Health
Health board to review mental health referral changes
Proposal could see Ceredigion pilot extended to Carmarthenshire and Pembrokeshire
HYWEL DDA University Health Board will next week consider whether to extend a temporary change to the adult community mental health referral pathway in Ceredigion, with a decision due at its public Board meeting on Thursday (Nov 27).
The temporary pathway, introduced in March, directs adults with non-urgent mental health needs to the NHS 111 Wales option 2 service instead of the community mental health team. The pilot was brought in to reduce waiting times and relieve pressure on local community mental health teams, which have faced long-standing staffing and recruitment challenges.
Under the arrangement, GPs in Ceredigion refer patients with routine needs to 111, while those with the highest clinical risk continue to be referred directly to the community mental health team. GPs also have access to a professional 111 line if they are concerned a patient is unable to engage with the service themselves.
The health board says early feedback has been “mostly positive”, with reported improvements including shorter waiting times, quicker access to specialist advice, and better integration between primary care and mental health services.
Andrew Carruthers, Chief Operating Officer at Hywel Dda, said: “We want to ensure our mental health services are accessible, timely and sustainable. While the temporary change was introduced in response to staffing pressures, the feedback so far has been encouraging.
“People are receiving expert advice and support more quickly, and those with complex mental health needs are being seen sooner by our specialist teams. For these reasons, we are seeking approval from the Board to carry out a further period of engagement before making any long-term decisions.”
If supported by the Board, the temporary pathway in Ceredigion would continue while a nine-week engagement period begins in early December. The engagement would seek views from service users, carers, GPs and stakeholders across all three counties, including Pembrokeshire, where any permanent extension could have a significant impact on local access routes.
Hywel Dda says the review will assess whether the new system could ease pressure on teams in Carmarthenshire and Pembrokeshire, but also what risks or service gaps could emerge if more patients are routed through NHS 111 instead of local community teams.
The full Board paper is available to read on the health board’s website, and the meeting will be broadcast live from 9:30am on Thursday (Nov 27) on the Hywel Dda YouTube channel.
If you’d like a short Facebook share version, or a Pembrokeshire-focused sidebar for Withybush and local MH services, I can prepare those too.
Health
Welsh Ambulance Service to host bi-monthly Board meeting
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.
Health
Pharmacies carry out record number of consultations for common health issues
PHARMACIES across Wales carried out more than 600,000 clinical consultations for a wide range of common health issues over the last twelve months, according to the latest community pharmacy services statistics.
Almost 346,000 people used the Common Ailments Service, which offers free advice and treatment for twenty-seven common conditions and is available in ninety-nine per cent of pharmacies across Wales.
Figures covering April 2024 to March 2025 show that more than 462,000 Common Ailments Service consultations took place during the period – the highest number ever recorded.
The most frequent reasons people sought help from their local pharmacy included sore throats, hay fever, conjunctivitis and dermatitis.
Pharmacies also carried out more than 53,000 consultations specifically for sore throat treatment, around 33,000 consultations for contraception advice and treatment, and over 121,000 consultations to provide emergency supplies of medicines.
During those emergency consultations pharmacists issued more than 189,000 prescription-only medicines to patients who had run out of medication and were unable to obtain a new prescription in time.
In addition to these consultations, pharmacies across Wales dispensed more than eighty million prescription items over the same twelve-month period.
The Common Ailments Service allows people to receive treatment closer to home while helping free up GP appointments for patients with more complex or urgent medical needs.
Health Secretary Jeremy Miles said: “Community pharmacies play a vital role in providing healthcare across Wales.
“Nearly half a million consultations in a single year shows just how much people value being able to walk into their local pharmacy and get the help they need quickly, without having to wait for a GP appointment.
“We are working to ensure more people can receive convenient care closer to home, and expanding access to these services is a key part of that.
“The right care, in the right place, at the right time — that is what people in Wales want, and what our pharmacies are delivering.”
Community
Lessons from COVID-19 highlight need to strengthen voluntary sector resilience
A NEW report has urged the Welsh Government to work more closely with voluntary organisations to ensure communities are better prepared for future emergencies.
The call comes from the Senedd’s Public Accounts and Public Administration Committee, which examined how lessons from the COVID-19 pandemic have shaped Wales’ current emergency planning.
The report highlights the crucial role played by voluntary groups during the pandemic, particularly in supporting vulnerable people and responding quickly to rising community needs.
Clair Swales, Chief Executive of the Powys Association of Voluntary Organisations (PAVO), welcomed the committee’s findings and its recommendation that government bodies strengthen collaboration with the voluntary sector and commissioning organisations.
The recommendation includes making greater use of long-term funding arrangements to support infrastructure investment and improve the sector’s ability to respond to sudden surges in demand during emergencies.
Giving evidence to the committee last November, Swales warned that continued financial pressures across the sector could weaken its ability to respond effectively in future crises.
She said: “If I was asked to bring the third sector together to respond to an emergency at this moment, I could. However, future involvement may become more challenging as the sector continues to face significant financial and capacity pressures.”
The committee’s report, published on Tuesday (Mar 11), explored how the Welsh Government and public bodies responded to the pandemic and what improvements have been made since.
It also considered findings from Module 1 of the UK COVID-19 Inquiry, which examined resilience and preparedness across the UK.
Swales said the report recognises that the work carried out by voluntary organisations during the pandemic came at a significant cost to the sector.
She added: “Evidence from a number of voluntary organisations shows the sector is facing considerable funding and resource challenges.
“We will continue to work with commissioners and the Powys third sector to maximise opportunities, represent the sector’s voice in policy and investment discussions, and ensure rural communities are considered when funding and commissioning services.”
The report has been submitted to the Welsh Government and will be debated by Members of the Senedd during a plenary session on Wednesday (Mar 18).
Powys Association of Voluntary Organisations is the County Voluntary Council for Powys and operates offices in Newtown and Llandrindod Wells.
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