News
GP shortage in Wales: Patients per doctor double European average
THE NUMBER of patients per GP in Wales is over twice the European average, raising concerns about primary care availability for hundreds of thousands of patients across the country.
In 2024, a report by BMA Cymru Wales showed that the European average for patients per GP was around 1,000. In Wales, the average is 2,210 patients per full-time GP. Over the last decade, the average number of patients per practice has increased by just under 25%.
RURAL ISSUES

Over the past decade, the number of GP practices in Wales has decreased by 18%, dropping from 470 to 378. This decline is due to a combination of closures and mergers, reflecting broader challenges in general practice, such as workforce shortages and increasing patient demand.
The situation is worsened by the fact that around 80% of Wales’s land area is relatively sparsely populated, consisting of small settlements grouped around former market towns. New GPs are overwhelmingly concentrated in Wales’s few larger urban centres, chiefly along the M4 corridor and the North East Wales border area.
This means rural patients often have to travel significantly longer distances to access GP services compared to urban residents. The closure of rural practices forces patients to register with larger, more distant surgeries, increasing the patient-to-GP ratio. This results in longer waiting times and reduced appointment availability.
Long travel times and a lack of transport deter individuals from seeking timely care, leading to delays in diagnosis and treatment. By the time patients present for clinical care, their conditions may have worsened, making treatment more expensive and reducing the likelihood of positive clinical outcomes.
And that is before patients are placed on one of the NHS’s lengthy waiting lists for diagnosis and treatment.
The older age profile of Wales’s rural GPs was long recognised as a ticking time bomb under primary care. Yet, efforts to stem the outflow of GPs from rural Wales have been patchy and ineffective. Changes to pension rules have accelerated retirements, and as older rural GPs leave the profession, replacing them has become increasingly difficult.
The reasons are clear. Rural Wales faces huge difficulties attracting and retaining GPs due to professional isolation, fewer career development opportunities, and a lack of interest in rural practice partnerships. These factors have led to a reliance on locum doctors or salaried GPs, which in turn can disrupt continuity of care.
IN PEMBROKESHIRE
Practice closures and the shortage of GPs have hit Pembrokeshire hard.
The Argyle Medical Group in Pembroke Dock is the second-largest GP practice in Wales, with around 25,000 patients registered and just nine GPs—an average of 2,800 patients per GP. In 2021, the practice had 10.75 full-time equivalent GPs and was seeking to recruit more. However, due to a lack of available GPs, the practice was forced to withdraw from its Neyland practice at St Clement’s Surgery and reduce hours at St Oswald’s Surgery in Pembroke.

As a knock-on effect of the Neyland closure, patients were transferred to the Neyland and Johnston Medical Practice, which eventually handed back its GP contract following retirements and recruitment difficulties. Its patients are now serviced by salaried and locum GPs employed by the Health Board.
The same issues have plagued GP practices from Tenby in Pembrokeshire’s southeast to St Davids in the northwest. While it would be a stretch to say that “GP deserts” exist in the same way as “NHS dental deserts,” the increasing patient load on hospitals suggests that many people are now seeking treatment at A&E for conditions that would previously have been managed by a GP.
The Welsh Government’s approach is to ask patients to self-triage before going to hospital—an impractical and, for many, heartless solution. If you are a parent with a child in agony and unable to tell you what is wrong, what would you do?
SITUATION NORMAL, SITUATION CRITICAL
In 2018, the Welsh Government announced a plan to recruit 1,000 GPs into NHS general practice in Wales. While the number of GPs has increased, it has not risen by anything close to 1,000. Worse still, the number of full-time GPs has actually fallen.
What this means is that while there are technically more GPs in total, there are fewer available in practice because many of the new recruits work part-time, as locums, or on limited contracts (for example, as doctors on call).
It’s the same statistical sleight of hand used to describe frontline clinical staff in the Welsh NHS. Welsh Government ministers proudly claim that the Welsh NHS employs more people than ever, yet the number of full-time staff has plummeted.
In an attempt to address the GP shortage, the Welsh Government has increased the number of routine clinical assessments and treatments that pharmacists and practice nurses can undertake. However, only seven relatively minor ailments can be treated by pharmacists independently, while practice nurses must have GP approval to prescribe medication.
Expanding community-based healthcare is a sensible aim, but it is undermined by the critical shortage of full-time GPs in rural Wales. There are not enough independent prescribing pharmacists or community nurses to fill the gap. The reliance on locum GPs disrupts continuity of care, leading to situations where patients are taken off long-term medication without explanation or, worse, experiencing increased risks of missed or misdiagnosed conditions.
Wales has reached a tipping point.
