Health
Health board targets rise in steroid and gym drug use across west Wales
THE LOCAL health board has launched new targeted measures after recording a sharp rise in the use of steroids and other image-enhancing drugs across the region.
Hywel Dda University Health Board says needle exchange figures show significant growth over the past two years in people seeking support related to Image and Performance Enhancing Drugs (IPEDs), including anabolic steroids and so-called Selective Androgen Receptor Modulators (SARMs).
SARMs, while marketed online as safer alternatives to steroids, are illegal to sell in the UK and health professionals warn they carry serious and largely unknown risks.
The health board has now teamed up with Dyfed Drug and Alcohol Service (DDAS) and Choices, a young people’s substance use service, to tackle what officials describe as an “emerging public health challenge”.
Workshops and outreach
Two key initiatives have been introduced.
Educational workshops are being delivered to young people, focusing on the risks of using performance-enhancing substances during physical development and the potential long-term effects on hormones, mental health and fertility.
At the same time, enhanced support is being offered to people already involved in gym and fitness culture, with harm-reduction advice, health monitoring and confidential drop-in services.
Support includes testosterone testing, blood checks, cycle provision kits and discreet one-to-one consultations.
One service user described the programme as “quick, professional and non-judgemental”.
They said: “The drop-in clinic for my blood test was really convenient. I was seen quickly and given a full run-down of the services available. The staff made me feel comfortable the whole time and I got my results back faster than expected.”
Taking support into the community
The team has also worked directly with local gyms, leisure centres and sports venues, speaking to more than 100 people during five outreach sessions.
Twelve DDAS staff members have completed specialist IPED training delivered by Public Health Wales to strengthen expertise within the service.
Rachel Wilson, Resilient Families Manager at Choices, said the aim is to reduce stigma.
She said: “We’re proud to work alongside Hywel Dda to ensure people who use IPEDs are met with understanding, not judgement. These initiatives are helping us reach individuals who may not have previously considered accessing support.”
Craig Jones, Prevention and Population Health Improvement Manager, added: “This work is about meeting people where they are. By listening and responding with compassion and evidence-based care, we’re making a real difference.”
Dr Ardiana Gjini, Executive Director of Public Health, said the approach showed the board’s commitment to early intervention.
She said: “These initiatives reflect a proactive, collaborative response to emerging health challenges and demonstrate our dedication to protecting the health of our communities.”
Anyone seeking confidential advice or support can contact DDAS on 03303 639997 to book an appointment.
Health
Politicians seek legal advice over hospital decisions as petition passes 11,000 signatures
PEMBROKESHIRE’S two Members of the Senedd have written jointly to the Welsh Government’s Counsel General seeking legal advice on possible ways to challenge decisions made by Hywel Dda University Health Board affecting healthcare services in the county.
Paul Davies MS and Samuel Kurtz MS have asked the Counsel General, Julie James MS, to outline what legal mechanisms may exist to scrutinise or challenge the health board’s decision-making process, particularly in relation to changes impacting services at Withybush Hospital.

Their move comes amid growing concern from residents, clinicians and community groups about the impact of service changes on patient safety and access to care, especially in a rural county where travel times to alternative hospitals can be significant.
Public concern has also been reflected in a petition calling for intervention over the future of services at Withybush Hospital. The petition has now attracted more than 11,000 signatures and continues to gain support.
Having passed the required threshold, the petition can now be considered for debate in Senedd Cymru.
The two MSs say the level of public backing highlights the strength of feeling locally and the need for greater scrutiny of decisions being taken about healthcare provision.
Paul Davies MS said: “Residents across Pembrokeshire are deeply concerned about the cumulative impact that changes to healthcare services could have on patient safety and access to care in a rural area. The fact that more than 11,000 people have signed the petition highlights just how strongly people feel about this issue.”
Samuel Kurtz MS added: “People deserve confidence that decisions affecting vital healthcare services have been taken properly and with full consideration of the impact on local communities. We have therefore written to the Counsel General to seek advice on what legal avenues may exist to challenge these decisions and what powers the Welsh Government has to intervene where serious concerns have been raised.”
The MSs have also asked the Welsh Government to clarify what role it can play in reviewing or intervening where there are significant concerns about the governance and decision-making processes of a health board.
Health
Welsh Ambulance Service to host bi-monthly Board meeting
THE WELSH AMBULANCE SERVICE is preparing to host its bi-monthly Board meeting – and the public are invited.
Join the meeting on Thursday 26 March via Microsoft Teams to hear senior leaders cover a full agenda, including approval of the Integrated Medium-Term Plan for 2026-29, which outlines what the organisation will prioritise and deliver, how it will use its resources and how it will continue to improve care for the people of Wales over the next three years.
Board members will approve the initial revenue budget for the year ahead and receive an update on current financial performance.
The Board will also hear from Mr Clarke from Cwmbran, who describes an experience of trying to access help via 999 for his late father who was terminally ill.
There will also be an opportunity to pose a question to the Board.
Chair Colin Dennis said: “Board meetings give you the opportunity to really get to know our ambulance service, with a clear view of how important decisions are shaped and the processes behind them.
“They also create a forum to hear directly about ongoing work, explore how we can strengthen support for the Trust’s staff and patients, and connect with the people responsible for shaping those decisions.”
Click here to watch the Board meeting on Thursday 26 March 2026 from 9.30am.
This link will be active from 10 minutes before the meeting starts.
To pre-submit a question, please email [email protected] by no later than Wednesday 25 March 2026.An agenda will be available on the Trust’s website in the days prior to the meeting.
Health
Pharmacies carry out record number of consultations for common health issues
PHARMACIES across Wales carried out more than 600,000 clinical consultations for a wide range of common health issues over the last twelve months, according to the latest community pharmacy services statistics.
Almost 346,000 people used the Common Ailments Service, which offers free advice and treatment for twenty-seven common conditions and is available in ninety-nine per cent of pharmacies across Wales.
Figures covering April 2024 to March 2025 show that more than 462,000 Common Ailments Service consultations took place during the period – the highest number ever recorded.
The most frequent reasons people sought help from their local pharmacy included sore throats, hay fever, conjunctivitis and dermatitis.
Pharmacies also carried out more than 53,000 consultations specifically for sore throat treatment, around 33,000 consultations for contraception advice and treatment, and over 121,000 consultations to provide emergency supplies of medicines.
During those emergency consultations pharmacists issued more than 189,000 prescription-only medicines to patients who had run out of medication and were unable to obtain a new prescription in time.
In addition to these consultations, pharmacies across Wales dispensed more than eighty million prescription items over the same twelve-month period.
The Common Ailments Service allows people to receive treatment closer to home while helping free up GP appointments for patients with more complex or urgent medical needs.
Health Secretary Jeremy Miles said: “Community pharmacies play a vital role in providing healthcare across Wales.
“Nearly half a million consultations in a single year shows just how much people value being able to walk into their local pharmacy and get the help they need quickly, without having to wait for a GP appointment.
“We are working to ensure more people can receive convenient care closer to home, and expanding access to these services is a key part of that.
“The right care, in the right place, at the right time — that is what people in Wales want, and what our pharmacies are delivering.”
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