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Prince Philip to retain ‘acute hospital services’ 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 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.

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.”

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.”

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Business offer Welsh Government help in ‘non-essential’ shopping row

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THIS morning (Tuesday, October 27), the Wales Retail Consortium, CBI Wales and Association of Convenience stores presented the Welsh Government joint recommendation to resolve the confusion over non-essential items.

The three industry bodies’ statement expresses the hope that the Welsh Government, ‘will agree to these recommendations and the people of Wales can refocus all their energies on respecting the Fire Break’.

The recommendations come in response to confused and confusing messaging from the Welsh Government, which allowed its public health message to be drowned out over the weekend by rows over whether toasters, Lee Childs novels, and size 16 jeans were essential items for customers. The confusion was not helped by a mistaken tweet by supermarket giant Tesco which claimed women’s period products were not essential items when they are and always have been.

The WRC, CBI Wales and ACS believe their recommendations will fulfil retail’s role in tackling the spread of the virus while allowing for discretion to be used on an individual basis – as recommended by Health Minister Vaughan Gething in a tense press conference yesterday, http://pembrokeshire-herald.com/61929/welsh-health-minister-defends-retail-restrictions/.

The business bodies recommend:

  • To limit the spread of the virus and allow for individual discretion, retailers will prominently display Welsh Government approved signage in front of known non-essential items and in communal areas. The signage will make clear the government’s regulation and the need to abide by it.
  • This message will be reinforced through in-store announcements and social media messaging. Advising customers to put off non-essential purchases
  • We recommend the individual customer is trusted to make their own decision as to whether a product is non-essential or not, taking into account the notices displayed throughout the store and their immediate needs
  • If the customer goes ahead with the purchase of the item the final liability ought to rest with the customer
  • Retailers will remove special in-store promotional displays of non-essential items in order to minimise browsing and avoid triggering a non-essential purchase.
  • These recommendations would mean non-essential items are not removed from shelves – or cordoned off in stores – but large notices are placed in front of the products and in communal spaces informing customers of the Welsh Government’s regulations and the Welsh public are trusted to make the right decision.

They also say they ‘look forward to engaging with Welsh Government again this morning and we hope consensus can be reached’.

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Llanelli Christmas Carnival goes online

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Preparations are underway to host the first ever virtual Llanelli Christmas Carnival. 

The carnival will go digital for the first time in its 42-year history due to the Covid-19 pandemic and in line with current Welsh Government guidance and increasing concerns about the spread of coronavirus linked to large gatherings. 

Whilst there won’t be the usual street parade, people will be able to get into the festive spirit from the comfort of their own home. 

The online celebration will be hosted as an event on Discover Carmarthenshire’s Facebook page on Friday, November 13. 

Over the years, thousands of people have been involved in the Llanelli Christmas Carnival – either dressing up to enter a float in the parade, volunteering, or simply enjoying the atmosphere with generations of their families. 

They can still get involved this year by sharing photos and video to help people celebrate good memories and help others reminisce about carnivals gone by. 

There will be a broadcast of music from talented local performers who would usually sing from the main stage, and people will still be able to countdown to the switch-on of the town’s Christmas lights. 

The largest Christmas carnival in Wales, Llanelli’s festive celebrations are a joint effort by Carmarthenshire County Council, Llanelli Town Council, Llanelli Rural Council and Llanelli Round Table. 

Cllr Peter Hughes Griffiths, Carmarthenshire County Council’s Executive Board Member for Culture, Sport and Tourism, said: “It’s very unfortunate that we can’t hold Llanelli Christmas Carnival this year, but we’re determined to keep the spirit of the carnival alive. Let’s come together and celebrate one of the biggest events in Wales from the comfort of our homes – celebrate with generations of memories and look forward to a bigger and better carnival next year.” 

Sign up to attend Llanelli’s first virtual Christmas carnival – visit facebook.com/discovercarmarthenshire 

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Free Community Crime Prevention Kits to be distributed in Llanelli area

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OVER the coming weeks, residents from both the Ty Isha and Glanymor areas in Llanelli, Carmarthenshire, will receive free crime prevention kits that will aim to deter offenders and make both communities safer.

The prevention kits have been purchased through funding that was secured from the Home Office’s Safer Street Fund by Police and Crime Commissioner Dafydd Llywelyn.

The funding of £195,673 that was secured by Mr Llywelyn will go towards measures proven to cut crime, and will include employing two Community Wardens; purchase of SelectaDNA kits, Community crime prevention activity support, Environmental improvements and Community Crime Prevention kits.

SelectaDNA kits and Bike register kits are two of the Community Prevention kits that will be distributed to residents within the local communities over coming weeks.

The SelectaDNA kits are property marking kits that include a unique formula of DNA, UV tracer and microdots, which people can use to mark their valuable household items, so that if stolen, police are able to trace them. 

Similarly, the bike register kits include stickers, frame markings and microdots to uniquely identify a bike.  Users can add descriptions and photos to ensure that in the event of a theft, their bicycle can be easily identified and returned by Police through the BikeRegister Scheme.

Dafydd Llywelyn, Police and Crime Commissioner for Dyfed-Powys said, “I am delighted that both these crime prevention kits have been purchased through the Safer Streets funding that I secured earlier this year.  Hopefully, as they are distributed over the coming weeks, we will see that they will have a positive impact within the area.  Criminals know that DNA is the police’s most powerful weapon in convicting criminals therefore the DNA fear-factor is highly understood and acts as a huge deterrent.

“I have invested significantly in the area over recent years with community grants I made available in addition to the new CCTV system that is in place across the town. These new crime prevention kits that have been purchased through the new additional Safer Streets funding will further build upon my work over recent years and I hope the residents will feel a positive difference in their communities.

Both Ty Isha and Glanymor areas are considered to be two of the most deprived areas in Carmarthenshire according to the Welsh Government’s Index of Multiple Deprivation. The funding secured will focus on tackling all acquisitive crime such as burglary, vehicle theft and robbery within the identified areas.

PCC Llywelyn added, “Ensuring the security and safety of residents is a priority of mine – everyone deserves to live safely, and free from harm. Acquisitive offences are the crimes that the public are most likely to encounter, and they are estimated to cost society billions of pounds every year. There is strong evidence that these crimes can be prevented by tactics that either remove opportunities to commit crime or act as a deterrent by increasing the chances of an offender being caught. I now look forward to continue working closely with all partners that have supported us with our bid, to tackle these crimes in both areas and to ensure that they become safer environments for community residents.”

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