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  • "The gradual movement of Withybush Hospital's departments to Glangwili Hospital is nothing more than a cost-cutting exercise that uses any excuse to do so.
    The impact on the family members of the patient, travelling back and forth to Glangwili hospital each day to visit from often remote areas of Pembrokeshire, is expensive, inconvenient and a draining experience to say the least. This consultation will not have the community's best interests at heart but rather the easiest way to make cuts.
    I have experienced the cardiology department at Withybush, through relatives who have had treatment there, and can only hope that the seemingly inevitable shift of cardiology services to Glangwili provides the Pembrokeshire community with the same excellent treatment as the current provision does in Withybush.
    With the gradual move of NHS provision to Glangwili, I would imagine Pembrokeshire will also see less families/couples moving into the area. People without a family link to a specific area will generally look for good services in the area in which they settle. Hospitals provide an important service to the community. Living close to one can make the difference between life and death."
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Cardiac ‘hub’ in Carmarthen suggested for heart services

First published in News

HEART services could be the next to change in Hywel Dda as the health board sets up a clinical project board to look at a report into its cardiology services.

Following a number of “anecdotal and untoward incident reports”, the University Health Board commissioned a full, independent, external review by recognised experts, the Royal College of Physicians into quality and safety of cardiology services.

It suggests a central cardiac ‘hub’ be developed at Glangwili.

The review said two cardiologists had raised concerns about patients receiving “poor service”.

Serious concerns were also raised about an “apparently high risk adjusted mortality index (RAMI) for cardiology patients in one DGH, Withybush Hospital and the collection of data throughout HDHB”.

The distance between the Hywel Dda hospitals and the tertiary centre at Swansea also created a “formidable challenge” and centralisation at Glangwili is suggested.

Medical director Dr Sue Fish said: “Our patients deserve the best possible care and we would like to reassure patients we take the issues raised in the report very seriously.

“The review did not look at any specific issues relating to individual patients and has not identified any parts of the service that are currently unsafe.

“However, it did make a number of recommendations advising us on how they believe we should configure cardiology services to improve the care of patients across the university health board.

“We will have to consider the recommendations very seriously before reaching a decision on how we implement them.

“A number of the issues identified in the report are already being addressed. We have been reviewing all deaths in our hospitals over several of years to ensure that lessons can be learned and patient care improved.

“It’s important to stress that no decisions have been.

“We have undertaken a further review of the Risk Associated Mortality Index (RAMI) data in our hospitals, we have improved the management of clinical incidents and we are ensuring that we participate in National Clinical Audits in order that we can benchmark the care our patients receive against that in other hospitals in England and Wales.

“When the review was commissioned we were already working with our clinicians to look at how services could be improved and we will now set up a clinically led project board to discuss the report and its recommendations in detail, formulating an action plan as a matter of urgency.”

Despite concerns raised in the report it adds: “We have met some very impressive people with great commitment to the population they serve and we can see no reason why HDHB should not develop a first class cardiology service of which all can be proud.”

It will provide its official response to the report at the public board meeting in May.

If anyone has any concerns about their care contact the patient support team on 0300 0200 159

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