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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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Gigabit broadband voucher scheme boost for Wales

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THE UK’s Gigabit Broadband Voucher Scheme is to be given a boost in Wales thanks to a new partnership between the Welsh and UK Governments. Ministers from both Governments are now urging Welsh businesses and communities to apply for the funding to get gigabit speeds.

The announcement follows an agreement between the UK and Welsh Governments, and reflects the higher costs of deploying fibre infrastructure in Wales, as a result of the country’s topography and the location of premises.

The UK Government’s Gigabit broadband vouchers – worth up to £2500 – are currently available to small businesses and surrounding local communities to contribute to the installation costs of a gigabit-capable broadband connection.

Under the new arrangements, the Welsh Government will provide an additional £3,000 for businesses up to a certain size and an additional £300 per residential property. This means that for group* projects in Wales up to £5,500 is available per business, compared with £2,500 elsewhere in the UK. Up to £800 will now be available per residential property in Wales, compared with £500 elsewhere.

Deputy Minister for Economy Lee Waters said: “Although the vast majority of premises in Wales can now access superfast broadband, we are working hard on assisting the remaining five per cent that cannot access it and where commercial companies have no plans to reach. There is no one size fits all solution to reach the final premises, and the Gigabit Broadband Voucher scheme is an important part of a suite of measures to achieve this.

“This voucher scheme can provide a vital funding source for group connectivity projects, and could be of great benefit to communities currently without access.
I’m pleased we’ve been able to work with the UK Government to provide an enhanced scheme for Wales, taking into account the particular challenges we face here with geography and the location of premises.”

UK Minister for Digital Margot James said: “This exclusive scheme for Welsh businesses and communities is a vital part of our modern Industrial Strategy and build a Britain that is fit for the future. Working with the Welsh Government, together we can make sure that everyone in Wales has the connectivity they need for the digital age.”

The voucher scheme forms part of a package aimed at improving connectivity in Wales. The Welsh and UK Government funded £200 million Superfast Cymru programme has already taken superfast broadband speeds to more than 733,000 Welsh homes and businesses commercial companies had no plans to cover. The Welsh Government is also investing a further £22.5 million to reach an additional 26,000 premises and the UK Government is introducing a Universal Service Obligation** that will make fast broadband a legal right for every home and business in Wales by 2020.

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Rescuers attend to injured construction workers in New Dock Street

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A MULTI AGENCY rescue operation is underway in Llanelli involving all three emergency services after an incident at a construction site.

Workers have been at the New Dock Street site, working for around three years, The Herald understands.

The Herald has been told that a piece of plant malfunctioned causing the emergency, which happened earlier this evening (Mar 19).

Four fire engines and three ambulances are at the scene, our reporter said.

A specialist line rescue team is involved in the recovery operation.

An eye-witness told the press that three workers have been affected.

The source said: “Concrete had just been mixed and had been poured into a skip which was then lifted using a machine. The concrete was being lowered into the hole, it’s probably about 20ft and then the machine toppled over.”

He added: “Two men climbed out of the hole on their own and as a precaution the third man was told to stay down there. The workers were told to leave the site as a precaution.”

At least one person has been seen being taken away in an ambulance.

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Llanelli: Met Bar incident investigated

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AN INCIDENT which resulted in a 51-year old man having to go hospital is being investigated by Dyfed-Powys Police.

The man has been discharged from Glangwili Hospital but police are looking in to how the incident happened and how the man fell down some steps.

The incident happened outside the Met Bar in Llanelli on Saturday night (Mar 16).

A spokeswoman for Dyfed-Powys Police told the Herald: “At approximately 10.55pm on Saturday March 16, officers responded to reports of an injured man outside The Met Bar, Station Road, Llanelli, after he’d fallen down some steps at the location.

“Ambulance was at scene, and the 51 year old man was conveyed to Glangwili Hospital with what was thought to have been a serious head injury. He was then later discharged from hospital, and the head injury was no longer believed to be serious.”
Anyone who witnessed the incident is asked to contact police by calling 101 and quoting DPP/3011/16/03/2019/02/C. If you are deaf, hard of hearing or speech impaired text the non-emergency number on 07811 311 908

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