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Glangwili and Withybush to be downgraded following consultation

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THE HEALTH BOARD has presented its recommendations to major changes in the way health services are delivered in west Wales today (Sept 26) – and one of those was to downgrade Glangwili Hospital and Withybush General Hospital in Pembrokeshire.

At the meeting at County Hall, Carmarthen, the Hywel Dda UHB presented outputs from its recent consultation on the future provision of health and care services to the general population together with a clinical recommendation which will be considered by the Board.

The health board’s recommendation has now been published.

The recommendations were:

• Bronglais and Prince Philip in Llanelli will retain ‘acute hospital services’
• Glangwili and Withybush will be downgraded – they will be ‘repurposed’ to offer a range of services to support a social model for health and well-being, designed with local people to meet their needs.
• A new urgent and planned care hospital will be developed in the south of the health board area.

This is not the final decision, but at this stage a recommendation.

A further detailed meeting is scheduled for the end of November. If the local community health council refuses to back the plan then it could be sent to Health Secretary Vaughan Gething for a final decision.

However, Mr Gething warned earlier this year that NHS services in Wales could ‘collapse’ without urgent transformation and called on politicians from all parties to be ‘grown up’ and to not ‘run away’ from difficult choices.

Campaigners may also ultimately try to challenge the health board’s plans in the courts – although previous attempts to overturn decisions were unsuccessful.

March: Campaigners wanted to retain all Withybush General Hospital’s services (Pic Herald)

One of the recommendations in the board papers is to develop plans for the new hospital. The board is asked to progress consideration of location options within the defined new hospital zone, between Narberth and St. Clears, through a formal feasibility study.

  • Work with local people to develop models to provide enhanced support to those communities furthest from main urgent care and hospital services.
  • Consider the impact and opportunities a new hospital in the south of the Health Board area would provide to Bronglais General Hospital.
  • Develop a plan for the approach to managing emergency conditions which are time-sensitive.

Chair of the Community Health Council Dr John Morgan said: “In our day-to-day work we’re clear that the public’s frustrations come from big problems in the health system, so over the coming years the whole system has to change to give people what they need. For that reason we think the Health Board should continue to make major system-wide plans.

“However, some of the proposed changes have really worried people. Given that we feel any change to health services must provide better quality health services to the public these changes need to be looked at individually with more public involvement. With a number of the proposed changes years away the Health Board needs to provide more detail on how they would work. Only then will the CHC be in a position to consider whether we think the more controversial changes are in the public’s best interests.”

The CHC has seen how people are welcoming more care being provided in community settings close to home.

People are less happy about placing any services further away especially if they needed care in an emergency.

Public involvement in the consultation and large-scale petitions has communicated these views loud and clear.

Dr Morgan continued: “Listening to what the public have said, the consultation has created as many questions as answers. We think that there need to be strong foundations in place to build a new system upon. This means GP practices that are more robust, well-functioning established community services, better use of technology and better travel and transport arrangements, to name but a few.”

Chief Officer Sam Dentten added: “We’re starting a long journey over the next few years. We welcome change because it’s needed, but that change must bring accessible, high quality and safe NHS services. The Health Board must commit to more engagement with the public as its plans unfold and the CHC will be listening closely, maintaining our right to take matters further if we don’t think the change is in the public interest.”

Plaid Cyrmu has responded to the decision of Hywel Dda University Health Board (UHB) to downgrade Withybush and Glangwili hospitals by calling on the Welsh Government’s Health Secretary to intervene and properly merge health and social services.

Helen Mary Jones, Plaid Cymru AM for Mid and West Wales said: “This decision is the latest in a long line in the never ending saga that is hospital reconfiguration and in particular the persistent proposals to remove essential emergency services from smaller hospitals whilst failing to strengthen primary care and tackle the chronic workforce shortages faced by rural health boards.

“It is clear to us that the Health Board’s choice doesn’t address how services will actually be improved in the short to medium term. There is no proposal for better out-of-hours care, no plan for substantial increases in social care services, and no plans for investing in the ambulance services – only the removal of essential services and the hope that maybe, one day, we’ll see a new hospital.

“The decision also makes no mention of the transformation that needs to occur in the relationship with local authorities and the third sector for the changes to be realised.

Adam Price, Plaid Cymru AM for Carmarthen and East Dinefwr, said: “The obsession with endless reconfiguration of secondary care has to stop.  Where are the positive plans, such as those Plaid Cymru has presented, to  strengthen GP services and preventative healthcare; invest in medical training and tackling staff recruitment and retention?  There is a vacuum of information.  Creating an integrated health and social care model which works in the community should be done first in order to shape the hospital services we need.

“There’s nothing radical or transformational about closing a few hospitals and opening a new one.  The transformation comes by recognising that model isn’t delivering, and it is only by working with an integrated health and community care system will we truly change people’s lives.

“Furthermore, the health board intends ploughing ahead with a new hospital without a single penny being guaranteed for its construction. We need an urgent statement from the Health Secretary to confirm the Welsh Government will guarantee the costs.  Without that guarantee, today’s plans are meaningless and nothing more than an attempt to deflect attention from the desire to downgrade local hospitals.”