Politicians frequently offer warm words about “our NHS,” “our precious NHS,” and “our wonderful NHS nurses and doctors,” but none have publicly acknowledged that the foundation of NHS care—GP surgeries as the first point of contact for the sick—has buckled. If they did, they would have to come up with real solutions instead of blaming patients for being ill or making vague promises about digital medicine transforming rural healthcare.
The situation is critical.
In Wales, that passes for normal..
Crime
Farming company fined £19,000 for damaging protected wildlife site
A CARDIGAN farming company has been ordered to pay almost £20,000 after recklessly damaging a Site of Special Scientific Interest.
Jenkins Ty Hen Ltd, run by David Glyn Jenkins and William Lloyd Jenkins, of Ty Hen, Verwig, admitted damaging the Llwyn Ysgaw, Caeau Crug Bychan and Ty Gwyn SSSI through the unauthorised use of manure, slurry, fertilisers and lime.
The offences took place between June 21 and July 31, 2024.
The court heard that Natural Resources Wales had repeatedly warned the company about how the protected land should be managed.
Aled Watkins, prosecuting for NRW, said an agreement made in 2004 made clear that the landowners needed written consent before carrying out certain activities on the site, including the use of slurry, herbicides, pesticides, fertiliser or lime.
He said: “A significant amount of guidance, advice and warnings has been directed to the company over a substantial period of time, as there have been problems before.”
The court was told advice had been given in 2017, with further discussions in 2021. Further problems were identified in 2024, leading to advice letters and then a formal warning in June that year.
Mr Watkins said: “Even after the letters were sent, no consent request was made.
“The common sense conclusion was that, where the original agreement was clear and advice had been given years prior, this was a deliberate act by the landowners of spreading slurry on the SSSI.”
Jenkins Ty Hen Ltd pleaded guilty to intentionally or recklessly destroying or damaging flora on the protected site, contrary to the Wildlife and Countryside Act 1981.
The company also admitted permitting the use of manure, slurry, silage liquor, fertiliser or lime without written consent from NRW, knowing it was likely to damage rare flora and fauna as well as geological and physiographical features.
Defending, solicitor Harry Dickens said the company had not deliberately set out to damage the land.
“This is more akin to the business damaging the land rather than setting out within their practices to do that damage,” he said.
He added that various contractors were used at the farm and were not always aware of the regulations.
“The defendants did not go out intentionally to harm the flora and fauna,” he said.
“Yes, they had foresight of the warnings and the previous agreement, but this is more akin to wilful blindness rather than going out intending to damage the land. It was not a flagrant disregard.
“The defendants were not loutish in their usage of the land, they are not vandals, they have not been silent and neither have they stonewalled NRW.”
Mr Dickens said the farmers accepted the need to restore the land and were keen to work productively with the authorities.
District Judge Mark Layton said Jenkins Ty Hen Ltd had breached NRW requirements.
“They spread fertilisers, herbicides and slurry on the land which was a breach,” he said.
“This was clearly a deliberate act of culpability and a complete disregard after already being given advice and warnings.”
The court heard the company’s most recent financial turnover was just over £1.6m. It was described by the defence as a micro-business.
Jenkins Ty Hen Ltd was ordered to pay £19,940.66, made up of a £9,000 fine, £8,940.66 costs to NRW and a £2,000 surcharge.
A restoration order was also made requiring work to improve the quality of the damaged SSSI land.
News
Game of Thrones star urges voters to back anti-DARC parties
ACTOR Jerome Flynn has urged voters in Wales to back parties opposed to the proposed DARC radar scheme at Cawdor Barracks, saying the issue could be decided by the next Welsh Government.
The Pembrokeshire-based Game of Thrones star, also known for Soldier Soldier and Robson & Jerome, made the appeal in a video released by PARC Against DARC on Tuesday (May 5), just two days before polling day in the Senedd election.
Radar row enters election campaign
Flynn urged voters in Ceredigion Penfro and across Wales to support Plaid Cymru or the Green Party, saying both parties had pledged to oppose the project.
The Ministry of Defence has submitted a planning application to Pembrokeshire County Council for 27 radar antennas and associated infrastructure at Cawdor Barracks, near Brawdy.
The scheme forms part of the Deep Space Advanced Radar Capability programme, linked to the AUKUS defence partnership between the UK, US and Australia.
The MOD says DARC would help detect, identify and track objects in Earth orbit, supporting military and civilian satellite security.
Opponents claim the radar would industrialise part of the Pembrokeshire countryside, damage the setting of the national park, and increase the area’s military significance.
Flynn says project ‘not a done deal’
In the video, Flynn described the election as “probably the most crucial vote we’ve made in 25 years”.
He claimed the next Senedd could play a decisive role in the future of the project, saying: “I’m here to say, it’s not a done deal because Plaid Cymru and the Greens have both made party-led decisions to say no to Westminster.
“We’re not having such a thing on our beloved coast.”
