withybush has got worse, with neither the Hywel Dda Health Board nor the Welsh Health Minister being willing or able to come clean on their true intentions. The Pembrokeshire rumour mill is in overdrive about changes at Withybush and the local community is rightly concerned and angry. This is the biggest issue facing our County and it is time for Welsh Government in Cardiff to hold the Health Board to account and provide certainty and assurance.”

As The Pembrokeshire Herald revealed last week, staff have already been consulted about a planned shift of services from Withybush to West Wales General Hospital, Glangwili. BBC news picked up the story this week and confirmed with Hywel Dda Local Health Board that talks were taking place with hospital staff.

Campaign groups set up

SEVERAL campaigning groups have been set up on Facebook to fight the closures and a public meeting is to be held at The Picton Centre in Haverfordwest this evening (Thursday, November 21) with a view to setting up a fighting fund to resist any closures or relocation of maternity and paediatric services.

The number of people who have joined the on-line campaign groups at the time this article goes to press is just under 20,000.

In January 2013, Pembrokeshire’s Best Magazine revealed that out of 1,567 responses to the ORS consultation on the Health Board’s plans for Withybush, only 9% of respondents in Pembrokeshire (150 people) favoured the Board’s proposal to close SCBU and transfer all care for high dependence neonates, complex ante-natal and perinatal care out of the County to Glangwili. In spite of the level of opposition shown to their plans, the Local Health Board’s decision announced on January 15 was to proceed with its plans, but to retain some paediatric and obstetric services at Withybush “subject to recruiting staff”.

Speaking to The Herald last week with reference to the potential loss of services due to loss of birth numbers at Withybush, the a spokeswoman from the Hywel Dda Health Board said:

“We are at significant risk of losing training posts if we cannot find solutions. Services may become too fragile unless we plan for the future.

“The neonatal element was referred to Welsh Government and the Health Board was requested to provide further details on our models for gynaecology and obstetrics which is being addressed by this ongoing planning work.”

Further criticism of LHB

THE HEALTH BOARD has been separately criticised by Ceredigion AM for delays in recruitment:

“I have been made increasingly aware of recruitment delays across the Hywel Dda region. In some cases such as recently at Ysbyty Bronglais I’m told of instances where six months after the employment process began, nurses have still not been able to take up new posts.

“Delays in appointing key staff members undermine the vital services offered by the Health Board, increase waiting times, erode public confidence and make it even harder to recruit staff in the future.

“The Welsh Government must work closely with the Local Health Boards across Wales to ensure the process is expedited and that residents get the health service they need and deserve.”

AM’s request for scrutiny denied

A REQUEST from local Assembly Member Paul Davies to publicly scrutinise the future of services at Withybush hospital has been denied.

This follows the latest news that overnight paediatric services at the Withybush hospital could be closed. Mr Davies tabled an urgent question to the Welsh Health Minister given the substantial knock-on effect that this closure would have on the hospital’s obstetrics department, A & E department and the Special Care Baby Unit.

Mr Davies said, “This latest news has further escalated concerns in Pembrokeshire that Withybush hospital is signalled for downgrading. Sadly, my request to scrutinise the Health Minister on this has been turned down. Unfortunately, I have repeatedly called for statements from the Welsh Government in relation to Hywel Dda Health Board’s plans, all of which have been denied.”

He added, “This news will once again renew fears over the hospital’s future, and it’s time that the Welsh Government provided certainty and reassurances for west Wales patients. Anything less is unacceptable. Residents will rightly be worried about the potential closure of overnight paediatric services and the effect that it will have on the sustainability of other core services at Withybush. I will of course, keep raising these issues in the Assembly Chamber in the hope that Welsh Labour Ministers will come clean on the future of Withybush hospital as soon as possible.”

Concern from Haverfordwest Town Council

AT THE Haverfordwest Town Council meeting last night councillors discussed the situation regarding Withybush Hospital.

Town Clerk David Williams said “There are serious concerns about what is happening at Withybush Hospital. We don’t know what the proposals are at the moment and the future of the hospital is in the balance.

