Katrina Sullivan sheds light on the human impact of 10 years of delays and £20 million in spending by Velindre.

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A local campaigner, Katrina Sullivan, and Debra Cooper (L-R)

Katrina Sullivan, who is currently undergoing chemotherapy treatment for cancer, joined the community to support Cat Lewis in court on Wednesday.

She shares her reflections on the judgement below.

“It is time to put egos away and focus on doing the right thing for the people of Wales. We cannot accept this already obsolete and fundamentally dangerous stand alone model, as the judge repeatedly said today it is not the desired or wanted option.

We as a Nation cannot accept such poor quality healthcare because Velindre have spent so much money on the plan thus far and wasted so much time it is now considered the only option.”

Kat has previously spoken out against the standalone cancer centre on the northern meadows.

“I am a current patient receiving chemotherapy treatment following surgery for cancer.

I am really scared for my future if the current plan goes ahead as it is just not safe.

I am really lucky to have been able to get a place at The Prince Charles Hospital in Merthyr Tydfil for my chemotherapy, as having no A/E on site at Velindre is and will be terrifying for patients.

I am safer having my chemotherapy in Prince Charles hospital, knowing that if I have a bad reaction to any of my treatments, emergency care is there for me.

I will be needing continuing cancer care from Velindre in the coming years, and I don’t understand why my life and safety is worth less to Welsh Government and Velindre than a vanity project which is not fit for purpose.

Without access to the best current research I and other patients will be excluded from potentially life extending treatments and trials. Research cannot take place without having on site access to A and E at the new Velindre site, so this excludes from opportunities available elsewhere in the UK.

This is such a backward step by all to pursue this outdated and unsafe model for the new Velindre site.

Life with cancer means every day is precious to patients, it is devastating to know that the managers responsible for Transforming Cancer Services in Wales and the Welsh Government seem to have no interest in providing the current best practice for cancer care.”

Thank you Kat for raising your voice in support of saving the meadows. Kat has joined the voices of patients and clinicians who have spoken out against the stand alone model.

Velindre have violated the trust of patients – past, present, and future; failing to cooperate with other health boards to create a cancer centre fit for the future, and suitable for patients, staff, and students.

7 years on from the decision not to pursue the building of the new cancer centre on the grange site at Whitchurch Hospital, Velindre and the Welsh government continue to put the people of South East Wales at risk. As ambulances spend hours waiting outside A&E, we know there’s a human cost to the decade of delay by Velindre.


Read more about save the northern meadows reflections on the judgement here.

Find Cat Lewis’ reflections immediately after the judgement here.

More information about the medical model can be found at Co-locate Velindre’s website. Co-locate Velindre are a group of clinicians shedding light on the risks associated with the medical model chosen by Velindre.

Read more from the BBC here, and the National here.

from Cat Lewis.

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i lost.

i’m sorry –

to all of you who gave time , gifts and money,

to all of you who stood strong and said no,

to the wildlife now more in peril,

to the patients present and future who won’t get the best model of treatments,

for the patients who will die,

for the ministers and planners who know this is wrong in their hearts but don’t have the courage to say so.

The judge believes that even if presented with all the additional things we have found out and linked, all that the judicial review would clarify – that the senedd ministers would still have come to the same decision: that they need to build a short term fix to a space issue, as fast as possible.

and fuck the future.

Cat Lewis with members of save the northern meadows and the local community.

Save the Northern Meadows reacts to the decision to deny Cat Lewis the judicial review into the build of the new Velindre Cancer Centre on the Northern Meadows.

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The rejection of Cat Lewis’ application for judicial review of the decision to build on the northern meadows is a failure of the legal system to hold the Welsh Government accountable for decisions which are not in the best interest of the public, the climate, or future generations. 

The decision made today ensures the people of South East Wales will always receive worse cancer care than what is provided in England, and slapped with a higher economic, clinical, and personal cost for it. As children’s cancer services in London are held responsible for failing to colocate their centres, Wales is pushing forward with what we know is a highly dangerous and backwards model of care, that leaves patients receiving palliative care in the back of ambulances to die. We do not accept this future for us, our families, and our communities.

It raises questions over the purpose of Welsh Environmental law if the Welsh Government is not going to held legally accountable against them. It shows that politicians – regardless of the Environment (Wales) Act and the Wellbeing of Future Generations Act – will not be held accountable or responsible for environmental destruction, and do not have to apply sustainable development in all they do. Regardless of what Mark Drakeford told world leaders at COP26, the Welsh government is not a leader on climate. In fact, their policies amount to greenwashing, and the lacklustre language will spell tragedy for biodiversity across Cardiff and the whole of Wales. 

This issue is compounded as Wales still does not have an environmental regulatory or enforcement body following the exit from the EU. In effect, we the public have no support to scrutinise the Welsh Government, or seek accountability and justice on environmental matters.

No matter how many protected species, the variety of biodiversity, or the importance for mental health and wellbeing, if the Welsh Government wants to bulldoze green space in your community, it can do it, and you’ll be charged extortionate amounts for the privilege of simply trying to hold them accountable. 

Campaigners will continue to stand with Cat Lewis, a cancer patient, in support of her plight for just cancer care model. Campaigners pledge to stand with those in their community at risk of increased flooding due to this development and with the senior clinicians from across the country who have been bullied, and suffered career damaging consequences for daring to voice their informed concerns regarding the development of a stand alone cancer centre for Wales.

Cat Lewis and other campaigners will continue to fight any development on the meadows because it is the right thing to do for our community, for our environment, for our children, and for our future generations.


Cancer Survivor Takes on Welsh Government against “Dangerous Cancer Centre” plans

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PRESS RELEASE

16 November 2021

Available for Immediate Release

Cancer Survivor Takes on Welsh Government against “Dangerous Cancer Centre” plans

On 18 June 2021, Catherine Lewis, a Velindre patient and resident of the Hollybush Estate launched a legal challenge against the Welsh Government’s decision to approve plans for a new Velindre Cancer Centre to be built on the Northern Meadows in the Whitchurch area of Cardiff.

Her initial application was refused permission to proceed to judicial review on 21 September 2021 by a High Court Judge. 

Ms Lewis is now requesting a review of that decision which will be heard at an oral hearing before a High Court Judge at the Administrative Court in Cardiff on Wednesday 17 November 2021.

The Court previously ordered that Ms Lewis should pay the Welsh Government’s and Velindre University NHS Trust’s legal costs, which at that date, amounted to over £46,000.

Ms Lewis, who lives on a low wage in a council flat in Whitchurch and is only able to work part-time due to her cancer recovery believes that these costs are inappropriately excessive. While the Welsh Government and Velindre are employing very expensive lawyers in the form of a QC and two corporate law firms.

Ms Lewis’ solicitors, Deighton Pierce Glynn Solicitors, argued that the Judge misunderstood the legal arguments put forward. 

The controversial plans have received widespread opposition from clinicians and the local community who have continued to highlight serious concerns regarding the model of having a standalone cancer centre away from acute medical services.  Clinicians state that this will pose a danger to patients and not allow for the provision of advancements in cancer treatment which are becoming increasingly toxic and require close proximity to an acute ward and clinicians from a wide range of specialisms.

Parallels can be seen with the recently uncovered scandal in children’s cancer care in London.  With NHS England stating that it will adopt recommendations that will see London’s cancer services brought up to national standards in requiring that children’s cancer services must be based in hospitals with full pediatric intensive care units. Campaigners and medics in Wales state the current plans will endanger children receiving cancer treatment and question why NHS Wales and the Welsh Government are not ensuring that these children receive care of the same standard as those in England. 

For this reason, it is widely accepted, including by the Welsh Government, that the best option is to co-locate with the University Hospital Wales. The plans have failed to properly consider this option and engage with the medical community both within and outside of Velindre.  

The plans only seek to meet a short term need and fail to address the long term needs of cancer treatment, which will trap Wales into an outdated cancer care model. They therefore fail to balance the needs of future generation as required by sustainability principle in the Well-being of Future Generations (Wales) Act 2015

Moreover, the construction will take place on the Northern Meadows, an important and sensitive habitat to a wide range of fauna and flora, many of which are protected.  The meadows are surrounded on three sides by a nature reserve that an access road will cut through, which includes one of Cardiff’s largest and oldest heronries. The Welsh Government has a non-deferrable duty to seek to “maintain and enhance” certain listed living organisms and habitats under the Environment (Wales) Act 2016.

Campaigners plan a demo outside of the Court starting from 9am on Wednesday, which will include a samba band.

Notes to editors

  1. Catherine (Cat) Lewis received treatment for breast cancer at Velindre between March 2018 and January 2019 and continues to access services there.
  2. Cat is a resident of the Hollybush Estate which is adjacent to the Norther Meadows.
  3. She is being represented by Sue Willman (Senior Consultant) and Ahmed Ali (Trainee Solicitor) of Deighton Pierce Glynn solicitors, a law firm specializing in judicial review.
  4. Her barrister is Christian Howells and Nia Gowman of 30 Park Place Chambers. 
  5. Attached photo is of Catherine Lewis taken on the Hollybush Estate adjacent to the nature reserve.
  6. For more on the scandal on cancer care for children in London see https://edition.independent.co.uk/edition/uk.co.independent.issue.131121/144360/index.html 
  7. For more information on the Co-locate Velindre campaign, please see www.colocate-velindre.co.uk
  8. For any enquiries please contact, Gareth Sims, her legal consultant, on 07882218732 or garethcsims@gmail.com .
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TV presenter Iolo Williams supports Save the Northern Meadows during visit

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Nature Observer, author, and BBC and S4C presenter Iolo Williams visited the Northern Meadows in Cardiff on Thursday, meeting with campaigners and discussing our efforts to save the site from a medically and economically unsound plan by Velindre University NHS Trust for a new, standalone day centre for Cancer patients (a move opposed by 160+ Medics and many residents from the North Cardiff community, including Cancer patients).

Having already supported our campaign through social media, today he spent some meaningful time walking the meadows and surrounding nature reserve, disused railway cutting (which the community uses as a footpath), Iolo was able to experience what we are trying to save from the bulldozers. During the hour and half walk, Iolo listened to our concerns and the broad complexities involved here, stopping to chat and take photos with members from the community and supporters of the campaign. He heard about the extremely serious medical case for not locating the new Velindre cancer centre here, as well as the local flooding concerns and the obvious huge environmental loss as well.

Iolo personally and passionately appeals to those in a position of power to step in and make the right decision and stop the development before the destruction begins.

We hope that his visit to the Northern Meadows, especially during the week of the COP26 climate talks taking place in Glasgow, will allow more people to take on board and understand why local people are so against the destruction of this beloved area.

Velindre University Health Board use Shameful Back-Door, Last Minute Announcement to Mark the Start of Clearing Work on the Northern Meadows.

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The community in Whitchurch and Coryton is in shock, after the Hollybush Estates Tenant Association and local Councillors were served a letter from Velindre stating they are seeking to begin clearing the Northern Meadows on Monday the 25th of October.


