Health
Patients face long journeys under west Wales hospital shake-up plans
A PUBLIC consultation on sweeping changes to hospital services in west Wales is entering its final days, with campaigners warning that patients in Pembrokeshire and Ceredigion could be forced to travel much longer distances for vital care.
Hywel Dda University Health Board launched the consultation in May after identifying nine hospital services it says are “fragile and in need of change.” The board argues that the current system cannot guarantee safe, high-quality or timely care across its four main hospitals – Withybush in Haverfordwest, Glangwili in Carmarthen, Prince Philip in Llanelli, and Bronglais in Aberystwyth.
The consultation closes on Sunday (Aug 31), with final decisions expected later this year.
Critical care changes

One of the most controversial proposals involves critical care. At present, intensive care units operate at all four hospitals. Under some of the options being considered, patients at Withybush needing specialist critical care would be transferred to Glangwili.
Three models have been put forward:
- Option one: Intensive care kept at Bronglais and Glangwili, with “enhanced care units” at Withybush and Prince Philip.
- Option two: Intensive care at Bronglais, Glangwili and Withybush, with Prince Philip downgraded. Patients needing the highest level of care would still be moved to Glangwili.
- Option three: Intensive care retained at all four hospitals.
Surgery and stroke care
Emergency general surgery is another key service under review. One option would see patients needing operations at Withybush stabilised locally but then transported to Glangwili for surgery, before being sent back to Haverfordwest to recover. Another option would rotate surgeons weekly between Glangwili and Withybush, requiring extra cover for children’s surgery when teams are based in Pembrokeshire.
Stroke services could also change significantly. Bronglais may be turned into a “treat and transfer” site, meaning stroke patients would be moved to other hospitals – including Withybush – for inpatient care.
Other services under review
The consultation also covers endoscopy, radiology, dermatology, ophthalmology, orthopaedics and urology. Proposals include:
- Shifting some diagnostic radiology into a new community-based diagnostic centre.
- Expanding dermatology and ophthalmology provision in community settings rather than hospitals.
- Consolidating overnight urology patients at Prince Philip, with day cases and outpatient clinics continuing in Haverfordwest and Aberystwyth.
Board response

Medical Director Mark Henwood said: “No decisions have been made on the options presented, and there are currently no preferred solutions. The changes we are looking to make are to ensure we have safe, high-quality services and affordable healthcare in the future, and have at their heart the best interests of the people of west Wales and their patient experience.
“We ask that you review the consultation documents and share your views on which options you believe are best able to address service fragilities, improve standards, or reduce waiting times. We want to listen to your concerns or potential impacts you think options may have and your views on the future role of our hospitals.”
Political reaction

Carmarthen West and South Pembrokeshire MS, Samuel Kurtz, has raised alarm over the proposals, warning that Withybush cannot be allowed to lose more key services.
Mr Kurtz said: “Withybush has served generations of Pembrokeshire families – including my own; I was born here. It is more than just a building – it is a lifeline.
“This is the result of years of centralisation by the Welsh Government. We’ve already lost SCBU, consultant-led maternity care, and children’s A&E. Each service cut chips away at the hospital’s viability.
“If A&E is threatened, that would be a red line – one I will not allow to be crossed. Withybush doesn’t need more uncertainty. It needs support. Investment. Certainty.”
Preseli Pembrokeshire MS Paul Davies added: “This consultation is the latest in a long line of consultations that have all resulted in vital services being cut at Withybush hospital – and enough is enough.
“It is not acceptable for the people of Pembrokeshire to have to travel further for vital health services. Withybush hospital has been under attack for years because of the Health Board’s ideological pursuit of a shiny new hospital elsewhere in west Wales. Withybush hospital and the people it serves deserve support and investment, not more cuts.”
Next steps
The consultation runs until August 31. Responses will then be analysed before the proposals are debated at a health board meeting expected in November.
If approved, the changes could mean significant shifts in how people across Pembrokeshire, Ceredigion and Carmarthenshire access treatment, with some services centralised and others downgraded or relocated.
How to have your say
Members of the public can respond to the Hywel Dda University Health Board consultation until Sunday (Aug 31).
- The consultation documents and response forms are available at: hduhb.nhs.wales
- Paper copies can be requested by phoning 01554 899 056 or by emailing [email protected]
- Responses can also be sent by post to: Freepost RSXB-YJAT-HGEY, Hywel Dda University Health Board, Corporate Offices, Ystwyth Building, Hafan Derwen, St David’s Park, Carmarthen, SA31 3BB
The board says it wants to hear views on which options should be taken forward, as well as any alternative ideas from the community.
Health
Turkish dental clinic to hold Haverfordwest meet-up
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.

