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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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Ceredigion’s Energy Efficiency work recognised at the Wales Energy Efficiency Awards

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ON June, 17, 2022, Wales Regional Energy Efficiency Awards were held in Cardiff. Ceredigion County Council’s Energy Efficiency Schemes scooped 2 awards.

The Energy Efficiency Awards were introduced to help recognise the fantastic work being undertaken by the energy efficiency sector in Wales. The measures were introduced to help homeowners reduce their energy bills, tackle fuel poverty and reduce Carbon emissions.

Ceredigion County Council have been delivering the ECO Local Authority Flexibility scheme along with the Warm Homes Cozy Ceredigion Scheme for a number of years. These schemes have seen a number of insulation measures and heating systems being installed in properties improving their energy efficiency. With the drive towards renewable heating systems the concentration lately has been on the installation of air source heat pumps.

The Council scooped the top prize for the Regional Council or Local Authority of the Year where one exceptional council in each of the 11 Regional areas of the UK has shown a true commitment to promoting energy efficiency within their region. This award was sponsored by Improveasy.

For this award, the judges look at the impact their work has had within the local community, what their customer and local community have to say about the council, what level of expertise the council has within its own teams and what priority the council gives to tackling fuel poverty within its current plans.

The Council also won the Regional Vulnerable Customer Support Organisation of the Year having shown a true commitment to improving the lives of vulnerable people within their region. This award was sponsored by Consumer Energy Solutions.

Councillor Matthew Vaux, is the Cabinet Member responsible for the Housing Service. He said: “I would like to congratulate the Housing team for their hard work and success at the Regional Energy Efficiency Awards this year. With the current rise in fuel costs and the increase in cost of living, this is a fantastic achievement for the Council’s housing team in showcasing that they are helping our residents save energy and combat fuel poverty.”

Find more information about Energy Efficiency Schemes on the Council’s website: www.ceredigion.gov.uk/resident/housing/financial-assistance/energy-efficiency-schemes/

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The Welsh Government launches Basic Income pilot scheme

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FROM 1 July 2022, more than 500 people leaving care in Wales will be offered £1600 each month (before tax) for two years to support them as they make the transition to adult life.

Launched by First Minister Mark Drakeford, it is hoped the pilot will set care leavers on a path to live healthy, happy and fulfilling lives.

The radical approach has trust, autonomy and respect at its centre. It will provide independence and security to people who have faced immense challenges during their childhood, giving them greater control and empowering them to make decisions about their future.

The £20 million pilot, which will run for three years, will be evaluated to carefully examine its effect on the lives of those involved

Social Justice Minister Jane Hutt said the scheme is a direct investment in the lives and futures of some of Wales’ most vulnerable young people.

Those taking part in the pilot will also receive individual advice and support to help them manage their finances and develop their financial and budgeting skills.

Local authorities will play a key role in supporting them throughout the pilot. Voices from Care Cymru will also work with the young people to give them advice on wellbeing, education, employment and help them plan their future after the pilot.

To launch the scheme, First Minister Mark Drakeford, Social Justice Minister Jane Hutt and Deputy Minister for Social Services Julie Morgan met with people taking part in the pilot, and young people who themselves have been in care, to talk about the impact this support will have on peoples’ lives.

They discussed how they hope the financial stability will give people the opportunity to make positive life choices as they leave care and provide a more solid foundation from which to build their adult lives.

First Minister Mark Drakeford said: “We want all our young people to have the best possible chance in life and fulfil their full potential. The state is the guardian of people leaving care and so has a real obligation to support them as they start their adult life.

“Our focus will be on opening up their world to all its possibilities and create an independence from services as their lives develop.

“Many of those involved in this pilot don’t have the support lots of people – myself included – have been lucky enough to enjoy as we started out on our path to adulthood.

“Our radical initiative will not only improve the lives of those taking part in the pilot, but will reap rewards for the rest of Welsh society. If we succeed in what we are attempting today this will be just the first step in what could be a journey that benefits generations to come.”

Minister for Social Justice Jane Hutt said: “We’re in the midst of a cost-of-living crisis like no other and we therefore need new ways of supporting people who are most in need.

