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Senedd debates calls to save ‘essential’ stroke services

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POLITICIANS have debated calls to safeguard full stroke services at Bronglais Hospital after more than 17,000 signed one of the biggest petitions in the Senedd’s 26-year history.

Campaigners urged the Senedd and Welsh Government to intervene immediately to protect the stroke unit amid plans to downgrade the service to a “treat-and-transfer” model.

Under consultation proposals, stroke patients presenting at the Aberystwyth hospital could be transferred to the Prince Philip in Llanelli or Withybush in Haverfordwest.  

Labour’s Carolyn Thomas, who chairs the Senedd’s petitions committee, said only a handful of petitions – including calls to scrap 20mph limits – have collected more signatures.

The petition, submitted by Bryony Davies from the Protect Bronglais Services campaign, warned patients face risky, long-distance transfers taking two hours if services are cut.

Leading today’s (October 22) debate, Ms Thomas explained the Hywel Dda health board is expected to make a decision this autumn following a consultation between May and August.

She said Bronglais scored relatively well in a UK-wide assessment of stroke care services, with a ‘B’ alongside Withybush whereas Prince Philip and Glangwili received a ‘C’.

The petitioners expressed concerns about the potential implications for end-of-life care, warning stroke patients could die far away from their families.

Labour MS Carolyn Thomas
Labour MS Carolyn Thomas

Ms Thomas told Senedd members: “We noted the petitioners’ concerns that the role of family and friends in stroke rehabilitation is being overlooked, with distances and limited transport infrastructure making regular visits impractical.

“Using online platforms for patient communication instead is criticised as unrealistic, given stroke-related impairments and poor digital connectivity.”

Her committee has also received other petitions on the future of hospital care, raising alarm over a “crisis” at Glangwili and the loss of weekend services at Cardigan’s minor injuries unit.

Hywel Dda health board has argued the Bronglais changes are necessary to make stroke services more sustainable, with centralisation improving staff recruitment and retention.

But the petitioners pointed out that no equality impact assessment was carried out, urging the health board to “go back to the drawing board and run a truly consultative process”.

Paul Davies, the Conservative Senedd member for Preseli Pembrokeshire, backed the campaign, telling colleagues the proposals will have a “huge impact” across west Wales.

Conservative MS Paul Davies
Conservative MS Paul Davies

Warning patients face a round trip of 200 miles or more, he said: “Forcing us to travel further for essential and indeed vital services is totally unacceptable.”

Mr Davies pointed to a 2014 Welsh Government-commissioned study which recommended unnecessary journeys to access care should be eliminated in mid Wales. He also raised the Stroke Association’s opposition to the proposals.

He said: “To centralise these services away from Bronglais when the unit has been declared the best in the Hywel Dda health board area does not make any sense whatsoever.”

Mabon ap Gwynfor, Plaid Cymru’s shadow health secretary, stressed every minute counts in treating stroke and rehab is just as important to give patients the best chance to recover.

Plaid Cymru MS Mabon ap Gwynfor
Plaid Cymru MS Mabon ap Gwynfor

Mr ap Gwynfor, whose father is a stroke patient at Glangwili, said: “I have grave concerns about proposals for stroke services that I feel would lead to real harm.”

He argued Bronglais hospital is best placed to serve as a regional centre of excellence, warning sustainability must not come at the cost of access or quality.

Labour’s Joyce Watson, who represents Mid and West Wales, urged the health board to listen to the “immense” strength of feeling, describing the potential for patients to be isolated from their families as “distressing to say the least”.

Jane Dodds, the Welsh Liberal Democrats’ leader who also represents Mid and West Wales, warned stroke remains the fourth largest killer and a leading cause of long-term disability.

“Every minute matters,” she said. “And for people in rural Wales, those minutes can mean the difference between life and death.”

Jane Dodds, leader of the Welsh Liberal Democrats
Jane Dodds, leader of the Welsh Liberal Democrats

Health secretary Jeremy Miles told the Senedd: “Our aim is to reduce the risk of stroke and, when it happens, to give patients the best possible chance to survive and recover”.

Mr Miles was not convinced by the 17,883-name petition, pointing to an “emerging clinical consensus” that acute stroke care should be provided as a specialist service regionally.

Stressing it is a decision for the health board – not the Welsh Government – he said: “The services in their current configuration are not providing the best outcomes for patients, despite the efforts of NHS staff, and they are not sustainable.”

 

Health

Plaid Cymru to hold public meeting over Withybush hospital surgery cuts

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Candidates say residents must be heard after emergency services decision

PLAID CYMRU candidates for the Ceredigion Penfro constituency will host a public meeting in Pembrokeshire to discuss concerns over the future of services at Withybush Hospital.

