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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.

 

Charity

Local St John Ambulance cadets confirmed national first aid champions

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ST JOHN AMBULANCE is proud to share that three local St John Ambulance cadets have been crowned National First Aid champions after competing against eight other cadet teams representing counties across Wales.

The team, comprising Emily Williams (Yr 10, Ysgol Bro Gwaun), Ruby Collins (Yr 10, Ysgol Henri Tudor), and Gemma Tilbury (Yr 11, Ysgol Henri Tudor) represented the whole of Dyfed, and demonstrated exceptional skill, teamwork, and composure throughout three demanding rounds.

The competition consisted of a first aid knowledge quiz and exam, followed by a practical skills challenge assessing communication, teamwork, and the ability to perform under pressure—an area in which they excelled. The final round featured a complex, theatrically produced first aid scenario. Here, the team showed remarkable calm and professionalism as they stabilised a casualty with a severe compound bleed involving a large object lodged in the wound.  They also managed distressed and aggressive members of the public, and successfully resuscitated an unresponsive, non-breathing casualty using CPR and a defibrillator—all completed in record time.

In Pembrokeshire, cadets train every Monday evening during term time from 5:45–7:15pm, with sessions focussing on practical, hands-on learning of real-life first aid skills, including CPR, defibrillator use, treatment of severe wounds, allergic reactions, choking, strains and sprains, head injuries, heart attacks, hypothermia, and much more. Training is engaging and interactive, often involving active, game-based learning, ensuring there is rarely a dull moment.

 Cadets also have the opportunity to support a wide range of events delivered by St John Ambulance Cymru. Working alongside adult volunteers and healthcare professionals, they engage with the public at events of all sizes, applying their skills in real-world, and sometimes life-saving, situations.

 Beyond events, cadets are encouraged to share their knowledge within the community, helping to lead first aid demonstrations and inspire others. Previous outreach has included sessions with Scouts, Cubs, Brownies, and Girlguiding groups, as well as senior community organisations such as the Pembroke Lions and specialist charities like Pembrokeshire People First. On a larger scale, cadets played a key role in organising and delivering “Defibruary,” where they helped lead a team of St John first aiders to train over 950 students at Henri Tudor in a single day in February 2026.

If you are interested in volunteering, opportunities are available for cadets aged 11–16 and adults aged 16+. We are always keen to welcome new members and are happy to discuss opportunities for adults to support the cadet programme as youth leaders.    

To find out more visit https://www.sjacymru.org.uk/volunteer

 

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Charity

Paul Sartori receives generous support from the James Tudor Foundation

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Paul Sartori Hospice at Home is celebrating a major support package from The James Tudor Foundation thanks to an unrestricted grant to help fund the charity’s vital end-of-life care services throughout the county. 

The £46,364 grant award ill be paid over three years.

Commenting on the windfall, the new Chief Executive Officer, Laura Hugman, said, “At a time where funding and funding partnerships are challenging, we’re very grateful to The James Tudor Foundation in helping us achieve our aims and passion for supporting and bringing reassurance to the local families who need us.” 

Paul Sartori Hospice at Home provides an holistic approach to end-of-life care, which encompasses home nursing, equipment loan, complementary therapies, bereavement and counselling support, physiotherapy, future care planning, and training. The team provides thousands of hours of day and night respite care each year, ensuring that patients can receive the support they need, complementing the statutory provision within the comfort of their own homes.

Judith Williams, Grant Development Officer at Paul Sartori Hospice at Home, expressed the charity’s gratitude: “We’re incredibly thankful to The James Tudor Foundation for their continued generosity. Their support helps us maintain our nursing service, which is a lifeline for many families facing end-of-life care challenges.”

Paul Sartori Hospice at Home offers a comprehensive range of services to individuals with life-limiting illnesses, ensuring they can be cared for at home with dignity, independence, and comfort.

 

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Health

FOI raises fresh questions over plan to close Pontyates GP surgery

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Health board accused of misleading claims over recruitment as pressure mounts ahead of final decision

A FREEDOM of Information disclosure has raised serious questions over plans to close Meddygfa’r Sarn in Pontyates, with claims the health board failed to properly attempt to recruit permanent doctors before recommending its shutdown.

The row centres on Hywel Dda University Health Board, which is due to make a final decision on the surgery’s future later this month.

An FOI response reveals that while the board cited a “lack of recruitment interest” in its January report, there is limited evidence of any recent, targeted recruitment campaign specifically aimed at the Pontyates practice.

Instead, the board confirmed that salaried GP roles were advertised in 2020 across its wider portfolio of managed practices — rather than as a focused effort to fill posts at Meddygfa’r Sarn itself. Those vacancies did not result in successful appointments.

‘No real attempt’

Independent Senedd candidate Carl Peters-Bond, who is also a patient at the surgery, has strongly criticised the health board, accusing it of presenting a misleading picture to justify closure.

He said: “They cited a lack of recruitment interest as justification for closing this surgery — but they never actually ran a proper recruitment campaign for it.

“Sending out general adverts years ago is not the same as making a serious, targeted effort to keep a vital community service alive.”

He also raised concerns about the consultation process, claiming it focused on the impact of closure rather than asking whether closure should happen at all.

Fully reliant on locums

The FOI confirms that Meddygfa’r Sarn currently has no salaried GPs and is entirely dependent on locum doctors.

While the health board says this model is unsustainable in the long term, the same disclosure shows several other managed practices across the region also rely heavily on locum staff — some to a significant degree.

Cost data included in the response suggests Meddygfa’r Sarn is not the most expensive practice per patient within the health board’s area.

Alternative options unclear

Another key issue raised by campaigners is the apparent lack of explored alternatives.

The FOI response indicates that the health board does not hold information on alternative local solutions, including potential relocation or different service models within the Pontyates area.

Campaigners argue this suggests closure was considered before all options had been properly examined.

A 52-page independent report submitted as part of the consultation process states that dispersing patients to other surgeries should only be considered as a last resort, after full recruitment efforts and capacity assessments have been carried out.

Health board position

Hywel Dda University Health Board maintains that the surgery, which serves around 4,350 patients, has faced long-standing recruitment difficulties and increasing reliance on temporary staff.

It says a Vacant Practice Panel concluded that dispersing patients to neighbouring surgeries would provide a more sustainable long-term solution.

The board has also acknowledged that transport and access concerns are likely to be a major issue for patients if the closure goes ahead, with a full Equality Impact Assessment expected to be considered before a final decision.

Decision later this month

The future of Meddygfa’r Sarn will be decided at a meeting of Hywel Dda University Health Board on Wednesday (May 28) at Yr Egin in Carmarthen.

With local anger growing and new questions emerging from the FOI disclosure, pressure is mounting on board members to reconsider the proposal.

Campaigners say the case now hinges on a simple question: whether enough was done to save the surgery before moving to close it.

 

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