Sent at 4.20pm on Friday the 22nd of October, the cynical and harmful letter treats the community with contempt, when we have engaged consistently in due process over this matter for over 25 years. Most recently with over 100 individual objections, and 367 signatories opposing planning application 21/01954/MJR on Thursday the 21st of October. 


The letter ignores due process, which requires any use of a public right of way to be notified by the relevant ‘authority‘ – Cardiff Council, and has not received planning approval for the application for the discharge of condition 17 – a CEMP for the whole site must be completed before any clearance works begin.


Why is the hospital in charge of notifying the community about clearance? Why are the community the last to know about these significant, destructive developments? And how can clearance begin when planning application 21/01954/MJR, which seeks to give approval to their Construction Environmental Management plan, has not been accepted by the planning department? 


We ask that the public, MS’s, MP’s, Councillors, and all community members come together to resist this clearance work, which will kick off years of environmental destruction, traffic chaos, and overspending on a cancer centre which will only increase the risk of harm to seriously ill patients.


The full announcement is forwarded below.

Leaked Damning Letter Ignored by Welsh Gov.

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A letter has emerged that has been brought to the attention of the STNM campaign.

It was written in November 2020 and sent to the Wales Cancer Research Centre. The Labour Welsh Government has been aware of this letter since that time. Despite this damning appraisal of Velindre’s plans, Health Minister Vaughan Gething signed off the business plan 5 months later, in March 2021, sentencing the people of South East Wales and future generations to substandard cancer care. How can this be allowed to happen?

This letter speaks volumes and should shock each and everyone of us into action. We must stop this madness now and hold the Labour Welsh Government accountable for its actions.

With work due to start mid September, this damning letter, and the damning letter signed by 163 Welsh clinicians, show that regardless of the LONG TERM impact on our cancer treatment, the Government does not care. They don’t care that we’ll be receiving substandard care. And Julie Morgan MS Vaughan Gething MS for Cardiff South and Penarth Julie James Eluned Morgan do not give a toss about the impact this project will have – increasing asthmas and air pollution causing cancers in primary school children, whilst simultaneously throwing a wrench in the future of cancer care in Wales.

Cardiff North Community Newsletter

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Quote: Robert Swan OBE, Polar Explorer and Environmental Leader

“The greatest threat to our planet is the belief that someone else will save it.”

Our Community Newsletter, recently posted through doors in Whitchurch and the surrounding area, gives a stark warning about some of the very serious issues we’ve raised over the last 18 months regarding the proposed development of the Northern Meadows. Though these issues are extremely serious, they have been completely ignored by those who claim to act on our behalf, our local politicians, local council, the Welsh Government themselves and even the managers of Velindre Hospital. All have ignored the issues raised by the local community here in North Cardiff, but also the 163+ senior Clinicians from within the Welsh NHS who have expressed very serious concerns about the safety and future viability of a stand-alone cancer centre.

Please read and take on board the points raised here and help our campaign if you can by getting involved and also by donating to the Just Giving fundraiser for the legal challenge being undertaken by local resident Catherine Lewis.

Planning Objections

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Here’s a link to the planning application that will allow the destruction of the meadows to begin.

Please follow the link here, have a look at what others have written, then put in your own words why the planning application should be rejected. Any questions just ask us at savethenorthernmeadows@gmail.com


https://planningonline.cardiff.gov.uk/online-applications/applicationDetails.do?activeTab=summary&keyVal=_CARDIFF_DCAPR_135972


Silent Auction August 2021

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**SILENT AUCTION UPDATE** – – All of our items have now reached or exceeded the minimum amount (with the exception of the leaf blower) Some items will be available to view on the meadow next Saturday at ‘Fox and Bunny’s Wedding’ at 2pm, more details of this event to follow. The good news is that you can still do a silent bid on anything that takes your fancy! How does it work you may ask? Well we have set a “base price’ on the items and all you have to do is message one of the team before hand with how much you would like to bid, or you can make a bid on Saturday (we will have mini ballot style box) You can message the page directly to make a bid or email us at savethenorthernmeadows@gmail.com ☺️ Anything you are unsure please feel to ask questions. We really hope to see you on the day but please feel free to get your bids on NOW…….GO GO GO!!!!!! All bids made will be treated in confidence.

To make a bid email us at savethenorthernmeadows@gmail.com

Or make contact through Facebook or Messenger

Speech by Laura – one of the 163

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If you are reading this then we already agree on one point – the most important point – that patients with cancer should receive the very best, most easily accessible, appropriate and up to date care that it is possible to deliver. It is reasonable to assume that this is exactly what those of us engaged in this matter wish for. Sadly, people don’t feel able to speak openly about their true views on many things these days but in relation to this specific matter, there is a large group of clinicians who do not feel able to speak up against the Velindre plans through fear of implications for their employment and personal lives. It is deeply saddening to witness because the only reason any of us are here is to do our best for others.

When the initial plans for the new site were conceived over a decade ago, they were probably appropriate for what was able to be provided at the time. Thankfully, science, medicine and technology have exceeded our expectations and huge steps have been made in all areas. Treatment options and prognoses have radically improved in recent years and this is a fact we should be immensely proud of. As an intensive care doctor and anaesthetist, the nature of cancer patients I care for has dramatically changed over the course of my career. I have a particular interest in anaesthesia and critical care for patients with malignancy. It is something that makes up a significant proportion of our workload and this is increasing as more can be offered to more people. We have increased knowledge about how the conduct of our care impacts on the disease process. This will continue to evolve and I look forward to seeing how things continue to progress and inspire me as the years go by. 

Collectively, we can offer the best al- round care providing we accept that cancer treatment rarely requires ‘just’ treatment from an oncologist. In order to support the patient through their disease, access to other services is likely to be needed – specialist surgical services, radiology, general medicine, intensive care and more. When we work cohesively within a system, when we communicate well and when people can transition seamlessly between points of care, the patient experience will inevitably be superior. The current plans for the Velindre site do not offer this. The team at the VCC will be equipped to offer outstanding oncology care but not to deal with all of the potentially life-threatening complications of treatment – the sepsis with multi organ failure and severe toxicity from immunotherapy to name only two examples. Patients will need to be transferred to other sites, removing them from the principal location of their cancer management. At this stage, care can become disjointed and stressful. Communication breaks down, appointments are missed, hospital transport is unreliable and patients suffer both physically and emotionally. A scan in one hospital, an oncology appointment in another, an ENT follow up in another, a planned procedure in another………Is this necessary? Is this helpful? Is this the best way to deliver the best care?

Undoubtedly, the new location of the VCC will offer a beautiful backdrop and the holistic implications of this cannot be underestimated. But is this enough? Can senior NHS managers genuinely say with their hands on their hearts that they can guarantee that individualised emergency care will be delivered as rapidly and as appropriately as it would be on a co-location site? That they cannot foresee any situation whereby there will be avoidable delays in patients receiving the exact level of care that they need? Can they say without a doubt that the care patients receive in an emergency will not be inferior to what they would receive on a site with acute care provision? Can we promise that retrieval and transfers of all sick patients will happen in a timely fashion? It doesn’t happen for any other patients so why would different things apply here? The NHS in Wales is crippled with underfunding, we don’t have enough doctors and nurses, let alone paramedics. How can we make the maths work when it doesn’t already do so?  We should not be promising things to patients that we cannot realistically provide. We need to advocate for them and their needs. This is why I am writing this. We can do so much more for the people who trust us to care for them when we work as a team and provide shared care on one site.  There will be fewer avoidable gaps in communication, treatment delays, time wasted by patients and families whilst they travel and wait. Stand-alone cancer care is no longer realistic and we should welcome the modernisation of shared care on a shared site. 

Here is a pdf copy of the above statement:-

Cancer Care England v Wales

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We have assembled a table, with the help and approval of senior clinicians from within the Welsh NHS, that compares the cancer treatments and facilities available in the New Clatterbridge Cancer Hospital opened 2020 in Liverpool versus those in the proposed New Velindre Cancer Centre planned for there Northern Meadows. Why are we being told this is World Leading Cancer Care when it very clearly isn’t!

Scrubs at the Senedd

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SCRUBS @ THE SENEDD this sat 12.
Let’s show support to the 163 clinicians who have been silenced.
If you have scrubs, great, if not, just come along as you are.

Letter from 163 Clinicians to Welsh Gov

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Mr Vaughan Gething MS
Minister for Health and Social Services

Dear Mr. Gething,

14th January, 2021

As a large group of clinicians who are specialists in the diagnosis, treatment and care of cancer patients in South-East Wales, we recognise the pressing need to address the ageing facilities of the Velindre Cancer Centre (VCC) in north Cardiff. We therefore welcome the independent advice from the Nuffield Trust on the proposed model for non-surgical tertiary oncology services in South East Wales.

We agree with the report that the approach to cancer service planning cannot be the responsibility of a single organisation that is only delivering part of the cancer pathway, as has been the case with Velindre University NHS Trust’s Transforming Cancer Services (TCS) programme.

We agree that co-location with an acute hospital would provide safer acute in-patient care, improve support from other specialties, create a better base for research and be in line with best practice elsewhere. A clear implication from the report is that the best long-term future for Velindre’s acute oncology services, beds for acutely unwell patients and clinical research is on an acute hospital site, alongside other surgical, haematological and paediatric oncology colleagues, as well as vital medical, surgical and intensive care services.

Whilst the report is highly professional and well balanced, it is limited by the short time- scale for its publication and by its questionable terms of reference. We are troubled that, in consequence, it seems too ready to accept as inevitable the construction of the ‘stand-alone’ new building proposed by the TCS programme. The Nuffield Trust seems to endorse a medium-term, ‘split-site’ solution, similar to the Ambulatory Hub model outlined in the Mount Vernon report (2019). In this model, high-volume, low-risk cancer services would be delivered at Northern Meadows, whilst acute oncology, most in- patient services and research would be on an acute hospital site.

We strongly doubt this will deliver the best service for patients, and whether it is the best use of public funds. Ambulatory units can deliver the important goal of care close to patients’ homes. However, we question the logic and huge expense of constructing an ambulatory unit within 3.5 miles of a projected new cancer centre on an acute hospital site. This seems particularly misguided, as the report envisages the viability of the ambulatory unit will be limited by the life-expectancy of new radiotherapy machines, whilst Mutual Investment Model payments from public funds would extend far beyond this period. Furthermore, there would be logistical and financial benefits from integrating plans for the new cancer centre with the re-development of University Hospital Wales (UHW) – a factor that was not a realistic possibility, at the inception of TCS.

The Nuffield Trust states that a full options appraisal of possible clinical models was beyond the remit of its report. We see in this as a missed opportunity which should be rectified. Evidence and expert opinion contained within the report make it clear that patient safety, multi-disciplinary care, training, and continuation of world-class clinical research would all be significantly compromised by failure to co-locate most, if not all, cancer services with an acute hospital. Furthermore, we believe that a stand-alone model is already out-of-date, is out of step with international standards of excellence and lacks future-proofing.

