Health
Award-winning online prehab programme transforms surgery preparation
Hywel Dda team scoops two national awards for digital innovation in patient care
A GROUNDBREAKING digital prehabilitation programme run by Hywel Dda University Health Board has won two national awards for its innovative approach to preparing patients mentally and physically for elective surgery.
The health board’s Virtual Orthopaedic Prehabilitation and Optimisation Team won the Maximising Digitalisation category at the Welsh Government’s 3Ps Healthcare Awards, held recently in Cardiff. Judges praised the team’s use of online health, fitness, and wellbeing sessions to deliver personalised care to patients awaiting orthopaedic surgery.
The programme’s potential for wider use across Wales also earned it the coveted Overall Winner award.
One person who has benefited from the programme is 80-year-old former teacher and journalist, Stella Nicholls, from Milford Haven (Pictured).
Stella, who had endured years of hip pain, was unable to enjoy everyday activities like gardening, socialising, or attending the theatre. But after taking part in the award-winning programme, she underwent a successful hip replacement at Prince Philip Hospital in Llanelli in January 2025—and is now pain-free and enjoying life once more.
Stella was referred to the Prehabilitation and Optimisation Team after joining the waiting list for surgery. Eight months ahead of her operation, the team helped her make lifestyle changes—such as lowering her Body Mass Index (BMI) and increasing physical activity—to reduce the risk of delay and improve her recovery.
“I was invited to take part in an online course run by the Prehabilitation and Optimisation Team,” said Stella. “It was a 12-week programme of video sessions with a small group of patients like me, all waiting for orthopaedic surgery.
“We were guided by team members through home-based physiotherapy sessions and weekly talks covering diet, mood, pain management, fatigue, and what to expect before, during and after surgery.”
Stella said the course was not only informative but emotionally supportive: “We became like a little family. I looked forward to the sessions and noticed improvements in my mobility and pain levels within weeks. The dietary changes also helped me lose a considerable amount of weight.”
She added: “Being on this course gave me hope. When you’re in severe pain and on a long waiting list, you can feel forgotten. This programme made me feel seen and supported. I’m certain I went into surgery in a far better state than I would have otherwise.”

Rebecca Bowen, Clinical Lead Dietitian for the team, said: “The 12-week programme supports the Welsh Government’s 3Ps policy—Promote healthy behaviours, Prevent worsening health, and Prepare patients for treatment and recovery. We want patients to wait well and avoid last-minute cancellations. Stella’s story is a brilliant example of what can be achieved.”
For more information on preparing for surgery, contact the Waiting List Support Service on 0300 303 8322, option 3.
Health
Wales most aware of alcohol addiction, but experts warn summer habits carry danger
MORE people in Wales recognise alcohol as addictive than anywhere else in Britain, new research has found, but health experts are warning that awareness alone may not be enough to prevent harmful drinking habits.
The findings come ahead of the busy summer period, when pubs, beer gardens, festivals, barbecues and outdoor events often lead to increased alcohol consumption.
According to YouGov data, 86% of people in Wales describe alcohol as addictive — the highest figure recorded across Britain and above the national average of 78%.
Only 14% of Welsh respondents said alcohol was either “not very addictive” or “not addictive at all”.
By comparison, London recorded the lowest level of awareness, with 69% of respondents recognising alcohol as addictive.
Health professionals say the results show that while many people understand the risks, regular drinking can still become habitual, particularly during periods of increased socialising.
Official figures suggest adults consume an average of 10.7 litres of pure alcohol per person each year, equivalent to around 21 UK units per week. That is around nine pints of beer or seven large glasses of wine, and is significantly above the recommended maximum of 14 units a week.
Nearly one in five adults are also said to drink at hazardous levels or above, with men more than twice as likely as women to fall into that category.
Dr Karen Faulkner, Associate Medical Director at Panthera Clinic, said alcohol occupied a “unique place” in British culture because it was both legal and socially encouraged.
She said: “What’s particularly interesting is that most people understand alcohol can be addictive, yet many still underestimate how easily regular drinking can become habitual. Dependence often develops gradually and doesn’t always fit the stereotypes people associate with addiction.
“During the summer months, drinking can become even more normalised through holidays, beer gardens, barbecues, festivals and sporting events.
“The challenge isn’t necessarily a lack of awareness about alcohol’s risks. It’s recognising when a socially accepted habit has crossed the line into something that’s beginning to have a negative impact on your health, wellbeing or daily life.”
Dr Faulkner said people wanting to cut back should consider planning alcohol-free days, alternating alcoholic drinks with water or soft drinks, setting limits before social events, and keeping track of their weekly intake.