“Our intentions are to write to the trust and health minister to clarify what the situation is”.

SWAT has suggested that the situation is the thin end of the wedge in relation to other services. A SWAT leaflet sent to The Pembrokeshire Herald claims, amongst other things:Emergency cover for ALL specialities may reduce to 16 hours each day. Date of implementation unknown at present but maybe January 1, 2014. This would mean patients already in hospital would be safe as on call doctors would be on site but with no A&E facility from perhaps midnight people who became ill overnight or have an accident in the community would be taken directly to Glangwili.

SCBU, Paediatrics and Obstetrics will move to Glangwili in March 2014. This means that there will be NO beds to admit children, babies or pregnant women at Withybush except for very low risk mothers to be.

Anyone needing admission will have to be taken to Glangwili.

A&E will be reduced to 12 hours during the day from April 1, 2014. This means that Withybush will not be able to take any emergency patients overnight and they will all have to be taken to Glangwili for assessment and admission if appropriate.

The leaflet calls on people to demonstrate in support of maintaining services at Withybush outside the hospital every Saturday morning at 11:00 am from January 4, 2014. It also asks for support for a potential legal action to prevent the Health Board’s plans from proceeding.

Joyce Watson AM told us: “I totally support the plan for a Level 2 neo-natal unit in the Hywel Dda area, as we do not currently have one. Withybush maternity unit is the crucial missing piece of the puzzle, however. Until Hywel Dda submits its proposal to the Welsh Government we cannot assess the overall plan.

“What is clear is that Withybush must retain a service that can stabilise mother and baby when complications occur. That is absolutely critical – a red line – and I have consistently urged that point in my discussions with both the Health Board and the Government.”

The Local Health Board responds

In response to the BBC News story, the Health Board released a statement saying:

“The health board can confirm that no instruction has been given to book expectant mothers due in March or April into Glangwili Hospital instead of Withybush Hospital. If any mother has any queries about their booking they are advised to speak to their midwife directly.

“The health board was instructed by the Health Minister in September to clarify the delivery model for obstetric and paediatric services that would be provided to support a Level 2 neonatal unit before a final Ministerial decision is made in relation to new born services.

“The health board is committed to openly discussing the current situation with staff and so meetings are taking place at a hospital, county and health board-wide level.

“The ongoing work with our clinical teams is based on clarifying the service model, taking into account the many service inter-dependencies.

“Proposed models will be submitted to Welsh Government in the next few weeks…the health board’s position [is] that members of staff have not been informed of any final decisions as none have been made.”
Chris Overton of SWAT told The Herald

“Last Tuesday morning the midwifery manager told midwives on the wards that from March there would be a midwifery led service at Withybush. At the same time, the Paediatric Manager told staff that SCBU, paediatric services and Ward 9 admissions would all go to Carmarthen, as that was where paediatric trainee doctors would be based.”

The Pembrokeshire Herald asked for a response from the Welsh Government, shortly before we went to press a spokesperson for Health Minister Mark Drakeford told The Herald:

“This is a matter for the Local Health Board and we have no comment to make on it, at this time.Rebecca Evans AM, Assembly Member for Mid and West Wales said:

“I am obviously concerned by the recent reports, and am seeking clarity from the Health Board because continued speculation and rumour is unhelpful for both patients and our NHS staff.

“The Health Board is due to submit its detailed proposed models to Welsh Government in the next few weeks, and I would expect that those plans should be clinically robust and developed in close collaboration with clinicians and expert obstetricians. I look forward to scrutinising the plans.

“Patient safety – both for the expectant mother and the baby – has to be the overriding concern.”

Mrs Evans is currently seeking reassurances from the Health Board on a number of matters, including that that there is no truth in the reports that all expectant mothers due to give birth after 1 April are being booked into Glangwili Hospital.

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Everything you need to know about the current coronavirus restrictions in Wales

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THE GOVERNMENT guidelines in Wales are changing today (Apr 12).

There are major changes coming into force today across the country as the government coronavirus guidelines are starting to relax.