It is not clear why the report concludes that it will take too long to pursue an alternative, co-located ‘full replacement’ model. This conclusion is insufficiently supported by evidence and is open to challenge. The recent, rapidly-constructed Lakeside Wing project at the UHW site, built within months of the start of the COVID-19 pandemic, illustrates what can be achieved in a short time, within limited space and when there is a pressing clinical need, as is clearly the case for the VCC’s ageing facilities.

The report does not consider alternatives beyond a 10-15 year interim solution. We share the view that we have a once-in-a-half-century opportunity to integrate much- needed building projects for both VCC and UHW, along with other essential evolution of cancer care in the region’s Health Boards.

Patients and the public need to be reassured that a new location and a new model of care will not compromise Velindre’s long-established and well-deserved reputation for high-quality cancer treatment and care, and for exceptional patient satisfaction. We are therefore concerned that the report did not regard the current proposals as any more than a “reasonable” way forward. This is clearly not an endorsement of the current planned direction, an approach that has already consumed considerable time and money. We therefore call on Welsh Government to assume direct responsibility for addressing deficiencies in leadership and planning pointed out in the Nuffield report. There must be a formal review, including an updated, full options appraisal and re- assessment of some of the prior assumptions made by TCS which are insufficiently challenged in the report. This can be done at pace.

We are convinced that there is an opportunity to integrate existing plans for the VCC new-build with those for a reconfigured UHW. We believe that this would be a logical extension of many of the findings of the Nuffield Trust report and that this can be achieved more rapidly than the 10-15 year time-scale suggested in the report. It would also provide valuable flexibility in the greatly-altered landscape following the COVID-19 pandemic and Brexit. Above all, it would represent a more ambitious, genuinely transformative vision for delivering improved cancer survival outcomes for patients, and better value-for-money for the public than the TCS model considered within the limited scope of the Nuffield Trust report.

We would welcome a meeting with you to discuss our views further and to explore potential solutions together.

Yours sincerely,

The undersigned (in alphabetical order, by surname): (Names removed to protect privacy)

The letter sent to the health Minister, Mr Vaughan Gething, was signed by 163 senior clinicians. The vast majority of these are Consultants within their field of practice.

A number of the signatories are Professors.
The specialities represented include the following: Anaesthetics/Pain management.
Cardiology
Colorectal surgery.
Dermatology
Emergency Medicine
Endocrine/Neuroendocrine Surgery
ENT surgery (Ear Nose and Throat) Gastroenterology
Gastrointestinal Surgery (Upper and Lower GI) General Medicine
General Practice
Gynaecological Surgery
Haematology
Head and Neck Surgery
Hepatology
Hepato-Biliary Surgery
Intensive Care
Nephrology
Neurology
Oncology/Clinical Oncology
Ophthalmological Surgery
Orthopaedic Surgery

Paediatrics
Paediatric Orthopaedics
Palliative Care
Psychiatry
Public health Radiology/Interventional radiology Respiratory/Chest Physicians Rheumatology
Urological Surgery
Vascular Surgery

All of the above will deal with the care of patients who have a diagnosis of cancer. For some it represents the main part of their clinical work.
There is NO field within health care that does not have a part to play in the screening, diagnosis, treatment, care of, recovery or palliation of patients with cancer.

The 163 signatories are a cross section of health care in South East Wales.
These people are the experts!
They understand the immensely complex and overlapping needs of these patients! Please listen to the experts.

Contact Details for Senedd Members Etc.

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Link to all members of Senedd:-

find-a-member-of-the-senedd

Click on his/her picture and you should get contact details.


Link to Ministers:-

https://senedd.wales/find-a-member-of-the-senedd/?PageSize=1000&Page=1&Culture=en-GB&ViewModelType=MemberOfSenedd&IsSubSearch=False&CurrentPageId=1441&IsPostcodeCrossConstituency=False&Postcode=&Name=&ShowAllMinisters=true&Region=&Constituency=&Constituency=&Constituency=&Constituency=&Constituency=&PartyFilterType=party&PoliticalParty=&PoliticalPartyGroup=&partyValueName=

Link to Commissioners:-

https://senedd.wales/find-a-member-of-the-senedd/?PageSize=1000&Page=1&Culture=en-GB&ViewModelType=MemberOfSenedd&IsSubSearch=False&CurrentPageId=1441&IsPostcodeCrossConstituency=False&Postcode=&Name=&ShowAllCommissioners=true&Region=&Constituency=&Constituency=&Constituency=&Constituency=&Constituency=&PartyFilterType=party&PoliticalParty=&PoliticalPartyGroup=&partyValueName=

Link to contact details:-

https://business.senedd.wales/mgCommitteeMailingList.aspx?ID=0

Our messages in response to the decision to grant funding for the new Velindre.

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Firstly we want to thank all our supporters, you’re amazing, and we wouldn’t have got this far without you.

As recent protests and vigils have shown we can come together and firmly show our resilience, love for the world and our communities. Together we are unstoppable.

Let’s do this.

In the short term – let’s make any move on the meadows a crushing political blow with our open objection to this. Up and down the country in this last week alone communities have been out to stop the destruction of our world.

Our history, our heritage, our health, our homes and our future are all tied in to this space.

So keep fighting with us. You can donate to our just giving, you can support us by helping with research or social media monitoring, or you can join a protest. We will resist, we won’t simply allow this destruction to be wrought on our community and our environment.

Our press release:

“We are angry at Vaughan Gething’s decision to give the go-ahead to the new Velindre Cancer Centre on the Northern Meadows for a number of reasons. The concerns of 163 senior clinicians have been ignored and the community, Coryton primary school, Ty Coryton Special school, and assisted living accommodation within the area have been sentenced to four years of heavy construction. This will cause immeasurable damage to the people living nearby.

Gething states, the development will be sustainable. But cutting down over 100 mature, and nearly 1000 semi-mature trees is not sustainable, nor does it care for our future generations. With numerous protected species living on and around the meadows, we despair at the impact this will have on biodiversity in Cardiff. It makes a mockery of the declaration of a climate emergency, the Environment Act, and the Wellbeing of Future Generations Act. And it laughs in the face of the children who live here, who are already subject to dangerous and illegal levels of air pollution.

Transforming Cancer Services has repeatedly lied to the Welsh Government and the public, failing to produce the Barrett report, failing to constructively engage their staff and clinicians. Choosing a medical model that will simply have ‘many’ of the benefits of co-location is simply not good enough. Actually co-locating on an acute hospital site and having ‘all’ the benefits of co-location is what the patients of South East Wales deserve. Without this SE Wales will continue to have the worst cancer outcomes in Europe. We deserve better.

The Senedd Petitions Committee has this week chosen to carry the petition to the next Senedd post-election, as it has not received the information requested from Velindre. Velindre has failed in its statutory obligation to answer a number of FOI requests and this is being examined by the Information Ombudsman. Despite all of this, Vaughan Gething has chosen to grant this decision in order to fulfil a defunct manifesto commitment.

This is not the right model of cancer care for the future and it is not the right location. We will not accept this decision and now more than ever see the requirement for a full independent inquiry. We will continue to fight this decision, which disregards the needs of future generations, of the local community, of biodiversity, and our commitment to the climate. Hypocritically, the Ministers statement asks us to work with them. Yet he has treated us with total disregard throughout the decision making process. We will make it clear for him – we refuse to give up our open space, our health, our biodiversity, for a project which will not provide the best cancer care the people of South East Wales require.”

A Real Solution for Velindre, Politicians, the Community, and the Meadows.

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Dear Mr Richards and Mr Gething

I know you have received much correspondence about the Northern Meadows in Whitchurch but please take the time to read my email as I am suggesting workable solutions.

Mr Gething: Please do not approve any business case which involves the destruction of the meadows.

Mr Richards: I implore you and your Board to withdraw the offer made for the land swap with Velindre NHS Trust and rethink application 20/00357/MJR on the Whitchurch Hospital site.

I have suggestions of how all this could move this forward – to benefit cancer patients, communities and future generations, and with public support. Please, let’s work together and let’s look at the bigger picture.

The new VCC
Following Nuffield’s advice, co-location is required in the long term to secure patient safety, positive outcomes, and world-class training and research. With this in mind, there is no justification to building to the extent originally planned and destroying the Northern Meadows.

Immediately, Velindre could be extended upwards or outwards, and the Grange@Whitchurch used in the interim until full co-location on an acute site is possible (within the Heath Hospital refurbishment plans, possibly), to take the pressure off the current building (after all, £6million of NHS money has been spent on the Grange site). Focus also needs to be on building the satellite centre in Abergavenny as soon as possible.

The Northern Meadows

Through a Community Asset Transfer or collaboration between CAVUHB and the community, leave the meadows as they are. They are vital to biodiversity and to the mental and physical health of thousands of people.

In the short term, through 3rd sector funding and fundraising we would:

  • Improve the paths, making them accessible to buggies, wheelchair users and those unsteady underfoot.
  • Create nature trails.
  • Display information boards.
  • Create environmentally sensitive walkways from Velindre, City Hospice and Whitchurch Hospital.

Through 3rd sector funding in the longer term

  • Connect with all sorts of organisations (eg. Mind, McMillan, Age Concern, City Hospice, local GP and social services, young parents groups, nurseries, schools, youth provisions and many, many more) and provide nature-based workshops and experiences to support wellbeing, rehabilitation, physical & mental health. There are so, so many opportunities to support people, introduce them to nature and its healing benefits.
  • Create a cultural visitors attraction – Highlight the area’s history – The Cory Family; Lady Cory Field; the Old Cardiff Railway; the Glamorganshire Canal; Melin Griffith Tin Works; Renowned naturalist and conservationist Ronald Lockley; The Hollybush and its connection to the Welsh language; Whitchurch Hospital etc.
  • Create a volunteer network to preserve and enhance the area. (Working with Cardiff Council and Forest Farm Nature Reserve).
  • Create a core-staff team to manage these projects (potentially providing jobs for the local community.)
  • Young people could volunteer as part of their Welsh Baccalaureate, Duke of Edinburgh etc. and undertake work experience placements. And those at risk of exclusion or disengagement from school could also undertake placements.
  • Those on community sentences and on ROLT (Release on temporary licence) could undertake placements, supporting their rehabilitation, resettlement into society – providing new skills, work experience and improving self-esteem.
  • And many, many more ideas of how this space could benefit the community moving forwards.

Whitchurch Hospital (WH) Chapel
Refurbished to become a community resource centre. It could hold a café, play sessions for children, all sorts of arts and crafts workshops, youth provision, after school clubs (working closely with the sports clubs in the area and children can engage in nature activities.)

The Military Medicine Museum and Britannia Park – Whitchurch Hospital
Across the city, decisions are being made that are distressing communities and putting mental and physical health at risk. The people of Butetown and the Bay are hugely distressed with the proposal to site the above museum on Britannia Park, resulting in the loss of precious and rare green space in the area and a children’s playground.

