Histopathology services will be based at Carmarthen

Hywel Dda Health Board has announced that histopathology services will be centralised in Carmarthen.

It said it is set to create a safer and sustainable pathology service for patients following recommendations made by the Royal College of Pathologists.

The expert body recommended that histopathology services within the Hywel Dda Health Board area should be re-organised into fewer, larger departments. This is in keeping with the Welsh Government document ‘The Future Delivery of Pathology Services in Wales’, a spokesman said.

Concerns had been raised about the move being made permanent following the removal of post-mortem and histopathology services from Withybush Hospital in 2010.

Long term plans to remove the service were outlined in a leaked document later that year.

A review was to be carried out in March 2011 following the appointment of two new consultants.

The Health Board states that patients will not see a physical change in service, but behind-the scenes work and autopsies will be organised from Carmarthenshire.

Facilities to view and store the deceased will remain at each of the four hospitals (Bronglais, Glangwili, Prince Philip and Withybush).

"This arrangement will ensure a safer and sustainable service in which all consultants will work together, rather than in isolation; improve the quality of the service; reduce risk, variation, duplication and waste; and improve recruitment and retention of staff. All staff members affected have been fully consulted and there will be no loss of jobs," said a spokesman.

Following this consultation with staff, a phased approach is proposed. The first phase will commence in the coming months and will involve the transfer of the histopathology service from Withybush General Hospital to Carmarthenshire. Bronglais General Hospital work is already being carried out within Carmarthenshire.

Associate Medical Director for Pathology Dr John Murphy said: "This operational change will allow us to offer an improved clinical service to our patients. It will provide an opportunity for Consultants to work together in line with Royal College of Pathologists recommendations and provide an opportunity for Consultants to share expertise and easily obtain second opinions from colleagues."

Director of Planning, Performance and Delivery Tony Chambers added: "Patients will see no change as this is very much a ‘behind the scenes’ service and there should be no delay for either consultants at other hospital sites or patients receiving results. We are extremely sensitive to the needs of bereaved families, and therefore facilities to view and store the deceased will remain at each of our four hospitals."

The Health Board is now in the process of discussing the change in detail with the eleven staff directly affected by phase one. Briefings are also being sent to key stakeholders.

Comments(15)

Honest Local says...
8:54pm Wed 16 May 12

Here we go again with our local health services - bye bye Withybush and we are all off to Carmarthen, so much has gone in such a secretive manner. When oh when will we something closing in Glangwili and coming to Haverfordwest ? At this rate there will be nothing left in our local hospital by Christmas ! I think these people who are trying to speak out = SWOT I think, must be right. Will the last patient out please key the doors.

Tina2 says...
7:04am Thu 17 May 12

The trouble is the "Powers That Be" forget that not everyone has access to a car. So while you think money is being saved by moving things from Withybush it will be lost again due to the cost of patient transport.

Honest Local says...
9:07am Thu 17 May 12

Perhaps the thinking of these chiefs of Hywel Ddda is that the people of Carmarthen are those that dont have cars and that is why everything has to go there !! I just hope that this Mr Pertwee that runs this Health Board will allow a few ambulances to remain down here in Pembs because there aren't too many trains to Carmarthen either !

SA6 says...
5:02pm Fri 18 May 12

What they said is against not in line with Royal College of Pathologists :
"A submission from Royal College of Pathologists :
Histopathology is unique amongst the disciplines of pathology in that its output is wholly qualitative rather than quantitative. Histopathology reports are medical opinions, not measurements. Histopathology reports contain interpretations, explanations, evaluations of probability and clinical judgements. They represent the outcome of a clinical consultation.
Consequently this submission will argue that, to provide a quality service, histopathologists must work side by side with clinical staff."

Have a look yourself :
http://www.rcpath.or
g/NR/rdonlyres/2625F
F67-B13E-4A82-9B46-4
8CA859C90F4/0/Carter
Histopathology_Feb06
.pdf

Honest Local says...
9:00pm Fri 18 May 12

Thanks SA6, and I do hear what you say, but this is exactly what this health board is doing isn't it, and in a clandestine manner ? - starting to move the services to Carmarthen and in coming months they will then move all of the clinical services up there as well - this is part of the plan to leave Withybush isolated and vulnerable but no one has woken up to it ! Then of course all staff will be working side by side, but unfortunately not here in Pembrokeshire.

SA6 says...
10:16am Sat 19 May 12

It is right Honest Local.
I guess they will say "it is not safe that clinical staff does work side by side with histopathologists" so they will move all of the clinical services to Carmarthen for safety reason of course and be in line with Royal College of Pathologists again.

SA6 says...
10:20am Sat 19 May 12

It is right Honest Local.
I guess they will say "it is not safe that clinical staff does NOT work side by side with histopathologists" so they will move all of the clinical services to Carmarthen for safety reason of course and be in line with Royal College of Pathologists again.