The changes affect household bubbles, non-essential retail, education and travel.

As of Monday, April 12, the following changes have come into force:

  • Six people from two different households (not counting children under 11) can meet and exercise outdoors and in private gardens
  • Households or support bubbles can holiday in self-contained accommodation – including hotels with en-suite facilities
  • All pupils and students can now return to school, college and other education
  • All shops and close-contact services can open
  • The ban on travelling in and out of Wales has ended
  • Driving lessons can resume and some driving tests (Remainder on April 22)

Non-essential retail are able to open up today for the first time since the country was put into a national lockdown with non-essential retail ordered to close in December of last year.

With infection rates falling and the national vaccine rollout success, the Welsh Government have set out a road map of restriction easing.

Unlike England, the hospitality industry in Wales will have to wait until April 26 to open their doors to customers, but only for those who can operate in an outdoor space such as beer gardens.

The current guidelines in force for Wales are as follows:

Meeting friends and family

From May 3:

  • Two families can once again form an “extended household” and meet indoors.

The following rules currently apply:

  • Six people from two different households (not counting children under 11) can meet up outdoors, including gardens.
  • If you are an adult living alone or you’re a single responsible adult in a household (a single parent, for instance), you can form a support bubble with one other household.
  • You can also end it and form another support bubble with a different household, as long as you leave a 10-day gap between.

Going to work

  • You must work from home if you can. The only exceptions will be critical workers and jobs where working from home is not possible.
  • Tradespeople can work in someone else’s private home, as long as it is managed in a safe way and both the worker and household members are well and have no symptoms of coronavirus.

Schools and nurseries

  • All pupils will return to face-to-face teaching at school from 12 April.
  • From that date all students can return to further education and training centres.
  • University campuses will be able to open for blended (face-to face and online) learning for all students.
  • Internal GCSE, A-level and AS-level assessments have been cancelled.

Leisure time

From April 26:

  • Outdoor attractions, including funfairs and theme parks, will be allowed to reopen.
  • Outdoor hospitality can resume, including at cafes, pubs and restaurants, but indoor hospitality will remain restricted.

From May 3:

  • Organised outdoor activities for up to 30 people can again take place.
  • Gyms, leisure centres and fitness facilities can reopen. This will include individual or one-to-one training but not exercise classes.

The following rules currently apply:

  • Self-contained holiday accommodation, including hotels with en-suite facilities and room service, can open to people from the same household or support bubble.
  • Outdoor sports facilities such as golf, tennis and basketball are open. A maximum of six people from two households can take part.
  • Organised outdoor sport for under-18s can now take place.
  • All gyms and leisure centres are closed.
  • Professional sports will continue but stadiums are closed to fans.
  • Bars, restaurants, cafes and pubs are closed – except for takeaway and delivery.
  • The outdoor areas of some historic places and gardens can reopen in a limited way.
  • Libraries and archives can reopen

Shopping

From April 12:

  • All shops can reopen.
  • All close contact services such as hairdressers or beauty salons can open, including mobile services.

The following rules currently apply:

  • Hairdressers and barbers are open for business – by appointment only.
  • Non-essential shops remain closed.
  • Garden centres are now open.
  • Alcohol cannot be sold in shops between 22:00 and 06:00 BST.
  • Face coverings must be worn by customers and staff.
  • Indoor shopping should be done alone, or with people in your household.

Other

From April 12:

  • You can travel anywhere in the UK or the Common Travel Area (Ireland, Isle of Man and the Channel Islands)
  • Outdoor canvassing for the Welsh elections can begin.
  • Driving lessons can resume and some driving tests (remainder on 22 April).

From April 26:

  • Weddings receptions can take place outdoors, but will be limited to 30 people.

The following rules currently apply:

  • Weddings and civil partnerships can take place at licensed venues, but receptions are not allowed.
  • Care home residents can receive one designated visitor.
  • You can travel anywhere within Wales.
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Ceredigion dog breeder fined for failing to comply with dog breeding licence

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A CROWN COURT has upheld a conviction that the dogs under the care of Mr. Jones were kept in overcrowded conditions in contravention of the minimum space standards required by the license conditions.

