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Health

‘Postcode lottery’ concerns over fertility treatment

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COUPLES seeking fertility treatment in Wales face a postcode lottery in terms of access to services, a Senedd Member warned.

James Evans, the Conservatives’ shadow health secretary, said the eligibility criteria for NHS-funded fertility treatments varies across the country.

Mr Evans called for the Welsh Government to standardise the criteria to make sure everyone has equal access to treatment and provide people with greater choice.

He said: “There are notable differences in the fertility treatments offered across different health boards and patients often lack autonomy to choose their preferred treatment centre.”

Mr Evans raised the example of ICSI, a treatment for men with infertility, during health questions in the Senedd on February 12.

He said: “For those people with low sperm counts, that is the only way in which they can actually access fertility treatments but some centres don’t do that.”

Peter Fox cautioned that male infertility issues are often overlooked despite studies showing that male factors contribute to 30% to 50% of cases in Wales.

He added: “When males are diagnosed… they’re often left in the dark with no support offered to them because most of the treatment services are focused toward the women.

“A lot of those men are left feeling frustrated – they feel shame, they feel anger – because they don’t feel like they get the mental support needed to get through that time in their lives.”

Standing in for health secretary Jeremy Miles, who was ill, Sarah Murphy, the mental health minister, said one in six couples will struggle with infertility.

She explained that the Human Fertilisation and Embryology Authority regulates the NHS and private sector, setting out the treatments and procedures available.

Raising commissioning policy on fertility services, Ms Murphy stressed: “I think it’s really important to emphasise, though, that this is a specialist service.

Labour MS Sarah Murphy speaking in the Senedd
Sarah Murphy, minister for mental health and wellbeing

“It is not something that is provided across every health board.”

Ms Murphy pointed to services provided in clinics in Cardiff and Swansea, adding: “I understand completely that there will be people out there where this is not ideal, I do.”

She told the Senedd: “There absolutely shouldn’t be any shame or stigma around this – it’s not as uncommon as maybe people think.”

Plaid Cymru MS Mabon ap Gwynfor
Plaid Cymru MS Mabon ap Gwynfor

Mabon ap Gwynfor, Plaid Cymru’s shadow health secretary, warned of high levels of homelessness, mental health issues and financial insecurity among unpaid carers.

He said only 6% of unpaid carers were able to access personal needs assessments during 2024 despite a right to one being enshrined in Welsh law a decade ago.

Mr ap Gwynfor raised concerns about a “chronic lack of capacity” to conduct assessments, with councils facing spending pressures of £559m in 2025/26.

Dawn Bowden, the Welsh Government’s social care minister, recognised the picture, saying: “This is something that I hear consistently from unpaid carers … and carers’ organisations.”

Merthyr Tydfil and Rhymney MS Dawn Bowden
Merthyr Tydfil and Rhymney MS Dawn Bowden

Ms Bowden added: “I want to reassure you, Mabon, that we know we are nowhere near where we need to be with this and this is very much a priority piece of work.”

Plaid Cymru’s Sioned Williams said one in three women will have an abortion in their lives as she criticised a lack of services within Wales despite warnings since 2018.

She told the Senedd that nowhere in Wales offers surgical termination beyond 16 weeks nor any type of abortion after 20 weeks.

Ms Williams said: “If a woman needs access to abortion services beyond this up to the legal limit of 24 weeks, they must travel out of Wales for treatment, usually to Liverpool or London.

Plaid Cymru's shadow social justice minister, Sioned Williams
Plaid Cymru’s shadow social justice minister, Sioned Williams

“Although abortions at later gestations account for only 2% of all abortions, the women who require them are some of society’s most vulnerable.”

Ms Murphy pointed to the ten-year women’s health plan, adding that she has sought to move the issue up the agenda with work on a specialist abortion service under way.

 

Health

RCN Wales appoints Nicola Williams as Executive Director

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NICOLA WILLIAMS will take up the role in April, bringing more than three decades of experience in nursing and senior leadership.

The Royal College of Nursing (RCN) has announced the appointment of Nicola Williams as its new Executive Director for Wales.

She joins the organisation from Velindre University NHS Trust, where she currently serves as Executive Director for Nursing, Allied Health Professionals and Health Care Scientists. With 38 years of experience in nursing and more than six years at executive board level, she is widely recognised across NHS Wales for her work in improving patient outcomes.

A highly experienced strategic leader, Williams has worked across a wide range of clinical and organisational settings. She has led major transformation programmes, strengthened national clinical leadership networks and championed innovation and evidence-based improvements in care. Her work has contributed to changes adopted across Wales and has been recognised with national awards.

Speaking about her appointment, Nicola Williams said: “I feel privileged to be appointed as Executive Director of RCN Wales. I’m a proud nurse, passionate about patient safety and improving care standards.

“Delivering the best care is only possible when nursing staff are supported to work in safe, inclusive environments. I will stand alongside members and their patients.

“Nursing staff are the backbone of health and care. I am determined to support our members across Wales, wherever they work, to meet the challenges ahead and shape the future of our profession.

“I look forward to meeting members across Wales and ensuring our work is informed by their experiences and expertise.”

In her new role, Williams will lead the RCN’s work in Wales and provide strategic leadership across key priority areas spanning the UK.