If it is 100% decided that Cardiff should have this museum (many oppose not only its location but subject matter) then it should come to Whitchurch Hospital.  WH was used during both world wars. The elm trees on the common were planted as a gift to the community from American soldiers. Houses on Park Road were used to accommodate recovering soldiers. The gardens and meadows were used for rehabilitation of patients.
The architecture of Whitchurch Hospital is significant and is studied on university architecture courses. There is a vast history there. Let’s honour it and learn it all.

I know that CAVUHB wrote in support of this museum and that there is to be a project attached to support veterans. What better place than in Whitchurch where there is already precedence set for the rehabilitation of service people? With access to the meadows, the nature reserve and the support and opportunities I am proposing here, it would be really complementary and could be hugely beneficial to many.

It could also take an honest look at the advancement of medicine in relation to colonialism; health inequalities among lower income and BAME communities and hopefully show what we have learned and continue to learn and the steps being taken to improve things for the future.

Income generating schemes

  • Friends of the Northern Meadows memberships
  • Fundraising through all sorts of community events
  • Children’s nature-based children’s parties
  • Purchase a tree/flower planting for honouring a birth, other significant life events or in memorandum
  • Name plaques (such as the Millennium Walkway or Penarth Pier)
  • Long term – working with the Council and Forest Farm – development of the cottages at Forest Farm and then used for school trips, team building weekends.
  • Corporate Away days.

Education

  • Formal, informal and non-formal opportunities
  • Nursery, school and college visits
  • I have made an initial approach to Pencoed College about running accredited courses at the Northern Meadows, WH Chapel and Forest Farm and will be exploring this further. Young people and older people alike could undertake courses on environmental studies, horticulture, animal and nature studies. We could train the next generation in industries that will work to secure healthier and green futures for us all.
  • Apprenticeships for all aspects – building and refurbishment of the chapel, gardening to restore the historic gardens, customer service, hospitality in the community café.
  • The list goes on but here are just some examples of opportunities and a full community consultation would provide many more. There are a wealth of skills and experiences within our community. I myself am a youth and community worker, and teacher (predominantly with young people at risk of exclusion and young offenders). We have people who are medical, teachers, academics, social workers, child-minders, artists, graphic designers, engineers, sports coaches, ecologists, solicitors, those working in hospitality, retail and many, many more. All these people can bring their ideas and experiences to enhance this project.

The community is exhausted. We are being made ill by the stress and distress. We have been subjected to months of abuse and vitriol online and have been bombarded by developers with tactically timed applications and amendments through the planning system, hoping to confuse and overpower us.

We cannot lose this crucial green space. Our children cannot endure being exposed to the levels of pollution this development will involve. Communities increased risks of flooding cannot be allowed to happen, not only in Whitchurch, but Llandaf North, Gabalfa, and along the whole Taff corridor into town.
These thing make people ill. These things have a massive detrimental effect on wellbeing, physical and mental health.  

Please work with us to create something amazing. Something we can all be proud of. Something that will benefit us all and future generations. Work with the community to try and achieve positive change rather than against it or without it’s input.  

Please do not go ahead with something that will divide and devastate our communities. That will be extortionately expensive, burdening future generations, causing irreparable damage to the environment and provide second rate, out-dated cancer care for the whole of South East Wales.

There is no need to choose between updated cancer care and the Northern Meadows. We can have both.

I respectfully request an acknowledgement and reply from you both and request to speak with you further on this matter urgently. 

Please make the right choice for us all.

Kind regards,
-, on behalf of the Save the Northern Meadows group

LEAKED: Clinical Letter to Ministers

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We have received the contents of a letter sent by clinicians to Welsh Ministers, Senedd Members, and Councillors in South East Wales. This highlights the major concerns regarding a stand alone Cancer Centre. Yet Members largely chose to ignore these at the Plenary debate on Wednesday 3rd of March, despite having it sitting in their inbox. Instead, they used platitudes regarding their constituents, failing to acknowledge the evidence that this cancer centre will not be fit for purpose, or even try to hold the Executive team who have wasted public money and time to account.

We are publishing the letter as we feel Members are violating their duty to act in the public interest, and secure the best, safest cancer care for their constituents. Read the shocking issues with the model below.

Dear Members of the Senedd,


I apologise for writing to you uninvited, but I believe that the information contained in this email is of paramount importance, and as such it must be shared widely with all stakeholders and interested parties.
At the latest meeting of the petitions committee it was recommended that a submission calling for an independent clinical review of the proposed new Velindre Cancer Centre (VCC) be put forward for open debate in the Senedd.


Open debate requires those engaged to have access to all the information.


This email was originally sent  to the Health Minister as there was significant concern that the decision making process regarding the siting of the New Velindre Cancer Centre may have been adversely affected by misinformation and as such it is now fatally flawed. 


I am sending to you today an updated version with inclusion of two additional documents (Appendices Nineteen and Twenty).

  The following observations are not made lightly, and each one is referenced with supporting evidence. 

  • The Non existent Barrett Report.
  • Misrepresentation of the number of patients transferred urgently.
  • Misrepresentation of the role of EMRTS (Emergency Medical Retrieval and Transfer Service).
  • Falsely stating EMRTS had attended a patient who sadly died.
  • Misrepresenting the time taken for ambulance transfer for escalation of care.
  • Misrepresentation/Suppression of the Level of concern within Velindre NHS trust.
  • Failure to fully and meaningfully engage stakeholder Health Boards in the planning process.
  • A recent letter signed by 163 Senior clinicians, expressing concern at the current  plans for a stand alone new Velindre Cancer Centre.

  The above points are explained in detail below, with 20 appended documents to confirm the veracity of each point raised.

   I. The Barrett report: 

In the document produced by the Velindre NHS Trust “Why not build a new Velindre Cancer Centre on another hospital site?”  (Appendix One) the following statement is made:

 “The clinical lead in an external review of the project, carried out in 2017, was Dr Jane Barrett OBE, an eminent UK clinical oncologist and past President of the Royal College of Radiologists.”

This statement is clearly refuted in an email from Dr Barrett herself (Appendix Two), wherein it is stated:

“You are correct that I was involved in the review into the siting of satellite centres in South Wales. However it was not a review into the redevelopment of Velindre.”

The existence of an independent clinical review of the proposed stand alone model has frequently  been alluded to by the Velindre NHS trust, when the reality is that no such report was ever written by Dr Barrett.

To date NO external clinical review of the project has been undertaken. The Nuffield Trust did not undertake a clinical review, as clearly stated on page 10 of their report (Appendix Seven) 

“First, this is not and has never claimed to be a wholescale independent review of the project. The scope of this report is tightly defined and relates specifically to the clinical management of the planned network model for non-surgical tertiary cancer services and new cancer centre.”  

  2.  Misrepresentation of Patient numbers transferred for urgent escalation of care unavailable at the current Velindre site:

The concern here is that the current figures as quoted by the Velindre NHS trust are incorrect, misleading and falsely reassuring to the general public. More worrying is the intention to replicate this current model of care at the proposed New Velindre Cancer Centre on the Northern Meadows.

 In the same document  “Why not build a new Velindre Cancer Centre on another hospital site?”  (Appendix One) the following statement is made:

“fewer than thirty patients a year on average need an unplanned emergency transfer.”

A Freedom of Information enquiry was submitted to WAST (Welsh Ambulance Service Trust) (Appendix Three)  and in their response they have provided the raw data on ambulance transfers (Appendix Four). 

What this clearly shows is that on average around 100 patients are transferred each year using the 999 Ambulance system. These are urgent transfers for escalation of care that is not available at the Velindre Hospital.

The same request was made of Velindre NHS trust in respect of acute patient transfers, and their response is included as Appendix Five.

In the response by Velindre NHS Trust , the following statement is made:

“Due to the nature of these clinical pathways, and the number of clinical systems, the organisation does not hold one overall system that collates all patient interventions and transfers

“In our duty to advise and assist we can confirm patients are transferred to other acute hospitals for a range of interventions and the details are accessible by clinical staff in the individual patient record.”

Essentially the Velindre NHS trust have no idea how many patients are transferred each year, nor indeed why they are transferred. To be certain of the exact figure, every set of patient notes held by the Velindre Hospital would have to be scrutinised.

The previous statement “Fewer than 30 patients a year”  could, for all we know, be a random number chosen to offer a false sense of security to the public.

A detailed analysis of the responses to both FOI enquiries submitted to WAST and Velindre NHS Trust is included as Appendix 6. It must also be noted that this misrepresentation continued as recently as November 2020, with the publication of a letter in the South Wales Echo, from the Chair of Velindre NHS Trust (Appendix sixteen).

Whilst this letter suggests that most transfers were non urgent, the Nuffield Trust report 2020 (Appendix Seven) states on page 32:

“In addition to the 999 calls detailed above, there were a very small number of other non-urgent transfers

3. Misrepresentation of the role of EMRTS (Emergency Medical Retrieval and Transfer Service):

 In the same document “Why not build a new Velindre Cancer Centre on another hospital site?”  (Appendix One) the following statement is made:

“have access to the Emergency Medical Retrieval and Transfer Service (EMRTs) who can assess and transfer these unwell patients to the University Hospital of Wales (UHW)” 

A similar statement is made in the document  “Transforming Cancer Services In South East Wales – Clinical Service Model – January 2016  (Appendix Eighteen) wherein it is stated on page 11:

   “Patients rapidly deteriorating will have access to Emergency Medical Retrieval and Transfer Services, who will come to Velindre Cancer Centre, stabilise the patient and arrange transfer to the most appropriate Local Health Board” 

  To the general public, the belief that the helicopter doctors are on hand is hugely reassuring.

 In the last five years EMRTS have attended twice, and they did not attend at all in 2019. This is stated on page 32 of the Nuffield Trust Report 2020 (Appendix Seven). 

The statement as made by the Velindre NHS trust is falsely reassuring and misleading.

Whilst EMRTS are available to any critically unwell patient, the practicalities of their attending a hospital site over 50 miles from their helicopter base in Llanelli, yet 3 miles from UHW, translates to the reality of having attended only twice in five years.

4. Misrepresentation of the role of EMRTS in attending the fatal collapse at Velindre NHS Trust:

More concerning is the fact that Velindre NHS Trust have stated in the response to two separate Freedom of information requests,  that EMRTS attended in 2019 to treat the patient who collapsed and died.

This patient had suffered an anaphylactic reaction to chemotherapy. 

The public would have been reassured to believe that the specialist helicopter doctors attended this resuscitation. 

Velindre NHS Trust stated that EMRTS did attend. (Page 4, Appendix 5). 

They did not: (Appendix 8, Appendix 9).

Perhaps of equal concern is the statement made by the Velindre NHS trust regarding this unexpected death. (Appendix Five)

“The case was not reported as a serious incident as it did not meet the threshold for reporting.”

5. Misrepresentation of the transfer times for patients requiring urgent escalation of care:

In the same document “Why not build a new Velindre Cancer Centre on another hospital site?”  (Appendix One) the following statement is made:

“UHW is less than three miles away and can be reached within minutes.”