She also urged people to watch for signs that alcohol may be becoming more important than intended, including finding it difficult to relax, socialise or enjoy an event without drinking.
Panthera Clinic has launched a free online Alcohol Health Calculator to help people assess how their drinking habits may be affecting their health and wellbeing.
Dr Faulkner added that low and no-alcohol alternatives had become more widely available, making it easier for people to reduce their intake while still taking part in social occasions.
Health
Welsh Government refuses to halt Withybush and Bronglais service review
Health Minister tells Paul Davies MS that decisions remain a matter for Hywel Dda University Health Board
THE WELSH GOVERNMENT has declined to intervene in controversial plans affecting services at Withybush and Bronglais hospitals, prompting fresh criticism from local Senedd Member Paul Davies.
In a letter dated June 19, Health and Care Cabinet Secretary Mabon ap Gwynfor said responsibility for planning and delivering NHS services rests with local health boards and confirmed that Hywel Dda University Health Board should continue its consultation process on proposed service changes.
The response follows concerns raised by Mr Davies on behalf of constituents in Pembrokeshire and Ceredigion over the future configuration of clinical services, including stroke care.
While acknowledging strong public concern about access to healthcare in rural communities, the Minister stopped short of offering any commitment to block or reverse the Health Board’s proposals.
Instead, he stressed that any changes must be supported by robust evidence, maintain patient safety and demonstrate improved outcomes.
The Minister wrote: “Responsibility for planning and delivering health services rests with local health boards, including decisions about how services are organised.”
He added that proposals must improve outcomes for patients, maintain safe and equitable access to care and be supported by thorough impact assessments.
Paul Davies MS described the response as disappointing.
Posting the letter on social media, he said: “This letter tells me that the Welsh Government is not going to stand in the way of the Health Board’s plans.”
He added that he would raise the issue in the Senedd chamber next week and continue pressing ministers to intervene.
The exchange comes as Hywel Dda University Health Board continues a public consultation on proposed changes to stroke services across west Wales.
The consultation, which opened on May 28, is due to run until July 26.
In his response, the Minister stated that anyone suffering a stroke should receive treatment “as quickly as possible in the most appropriate setting” and said the current model of stroke care in Wales must evolve if national standards are to be achieved.
The comments are likely to fuel concern among campaigners opposed to the proposed changes, who fear services could become increasingly centralised and further away from rural communities in Pembrokeshire and Ceredigion.


Health
Medicine shortages now ‘most severe on record’, health leaders warn
PATIENTS are facing some of the worst medicine shortages ever seen in the UK, with pharmacists warning the situation now poses a serious risk to safety.
The National Pharmacy Association said shortages affecting commonly used medicines are becoming more frequent, lasting longer, and causing increasing disruption for patients, GP surgeries and pharmacies.
The warning comes as Serious Shortage Protocols for Creon, used by people with pancreatic cancer and cystic fibrosis to help digest food, have been in place since May 2024 and have now been extended until July 10, 2026.
HRT treatment Estradot has also been under a Serious Shortage Protocol since December 2024, with the current extension also running until July 10.
Patients travelling between pharmacies
A survey by the National Pharmacy Association found that 98 per cent of pharmacies had encountered patients who had visited several pharmacies in one day to find a prescription.
It also found that 96 per cent of pharmacies believed the current situation posed a serious risk to patient safety, while 89 per cent said they had been unable to dispense a medicine at least once a day because of supply problems.
Some pharmacy teams have also faced anger and abuse from patients unable to obtain medication.
Olivier Picard, Chair of the National Pharmacy Association, said: “Medicine shortages are becoming more frequent, lasting longer and causing increasing disruption for patients.
“These shortages are some of most severe the UK has experienced.
“It is deeply distressing to find patients who have travelled from pharmacy to pharmacy to find the medicines they need without success.”
Calls for urgent taskforce
The NPA is calling on the government to convene an emergency taskforce involving manufacturers, wholesalers, clinicians and pharmacists.
It also wants changes to rules which currently stop pharmacists from making simple substitutions, such as changing a tablet to a capsule or a cream to an ointment, even where a safe alternative is available.
Professor Victoria Tzortziou Brown, President of the Royal College of GPs, said medicine shortages were frustrating for patients, GPs and pharmacists, and added pressure to already stretched services.
She said the College supported pharmacists being able to make limited changes to prescriptions where a medicine is unavailable and a safe alternative exists.
She added: “The most important thing is that patients are able to access the medication they need safely and without delay.”
The Cystic Fibrosis Trust and Pancreatic Cancer UK have also raised concerns about the impact of shortages of pancreatic enzyme replacement therapy, including Creon, on people who rely on the medication to digest food, maintain weight and stay well enough for treatment.
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