“Our Basic Income pilot is an incredibly exciting project giving financial stability to a generation of young people. Too many people leaving care face huge barriers to achieving their hopes and ambitions; such as problems with getting a safe and stable home, to securing a job and building a fulfilling career. This scheme will help people live a life free of such barriers and limitations.

“We will carefully evaluate the lessons learnt from the pilot. Listening to everyone who takes part will be crucial in determining the success of this globally ambitious project. We will examine whether Basic Income is an efficient way to support society’s most vulnerable and not only benefit the individual, but wider society too.”

Tiff Evans of Voices from Care Cymru, speaking on behalf of young people who have experienced care, said: “This is a brilliant opportunity for care leavers in Wales. It is good to see that care leavers in Wales are being thought of and Welsh Government are providing this opportunity for them as young people to become responsible, control some parts of their lives and have a chance to thrive and be financially independent.

“We thank Welsh Government for investing in them and their future and we look forward to other changes and developments for care experienced young people in Wales in order for them to reach life aspirations.”

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Ceredigion man living in Ireland sentenced after involvement in illegal meat operation

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A CEREDIGION man living in Ireland has been extradited and sentenced after his involvement in illicit farming and trading of meat that was unfit for human consumption.

Robert Thomas, 45, was found to be part of an organised crime group (OCG), who were involved in running an illegal meat operation, where “smokies” were being prepared for human consumption. The production of “smokies” involves the illegal slaughter of sheep which, as part of the production process, have their fleece retained on the carcasses and burnt with blow torches to impart a smoked flavour to the meat. This process is illegal in the UK and many European countries.

The initial prosecution was undertaken by Ceredigion County Council in 2015, but due to Mr Thomas persistence in evading justice it has taken 7 years for the proceedings to reach a conclusion. The prosecution involved Mr Thomas and another male person from Ceredigion, who is still wanted on warrant in respect of the charges.

At Swansea Crown Court in December 2015, Thomas was sentenced to a 28-week term of imprisonment, suspended for two years and was ordered to undertake 200 hours of unpaid work and ordered confiscation proceedings to try and identify and recover any assets obtained by Thomas, through his illegal activities. That confiscation investigation was undertaken by officers in the Tarian Regional Economic Crime Unit (RECU) assisted by Ceredigion County Council. Various Proceeds of Crime Act hearings took place during which Thomas gave evidence on oath that his assets and income were minimal.

He declared that he had two old cars and was earning just £40 per week working for his parents. He also claimed that he had two UK bank accounts with no money in them and produced bank statements to prove so. Over the course of three years, Thomas persistently denied having any more than this, and in April 2017 he failed to appear at court.

Further investigations revealed that Thomas held a number of bank accounts and held property and land in Ireland.

A European Arrest Warrant was subsequently obtained, and he was finally located in Ireland and arrested in December 2021 by the Irish authorities and extradited to the UK in February 2022.

On Monday 13 June 2022, Thomas appeared in Bristol Crown Court having previously entered a guilty plea to a charge of perjury. At sentencing, His Honour Judge Cullen described Thomas’ actions as ‘a considered lie and a practiced lie’. He also said that giving sworn evidence to a Judge was a serious matter which could only be dealt with by an immediate imprisonment and requires a significant custodial sentence.

Thomas was sentenced to 22 months imprisonment for perjury and for breach of a Community Order, he was sentenced to 2 months imprisonment to run consecutively, making a total of 24 months imprisonment.

Councillor Mathew Vaux, Ceredigion County Council Cabinet Member for Public Protection Services, said: “This case has shown that regulatory services will work together effectively in partnership in order to bring justice for these serious crimes. The illegal trade in “smokies” is a serious public health risk, as the meat is often infected with diseases and parasites that could pass to those people who eat the meat. The animals are also killed inhumanely with no regard to their welfare, which is against the principles of high animal welfare held by the farming community of Ceredigion County Council.”

The proceeds of Crime Act proceedings have not been concluded as Thomas has not fully discharged his liabilities under the Order which the Court concluded amounted to a criminal benefit sum of over £200,000. Thomas will therefore be subject to further legal proceedings.

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