The West Wales options.

The West Wales options are now in the public domain, so readers of NHSreality can have access. The fact is that it is difficult, in an under-capacity market, to attract doctors to where there is no tertiary capacity, no research, and from where promotion is unlikely. When doctors do come and compete for jobs, is where there is a bribe, and a system that allows choices across Deaneries. This is present for GP training schemes, but is not yet facilitated for pre-registration F1 & F2 posts. The population demographic for Wales, and West Wales in particular, shows that Pembrokeshire has the highest population density, and that’s without holiday visitors in the  4 summer months…. Watch for the short term fixes, watch for nurses and other staff leaving, and the possibility of civil unrest. Whatever solution is proposed, the debate will be local, and a utilitarian solution will not come out of public meetings.


The official documents for the West Wales options are belwo.

6b. Feedback Form – Stakeholders (Template) vs2

3. Levels of Care and Menu of Services 08.01.18

2. Current ‘Long-list’ of Options 09.01.18


Good on you Mr Gavin Tait. Tell it as it is… and I bet you never got an exit interview.

Local politics and health: Hundreds from West Wales (Pembrokeshire) to protest at the Senedd against ‘downgrading’ of Withybush Hospital

The BMA Hustings – an uninformed line up of hopeful politicians. Withybush Hospital degenerates further.

Cancer doctor (Ann Barnes MBE) quits over understaffing at Withybush

Hywel Dda under pressure as doctor says ‘Glangwili will not cope’ once Withybush has been downgraded..

West Cornwall Penzance), Cromer and now Withybush. All become minor injury clinics…

Whilst Nurses leave, “Extra funding to help NHS used on short-term fixes”, report finds. Conspiracy theorists may be right..





This entry was posted in A Personal View, Professionals, Rationing, Stories in the Media on by .

About Roger Burns - retired GP

I am a retired GP and medical educator. I have supported patient participation throughout my career, and my practice, St Thomas; Surgery, has had a longstanding and active Patient Participation Group (PPG). I support the idea of Community Health Councils, although I feel they should be funded at arms length from government. I have taught GP trainees for 30 years, and been a Programme Director for GP training in Pembrokeshire 20 years. I served on the Pembrokeshire LHG and LHB for a total of 10 years. I completed an MBA in 1996, and I along with most others, never had an exit interview from any job in the NHS! I completed an MBA in 1996, and was a runner up for the Adam Smith prize for economy and efficiency in government in that year. This was owing to a suggestion (St Thomas' Mutual) that practices had incentives for saving by being allowed to buy rationed out services in the following year.

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