As previously stated, the Velindre NHS trust do not collect  and collate this data, and as such the statement is presumably a guess based on geographical proximity. The statement as it reads is very reassuring, the reality, less so.

A freedom of information request was submitted to the Welsh Ambulance Service Trust (WAST) requesting information on transfer times.

The response (Appendix Ten) and the raw data provided in the form of an Excel Spreadsheet (Appendix Eleven)  is Analysed and summarised in Appendix 12 .

      a)    The average wait for an ambulance was:

    AMBER ONE calls   =      59 minutes 59 seconds

     RED calls              =       8 minutes 18 seconds

b)    The Longest wait for an Ambulance was 

  AMBER ONE Call      =    3 hours 27 minutes 52 seconds

RED Call                =     24 minutes

    c)    Average wait for handover at hospital 

  AMBER ONE calls     =     44 minutes 54 seconds

RED Calls               =     30 minutes 28 seconds 

   d)    The longest wait for Handover at Hospital

  AMBER ONE Call     =      4 Hours 12 minutes 25 seconds

RED Call                =      51 minutes 21 Seconds

  e) Average Transfer Time for RED calls to UHW      = 6 minutes 36 seconds

      Average transfer Time for AMBER ONE calls to UHW   = 8 Minutes and 10 seconds.

The suggestion that UHW (University Hospital of Wales) can be reached in minutes, belies the stark truth. 

Reassuring the public that UHW can be reached in minutes is a disingenuous representation of the actual time these transfers take.

These patients are already ill, they deteriorate, and then on average for AMBER ONE CALLS have to wait nearly two hours until admitted to UHW.

This fact is also  discussed in the Nuffield report (Page 31 – 32).

  6. Misrepresentation/Suppression of the level of concern within the Velindre NHS Trust:

In the same document “Why not build a new Velindre Cancer Centre on another hospital site?”  (Appendix One) the following statement is made:

“Our plans for providing specialist, non-surgical cancer services for people across south east Wales have the support of health board clinicians, our staff and patients”

Both TCS (Transforming Cancer Services) and the Velindre NHS Trust will have been aware of the level of concern expressed by a significant number of its senior doctors and nurses.

A letter was written to this effect on 24 July 2020, but appeared to progress no further than the Chief executive (Appendix Thirteen), and it was not until external help and reassurance was provided by the British Medical Association, that the letter was sent to the Health Minister and other members of the Health, Social Care and Sports committee. 

 I requested, under the Freedom of Information act,  a copy of the letter written by the British Medical association to the Velindre NHS trust. After 57 working days (The expectation is that a response will be provided within 20 working days) The Velindre NHS Trust wrote to me advising that they would not release the letters as requested.

They stated that it was in the public interest to withhold this information.


I have now obtained a copy of the letter from the BMA to the Velindre NHS Trust, which is attached as Appendix Nineteen. The letter itself confirms the belief that there was suppression of internal dissent, including the line:
“members are still not prepared to speak up because of fear of reprisals”

7.  Failure to fully engage the other stakeholder Local Health Boards in the planning process:

This is discussed in both the Nuffield report and the minutes of the Health Social care and Sports Committee meeting held on 30/09/2020   [https://record.assembly.wales/Committee/6443]

On Page 18 of the Nuffield Trust report (Appendix Seven) the following points are made with reference to the Transforming cancer care Programme

  • A strong emphasis on care closer to home and the design of care around the patient’s need.
  • Enhanced care within the Local Health Boards (LHB).
  • Three or more Velindre@ specialist units supported by VCC, providing a range of ambulatory cancer services within LHB sites and working closely with local services.
  • A VCC satellite radiotherapy unit at Abergavenny.
  • A new VCC including acute care and providing the Velindre@ for the Cardiff & Vale LHB.

 The detailed components of some of this have not been developed. This planning process culminated in the approval in 2017–18 by all LHBs of an outline business case for a new VCC to be built on the Northern Meadows, 

It beggars belief that despite the fact that  “The detailed components of some of this have not been developed”  approval was gained for the outline business plan.

This may in part be explained by comments from the Chief Medical Officer, Dr Frank Atherton,  at the Health Social care and Sports Committee meeting held on 30/09/2020, at 09:42:50 Dr Atherton states:

“I think perhaps, with the benefit of hindsight, having made the decision by the health boards to go ahead with the construction of the new Velindre cancer centre back in 2018, perhaps that clinical engagement should have continued, and that’s perhaps allowed—that perhaps didn’t happen as much as it needed to.

At 09:50:21 the following statement is made, again by Dr Atherton:

“ Talking to Tom Crosby, in particular, he spent a huge amount of time travelling around all the health boards, talking with all interested parties from a clinical perspective, up to the decision by the health boards in 2018 to proceed with the development of the new Velindre cancer centre. Of course, since then, time has moved on, and, with the benefit of hindsight, I think it would have been better if that clinical engagement perhaps had continued. It probably paused because a decision had been made; it was assumed that everybody was comfortable”

It is quite clear that the engagement process has been incomplete and flawed.

Assuming everyone was comfortable is not the same as unanimous support, and surely not the ringing endorsement to signal the green light for a £200 million project.

It is known that the cancer lead from Cardiff and Vale expressed significant concerns as far back as 2017, regarding the proposal to build a stand alone model.

It is also clear that when engaging with other Health boards, there was no discussion around the findings of the Beatson enquiry into the West of Scotland Cancer Centre, despite this having been undertaken in 2015 (Appendix 14).

More recently there have been further significant examples of Velindre NHS trust failing to engage with other Health Boards in respect of the care of acutely unwell patients.

Velindre NHS trust have undertaken a pilot project to significantly restrict the number and type of patient admitted to their beds.

This is outlined on page 33 of the Nuffield report:

“During the course of our work, the Trust proposed a new set of admission criteria that would further reduce the risks associated with sick patients out of hours” 

One must ask why now?

TCS have been in place for 6 years, and have spent £20 Million, yet at no point prior to this did they consider reviewing the admissions criteria for the current hospital. Understanding which patients require what treatment would obviously impact on plans for the New Cancer Centre.

If you do not know what is needed in the present time, how can you plan for the future?

This new admissions protocol has been commenced in the middle of a significantly escalating pandemic, without consulting the other Health Boards who will now have to admit those patients deemed unsuitable for Velindre.

The date for implementation of phase one of this new admission protocol was set at 14/12/2020, (Appendix Fifteen) without discussions having taken place with other Health Boards who may be significantly impacted. 

The Nuffield Report essentially states that NO patients should be admitted to Velindre. On page 45 of the report:

“The new model should not admit who are at risk of major escalation, to inpatient beds on the VCC. 

These patients should be sent to district general hospital sites if admission is required, to avoid a later transfer”

In reality, this encompasses all patients. If you have cancer, and require admission to hospital, there is inherent in this the risk of deterioration. 

Trying to predict which patients will deteriorate and those who will not is unsafe. 

 8. Letter signed by 163 Senior Clinicians.

This letter is attached as appendix Twenty. The letter questions the wisdom of building a stand alone cancer centre and draws on the Nuffield Trust Advice document to highlight specific issues.

The names of all signatories have been removed as anonymity was in many cases requested. This reflects the significant issues raised above in the letter from the BMA. 

The names, role within cancer care and the seniority of all signatories are known to the Health Minister, who can confirm the legitimacy of this letter.

In summary

It is clear that TCS and the Velindre NHS Trust have been lacking a level of precision that one might expect from a statutory body, when outlining the facts and figure they have used to reassure the public and politicians regarding the safety of the proposed New Velindre Cancer centre on the Northern Meadows. 

The reasons for the persistent inexactitude need to be determined before this project is allowed to proceed any further.

Despite the manner in which the Nuffield Trust engagement was announced (this being at 08:59 on the day the WAG Petitions committee were due to consider a petition calling for an independent clinical review) and the very rigid terms of reference, the Nuffield Trust report makes clear that co-location at UHW would be the option that best serves the needs of the next generation of cancer patients.

There exists the opportunity to use the new Covid-19 Surge unit as a base for co-location, with this unit providing ample space for inpatient beds and research on the UHW campus.

There is no need for a conference centre, and the belief that such a facility might generate significant income now appears questionable, as the Covid-19 pandemic has significantly changed the whole landscape of clinical conferences.

What is left can now be safely and expeditiously built on the current Velindre/Grange site if immediate and full co-location proves challenging. 

Spending up to £30 million on access roads to the northern meadows, to build a much smaller unit which may only be used for 10 years may be considered fiscally inappropriate.

One final question which must be asked is why there has been no progress on the satellite radiotherapy unit at Abergavenny.

This unit has the agreement of all invested parties. The report was published in 2017 (Appendix Seventeen)  yet 3 years later a business plan has yet to be submitted.

This delay needs to be explored and explained.

As politicians, doctors, nurses and clinicians, our service to the public is but transient.

It is incumbent on us to do the right thing, for the right reasons at the right time.

We owe this to the future generations.

Yours Respectfully

Complaint Regarding Plenary Debate of Petition 200171 re the new Velindre Cancer Centre

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After the debate on Wednesday the 3rd of March we have decided to submit a complaint with the petitions committee officer and with the standards commissioner. We’re not happy at the way our petition was treated (an independent inquiry was not even mentioned once by Members other than Janet Finch Saunders to introduce the petition), and there were mistruths told by a number of Members. Although the stories of patients are important and deserve to be heard, the facts of the clinical, environmental, and monetary issues with the new cancer centre also deserved to be heard. Sadly, it didn’t appear like any of the labour members had attempted to read our submissions, or those sent by clinicians to all Ministers and Members. Therefore we submitted the following compliant.

“I am writing to you today as a result of the plenary debate which took place on Wednesday 3rd of March. We followed your advice and lobbied members extensively regarding the petition. We reached out to a number of our regional MS’s, and heard two would like to have spoken – Gareth Bennett and Neil McEvoy, – as well as hearing of support from Rhun ap Iorwerth. However, when it came to debate, Ap Iorwerth, was the only non-Labour member to be selected. As such we were not represented on balance within this ‘debate’.


Our petition was not even mentioned by the members, regardless of the tireless work we have done to raise the serious clinical and environmental issues within the petitions process, it appears this was never read by the members who spoke. Further, the Llywydd stated on twitter it was simply an oversight made by her team member that our petition and local area had no representation in the debate. How can such a casual oversight occur on such a divisive and serious issue? This is unacceptable to our campaign, and the local people who have been tirelessly working to support this petition. 


As a result I would like to complain – 
1. Petition 200171 was not treated in a balanced, impartial way, with the llywydds office only choosing one non-Labour, non-governing member to speak in support of petition 200171;

2. The debate was compromised of those pursuing the Governments agenda and failed to consider the facts regarding the location of the new cancer centre, and the petition calling for an independent inquiry and the local community were totally ignored;

3. The words independent inquiry were never mentioned by a member other than Janet Finch-Saunders to introduce the petition. As such our petition was never considered;

4. No members representing South Wales Central were called, however two requested to speak and were denied. Therefore Cardiff North was not represented, and neither was our petition. This undermined the process which was supposed to give the 5,241 signatories a voice in the Senedd, effectively leaving us voiceless and unrepresented. Therefore this debate did not consider our petition;

5. Members made a number of false and misleading claims in plenary, misleading the public and the Government Ministers present. I would be happy to outline these further if required. 