Other convictions were overturned.

On 27 November 2020, and 22December 2020, the Crown Court heard an appeal by Mr. Dorian Wyn Jones, of Dorwan Kennels, Penrheol, Talsarn, relating to convictions for failing to comply with dog breeding licence conditions. 

Mr. Dorian Wyn Jones had previously been convicted at Aberystwyth Magistrates Court of running a licenced dog breeding establishment far in access of the number allowed on his licence and that the dogs in his care were kept in overcrowded conditions.

The Court heard evidence that Mr Dorian Wyn Jones had been granted a licence for 33 dogs. However, during a visit undertaken by Ceredigion County Council’s Public Protection Officers on the 07 August 2019, they found 91 dogs at the premises excluding puppies, in breach of his license. The dogs were kept in pens of a size that were inadequate for the number of dogs kept within them.

On 9 February 2021, Dorian Jones was fined £1000 for the overcrowding offence, and ordered to pay legal costs amounting to £2500. 

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Prince Philip, The Duke of Edinburgh, dies aged 99

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The Duke of Edinburgh, the Queen’s ‘strength and stay’ for 73 years, has died aged 99.

Prince Philip’s health had been slowly deteriorating for some time. He announced he was stepping down from royal engagements in May 2017, joking that he could no longer stand up. He made a final official public appearance later that year during a Royal Marines parade on the forecourt of Buckingham Palace.

Since then, he was rarely seen in public, spending most of his time on the Queen’s Sandringham estate in Norfolk, though moving to be with her at Windsor Castle during the lockdown periods throughout the Covid-19 pandemic and where the couple quietly celebrated their 73rd wedding anniversary in November 2020. He also celebrated his 99th birthday in lockdown at Windsor Castle.

The duke spent four nights at King Edward VII hospital in London before Christmas 2019 for observation and treatment in relation to a “pre-existing condition”.

Despite having hip surgery in April 2018, he attended the wedding of Prince Harry and Meghan Markle a month later and was seen sitting beside the Queen at a polo match at Windsor Great Park in June. He and the Queen missed Prince Louis of Cambridge’s christening in July 2018, but he was seen attending Crathie Kirk near Balmoral in August, and driving his Land Rover in the surrounding Scottish countryside in September.

It is expected that flags on landmark buildings in Britain will be lowered to half-mast as a period of mourning is announced.

The First Minister of Wales, Mark Drakeford has expressed his sadness on the news of the death of His Royal Highness The Duke of Edinburgh and offered condolences to Her Majesty Queen Elizabeth II and the Royal family on behalf of the Welsh Government.

He said: “It is with sadness that we mourn the death of His Royal Highness The Duke of Edinburgh. Throughout his long and distinguished life, he served the crown with selfless devotion and generosity of spirit.

We offer our sincere condolences to Her Majesty Queen Elizabeth II, his children and their families on this sad occasion.

He will be missed by the many organisations that he supported as Patron or President over many decades of service”.Andrew RT Davies, the Leader of the Welsh Conservatives in the Senedd, has led tributes to Prince Philip, Duke of Edinburgh, whose death was announced today.

In light of the sad news from Buckingham Palace, campaigning has been paused with immediate effect.

Mr Davies said: “This is a very sad day for the United Kingdom.
“The Duke of Edinburgh led a remarkable life, excelled himself with his career in the Royal Navy, was the strength and stay to Her Majesty The Queen, and has left a legacy to the nation through the Duke of Edinburgh Award.

“Dutiful, devoted, and diligent, his like will never be seen again, and Welsh Conservatives offer their deepest condolences to The Queen, and the rest of the Royal Family.”

Adam Price, leader of Plaid Cymru said: “On behalf of Plaid Cymru, I send my condolences to Her Majesty the Queen and her family. Many young people in Wales will have benefited from the Duke of Edinburgh’s award scheme, a reflection of many decades of his public service. Thoughts are with the Royal Family at this time.”

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