Campaign group highlights hospital’s unique role across Mid Wales catchment

A PUBLIC “Health Question Time” event for Senedd election candidates will take place in Aberystwyth next month as concerns continue over the future of services at Bronglais Hospital.

Protect Bronglais Services has announced the meeting will be held at Neuadd Goffa Penparcau Memorial Hall on Friday, March 13, at 7:00pm.

The discussion will focus on healthcare provision in rural and semi-rural areas, particularly across Mid and West Wales, with organisers saying the timing is significant because Hywel Dda University Health Board is expected to have made decisions on its Clinical Services Plan consultation before the event.

That consultation covers nine clinical disciplines across the health board area and has raised concerns among campaigners about potential changes to services affecting patients who rely on Bronglais.

Campaigners have also circulated a graphic highlighting what they describe as the hospital’s unique position as the only district general hospital serving large parts of Mid Wales, with some communities located between fifty and seventy-five miles from alternative facilities. Bronglais serves not only Ceredigion residents but also patients from southern Meirionnydd and western Montgomeryshire.

Organisers say twelve candidates from major political parties have been invited to take part — two representatives each from the Green Party, Plaid Cymru, Reform UK, Welsh Conservatives, Welsh Labour and Welsh Liberal Democrats. Those invited are candidates standing in the new Senedd constituencies of Ceredigion Penfro and Gwynedd Maldwyn, both of which fall within the hospital’s catchment area.

Questions will be submitted in writing before the meeting, with those selected able to ask them directly on the night. Supplementary questions from the audience will also be encouraged.

Translation facilities will be available and the meeting will be live-streamed to enable wider participation.

Lisa Francis, Chair of Protect Bronglais Services, said the group was looking forward to welcoming candidates and members of the public to the event, which aims to ensure rural healthcare remains a key election issue ahead of the May 2026 Senedd elections.

DECISIONS following Hywel Dda University Heath Board’s recent consultation on nine of its services, which includes 22 alternatives to the initial options proposed, are to take place at a special two-day extraordinary meeting next week.

Last year, the Health Board consulted with its communities on options for change in critical care, dermatology, emergency general surgery, endoscopy, ophthalmology, orthopaedics, stroke, radiology and urology.

It said its Clinical Services Plan focuses on nine healthcare services that are “fragile and in need of change”.

At the launch of the consultation it said the services, and potential changes at the four main hospitals of Haverfordwest’s Withybush, Carmarthen’s Glangwili, Llanelli’s Prince Philip and Aberystwyth’s Bronglais, would see no changes to how people access emergency care (A&E) or minor injury care as part of the consultation, with an ongoing separate consultation on minor injury care at Prince Philip.

These nine clinical services were selected because of risks to them being able to continue to offer safe, high-quality services, or care in a timely manner, the board has previously said.

The proposed changes, with many different options in each of the nine services across the area, could mean some hospitals gaining or losing services, along with community site options in some cases.

An independent consultation report prepared by Opinion Research Services is part of the information the Board will consider on February 18 and 19; with more than 4,000 questionnaire responses in addition to the feedback shared at public events, staff meetings and stakeholder sessions.

During the consultation, communities shared an additional 190 alternative ideas for the services, which have been narrowed down to 22.

These will be considered alongside the options that were shared during the consultation, with members also considering whether further engagement, or additional information may be required, before a final decision is made.

Of the nine areas, critical care has three options, and one alternative; dermatology four options; emergency general surgery, two options and two alternative; endoscopy, three options and one alternative; ophthalmology, three options and six alternatives; orthopaedics, four options and five alternatives; stroke, two options and two alternatives; radiology, four options and four alternatives; and urology, one option and one alternative.

Dr Neil Wooding, Chair of Hywel Dda University Health Board, said: “At our meeting next week, the Board will carefully consider the consultation feedback alongside the latest clinical evidence, workforce insights, updated impact assessments and the alternative options that were put forward during the consultation.

“Our responsibility is to consider the full range of evidence and ensure we make decisions that ensure that our services are sustainable for the future. No decisions have been made ahead of the Board.

“We are committed to a thorough and transparent process, ensuring each option and alternative options are considered in the round, and focused on improving services for the people who rely on them.”

The first day of the two-day event will be dedicated to reviewing the evidence and considering the options in detail, with decisions on the second.

Unions warn award amounts to real-terms cut as inflation remains above headline figure

NHS staff across Wales will receive a 3.3% consolidated pay increase from April 1, 2026, after the Welsh Government accepted recommendations from the 39th NHS Pay Review Body.

The uplift applies to all staff employed under Agenda for Change terms and conditions, including nurses, healthcare assistants, porters, cleaners and other frontline health workers.

Health and Social Care Secretary Jeremy Miles said the award followed independent economic advice and was above current inflation forecasts issued by the Bank of England and the Office for Budget Responsibility.

He said inflation was expected to fall progressively towards the two percent target by early 2027 and described the settlement as fair and responsible within the current financial climate.

Lowest-paid staff

The Welsh Government confirmed that its commitment to pay the Real Living Wage from April 2026 means the lowest-paid NHS staff will see increases ranging from 3.8% to 5.9%.

However, it was also noted that Bands 1 and 2 and the entry point of Band 3 will remain on the same pay rate from April because the previously announced living wage uplift already exceeds the Pay Review Body recommendation.

Ministers said discussions will continue alongside England and Northern Ireland on structural reforms to the Agenda for Change framework, with any agreed changes backdated to April 2026.

Union anger

The announcement prompted sharp criticism from health unions, who argue that with inflation currently at 4.2%, many staff will still see a reduction in real-terms pay.

The Royal College of Nursing described the award as “very disappointing” and said it falls short of commitments to restore nursing pay to 2008 levels.

RCN Wales Executive Director Helen Whyley said: “At a time when the cost of living remains high another real term pay cut is being imposed again on a workforce already stretched to its limits.”

She also criticised the continued use of the Pay Review Body process after unions had raised expectations of direct negotiations.

Meanwhile, UNISON Cymru said health workers are likely to be angry at what it called “another below inflation pay award”.

UNISON Cymru health committee chair Dawn Ward said some NHS staff were struggling with rising household bills and felt undervalued.

The union has called for Wales to move towards a Scottish-style model of direct pay negotiations between government, employers and unions.

Political pressure

The pay announcement is likely to intensify debate about NHS funding, recruitment and retention across Wales.

While ministers argue the settlement reflects economic forecasts and financial constraints, unions maintain that headline percentages do not reflect the pressures facing frontline staff.

With morale described as fragile and vacancies continuing across Welsh health boards, the dispute is expected to remain politically sensitive in the months ahead.