Llanelli’s Prince Philip Hospital will close its minor injury unit (MIU) overnight for six months, citing concerns about patient safety and staff well-being as reasons for the decision. The move was discussed and approved by the Hywel Dda University Health Board during a meeting on September 26. Dr. Neil Wooding, the board’s chairman, acknowledged the potential disappointment this decision may cause in the community but stressed the importance of addressing the pressure on staff.
From November onwards, the 24-hour MIU will be closed between 8 pm and 8 am for the next six months. This closure aims to allow the health board to enhance the daytime service and develop a new care model to ensure patients receive proper treatment. A report presented to the board highlighted challenges in staffing the MIU, particularly during overnight hours, due to a shortage of qualified doctors. This situation led to emergency nurse practitioners handling cases beyond their expertise.
According to the report, a significant number of MIU visits involved major clinical conditions such as strokes, broken bones, and acute abdominal problems, with a higher proportion occurring overnight. Andrew Carruthers, the health board’s chief operating officer, emphasised the need for a safe clinical model, especially with the approaching winter season. He underscored that failing to act could lead to staff departures and strain the daytime service.
The decision to reduce the MIU service was met with disappointment by stakeholders such as patient watchdog Llais, expressing concerns about the impact on urgent care in Llanelli. Despite the challenges, Prince Philip Hospital’s director, Dr. Robin Ghosal, saw an opportunity to improve care by directing patients to the hospital’s acute medical assessment unit efficiently.
The health board plans to explore alternative care options, engage with the public, and collaborate with neighbouring health boards to address any potential implications of the temporary MIU closure. Dr. Wooding reinforced the decision’s focus on clinical safety and care during the coming months, with a commitment to reviewing and optimising the care model in the future.