Flynn also described St Davids as “the spiritual home of Wales” and criticised what he called “the most unspeakably abominable planning application” on the edge of the Pembrokeshire Coast National Park.
Campaign steps up pressure
PARC Against DARC said it welcomed Flynn’s intervention and said it had distributed 22,000 leaflets around Pembrokeshire in recent weeks.
The campaign group said First Minister Eluned Morgan’s recent comments on the scheme did not go far enough.
A spokesperson said: “While Eluned Morgan has come out in the final hour to call for DARC to be halted, we fear this does not go nearly far enough.
“Plaid Cymru and the Green Party have both made it their national party policy to oppose and stop DARC, so we have no doubt of the authenticity of their commitment.”
The group is also urging residents to submit objections to Pembrokeshire County Council before the current publicity period ends on May 20.
Welsh Government role
Campaigners say the next Welsh Government could intervene by “calling in” the planning application, meaning Welsh ministers would take responsibility for deciding it rather than leaving the final decision with Pembrokeshire County Council.
That possibility has made DARC a significant local election issue in Ceredigion Penfro, where Eluned Morgan is Labour’s lead candidate, Elin Jones leads the Plaid Cymru list, and Amy Nicholass heads the Green Party list.
Under the new Senedd voting system, voters will elect six Members of the Senedd for the constituency using a proportional list system.
PARC Against DARC said this meant there was “far less need for tactical voting” and argued that voters opposed to the radar could support either Plaid Cymru or the Greens.
Wider concerns
Campaigners have repeatedly claimed that the radar would make Pembrokeshire a potential military target and draw Wales further into US military strategy.
They also say the project raises environmental, health, democratic and security concerns.
Supporters of the scheme argue that space monitoring is becoming increasingly important as satellites are used for communications, navigation, defence and emergency infrastructure.
Flynn ended his video by saying: “Vote with your heart because we can make a difference here, we could put in a government that cares about our land, our people and our environment.”
Whatever the outcome of Thursday’s election, the intervention by one of Pembrokeshire’s best-known residents is likely to keep the DARC controversy high on the political agenda.
News
Landlords in Wales face new anti-discrimination laws
New rules from June 1 will make it unlawful to refuse renters because they have children or receive benefits
LANDLORDS in Wales are being warned to prepare for new anti-discrimination laws which come into force at the beginning of June.
From Monday, June 1, it will be unlawful for landlords and letting agents to discriminate against prospective contract-holders because they have children or receive benefits.
The change follows the Renters’ Rights Act 2025, which mainly reforms renting law in England, but also extends key anti-discrimination protections into Wales.
The Welsh provisions will be incorporated into the Renting Homes framework and will apply to occupation contracts. Unlike the civil penalty regime used in England, breaches in Wales may amount to a criminal offence, with enforcement handled by local authorities and cases dealt with through the courts.
What landlords cannot do
From June 1, landlords and agents must not deter people from applying for a property because they have children or receive benefits.
They must also not refuse or restrict access to viewings, prevent prospective tenants from receiving information about a property, or exclude them from entering into an occupation contract on those grounds.
The measures are aimed at ending blanket “no children” or “no benefits” policies, which campaigners have long argued unfairly shut families and low-income households out of the private rented sector.
Landlords will still be allowed to carry out affordability checks and assess whether a property is suitable. For example, a landlord may still decide that a particular room or property is physically unsuitable for children, but the decision must be based on the property itself rather than a blanket ban.
Paperwork deadline
Under the new rules, landlords will need to issue either a new occupation contract or a statement of variation to reflect the changes.
The statement can be served up to fourteen days after the rules take effect, meaning landlords should act by June 14.
Leading North Wales estate and lettings agent Cavendish, which has offices in Mold and Ruthin, says it has been advising landlords ahead of the deadline.
Nicola Blake, Operations Director at Cavendish, said: “While much of the focus in recent months has been on the introduction of the Renters’ Rights Act in England, some of the changes are also impacting Wales.
“As of June 1, landlords in Wales will be subject to stringent anti-discrimination laws and failure to adhere to the new legislation could result in a criminal prosecution.”
She added: “This is a significant change for landlords in Wales, and we are helping our clients to be ready well ahead of the deadline, completing the required paperwork and ensuring they are fully compliant.”
Landlord seminar
Cavendish will hold a seminar later this year for landlords in Wales, covering legislative changes and advice on managing and improving property portfolios.
The event will take place on Monday, October 26, at Theatr Clwyd. Cavendish recently became a Gold Member of the Mold arts venue.
Cavendish was established in 1993 by Julian Adams, the firm’s chairman, and his then business partner Robert Ikin.
The company now employs more than thirty people across estate agency and lettings, with offices in Mold, Ruthin and Chester. It says it helps more than 600 homeowners move each year and manages around 650 properties.
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