Health
One year to go: NHS leaders set out urgent priorities ahead of 2026 Senedd election
Health service calls for shift to prevention, long-term funding and cross-government planning as system faces growing pressure
WITH just one year to go until the next Senedd election, NHS leaders in Wales have issued a stark warning to politicians of all parties: without urgent and radical change, the Welsh health and social care system will face an unsustainable future.
The Welsh NHS Confederation, which represents all health boards and trusts in Wales, has published a new report setting out what NHS leaders want from the next Welsh Government. Based on responses from 95 senior NHS figures across the country, the report highlights the urgent need to move away from reactive, short-term measures and towards a long-term strategy focused on prevention, wellbeing, and coordinated action across government departments.
Key among the recommendations is a call for a cross-government strategy to improve health and reduce inequalities, with 87% of NHS leaders backing a national plan that would tackle the wider causes of poor health—such as poverty, housing, education, and employment.
The Confederation warns that without such action, the NHS will struggle to cope with rising demand, driven by factors including an ageing population, an increase in chronic and preventable illnesses, and ongoing workforce shortages. The number of people in Wales living with four or more long-term conditions is projected to double by 2035, placing even greater strain on already overburdened services.
Darren Hughes, director of the Welsh NHS Confederation, said: “There is only so far the NHS and other public bodies can go in making meaningful, sustainable progress if the right conditions aren’t in place.
“Short-term funding cycles make it extremely difficult for organisations to plan effectively, invest wisely, and build the kind of resilient communities we need. If we are serious about reversing the decline in the nation’s health, we must focus now on prevention, early intervention and addressing health inequalities at their root.”
He added that demographic trends paint a worrying picture, with the proportion of the population aged 80 and over expected to double between 2000 and 2038. This group already accounts for a disproportionate share of NHS activity.
The Confederation is urging the next government to embrace the principles of the Well-being of Future Generations (Wales) Act 2015, which it says are not being fully realised under current funding arrangements.
While the report has been welcomed by many within the sector, some observers note that successive Welsh Governments—both Labour-led and, in coalition periods, involving Plaid Cymru and the Liberal Democrats—have long acknowledged the importance of prevention, yet struggled to shift funding and policy at the necessary scale.
Critics argue that similar calls have been made repeatedly over the past decade, yet the reality on the ground remains dominated by crisis response and waiting list backlogs. In February 2024, the Welsh Government was forced to issue a £175 million emergency funding package to tackle pressures in emergency care and elective surgery.
Meanwhile, the latest statistics from StatsWales show that as of March 2025, over 750,000 patient pathways remain open—meaning more than one in five people in Wales is waiting for planned treatment or assessment. The British Medical Association Cymru has described the situation as “deeply worrying,” while acknowledging the immense strain frontline staff are under.
The Confederation’s report does not shy away from the scale of the challenge, noting that achieving a shift to prevention will require bold political choices, including long-term investment in public health, closer integration with local government and social care, and a reallocation of resources away from acute care.
Political parties are now beginning to shape their manifestos ahead of the May 2026 Senedd election. Welsh Labour, which has led the Welsh Government since devolution began in 1999, has pledged to maintain a publicly funded, publicly delivered NHS. Plaid Cymru has emphasised the need for a “National Health and Care Service” to integrate health and social care. The Welsh Conservatives have called for more choice for patients, greater use of technology, and a reduction in management bureaucracy.
The Welsh NHS Confederation said it would engage with all parties over the coming months to ensure that the voice of health and care leaders is heard in shaping the policy agenda.
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 nore 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.
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