The event will take place at 6:30pm on Monday (Mar 31) at Letterston Village Hall, giving residents the opportunity to share their experiences and concerns following Hywel Dda University Health Board’s decision last month to remove emergency general surgery from the hospital.

Campaigners say the move will force many patients requiring urgent treatment to travel further for care, raising fears about the potential impact on patient safety in rural west Wales.

Elin Jones, Plaid Cymru lead candidate for Ceredigion Penfro, said: “Withybush is such an important hospital for the community and residents of Pembrokeshire. The decision to remove its emergency general surgery will severely weaken the life-saving capacity of this hospital.

“Plaid Cymru has long championed small rural hospitals such as Bronglais and Withybush. We need to ensure these hospitals remain strong local services within our communities. Withybush should have the basic life-saving and everyday treatment services it needs to function as a full general hospital.”

Kerry Ferguson, Plaid Cymru candidate for Pembrokeshire within the Ceredigion Penfro constituency, said the recent success of a public petition had demonstrated the strength of local feeling.

“It’s great to see that the online petition calling for Welsh Government intervention to restore emergency surgery and essential services at Withybush has reached its target, meaning it will now be debated in the Senedd,” she said.

“We are extremely disappointed by the Health Board’s decision to remove emergency general surgery at Withybush. Increased journey times for anyone in need of urgent medical treatment will put lives at risk. We need government intervention now to overturn this decision.”

Residents across Pembrokeshire have continued to raise concerns about the future of services at the hospital, which has long been a focal point in debates about healthcare provision in rural west Wales.

 

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Health

Politicians seek legal advice over hospital decisions as petition passes 11,000 signatures

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PEMBROKESHIRE’S two Members of the Senedd have written jointly to the Welsh Government’s Counsel General seeking legal advice on possible ways to challenge decisions made by Hywel Dda University Health Board affecting healthcare services in the county.

Paul Davies MS and Samuel Kurtz MS have asked the Counsel General, Julie James MS, to outline what legal mechanisms may exist to scrutinise or challenge the health board’s decision-making process, particularly in relation to changes impacting services at Withybush Hospital.

Their move comes amid growing concern from residents, clinicians and community groups about the impact of service changes on patient safety and access to care, especially in a rural county where travel times to alternative hospitals can be significant.

Public concern has also been reflected in a petition calling for intervention over the future of services at Withybush Hospital. The petition has now attracted more than 11,000 signatures and continues to gain support.

Having passed the required threshold, the petition can now be considered for debate in Senedd Cymru.

The two MSs say the level of public backing highlights the strength of feeling locally and the need for greater scrutiny of decisions being taken about healthcare provision.

Paul Davies MS said: “Residents across Pembrokeshire are deeply concerned about the cumulative impact that changes to healthcare services could have on patient safety and access to care in a rural area. The fact that more than 11,000 people have signed the petition highlights just how strongly people feel about this issue.”

Samuel Kurtz MS added: “People deserve confidence that decisions affecting vital healthcare services have been taken properly and with full consideration of the impact on local communities. We have therefore written to the Counsel General to seek advice on what legal avenues may exist to challenge these decisions and what powers the Welsh Government has to intervene where serious concerns have been raised.”

The MSs have also asked the Welsh Government to clarify what role it can play in reviewing or intervening where there are significant concerns about the governance and decision-making processes of a health board.

 

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Health

Welsh Ambulance Service to host bi-monthly Board meeting

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THE WELSH AMBULANCE SERVICE is preparing to host its bi-monthly Board meeting – and the public are invited.

Join the meeting on Thursday 26 March via Microsoft Teams to hear senior leaders cover a full agenda, including approval of the Integrated Medium-Term Plan for 2026-29, which outlines what the organisation will prioritise and deliver, how it will use its resources and how it will continue to improve care for the people of Wales over the next three years.

Board members will approve the initial revenue budget for the year ahead and receive an update on current financial performance.

The Board will also hear from Mr Clarke from Cwmbran, who describes an experience of trying to access help via 999 for his late father who was terminally ill.

There will also be an opportunity to pose a question to the Board.

Chair Colin Dennis said: “Board meetings give you the opportunity to really get to know our ambulance service, with a clear view of how important decisions are shaped and the processes behind them.

“They also create a forum to hear directly about ongoing work, explore how we can strengthen support for the Trust’s staff and patients, and connect with the people responsible for shaping those decisions.”

Click here to watch the Board meeting on Thursday 26 March 2026 from 9.30am.

This link will be active from 10 minutes before the meeting starts.

To pre-submit a question, please email [email protected] by no later than Wednesday 25 March 2026.An agenda will be available on the Trust’s website in the days prior to the meeting.

 

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