THE HEALTH BOARD has presented its recommendations to major changes in the way health services are delivered in west Wales today (Sept 26) – and Prince Philip Hosptial will retain ‘acute hospital services’.
The biggest change is plans to downgrade Glangwili Hospital in Carmarthen 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.
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.
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.”
Lee Waters AM and Nia Griffith MP welcome retention of services at Prince Philip General Hospital
Lee Waters AM said: “I’m glad that the Health Board listened to the strong representations that Nia and I made to them. Turning Prince Phillip into a Community Hospital was not on.”
Nia Griffith MP said: “We welcome the announcement today by the Hywel Dda Health Board to keep Prince Philip Hospital as a General Hospital and to keep acute medicine here in Llanelli, and I welcome close cooperation with ABMU, the Swansea Health Board.”
But both warned that the move of some of the planned operations out of Prince Phillip and all from Glangwili hospital into a new purpose built super-hospital near Whitland will need to be carefully managed.
Nia Griffith said: “The new hospital will be an hour away by car for most people in the Llanelli constituency, and many will be closer to hospitals in Swansea and along the M4. It’s essential that there are no bureaucratic boundaries between the health boards which get in the way of people being treated as close to home as possible.”
Lee Waters added: “About 25% of households don’t have a car and we need to make sure they can easily access the healthcare they need. And we need to make sure we can the most of digital communication so that people can have face-to-face contact without always needing to travel.”
The MP and AM will tell Health Secretary Vaughan Gething that Prince Philip needs to receive continued investment to secure a long term future.
Nia Griffith MP added: “We will be keeping close watch on the further development of the Board’s thinking on emergency, urgent and planned care.”
Lee Waters also said he was very concerned about the announcement that mental health services for the most serious cases will be provided outside of the area.
He added: “I’m worried that the new Mental Health treatment unit that was being planned for Llanelli will now be placed at the proposed new hospital near Whitland, alongside the planned new assessment unit. Llanelli is still on course to have a Community mental health centre, but that will not deal with more serious cases. Nia and I will be meeting with the Health Board to discuss this.”
Llanelli High Street shortlisted for prize
LLANELLI HIGH STREET has been shortlisted in the Government’s Great British High Street Awards, in proud partnership with Visa, putting them in the running for up to £15,000.
After a rigorous selection process led by a panel of independent judges, the high street has been shortlisted for the Rising Star category, which celebrates high streets which are taking the lead to adapt and diversify.
The bid by Ymlaen Llanelli follows research commissioned by Visa in April 2019 demonstrating the positive impact that the local high street has on communities. The research found that nearly three quarters of consumers (71%) in Wales say that shopping locally makes them feel happy, with nearly half (45%) citing supporting local shops and knowing where their money is going as the main reason. Spending time with friends and family (25%) and offering a sense of community (18%) were other reasons cited for why high streets make people feel happier. The research also reveals that half of consumers (50%) feel that their high street gives them a sense of pride in their local community.
High Streets Minister Jake Berry MP said: “Congratulations to Llanelli for being shortlisted for the Rising Star Award for this year’s Great British High Street Awards.
“Llanelli high street is a hive of activity, with food festivals, childrens’ days and community get-togethers all part of the local calendar. A great example of how high streets can bring a renewed energy to communities.
“People are happier when they can see their hard-earned cash support local businesses. That is why we are celebrating those that go above and beyond to keep their high streets thriving for generations to come.”
Sundeep Kaur, Head of UK & Ireland Merchant Services at Visa, added: “We’ve seen some fantastic entries for this year’s Great British High Street Awards across both the Champion High Street and Rising Star categories. In particular, the desire to innovate stands out amongst this year’s entries, with high streets adapting to the challenges presented by a rapidly changing retail environment to find ways to thrive at a local level.
“As our research shows, high streets play a vital role at the heart of communities, so this is a great opportunity for those communities with shortlisted high streets to show their support by placing their votes on the Great British High Street website.”
Llanelli High Street is one of the 28 high streets that have been shortlisted for the Rising Star category, identifying high streets which are taking the lead to adapt and diversify. 12 high streets have been shortlisted in the Champion High Street category, which recognises the UK’s best high streets. All 40 high streets are now in the running to win a prize of up to £15,000 to be dedicated to a local high street initiative.
Head Teacher at Primary school in Llanelli suspended
THE HEAD TEACHER of a Welsh primary school has been suspended, it has been confirmed.
Catherine Lloyd-Jenkins, who is head at Ysgol Gymraeg Ffwrnes in Llanelli, has been suspended from her duties at the school with immediate effect.
Governors at the school have been unavailable for comment, but Carmarthenshire Council confirmed the news this morning.