She succeeds Helen Whyley, who has held the position since February 2019 and will move into a new role as Director of Service Innovation at the RCN.

 

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Health

Decision pending on adult mental health referral pathway

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HYWEL DDA University Health Board will decide next week whether to make changes to the GP referral pathway for routine adult mental health services permanent.

The decision will be taken at a public Board meeting on Thursday (Mar 26).

Board members will consider a proposal to formalise changes already introduced in Ceredigion and, if approved, roll out the revised pathway across Pembrokeshire and Carmarthenshire.

Since March 2025, adults in Ceredigion seeking routine mental health support have been advised by their GP to contact the NHS 111 Wales ‘Press 2’ service, rather than being referred directly to the county’s Community Mental Health Team.

The temporary change was introduced in response to ongoing staffing shortages. Health Board officials say the approach has helped maintain timely access to face-to-face assessments for those who need them, while directing initial contact through a single access point.

The 111 ‘Press 2’ service provides telephone assessments by local wellbeing practitioners, supervised by registered mental health nurses, offering advice, support and onward referrals where required.

At its November 2025 meeting, the Board agreed to extend the temporary pathway until the end of March 2026. A nine-week engagement exercise followed, running from December 8 to February 9, to gather feedback from patients, professionals and stakeholders on the potential long-term impact.

Andrew Carruthers, Chief Operating Officer at Hywel Dda University Health Board, said: “I would like to thank everyone who took the time to share their views and experiences.

“I would also like to thank West Wales Action for Mental Health for supporting engagement with patients, including those with lived experience, alongside GPs, primary care teams, mental health staff and third sector partners.

“Our priority is to ensure mental health services remain accessible, fair and sustainable. The temporary changes in Ceredigion have shown some positive benefits, and the feedback we have received from across the three counties will play an important role in shaping the Board’s decision.”

The Board will review all evidence and feedback before making a final decision on the future of the adult mental health referral pathway.

GPs will continue to refer patients with urgent or complex needs directly to community mental health teams where appropriate, and have access to a dedicated NHS 111 professional line for additional clinical advice.

Further details, including the full Board papers, are available here:
https://biphdd.gig.cymru/amdanom-ni/eich-bwrdd-iechyd/cyfarfodydd-y-bwrdd-2026/agenda-a-phapuraur-bwrdd-26-mawrth-2026/

The meeting will be streamed live from 9:30am on Thursday (Mar 26) via:
www.youtube.com/hywelddahealthboard1

 

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Health

Parents urged to check children’s vaccinations after meningitis cases

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Local pharmacy reports MenB vaccine shortage amid rising concern

PARENTS and carers across west Wales are being urged to check their children’s vaccination status following recent meningitis cases in the UK.

The warning comes as a local pharmacy has confirmed a shortage of the Meningitis B (MenB) vaccine, highlighting growing pressure on supplies.

Mendus Pharmacy said it currently has no availability of the vaccine due to what it described as a nationwide supply issue.

Mendus Pharmacy: No availability of the vaccine

In a statement, the pharmacy said: “We would like to inform our patients that, due to ongoing supply issues, we currently have no availability of the Meningitis B vaccine.

“Unfortunately, this is a nationwide shortage and all stock is currently unavailable.

“We understand this may be particularly concerning given the recent outbreak reported in Kent, and we completely appreciate the importance of timely vaccination.”

The pharmacy confirmed it is operating a waiting list and will contact patients once supplies return.

Health officials say keeping vaccinations up to date remains one of the most effective ways to prevent serious illness and reduce pressure on NHS services.

Dr Ardiana Gjini, Executive Director of Public Health at Hywel Dda University Health Board, urged parents to act.

She said: “Vaccination is one of the most effective ways we can protect children and young people from serious illness.

“Ensuring your child is fully vaccinated not only safeguards their health but also helps prevent the spread of infections within our communities.

“I strongly encourage all parents and carers to check their child’s vaccination status. If you are concerned that your child may have missed routine vaccinations, please speak to your GP.”

Meningococcal disease is a serious and potentially life-threatening infection that can lead to meningitis or septicaemia. While many people recover, some are left with long-term physical, neurological or psychological complications. Around one in ten cases can be fatal.

Although the disease can affect anyone, babies, young children, teenagers and young adults are at greatest risk.

In Wales, vaccines protecting against meningococcal strains A, B, C, W and Y are offered as part of the NHS immunisation programme. Infants receive the MenB vaccine, while teenagers are offered the MenACWY vaccine.

Latest figures from the Health Board show that uptake among 16-year-olds for the MenACWY vaccine stands at 76.4%, meaning a significant number of young people remain unprotected as they approach adulthood.

For younger children, uptake of the MenB vaccine is higher but still below the recommended 95% target. Around 92.8% of infants are vaccinated by their first birthday, rising slightly to 91.8% by their second.

Health officials say these figures reflect strong engagement from families and primary care teams but stress that continued vigilance is needed.

Families are being advised to check their child’s vaccination record with their GP or by contacting the Health Board directly. Parents should also ensure babies receive their scheduled MenB doses and that teenagers receive their MenACWY and 3-in-1 booster vaccines, which are currently being delivered in schools.

Parents are also urged to remain alert to the symptoms of meningitis and septicaemia and to seek urgent medical advice if they have concerns.

Further information on symptoms is available via NHS 111 Wales.

 

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