Honest Local says...
11:44am Sat 19 May 12

The SWOT people have said that Mr Pertwee and his LHB have already started closing beds and transferring services to Carmarthen.When this histopathology goes I assume they will begin to close the wards.I fear for all the nurses and other staff having to travel to Carmarthen every day with the current price of petrol. I wonder if the hospital site will be sold to Debenhams - somebody said they are interested in coming to Haverfordwest - at least somebody has faith in our county !

indeview says...
12:27pm Sat 19 May 12

From the report "The best Configururation of Hospital Service" by the Welsh NHS Confederation, I read that Patients families may be offered hotel accommodation if they have travelled long distance and that it may be the case that some specialities have to change or re-locate, not because their own model of care is inadequate but simply to follow other specialities which depend on them.
I do wish that somebody could explain how the extra costs of keepng us out of hospital, living independently at home, with visiting health/nursing care and with possible social care visits, are to be met and more importantly, do these costs fall to be met by the NHS, local government or us as individuals.
If we will have to pay extra as indiviuals, including travel up and down the A40, (not forgetting the personal inconvenience and loss of time , which may also have a hidden cost) we should be told now.
If our council tax is likely to be increased as a result of this policy, we should be told now.
It seems that our health service is to be run to suit the convenience of Health boards and doctors. It is a pity that we have to bother them with our presence.
What will be the effect on Pembrokeshire if all specialist treatment is to be moved out county?
Just what was the point of the listening exercise, where is the democratic process in all this?
Who represents us on the Health Board and what is the role of our county council? I confess I haven't got a clue.
Indeview - John hudson

Honest Local says...
1:50pm Sat 19 May 12

Don't be mislead by this report about hospitals and you must understand that the NHS Confederation which produced it is not at all independent but is the Public Relations arm of the LHB's in Wales - it is there to convince the public on behalf of the LHBs. Hwyle Ddda LHB has an appointed Board of members but not many of these are local except a lady from Narberth,Mrs Jeffry, Derek Wild a PCC councillor and the chairman Mr Tony Martin from Haverfordwest. I am told that these people are not involved in the decision making however and all decisions are made by the CEO Mr Pertwee and his directors - most from England. Hope this helps.

Honest Local says...
1:50pm Sat 19 May 12

Don't be mislead by this report about hospitals and you must understand that the NHS Confederation which produced it is not at all independent but is the Public Relations arm of the LHB's in Wales - it is there to convince the public on behalf of the LHBs. Hwyle Ddda LHB has an appointed Board of members but not many of these are local except a lady from Narberth,Mrs Jeffry, Derek Wild a PCC councillor and the chairman Mr Tony Martin from Haverfordwest. I am told that these people are not involved in the decision making however and all decisions are made by the CEO Mr Pertwee and his directors - most from England. Hope this helps.

indeview says...
2:52pm Sat 19 May 12

Many thanks, Honest Local, you have confirmed my suspicions.
The Confederation seems more PR savy than Hywell Dda.
We do not appear to have much say or clout.
Just a bit more background from the PCC angle. The Council's Director of Social Services plus one other council officer works 50% of their time for the Health Board, charged with joining up our health and social care needs when we are discharged from hospital under care. At a council overview and scrutiny committee, one councillor asked the question about costs and the Director said that this had not been addressed.
The Councillor appointed to the Health Board was also a PCC cabinet member and spokesperson on Older Persons Health and Well-being, advised the the Director.
There is also an Overview and Scrutiny committee for this area of work, but this had been judged as "underdeveloped" by CCSIW. This was also advised by the same director that the committee was meant to be scrutinising.
Hywell DDa seems to operate much like the council where board members/councillors are advised by officers.
How much has the argument about numbers of patient throughput to sustain skills been influenced by large urban demographics?
It doesn't seem right that one size or answer to undoubted problems fits both urban and rural communities.

Indeview- John Hudson

Withybush says...
10:31am Sun 20 May 12

Mr John Murphy was Medical Director for Pathology long time before the service was relocated to Carmarthen.
One day he was honest and said : I hate this traveling when I have to visit other hospitals, I aim to integrate all services in Carmarthen. That's all. And few years later he did it.
Even if they are lack of staff in Carmarthen, even if the laboratory is smaller over there (except mortuary), even if staff is less experienced. And Mr Murphy split consultants so they work separately - one or two consultant are responsible for one hospital. So they work that same way as it was before integration, just new location, nothing more. Except that Mr John Murphy do not need to travel.

The Worrier says...
1:30pm Sun 20 May 12

I am worried about all of this and how things will be different when they close the A&E service at Withybush which will happen when this LHB has its way; they cannot seem to organise anything properly - look what happened when they tried to send out DVDs to people - they couldn't even get that right! there seems to be no real communication from this LHB and just a load of tosh and waffle. getting far worse that PCC ever was as IndView says above.

Withybush says...
9:47am Mon 21 May 12

Sorry for my incomprehensible language above. I was tired after 12hrs night shift.

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