Comment
Opinion: Pembrokeshire deserves better than endless healthcare decline
For more than a decade, services at Withybush have been reduced while promises of improvement remain unfulfilled — and public trust is wearing thin
THERE is a growing sense across Pembrokeshire that no matter what promises are made, healthcare services here only ever seem to move in one direction — backwards.
This week’s decision by Hywel Dda University Health Board on February 19, 2026, to remove emergency general surgery from Withybush Hospital is not an isolated event. It is the latest chapter in a story residents know all too well.
For more than a decade, people in this county have watched services gradually disappear: consultant-led maternity, the Special Care Baby Unit, inpatient children’s services — and now emergency surgery.
Each decision has been presented as necessary. Each one justified on grounds of safety, staffing shortages or sustainability.
And yet the outcome is always the same: Pembrokeshire loses something.
At The Herald, we do not make that statement lightly. Since 2014, we have reported on every development — the protests, the packed public meetings, the consultations, the board decisions. We have interviewed senior clinicians, chief executives and health board members.
We know what promises were made. And we have seen what followed.
That long view reveals something individual announcements often obscure. Residents are told changes will improve care or lead to better outcomes. But from the perspective of patients and families, things rarely feel improved.
Travel distances get longer. Waiting times remain difficult. Ambulance pressures continue. Anxiety about access grows — especially for those in remote communities facing poor roads, winter weather, or limited transport. For elderly residents without cars, and for families with young children, the strain is real. During tourism peaks, pressures only increase.
Trust, once lost, is hard to rebuild.
One of the deepest frustrations is that assurances of future improvement never quite materialise. The long-discussed new hospital remains years away at best. Recruitment challenges persist. Temporary measures quietly become permanent realities.
What begins as reassurance often ends as another reduction.
None of this denies the genuine challenges facing the NHS. Workforce shortages are real. Rural healthcare is difficult to sustain. Clinical standards must come first.
But fairness matters too.
Pembrokeshire is a large rural county with unique geographic challenges, seasonal pressures and communities that deserve confidence in local services.
People understand healthcare must evolve. What they struggle to accept is a situation where change repeatedly means less provision here.
Local MSs Paul Davies and Samuel Kurtz had warned ahead of the vote that undermining Withybush would cross a “red line.” Paul Davies described the outcome as “appalling but not surprising.” Plaid Cymru’s Kerry Ferguson urged the board to reconsider.
Yet here we are — another acute service shifted away, primarily to Glangwili.
That reality now shapes public confidence. And confidence matters. Healthcare relies not only on clinical outcomes but on public trust. When communities feel decisions are predetermined, consultation loses meaning. When residents believe their county is continually losing out, resentment grows.
The danger is not just political anger. It is disengagement — the belief that nothing will change no matter what people say or do.
Pembrokeshire deserves better than that.
It deserves clarity about the long-term vision for healthcare in the county. Honesty about what can and cannot be delivered locally. Genuine effort to protect services wherever possible.
Withybush still provides a 24-hour emergency department, midwife-led maternity and vital outpatient care. But each loss chips away at confidence in its future.
The people of this county are resilient, pragmatic and realistic. But patience is not unlimited.
When every few years brings another reduction, the question becomes unavoidable:
When do things finally start getting better?

Comment
OPINION: Wales pays for HS2 — but gets left on the platform
As HS2 balloons towards £100bn with fresh delays, the case for fair rail funding for Pembrokeshire and west Wales has never been stronger
THE MOST absurd aspect of HS2 is no longer just its eye-watering cost. It is the sheer scale of the broken promises — and the fact that Wales is still expected to help foot the bill while seeing almost none of the benefit.
Once hailed as a high-speed revolution connecting London, Birmingham, Manchester and Leeds, HS2 has shrunk dramatically. The Manchester and Leeds legs are gone. The line may run slower than planned. Euston station remains uncertain. And the first passengers may not board until the late 2030s.

When people see photographs of vast HS2 works stretching into open countryside, it is easy to understand why many now ask whether Britain has spent tens of billions building infrastructure for a railway that no longer knows where it is going.
Latest estimates put the cost at between £87.7bn and £102.7bn. Billions have already been spent on structures, junctions and works linked to routes that no longer exist. What remains is a shorter, slower, vastly more expensive project than the one sold to the public over a decade ago.
Yet Wales is still counted in the “England and Wales” project.
This is the bitterest pill. No HS2 track reaches Wales. No station serves us. No journey times from Pembrokeshire, Carmarthenshire or Ceredigion are transformed. Commuters on the line from Milford Haven to Cardiff still battle ageing rolling stock, unreliable services and Victorian-era infrastructure that feels a world away from “high-speed Britain.”
The Treasury’s defence — that rail infrastructure is not devolved and HS2 benefits the wider England-and-Wales network — has always stretched credibility. Today, with the project scaled back, it looks untenable.
Scotland and Northern Ireland receive Barnett consequentials from HS2 spending. Wales, despite having no HS2 line, does not.
Independent estimates and repeated calls from Welsh politicians and parliamentary committees have long suggested Wales is owed billions in fair-share funding. Figures in the region of £4bn to £5bn have been cited — money that could upgrade west Wales lines, improve reliability, add capacity and modernise stations.

