Health
Patients left in pain as dentists slam Welsh Government ‘spin’
NHS DENTISTRY in Wales is in crisis. The state of NHS dental care has been overshadowed by the broader collapse of NHS services in Wales, from spiraling waiting lists to patients being treated in hospital corridors.
This week, the British Dental Association (BDA) took a chainsaw to Welsh Government claims of an improving picture in NHS dentistry, accusing ministers of spreading half-truths and spin.
A SYSTEM IN DECLINE

NHS dentistry garners fewer headlines than delays in cancer treatment, GP shortages, and the overall deterioration of the Welsh NHS. Yet, of all these crises, the rapid collapse of dental services is among the most stark.
The Herald asked Hywel Dda University Health Board how many dental practices in Pembrokeshire had vacancies for NHS patients. The Health Board could not provide an answer. That means local patients in need of dental care must either ring around every dental practice listed on Hywel Dda’s website or rely on emergency services. Even for those accepted onto an NHS dental list, waiting times for treatment remain extensive.

Currently, more than 1.5 million people in Wales are unable to secure an NHS dentist, with many more facing months or even years of delays.
Sam Kurtz, MS for Carmarthen West and South Pembrokeshire, called the situation “one of the top issues” raised by his constituents.
“The system is failing,” Mr Kurtz said. “Patients are left in pain, dentists are overwhelmed, and public trust in NHS dentistry is eroding, all while the Welsh Labour Government sits back and watches this crisis unfold.”
LONG-TERM FAILURE TO ACT
As with many issues plaguing the Welsh NHS, the collapse of NHS dentistry was predictable—and avoidable.
As The Herald reported last week regarding GP shortages, dentists have been retiring at a foreseeable rate for years, with little or no effort made to replace them—especially those willing to take on NHS patients.
Over 10% of dentists have been leaving the profession annually since 2010-11, with 2024 marking the second-highest departure rate in over a decade. The overall number of dentists in Wales continues to decline, with around 20% nearing retirement.
In 2022, 93% of dental practices in Wales were not accepting new NHS patients, and 88% were refusing new child patients.
The impact of this failure to recruit and retain dentists is clear.
Large parts of rural Wales are now NHS dental deserts. The lack of access disproportionately affects children, older people, pregnant individuals, disabled people, those with additional learning needs, and lower-income families.
Despite repeated assurances from the Welsh Government about increasing NHS dental appointments and the supposed success of its dental contract, reports from Senedd committees and direct questioning in the Welsh Parliament reveal a chasm between ministerial claims and patients’ realities.
DENTISTS ACCUSE WELSH GOVERNMENT OF ‘BAD FAITH’

This week, the British Dental Association delivered a scathing assessment of the Welsh Government’s handling of NHS dentistry.
“For too long, the Welsh Government has offered spin, half-truths, or doublespeak on dentistry,” the BDA said.
In an open letter to Health Secretary Jeremy Miles, the BDA called for honesty, accusing the government of misrepresenting negotiations over the General Dental Service contract for 2024-25.
Mr Miles claimed the Welsh General Dental Practice Committee had refused further negotiations, but the BDA described this as “a spectacular act of bad faith.”
The association warned that the promised funding uplift for dental practices—backdated to April 2024—has yet to materialise, putting the financial sustainability of services at risk.
“This uplift means another real-terms pay cut for dentists and insufficient funds to cover running costs,” the BDA said. “It will not begin to meet the hike in employers’ National Insurance contributions coming in April.”
The BDA also criticised the Welsh Government’s misleading claims about investment and patient numbers.
“Ministers claim investment and patient numbers are breaking records. The reality is that investment in dentistry has stalled, and the number of patients seen each year remains 30% lower than in 2019. It is time our patients received the dental service they deserve—not empty promises and PR stunts like the so-called Dental Access Portal, which does nothing to create extra appointments out of thin air.”
‘GASLIGHTING’ WALES ON DENTISTRY

At the heart of the crisis is the deeply flawed NHS dental contract, which offers a fixed price for all NHS treatments. This financial model forces dentists to hand back contracts or operate at a loss. Complex procedures, which take time and resources, often leave dentists out of pocket, discouraging them from taking on NHS work.
Plaid Cymru’s Health and Social Care spokesperson, Mabon ap Gwynfor MS, did not mince words, accusing Labour of “gaslighting” the Welsh public over the scale of the crisis.
“The people of Wales experience this crisis daily—being forced to go private, travelling long distances, or, in extreme cases, pulling their own teeth. Meanwhile, dentists are burning out.
“Labour’s empty boast of 400,000 ‘extra’ appointments has rightly been called out as spin. NHS dentistry needs fundamental, systemic reform. The contract is simply not fit for purpose, and, like the entire primary care sector, it must be prioritised.”
The question now is whether the Welsh Government will listen—or whether patients will continue to suffer while ministers cling to their narrative.
Charity
Local St John Ambulance cadets confirmed national first aid champions
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
Charity
Paul Sartori receives generous support from the James Tudor Foundation
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.
Health
FOI raises fresh questions over plan to close Pontyates GP surgery
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.
-
News1 day agoBaby in critical condition after Fishguard emergency
-
News13 hours agoFormer housing officer admits drink-driving in Pembrokeshire retail park
-
Crime13 hours agoJob loss threat for convicted Pembrokeshire drug-driver
-
Crime14 hours agoMilford motorist disqualified for drug-driving
-
Crime13 hours agoPolice tip-off leads to driving ban for Milford motorist
-
Community6 days agoDogs removed after welfare concerns at Milford Haven property
-
Crime13 hours agoDelivery driver caught twice over legal drink-drive limit
-
Community10 hours agoSixth-former firefighter balances schoolwork with saving lives









