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Welsh health board accused of forcing delays for patients treated in England

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A DECISION by Powys Teaching Health Board to instruct English hospitals to match Wales’s longer NHS waiting times has sparked anger and renewed calls for reform.

Powys, which has no district general hospital of its own, sends many patients to hospitals in Shrewsbury, Telford, Hereford and Gobowen for treatment. But from 1 July, those patients have been told they must now follow Welsh NHS waiting‑time targets – even when the care is delivered in England.

The move means patients from Powys could face much longer waits than English patients being treated in the same hospital, with opponents calling it a “two‑tier” system.

Conservatives condemn ‘unacceptable’ policy

Welsh Conservative Shadow Health Minister James Evans MS said: “It is absolutely disgraceful that patients in Powys are being left in pain waiting longer for surgery simply because their health board can’t afford the faster care available in England.

“I have raised this issue again and again in the Senedd but my calls have fallen on deaf ears. This is what 25 years of Labour running the NHS in Wales looks like: spiralling waiting lists, missed targets, and now health boards asking English hospitals to make Welsh patients wait longer on purpose.

“No one should be waiting over a year for treatment. The Welsh Conservatives would declare a health emergency and put every effort into reducing these unacceptable delays and ending the postcode lottery in healthcare.”

Figures show two‑year NHS waits for treatment in Wales now stand at around 10,300 – compared with only 158 in England.

Health board cites budget pressures

Powys Teaching Health Board has defended the change, saying it is a necessary cost‑saving measure in the face of a £35.6 million deficit. By aligning treatment times with Welsh standards, it expects to save around £6 million.

A board spokesperson said the decision was “one of several unpalatable options” forced by severe financial pressures, and stressed that over 55% of the Welsh Government’s budget already goes to health and social care.

Wider NHS context

Experts say direct comparisons between the Welsh and English NHS are not straightforward. Wales has an older and sicker population, with higher levels of deprivation, placing extra strain on services.

But with all major A&E units in Wales regularly operating at more than 170% bed occupancy, and some patients still treated in corridors, critics argue the system is struggling to cope – and that cross‑border co‑operation should be used to speed up treatment, not slow it down.

The Welsh Government has set a target to eliminate two‑year waits by March 2026, but has already missed two earlier deadlines.

 

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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Health

Turkish dental clinic to hold Haverfordwest meet-up

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DENTISTS FROM ANTALYA TO VISIT COUNTY TOWN

A TURKISH dental clinic is running a dental meet-up in Haverfordwest this weekend as part of a promotional visit to Wales.

Unique Smile Turkey, which has a permanent office in Wales in Swansea, says its top dentists will be coming to Haverfordwest on Sunday (May 3).

The event is being advertised as a “Dental Meet-Up” and is scheduled to run from 10:00am to 6:00pm at the Mariners Hotel.

The visit features three clinicians: Assoc Prof Dr Ummuhan Tozoglu, described as a specialist in oral diagnosis, radiology and dental planning; Professor Dr Sinan Tozoglu, described as an oral and maxillofacial surgeon and implantologist; and Professor Dr Ismet Duran, described as a periodontologist and implantologist.

The team have between twenty and 35 years of experience in their respective fields.

A contact number has also been provided for enquiries: +90 505 678 90 90.

The visit comes amid continuing interest in dental tourism, with many people in the UK looking overseas for cosmetic dentistry, implants and other private dental treatment.

Turkey has become one of the most popular destinations for such treatment, although patients are generally urged to make careful checks before committing to any procedure abroad, including aftercare arrangements, qualifications, insurance, treatment plans and what support would be available if complications arise after returning home.

 

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