I will also be making a formal complaint to the Llywydd’s office, and standards commissioner as a result of the effort to manipulate this debate purely in favour of a new cancer centre, and disregard and ignore the views of 5,241 who signed our petition. This is a clear violation of Senedd standards. 

I want to be clear – we didn’t have a debate on Wednesday. Rather, it was a purposeful white-wash. And so I will be clear – this community will not be ignored or misrepresented, regardless of how the processes have repeatedly undermined us, or the leaks within multiple departments which give the petitioner in support of the new centre advantages. 


We will continue to pursue a real debate on this issue where we are represented equally. This is the least we deserve considering this process of opposition has occurred during a global pandemic. 


Kind regards, 
Save the Northern Meadows”

Calling all Volunteers and Supporters: Lobby your MS for their support!

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Thank you to everyone who has worked so hard to secure signatures supporting our petition for an independent inquiry into the choice of site for the new Velindre Cancer Centre. Our petition will now be debated in the Senedd on the 3rd of March!

We are now asking you to email your MS’s and ask for their support for our petition! If you don’t know your MS’s email address you can find it here.

Please contact your MS’s, and ask them to support the campaign for an independent inquiry into the site and to protect the Northern Meadows (and other green spaces!) from development.

We have outlined some ideas for what you could mention in support of our petition below:

Save the Northern Meadows goals are to ensure cancer care is future-proofed for all, that the Government doesn’t waste valuable public money on unnecessarily extravagant projects, and that the meadows and railway cutting are permanently preserved for future generations.

Emails have already been sent by us and clinicians about serious issues surrounding Velindre, the medical model chosen, the funding model, and the environmental implications of building on the site. The following highlights key points raised in those letters.

  • Over 1,000 objections were submitted to four planning applications which were granted without covering community concerns;
  • Over 100 parents at Coryton Primary expressed concerns over their children’s health if the development goes ahead;
  • 12,000 + people signed a petition asking the Government to stop the destruction;
  • 5,241 people called for an independent inquiry into the medical model and choice of site;
  • Hundreds of people protested in Whitchurch on at least four occasions;
  • And we joined over 1,000 people across Cardiff to call for JUSTICE NOW: environmental, racial, economic, and social justice in Wales in September 2020.

All of the following information has been obtained via FOI and relate to misrepresentations made by Velindre:

  • The Non existent Barrett Report.
  • Misrepresentation of the number of patients transferred urgently for escalation of care.
  • Misrepresentation of the role of EMRTS (Emergency Medical Retrieval and Transfer Service).
  • Falsely stating EMRTS had attended a patient who sadly died.
  • Misrepresenting the time taken for ambulance transfer for escalation of care.
  • Misrepresentation/Suppression of the Level of concern within Velindre NHS trust, as witnessed by the need for the BMA to intervene to support doctors.
  • Failure to fully and meaningfully engage stakeholder Health Boards in the planning process.
  • A recent letter signed by 163 Senior clinicians, expressing concern at the current plans for a stand alone new Velindre Cancer Centre.

We can also draw these conclusions from the Nuffield Trust Advice:

  • Co-Location at UHW (University Hospital Wales) is the gold standard especially for safety (This is clearly described in Appendix One of the Document).
  • The Transforming Cancer Services (TCS) Programme has been insular and as such has failed to properly engage key stakeholders.
  • Recent proposals by TCS appear to be reactive to circumstances rather than proactive.
    6 years and £20 Million have not provided a blueprint to transform cancer services. The plan is simply to replicate current services.
  • Failure to co-locate threatens patient safety, research, teaching programmes.
  • The redevelopment of Velindre Cancer Centre at UHW is a once in a lifetime opportunity to transform cancer services for the whole of South East Wales, yet this opportunity may be missed through inflexibility, inaction or partiality.
  • Transforming Cancer Services should never have been the responsibility of a single organisation that delivers only part of the pathway. The whole regional network, transparent, accountable and well led, is the key to excellence.

There are also significant issues with the way the project will be funded:

  • The Welsh Government will fund the cost of enabling works with a grant of at least £26.9 million. This amount was reached by applicants before contracting developers, and would cause a significant amount of devastation in the railway cutting, as it would pay for the cost of building two bridges two the meadows through the local nature reserve.
  • Further, the rest of the project will be funded by the widely discredited Mutual Investment Model (MIM). This means our cancer care will be the first hospital in wales funded through a public-private finance initiative, largely reflecting the disaster of the Public Finance Initiative (PFI).
  • The National Assembly for Wales finance committee enquiry reported that ‘Whilst MIM is an improvement in terms of community benefits and oversight of projects, it is hard to establish a significant difference between the two models, specifically as to how MIM offers greater value for money than previous PFI models’ (2019:5).
  • The maintenance of the site and building will be managed by a private company using non-NHS workers until 2050. But the Nuffield Advice clearly states the project only has short term viability of 10-15 years as a much smaller unit than initially envisioned. How is this a sustainable use of public money?
  • More information about MIM and Velindre is available here.

Furthermore, the environmental implications of building on the meadows are clear:

  • The construction will result in the total destruction of an Site of Importance for Nature Conservation (SINC), an area of Local Nature Reserve (LNR), impact directly upon the border of a Site of Special Scientific Interest (SSSI);
  • Increase the risk of flooding: The development envisages the discharge of surface water into the Glamorganshire Canal and adjoining Melingriffith Feeder. Both these watercourses have flooded in recent months, and caused the flooding of housing around Forest Farm Road in February 2020;
  • Contribute to dangerous levels of air pollution: In November, 101 parents from Coryton Primary School signed a letter opposing the development because of the real threat increasing air pollution has on children who will be surrounded by cars and heavy vehicles on all sides of the school;
  • Harm protected species: Evidence from the developers suggest dormice, badgers, grassnakes, slowworms, bats, red and amber listed breeding birds, and hedgehogs nest on, or hunt on the site;
  • Result in the felling of hundreds, if not thousands of mature or semi-mature trees. This is farcical considering the climate emergency:
  • Housing will also be built following the construction of the hospital, with only 20% affordable provision in a plan proposed by TCS, Cardiff Council, and notably Cardiff and Vale University Health Board (application 20/00357/MJR). This opens up Whitchurch and North Cardiff to even more polluting developments, when considering the breadth of development occurring from Plasdwr to Lisvane.
  • The significance of Carbon Capture: The Northern Meadows has significant potential as an urban carbon sink, with a self seeding forest growing on the meadows and within the railway cutting. Furthermore, Longwood is a semi-ancient forest – hence its categorisation as an SSSI – and must be enhanced to ensure its resilience. Allowing the forest to take the meadows naturally would contribute to the goals of enhancing and maintaining biodiveristy;
  • The loss of a significant community amenity during a pandemic will be criminal. At present only 8% of Cardiff is publicly accessible green space, compared to 15% in cities like Birmingham.

Environmental Law is clear, the meadows and other green spaces must be protected:

  • The Convention on Biological Diversity (1992), Articles 8, 9, 10.
  • The Rio Declaration (1992), Principles 1, 4, 11, 15.
  • The Wellbeing of Future Generations (Wales) Act (2015), Section 2, 4, 5(1).
  • The Environment (Wales) Act (2016) Section 3 and 6.
  • The Nature Recovery Action Plan 2020-21 states (section 6) there is a requirement for urgent, short-term actions which align the responses to the climate emergency with the biodiversity emergency, state resilient biodiversity is needed everywhere, including the creation of core resilience areas, and that the network of protected sites in Wales should be improved.

As such why is the Welsh Government choosing to undermine its own legislation for the protection, maintenance, enhancement, and resilience of biodiversity?

In addition, we have a number of important questions for the Welsh Government Ministers:

  • Why has Lesley Griffiths MS never once responded to the campaigns questions regarding the environment after five attempts to contact her?
  • Why has the community – including Save the Northern Meadows, but also the Hollybush Estate Residents Association, and Partnerships and Communities Together Whitchurch and Tongwynlais – been repeatedly and systematically undermined, ignored, and misrepresented by TCS, Velindre, and Labour MS’s?
  • Why have we been removed from the engagement process, despite the assertions there would be a community engagement officer?
  • Why is the project still being considered regardless of the scandalous choice of medical model, the environmentally destructive form, and the bullying character of those in charge?

Please feel free to choose from any of the arguments and information above, add your own information, personal experience, and send to MS’s!

Letter to Lesley Griffiths

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This morning, we sent a letter to Lesley Griffiths MS, the Minister for the Environment, Energy, and Rural Affairs, highlighting the environmental impact of building on the meadows. We have emailed her 6 times in the past, but we are yet to have a single response.So we thought it was about time to throw the metaphorical book at her and her Government. Feel free to use the arguments we used here to write your own letter to her (Correspondence.Lesley.Griffiths@gov.wales), or we will soon have a letter template for you to use.Building on the meadows will be an environmental disaster, and we refuse to let that happen. #SaveTheNorthernMeadows#KeepItGreen#Rethink


Write to Lesley Griffiths MS, Minister for the Environment, Energy, and Rural Affairs to support Save the Northern Meadows – copy and paste the letter below, add your name and your comments, and send as a New Year’s present for the minister! 

Send to: Correspondence.lesley.griffiths@gov.wales

And CC: Correspondence.Julie.Morgan@gov.wales, correspondence.vaughan.gething@gov.wales, Correspondence.Mark.Drakeford@gov.wales and your MS (if different from Julie Morgan).

COPY AND PASTE THIS MESSAGE, and add your own comments at the bottom ↴

(Email subject: Act Now to Prevent Environmental Disaster in Cardiff) 


Dear Ms.Griffiths MS, 

I am acutely aware of the relentless demands of COVID-19 on both you and your department and greatly appreciate all you do. So I wouldn’t write to you at this time if the matter was not urgent. 

I am writing today in support of the Save the Northern Meadows campaign, who have contacted you over six times. I ask you to act to Save the Northern Meadows, 14 hectares of green space to the north of Whitchurch Hospital and directly adjacent on two sides to the Glamorganshire Canal and Forest Farm local nature reserve (LNR). The meadows themselves are a Site of Importance for Nature Conservation (SINC) and an area of the Canal is a Site of Special Scientific Interest (SSSI). Building here would cause an environmental disaster for biodiversity in Cardiff. Building works are due to start in late January. 

Therefore it is imperative you act now. 

