A Welsh hospital in Llanelli, which has already lost its accident and emergency (A&E) department, could be facing another setback with the potential closure of its 24-hour Minor Injury Unit (MIU). The MIU at Prince Philip Hospital currently provides round-the-clock care for patients with wounds, sprains, minor burns, and limb fractures. However, the Hywel Dda University Health Board is considering reducing the unit’s opening hours to only 12 hours a day, with a proposal slated for discussion this week.
If approved, the change would take effect from November 1, citing the need to ensure patient safety due to a shortage of adequately qualified doctors. The health board describes the measure as temporary, spanning six months. Nevertheless, this development raises concerns about the hospital’s future amidst ongoing uncertainty in west Wales surrounding healthcare services. Plans are underway to construct a new hospital, estimated to cost over £1bn, which would replace A&E departments at Glangwili Hospital and Withybush Hospital.
Prince Philip Hospital previously lost its A&E department, compelling residents to travel to Swansea or Carmarthen for emergencies. The potential reduction in MIU hours could lead to additional strain on A&E services. An inspection last year revealed issues at the MIU, with some patients waiting up to five days due to bed shortages. Concerns were also raised about the unit functioning more like an A&E department staffed by nurses and GPs.
Hywel Dda assures that the proposed MIU closure at night would not impact the Acute Medical Assessment Unit and severely ill patients would still receive treatment at Prince Philip Hospital 24/7. The health board attributes the need for changes to patient safety concerns highlighted by inspections and staffing challenges. A decision on the proposal is expected after a meeting on Thursday, with plans for community engagement if endorsed.
This potential development underscores the challenges faced by health services in west Wales and the importance of ensuring adequate and safe care provision for patients. Residents are anxiously awaiting confirmation of the decision, as healthcare in the region braces for significant transformations in the coming years.