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Histopathology services will be based at Carmarthen (From Western Telegraph)
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Histopathology services will be based at Carmarthen
4:55pm Wednesday 16th May 2012 in County News
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)
Tina2
says...
7:04am Thu 17 May 12
Honest Local
says...
9:07am Thu 17 May 12
SA6
says...
5:02pm Fri 18 May 12
"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
Honest Local
says...
9:00pm Fri 18 May 12
SA6
says...
10:16am Sat 19 May 12
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
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
indeview
says...
12:27pm Sat 19 May 12
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
Honest Local
says...
1:50pm Sat 19 May 12
indeview
says...
2:52pm Sat 19 May 12
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
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
Withybush
says...
9:47am Mon 21 May 12
Honest Local says...
8:54pm Wed 16 May 12