It is understood that the chair of the governing body is currently out of the country, and the council would not comment further on the circumstances surrounding the suspension.
The council’s director of education, Gareth Morgans, said: “School staffing is a matter for the Governing Body, however, we can confirm the headteacher of Ysgol Ffwrnes has been suspended.
“It is not appropriate to comment further.”
Mrs Lloyd-Jenkins has worked at Ysgol Gymraeg Ffwrnes for 23 years, taking up a post at the school in 1996.
She has been the headteacher there for almost 20 years, taking over the role in 2000. She has also worked as a peer inspector at Estyn, the education and training inspectorate for Wales confirmed.
According to one local councillor, ‘serious concerns’ have been raised about the school in recent months.
“Local residents and parents have approached us raising serious concerns about the school in question,” said Carmarthenshire councillor Rob James.
“We are in dialogue with senior council officers to assert whether the allegations are credible and what action the council and governors have taken in response to these allegations.”
Dyfed-Powys Police numbers at record low, say Labour
POLICE officers based across the Dyfed-Powys area are now at their lowest levels in the last decade, with over 300 officers being lost across the region, claim Carmarthenshire Labour.
According to a freedom of information request by Carmarthenshire Labour, police officers based across Carmarthenshire, Pembrokeshire and Ceredigion are down 42% and are at record lows in both Carmarthenshire and Ceredigion.
The figures published by Dyfed-Powys Police show that Carmarthenshire has lost 160 officers in the last ten years, Pembrokeshire is down 107 officers and Ceredigion has lost 56 bobbies on the beat.
These figures come off the back of a poor report by Her Majesty’s Inspectorate of Constabulary that shows the force has gone backwards in the last year, with crime also on the increase.
HMIC’s recent PEEL (Police effectiveness, efficiency and legitimacy) report noted concerns about Dyfed-Powys Police’s performance in keeping people safe and reducing crime and specifically warned of failures to assess all incidents of domestic abuse.
Carmarthenshire Labour Leader Cllr Rob James claims that the figures show that the current Police and Crime Commissioner is now performing worse than their predecessor.
Rob James stated: “These figures that show a dramatic decrease in police numbers are extremely worrying and reinforce what communities are saying across Dyfed Powys – there are simply not enough police officers in our areas.
“The fact that we now have lower police numbers in the three counties compared to the end of the last Police and Crime Commissioner’s term with crime now on the rise illustrates that the Plaid Cymru Commissioner is failing in his duty to protect our communities.
“We need urgent action to make our communities safe once more, as there is a clear link between the loss of youth provision and cuts to officer numbers, and the rise of crime in our communities.
“There is little evidence that our Commissioner has grasped the nettle over the last three years in tackling this important issue.”
These claims however, have been slapped down by Police and Crime Comissioner, Dafydd Llewellyn. He said that said that Cllr James had misunderstood or misrepresented the information provided to him.
The Carmarthen data have a significant rider attached to them.
The explanatory note reads: ‘It should be noted that the figures for Carmarthenshire police division between 2008 and 2018 are not comparable as the structure of Carmarthenshire division in 2018 has altered to that of 2008 which has impacted upon the figures provided’.
That explanation is expanded upon concerning the Ceredigion data. Regarding them, an explanatory note warns that: ‘[T]he structures between 2008 and 2019 are not comparable as some sections that were recorded divisionally now come under the HQ remit, e.g. the Road Policing Unit, CID, etc.’.
Dafydd Llewelyn pointed out that note in his response to The Herald: “As outlined in the response to the Freedom of Information request, structures between 2008 and 2019 are not comparable as some sections that were recorded as divisionally based are now recorded under the HQ remit, for example, Roads Policing Unit, CID.”
Dafydd Llewelyn continued: “Since taking up my role as the elected person to represent the many communities across the four counties served by the force, I have increased the overall resource available by 4%. I have ploughed funding into dedicated teams to support front line officers and have invested in resources to support the most vulnerable in our communities.
“I have commissioned services specific to their needs – be that as victims of domestic abuse or young people choosing to leave their homes for reasons unknown to authorities. I will continue to do this. I will not be held to account by numbers on paper alone, but by the difference I can make to individuals’ quality of life.
“I will also use the opportunity I have to campaign for services appropriate to the very specific needs an area the size of Dyfed-Powys Police has and will work with the force to adapt according to those needs.”
He concluded by pointing out: “Carmarthenshire, Ceredigion, Pembrokeshire and Powys remain the safest counties nationally and I’m proud to be driving a service that is willing and able to flex and respond, despite the financial challenges faced day-in-day-out.”
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