Time and options remain which could stop this disaster if you step in. The Nuffield Trust, commissioned by Velindre following advice from the Chief Medical Officer, advised the footprint of the new Velindre Cancer Centre (nVCC) should be radically changed. Velindre purchased ‘the Grange’ site in the mid 2010s intending to build the cancer centre there, yet ultimately stated this site was too small and chose to relocate to the meadow land offered by Cardiff and Vale University Health Board. Given that the healthcare model and its associated infrastructure must now be revised, work should not be permitted to begin on the meadows. The adjacent Grange Brownfield site should be reconsidered for the new centre so that the meadows are protected for present and future generations.

Save the Northern Meadows are calling for Transforming Cancer Services (TCS), the Welsh Government, and Cardiff Council to work with the community to identify a solution which uses the adjoining Whitchurch Hospital site and ‘the Grange’, but leaves the meadows unharmed and protected from any development

  1. Working together could ensure the meadows are protected for future generations, allowing a self seeding urban forest to develop further;
  2. The proposed solution enables TCS, Velindre, and the Welsh Government live up to the requirements to ‘maintain and enhance’ ecosystems, which they are not doing at present; 
  3. Such a solution would ensure the local community – where many live in flats and have no means to access the countryside – have access to nature, and space to roam during these lockdowns and in the future.

If you do not act, there will be significant, permanent harm to the meadows. The work will result in: 

  1. Increased risk of flooding:
  2. Dangerous levels of air pollution:
  3. Harm to protected species:
  4. Felling of hundreds of trees:
  5. Housing resulting from the use of the meadows: 
  6. Significance of Carbon Capture 
  7. The loss of a significant community amenity: 

These are highlighted further in the letter to you sent by Save the Northern Meadows on the 19th of January 2021. I do not need to remind you of the ample national and international legislation which requires you to protect and enhance biodiversity, presented in more detail in the letter sent by Save the Northern Meadows, including: 

  1. The Convention on Biological Diversity, 1992.
  1. The Rio Declaration, 1992.
  1. Well-Being of Future Generations (Wales) Act, 2015. 
  1. The Environment (Wales) Act, 2016. 

You will note the requirement of the Convention on Biological Diversity article 8(e), with the obligation to ‘Promote environmentally sound and sustainable development in areas adjacent to protected areas with a view to furthering protection of these areas’. This reflects your numerous obligations under the Nature Recovery Action Plan. The ‘Nature Recovery Action Plan 2020-21’ also identifies: 

  1. The requirement of ‘urgent short-term actions’ (section 6) including:
    1. Aligning the responses to the climate emergency and the biodiversity crisis;
    2. Providing spatial direction for action for biodiversity. Resilient ecological networks are needed everywhere to create mosaics across Wales, but further identification of ‘core resilience areas’ is needed in which to prioritise action; 
    3. Improving the condition of the Protected Sites Networks.

Protecting the meadows will help directly implement the short term responses identified by the Nature Recovery Action Plan.  Moreover, given the Welsh Government voted to declare a Climate Emergency, now really is the time to act swiftly to ensure coherence between your actions and existing environmental commitments.

We are asking Government Ministers to: 

  1. Act urgently to prevent any enabling works (costing Velindre-estimated £26.9m)  from going ahead on Northern Meadows and saving the biodiverse space of County importance currently at risk; 
  2. Promise no further funding to this project and forbid further expenditure;
  3. Call in applications 20/01110/MJR and 20/00357/MJR, giving the community a stake in the development of Whitchurch Hospital;
  4. Work cooperatively with clinicians to identify the best option for cancer care for the people of South East Wales.
  5. Work cooperatively with us and and all local stakeholder groups and elected members to design a solution to the Northern Meadows and Whitchurch Hospital Site which maintains and enhances biodiversity and secures long term solutions for cancer treatment in Wales. 

We also call for long term commitments from this Government to ensure communities are never put under such significant pressure and manipulation by a public body again: 

  1. Investigate where so much went wrong so as to prevent such a disastrous waste of public money for an NHS project ever happening again;
  2. Save the Northern Meadows and railway cutting, by designating the area a Local Nature Reserve and forbidding any construction here in future. 

ADD YOUR MESSAGE HERE

We are looking forward to your swift response. 

Kind regards, 

YOUR NAME

Your Address

In support of Save the Northern Meadows 

Call to Action

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We are calling for support and solidarity from individuals, groups, and campaigns from across Cardiff, as we face down the imminent development of the Northern Meadows. With the Nuffield Advice effectively demolishing the case for building on the Meadows, we are asking for the people of Cardiff to act with us to prevent the unnecessary destruction. Please share our call to action with your communities and organisations. They have also been posted on our website in PDF format. Please also indicate if you’d like us to keep in touch with more updates as we develop letter writing and other campaigning materials. We have many actions which can be easily taken at home, and will continue to monitor the situation on the ground with the community, and provide updates with ways people can help. Your support so far has been immense, demonstrating the people of Cardiff and South Wales care about saving green spaces and preserving what’s left of our environment. We look forward to moving forward together.We hope to keep working with you all to keep building this campaign and saving the meadows!

Nadolig Llawen, a Flwyddyn Newydd Da!

All the best, The Save the Northern Meadows Group

Vaughan Gething MS and Julie Morgan MS

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Dear Ministers, 
Please find attached a copy of a letter sent to Vaughan Gething MS and Julie Morgan MS, requesting they prevent any further development of the Transforming Cancer Services Project and save the northern meadows. 
In the letter, we highlight the recommendations of the Nuffield Trust, the lies told by the public body, and our recommendations of how the Government can reconcile with the community and protect biodiversity whilst reconfiguring the project to ensure the people of South East Wales have access to the excellent Cancer Care they deserve. 
This matter is crucial, as TCS seek to begin enabling works, spending £26.9 million of a Welsh Government Grant to build a road to nowhere. This is an unacceptable risk to the community and biodiversity following the Nuffield Advice and the Senedds declaration of a climate emergency. It would be a significant waste of public money and demonstrate negligence at the highest level. As a result, we hope you can urge the Ministers to stop the destruction and protect this community from any further development by seeking to implement our demands. 
Please do not hesitate to get in touch if you have any further questions, 
Kind regards, 
The Save the Northern Meadows Group

Letter to Ministers below:-


Dear Ministers,

We are acutely aware of the relentless demands of COVID-19 on both you and your department and greatly appreciate all you do. So we wouldn’t write to you at this time were not urgent action forced upon us by others right now.

We believe that as a result of the Nuffield Advice; the economic impact of the Transforming Cancer Services (TCS) project, the threats to biodiversity and public health and wellbeing posed by the project, and the widespread community opposition to building on the Northern Meadows, you must act urgently to stop any and all construction relating to the enabling works and the new Velindre Cancer Centre.

We remind you:

  • –  Over 1,000 objections were submitted to four planning applications which were granted without covering community concerns;
  • –  Over 100 parents at Coryton Primary expressed concerns over their children’s health if the development goes ahead;
  • –  11,000 people signed a petition asking the Government to stop the destruction;
  • –  5,000 people called for an independent inquiry into the medical model and choice of site;
  • –  Hundreds of people protested in Whitchurch on multiple occasions;
  • –  And we joined over 1,000 people across Cardiff to call for environmental, racial, economic, and social justice in Wales in September.As a result, we sincerely hope we are able to work together to find a solution for the issue of the development of the Northern Meadows. We believe the only solution now recommends placing the nVCC Satellite centre on the Whitchurch Hospital, or alternative site. This would protect the Northern Meadows, and could enable the connecting of both sites with accessible pavements to allow cancer patients and people across Whitchurch to experience the healing powers of nature, without destroying the wonderful biodiversity which exists across the meadows, railway cutting, and Historic Gardens of Whitchurch Hospital. This option has already been widely supported by the community, who wish to

protect the meadows and continue the historic connection of the people of Whitchurch to the NHS.

The Nuffield Advice to the Velindre University NHS Trust compels immediate radical changes to the TCS project. The Advice recommends the downsizing of the cancer unit resulting in a much smaller land footprint for the Centre, stating it would be unreasonable for the project to continue with the current plan. As a result, ​Velindre itself has now begun drastically reducing its projected inpatient admission numbers.

Commonly, we have heard of the alleged time constraints regarding the rebuilding of UHW, which is being used to block co-location. This lacks definitive proof and is largely an assumption. All because the less expensive option had been sidelined by TCS, who have spent the last six years and £20 million researching and developing this outdated project, with little to show for it.

In summary:

  • –  The safety of cancer patients drives this dramatic change, just as already supportedby most senior clinicians in the region​.
  • –  The key criteria of excellence in cancer care, must be co-located at UHW assoon as possible​: in-patient care, research, training education resources​.
  • –  For a period Velindre must continue on a suitable stand-alone site as a radiotherapy and chemotherapy unit, focusing on outpatient treatment, assessment, processing, counselling etc, but this will end when a suitable acute site has been located.The following list contains conclusions, recommendations and implications to be drawn from the Nuffield Trust’s advice to the Velindre NHS Trust and TCS:
  • –  Co-Location at UHW (University Hospital Wales) is the gold standard especially for safety (This is clearly described in Appendix One of the Document).
  • –  The Transforming Cancer Services (TCS) Programme has been insular and as such has failed to properly engage key stakeholders.
  • –  Recent proposals by TCS appear to be ​reactive​ to circumstances rather than proactive.
  • –  6 years and £20 Million have not provided a blueprint to transform cancer services. The plan is simply to replicate current services.
  • –  Failure to co-locate threatens patient safety, research, teaching programmes.
  • –  The redevelopment of Velindre Cancer Centre at UHW is a once in a lifetime opportunity to transform cancer services for the whole of South East Wales, yet ​this opportunity may be missed through inflexibility, inaction or partiality.
  • –  Transforming Cancer Services should never have been the responsibility of a single organisation that delivers only part of the pathway. ​The whole regional network, transparent, accountable and well led, is the key to excellence.Despite these conclusions, TCS have put redundant contracts out to tender, seeking to begin pointless, damaging enabling works. So, we ask urgently – why has the outmoded business case from November not been formally and publicly set aside, and the project halted? ​Surely, such damning advice demands a rethink of the entire project and the executive staff entrusted with providing excellent cancer care for South East Wales, of which they have clearly failed and exacerbated a dangerous situation.Accordingly, you must act to halt this project on the Northern Meadows. Enabling works are, as we write, being progressed by TCS, wasting even more public money. This is malpractice with public funds and only you can stop it. No further advice to your department is needed to enable good judgement. The first stage of decision is being forced upon you by TCS jumping the gun without incorporating the Nuffield Advice.They are pursuing the beginning of this project, ​after repeatedly lying to yourself and the public​ regarding crucial aspects of the project, including:
  • –  How they engaged the public and medical staff within the Centre, and how they accounted for the concerns of the hundreds of individuals who engaged in due process;
  • –  The number of emergency transfers from Velindre to UHW by ambulance, repeatedly stating there were ‘less than 30,’ when our Freedom of Information

Request identified ​a yearly average of over 100 transfers​, many red and amber

listed;