Health
Welsh public backs urgent action on dementia ahead of Senedd elections
Calls grow for diagnosis, care and support to become national priority
NEW figures reveal overwhelming public demand for dementia to be placed at the top of Wales’ political agenda, with voters urging action on diagnosis, treatment and support ahead of the Senedd elections.
Research by Alzheimer’s Society Cymru shows that 83% of people in Wales want dementia made a healthcare priority, while 69% believe it is currently overlooked and underfunded.
More than a thousand adults were surveyed, with the findings highlighting growing concern over diagnosis rates and access to care. Wales continues to record some of the lowest dementia diagnosis rates in the UK, leaving thousands of families without clarity or support.
Around 51,000 people are currently living with dementia in Wales, a figure expected to rise to 70,000 by 2040. Despite this, only 57% of people have received a formal diagnosis, with rates falling as low as 48% in rural areas such as Powys.
Improving diagnosis remains a key concern, with 91% of those surveyed saying access to timely diagnosis must improve, and 87% backing increased investment in diagnostic services. However, respondents also stressed that diagnosis alone is not enough, with 91% saying people with dementia must receive better support, including help for unpaid carers.
Ceri Parry, from Cardiff, said she was forced to retire early from her role as a headteacher at the age of 55 due to a lack of support for her mother, who was diagnosed with Alzheimer’s disease in 2020.
She said: “I fully support improving early and accurate diagnosis, but this must also come with improved support and care for families afterwards. There’s five years between my relatives’ diagnoses and nothing changed. On both occasions we left with a leaflet and the unknown.
“The wait for improved diagnosis, treatment and support needs to end. Dementia must be a top priority for the next Welsh Government, for families living with it now and for those who will face it in the future.
“We also found there was no diagnosis assessment available in the Welsh language. That’s a fundamental issue if a diagnosis is to be accurate and safe for people who speak Welsh as their first language. Ignoring someone’s identity is ignoring the person.”
The survey also found that visible action would be key to restoring public confidence, with 72% calling for improved dementia services, 64% backing more funding for research, and 63% wanting better access to treatments.
Gemma Roberts, National Influencing Manager at Alzheimer’s Society Cymru, said: “Dementia is Wales’s biggest killer and one of the greatest health and social care challenges we face.
“Hope is on the horizon with new treatments and faster, more accurate diagnosis, but the system is not keeping pace. Without urgent transformation, people in Wales risk missing out.
“We are at a turning point. The next Welsh Government must deliver a bold new dementia strategy that transforms diagnosis and ensures access to quality care, treatments and support.”
Health
Dentists warn next Welsh Government must act to save NHS dentistry
DENTISTS have warned that NHS dentistry in Wales is at a “make or break” point, with access to treatment now ranking as one of the biggest local concerns for voters ahead of the Senedd election.
The British Dental Association said new polling by YouGov showed local dentistry services were now a top doorstep issue in Wales, with 30% of adults naming it as one of the most important issues in their local area.
That places dentistry ahead of crime and education, both on 14%, and above job opportunities, which were cited by 27% of respondents.
The poll also found that 79% of people in Wales believe the Welsh Government should be doing more to improve NHS dentistry, while only 11% think ministers are doing all they reasonably can.
According to the BDA, unmet need for NHS dentistry now stands at around a third of the adult population in Wales. One in five people said they had tried but failed to get an NHS dental appointment in the past two years, while a further 13% said they had not tried because they assumed they would be unable to secure one.
The professional body said the figures suggest Wales may now be the worst place in Britain to be an NHS dental patient.
The warning comes after controversial dental reforms were introduced in Wales on April 1. The BDA says the changes were forced through without proper testing and have already led some practices to return NHS contracts or reduce their NHS commitment.
It is calling for a “safety net” for struggling practices, including a pause on implementation until 2027 while further improvements are worked up.
The association is also calling for a break from what it describes as chronic underfunding, better protection for vulnerable patients, and a change of tone from the next Welsh Government.
Russell Gidney, Chair of the BDA’s Welsh General Dental Practice Committee, said: “NHS dentistry in Wales was already in crisis, and without decisive action things are set to go from bad to worse.
“Untested reforms have already seen many dentists walk away from the NHS. Whoever forms the next government will need a plan to guarantee the future of this service.
“For voters facing access and cost of living crises dentistry matters. Political choices mean it is now a real concern on the doorstep – polling ahead of crime, education and even jobs as a top-flight issue facing Wales.
“Our message to all candidates and all parties is very clear: dentistry is on the ballot paper in this election. And the public will measure how you choose to respond.
“This is a service millions of voters depend on. Meaningful action will be rewarded. Complacency will be punished.”
The Welsh Government has defended its reforms, saying the new contract is designed to “make NHS dentistry more accessible, fairer and sustainable,” with a stronger focus on prevention and prioritising patients based on clinical need.
The YouGov survey of 1,092 Welsh adults was carried out between February 2 and February 9, 2026.
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