Havard Hughes, a spokesman for Carmarthen East and Dinefwr Conservatives commented: “These proposals as they stand are ill-thought through and don’t take account of the serious implications of stripping Carmarthen and Withybush of their A&E facilities.  We are deeply concerned that with a massive £70 million debt, Hywel Dda is proposing to close facilities at existing hospitals in order to build an entirely new uncosted hospital further away from our main towns.  Our suspicion is that downgraded hospitals, together with those such as Amman Valley will eventually be closed entirely if these plans go ahead.

“Carmarthen East & Dinefwr Conservatives responded to the consultation setting out our serious concerns that the transport implications of these plans have not been properly through.  Forcing patients to travel further from established communities on West Wales roads will inevitably lead to higher patient death rates, traffic congestion and massive inconvenience.

“The trust have put forward no convincing evidence that we have seen that the new hospital location will be attractive to staff – the contrary would seem to be the case from speaking to medical personnel.”

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Llandeilo gas works to begin say Wales & West Utilities

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WALES & West Utilities will shortly begin work to upgrade gas pipes in Llandeilo.

Wales & West Utilities has liaised with Carmarthenshire County Council to plan the work and it has been agreed that work will commence after the town has celebrated the Festival of Senses.

The £123,000 investment scheme, which is essential to keep the gas flowing safely to heat and power local homes and businesses, will begin in New Road on 21 November. This section of work will be complete before Christmas and Wales & West Utilities will return to the town next year to undertake further work in the Crescent Road area. Barring any engineering difficulties, work in the town will be complete by the end of February next year.

Wales & West Utilities Adam Smith is managing this gas pipe upgrade work. He said: “Working with the Council, we have planned this work to accommodate the needs of the town.

“While most of the gas network is underground and out of sight, it plays a central role in the daily lives of people across Llandeilo. Whether it’s heating your home, making the family dinner or having a hot bath, we understand how important it is for your gas supply to be safe and reliable and there when you need it.

“We know that working in areas like this is not ideal, but it really is essential to make sure we keep the gas flowing to homes and businesses in the area, and to make sure the gas network is fit for the future. We’ll have a team of gas engineers on site throughout the project to make sure our work is completed as safely and as quickly as possible while keeping disruption to a minimum.

“This work is essential to keep the gas flowing to local homes and businesses today, and to make sure the gas network is ready to transport hydrogen and biomethane, so we can all play our part in a green future.”

Our Customer Service Team is ready to take your call if you have any questions about our work. You can contact them on freephone 0800 912 2999.

Alternatively, you can contact us on Twitter @WWUtilities or Facebook.com/WWUtilities.

Wales & West Utilities, the gas emergency and pipeline service, brings energy to 7.5m people across the south west of England and Wales. If you smell gas, or suspect the presence of carbon monoxide, call us on 0800 111 999 straight away, and our engineers will be there to help any time of day or night. Before visiting, we’ll ask you to let us know if you or anyone in your household, is experiencing Coronavirus symptoms or self-isolating. We’ll still come and help you: but our teams will take some additional precautions to keep us all safe.

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Police appeal following theft of items from Home Bargains Crosshands

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OFFICERS from Dyfed Powys Police have confirmed that they are investigating the theft of items, including a Christmas Nutcracker Ornament valued at £129.99, from the Home Bargains store in Crosshands, Carmarthenshire.

The theft occurred at about 12:40pm on Tuesday, 27th September 2022.

Officers have carried out all possible lines of enquiry, and are now appealing for help from the public.

They would like to identify the people in the CCTV image, who may have information that could help the investigation.

Anyone who knows who the people are, or if you believe you are pictured, contact Dyfed-Powys Police.

This can also be done either online at: https://bit.ly/DPPContactOnline, by emailing 101@dyfed-powys.police.uk or phoning 101.

If you are deaf, hard of hearing, or speech impaired text the non-emergency number on 07811 311 908.

Please quote reference DPP/2006/27/09/2022/02/C

Alternatively, contact the independent charity Crimestoppers anonymously by calling 0800 555111, or visiting crimestoppers-uk.org.

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Witness appeal after car is stolen and burnt out

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DYFED-POWYS POLICE is investigating the theft of a car from a property in Lando Road, Burry Port, which was later found burnt out in Pembrey Country Park.

Officers are appealing for witnesses to the theft of the blue Ssangyong Rexton, which took place sometime between 5pm on Friday, 11th November, and 9am on Saturday, 12th November, and would like to speak to anyone who may have information or CCTV or dashcam footage.

Anyone with information that could help officers with their investigation is asked to report it to Dyfed-Powys Police, either online at: https://bit.ly/DPPContactOnline, by emailing 101@dyfed-powys.police.uk, or by calling 101. If you are deaf, hard of hearing, or speech impaired text the non-emergency number on 07811 311 908.

Quote reference: DP-20221112-109

Alternatively, contact the independent charity Crimestoppers anonymously by calling 0800 555111, or visiting crimestoppers-uk.org.

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