  • –  The number of severe incidents on the site, including the ​cover-up of anunexpected death​ by not labelling the tragedy a ‘significant incident;’
  • –  The time it takes for emergency transfers to be made between Velindre and UHW(which Velindre said took ‘minutes’, but our FOI’s identified an ​average transfertime of nearly two hours​, including an hour wait at the Centre itself);
  • –  The research conducted into their clinical model of choice, which they emphasisedwas robust, ​did not exist.​ Repeatedly emphasising the Barrett Report, which we subsequently identified by contacting Dr. Barrett herself did not include research on the model proposed by the Trust;
  • –  Repeatedly ​failing to comply with FOI requests​, of which we still have at least two outstanding for over ten weeks. Surely this is an unacceptable way for a public body to behave.We must highlight that if you do not act, biodiversity of a County Importance (as identified by the developers), including the homes of bats, dormice, slow worms, grass snakes, and category red and amber listed birds will be destroyed, and pointless damage done to the Whitchurch Hospital Grade 2 Listed Historic Gardens and Chapel will occur. The open space of the meadow is already heavily used for health and wellbeing purposes, and will be denied to the wider community just as your Government implements another national lockdown.We ask why this must occur, as a number of suitable alternatives have been identified for the Centre, including the Grange, site K of Whitchurch Hospital (with a planning application seeking to put a 200 bed hospital there). We also query why the new Covid centre at UHW cannot be considered as an alternative space for the nVCC post pandemic, given that (1) this will be available much quicker than a new hospital could be built on the meadows and (2) it is a more suitable location according to the Nuffield report and the clinicians who have spoken out about the standalone model?Should the project continue, you will be willfully polluting and harming our community by removing our only access to open space; failing to acknowledge the deathly

impact of increased air pollution, whilst committing to​ locking many of us in gardenless flats for an unspecified amount of time. ​This will be in violation of the Wellbeing of Future Generations Act, as well as your own policies which seek to maintain and enhance biodiversity. As Nuffield requires significant downscaling of the centre, ​surely the balance between necessity and the community now moves in favour of the community.

Therefore, we ask you to:

  1. Act urgently to prevent any enabling works from going ahead and saving the biodiverse space of County importance currently at risk;
  2. Promise no further funding to this project and forbid further expenditure​;
  3. Call in applications 20/01110/MJR and 20/00357/MJR, giving the community astake in the development of Whitchurch Hospital;
  4. Work cooperatively with clinicians to identify the best option for cancer carefor the people of South East Wales.
  5. Work cooperatively with us and Julie Morgan MS to design a solution to theNorthern Meadows and Whitchurch Hospital Site which maintains and enhances biodiversity and secures long term solutions for cancer treatment in Wales.

We also call for long term commitments from this Government to ensure communities are never put under such significant pressure and manipulation by a public body again:

  1. Investigate where so much went wrong so as to prevent such a disastrous waste of public money for an NHS project ever happening again;
  2. Save the Northern Meadows and railway cutting, by designating the area a Local Nature Reserve and forbidding any construction here in future.

Signed,
The Save the Northern Meadows Group

page5image24989968page5image24989760

NO Hospital beds to be at New Velindre Cancer Centre: NO need to build on the meadows!

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Below is our letter sent to Councillors this morning, when we discovered Velindre have fundamentally altered their plans for the Northern Meadows. This means the decision made today is based on incurred and inaccurate submissions to the planning committee, and the application must be rejected to avoid unacceptable harm to a nature reserve, SINC, and SSSI, increase air pollution, harm our cultural heritage, and remove this community from its only access to green space.

Join us and call for this permission to be rejected now by emailing your councillors, and watch the application be heard at committee here: https://fb.me/e/cNiyNLCws

Dear Councillor,

24 hours was all it took to show we were correct in our recent letter to you.

1.     Cardiff Planning pulled several applications from today’s agenda, so it really can be done at short notice.

 2.     Bat ecologists appeared yesterday around the Northern Meadows site, normally a precursor to work on site rapidly following. New Velindre is as bold as we said when it doesn’t yet have permissions. We didn’t over-dramatise.

3.     Senedd [Petitions] Committee yesterday took Nuffield very seriously indeed. Regarding our petition it reported to us that ‘as a result of further detailed information’ it is writing the Minister for Health and Social Services and is: 

·        ‘requesting an update following the Nuffield advice to Velindre’ and ‘a timeline for further consideration of the business case’, and

·        seeking a response to our further arguments ‘for a full independent review.’  

4.     It has emerged this week that Velindre has just changed their admissions policy, so that they will now have very few inpatients. There is now NO need for the 42 bed in patient unit proposed for the meadows, meaning the proposed development is fundamentally different from that permitted permission in 2017.

In other words, our warning to Councillors yesterday was indeed reliable. The last 24 hours raises a disturbing question in the public mind.

Why is Transforming Cancer Services pressing on with work at the Northern Meadows when, after Nuffield, everything’s changed beyond recognition and site-need assessment is back at square one?

A sceptical public will most likely choose its own answer to this conundrum from the following: 

New Velindre thinks: “spend the money of taxpayer and possibly charity donors fast until it’s too embarrassing for authorities to turn back, Nuffield or not.”

New Velindre thinks: “the Planning Committee will never let us down after all this. We’re destined to get approval. The public already thinks planning is rigged so one more won’t make any difference.” New Velindre thinks: “the Minister is swamped with Covid 19, and the call-in will get neglected or pulled for a bit of peace.”
This matter need not concern Councillors any longer.  The Council merely needs to authorise the pulling of the Northern Meadows applications today. Then everyone can relax over Christmas and watch until the new future of Velindre emerges from Nuffield repercussions and the new site-needs assessment. Please act now. It is Cardiff’s environment and health.

Sincerely,

Save the Northern Meadow  

How can NHS justify £200 million on new unit?

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Letter from Dr. Ray Monsell to the Echo on 13/11/20

Text:

How can NHS Trust justify £200m on new unit?

I WRITE in response to the letter from Professor Mead (“ambulance figures were misleading”, Echo letters November 9), challenging some aspects of previous correspondence questioning the safety of the service model for the New Velindre Cancer Centre.

This appears to be a partial and selective response. 

No-one disputes the need for a new build to allow the incredible work undertaken by the staff at Velindre to continue. 

The issue we have raised as clinicians concerns the proposed model for the New Velindre. The current hospital Is on a stand-alone site, unsupported by the many specialities required to care for actuely unwell patients.

At the New Velindre, there will be no surgery, interventional radiology, intensive care, on-site expertise for medicine, cardiology, neurology, gastroenterology, gynaecology. All of these require transfer to another site before specialist treatment can commence. 

To the casual reader, the figures for 2019 presented by Prof Mead appeared acceptable, with “only” 11 Red Calls, which are immediate life-threatening emergencies such as cardiac/respiratory arrest and choking.

She did not mention the 69 Amber One and Two calls in the 105 x 999 calls in 2019. (63 Amber One, six Amber Two). These are not routine transfers. These patients need urgent help not available at Velindre. 

The Amber One and Two categories include :

-Abdominal Pain;

-Allergic reactions (not alert, difficulty breathing);

-Breathing problems;

-Chest pains (abnormal breathing, changing colour, clammy, sweaty);

-Convulsion/fitting (continuous or multiple fits);

-Heart problems;

-Haemorrhage/laceration;

-Sick person (including not alert);

-Stroke; and

-Unconscious.

These were emergencies, in patients already sick due to the underlying illness that brought them to Velindre. 

The idea of using the 999 system for routine transfers might be viewed as an abuse of the emergency system, denying patients in the community these vital resources.

Eighty times in 2019, Velindre needed to escalate care to an acute hospital via the 999 ambulance; 80 Red and Amber One and Two. 

Similar figures were recorded for the preceding three years. The 25 Green calls using the 999 system may include patients transferred for treatment not available at Velindre.

The Trust has a duty to report any serious incidents to the Welsh Government. Prof Mead states: 

“Over the past five years no serious incidents have been reported to the Welsh Government due to preventable deaths onsite relating to a delay in transfer to an acute hospital.”

The Freedom of Information inquiry included details of an unexpected death. Out of respect for the family, this will not be discussed to avoid distress. 

The Trust stated in its FOI response: 

“The case was not reported as a serious incident as it did not meet the threshold for reporting”

Is an unexpected death not a serious incident? What is the threshold for reporting an unexpected death at Velindre.

The trust also stated: “The organisation does not hold one overall system that collates all patient interventions and transfers. We can confirm patients are transferred to other acute hospitals for a range of interventions and the details are accessible by clinical staff in the individual patient record.”

There is no central database that collates the information for patients requiring escalation of care from Velindre to other units in South-East Wales. If Velindre NHS Trust does not know what is happening in the present, how can it plan the future?

How can it justify spending more than £200m on a new unit when it does not know what it needs to provide? The patients and staff deserve better.

DR Ray Monsell

MSc MBBCh FFSEM Dip Sport

Med Dip IMC RCSEd

Cardiff

Sunset over the Northern Meadows Oct 2020

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A selection of sunset photos taken in the Northern Meadows during October 2020.

Object to 20/01110/MJR

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What must go in the objection:

If using the Cardiff Council portal you can just look around first as a guest:

Click Search > Planning > Simple_Search

To make an objection you must first register through any of the ‘register’ buttons. Not detailed or lengthy though have a password ready and expect to be asked for name, address & email address. They use this to inform you sometimes of significant developments on the application

Now you’re ready to go back and click on Comments or Document and you’re offered a page to write in. 

ESSENTIAL 

Make sure you head it with and include the following:

  • To Mr Justin Jones 
  • Planning number 20/01110/MJR
  • If applicable: “This Objection goes with my previously voiced objection to this application.”
  • ‘I wish (now) to object to the application above, 20/01110/MJR. This is for the following reasons (what follows can be helpfully bullet pointed or numbered):

Text formatting features will be wasted, so no point in italics, bold or underlining. 

  • Include the key concern: 
  • ‘I object’ on the grounds that one of the lodged documents has introduced a material change to the original application document 20/01110/MJR. It has applied for a new permanent road in an application clearly proposed as a: ‘Temporary Construction Access Route.’ It also included the promise that there would be no permanent access road except that already approved at the northern access point.

OPTIONAL CONTENT – pick and mix from one or more of the following plus your own brief take or impression (excluding abuse!):

In an additional document headed ‘New Velindre Cancer Centre Temporary Southern Construction Access Route, Section 3 Enabling Works we read the following: 

“The enabling works for the nVCC will create the new permanent access roads (via Asda to the North and Park Road from the SE)…”  Park Road from the South East is elsewhere described as a temporary access. 

The complete document is misleadingly entered in the Documents list as GIMS STATEMENT FINAL

The sentence above changes the nature of the entire application.

In fact it changes the nature of the original application in 2017 that was very clear on a single permanent access, namely from the north.

Promises to residents in the cursory consultation, accordingly, pledged that there would be no southern access route at all and now amended to say that no southern access route would be permanent.

Inserting a permanent route occurs quite deep: in a passage entitled Temporary Southern Access Route… inside a document called GIMS STATEMENT FINAL… found within an application for a Temporary Construction Access Route!