Local reality check
Would anyone in Pembroke Dock, Haverfordwest or Fishguard seriously claim they have gained from HS2?
When services are disrupted by signalling faults, track defects or rolling stock shortages, the idea that west Wales is already “benefiting” from a London-to-Birmingham railway rings hollow. Pembrokeshire’s rail connections remain among the most challenging in the UK, limiting economic opportunities, tourism and daily commutes.
This is not anti-rail investment. Britain needs better infrastructure. The problem is fairness.
Successive governments talk of “levelling up” and rebalancing the economy, yet Wales consistently receives a disproportionately low share of rail enhancement spending relative to need.
At a time when HS2 has become a symbol of mismanagement for many, telling Welsh taxpayers they have already had their share — while our own services lag — fuels a deeper sense of being at the back of the queue. It risks feeding cynicism about how Westminster treats Wales.
The solution is straightforward.
If HS2 is genuinely an England-and-Wales project delivering meaningful benefits here, show us the railway.
If not, reclassify it and deliver the Barnett consequentials Wales is owed.
That money could fund real improvements: better frequencies on the west Wales line, electrification, station upgrades and resilience works that actually touch Pembrokeshire communities.
Westminster must stop pretending. Local MPs, the Welsh Government and campaigners should keep pressing this case — because transport fairness is economic fairness.
Pembrokeshire deserves better than being asked to pay into a project that delivers its rewards somewhere else.
Comment
OPINION: Why Pembrokeshire should back DARC
This is not the time to turn our backs on jobs, security and our proud defence heritage
PEMBROKESHIRE is once again being asked a simple question: do we want to be a county that helps shape Britain’s future, or one that says no to opportunity when it matters most?
The growing row over the proposed DARC project at Brawdy has generated more heat than light in recent days. With Eluned Morgan now calling for the scheme to be paused because of Donald Trump, and campaigners demanding it be scrapped altogether, it is worth stepping back from the noise and looking at what is really at stake.
Of course people are right to be alarmed by some of Trump’s behaviour. His rhetoric, his antics, and his bizarre attempts to wrap politics in religious theatre deserve criticism, ridicule even. If politicians want to condemn that kind of behaviour, fair enough. But serious decisions about Pembrokeshire’s future cannot be based on one man’s latest stunt.
Trump will not be President forever. By the time DARC is fully built, operational and delivering benefits, he will almost certainly be long gone. To throw away a major long-term opportunity for Pembrokeshire because of short-term panic over a single US President would be a serious mistake.
What is being proposed at Brawdy is not some passing political gimmick. It is a major defence and infrastructure project that would help secure the future of an existing military base, create jobs during construction, support permanent roles once operational, and ensure Pembrokeshire continues to play a serious role in national security.
That matters.
For this county, DARC is not an abstract foreign policy argument. It is a chance to protect the long-term future of a strategic site that has served Britain for decades. It is a chance to keep Brawdy alive, relevant and useful in a changing world, rather than letting it slowly drift into uncertainty and decline.
It is also a jobs issue, however much opponents try to talk that down. Construction work means contracts, wages and money circulating in the local economy. Once complete, the site would still need to be run, maintained, secured and supported. In a county where stable, skilled jobs are never to be sniffed at, that should matter to every sensible politician.
And then there is the wider issue of safety.
We are living in a more unstable world. Space is no longer some distant science-fiction sideshow. It is central to communications, intelligence, navigation and defence. Any country that cannot see what is happening above it is leaving itself dangerously exposed. Supporting DARC is not warmongering. It is common sense. It is about readiness, awareness and protecting the systems modern life now depends on.
Much of the argument against the project has been emotional. We hear a great deal about appearance, about symbolism, about fears of what the radar might represent. But leadership means weighing those concerns against reality. Pembrokeshire cannot afford to reject every major development on the basis that change makes people uncomfortable.
There is an uncomfortable truth here for DARC’s opponents. Protecting Pembrokeshire is not just about preserving a postcard view. It is also about protecting livelihoods, maintaining strategic assets, and making sure this county does not become a beautiful but economically sidelined corner of Wales where every serious opportunity is driven away.
A live military base with a renewed purpose is better than a fading one with none.
A project that brings jobs, investment and national relevance is better than managed decline dressed up as moral virtue.
And a serious defence asset in west Wales is better than the slow erosion of infrastructure while politicians pretend symbolism pays wages.
This newspaper understands why people care deeply about Pembrokeshire’s landscape and identity. So do we. But we also understand that counties survive by adapting, by staying useful, and by having the confidence to back projects that serve both local and national interests.
DARC does all of those things.
It would bring construction jobs. It would help sustain long-term operational roles. It would preserve the use of an important military base. And it would place Pembrokeshire at the heart of a serious national security project at a time when the world is becoming less safe, not more.
What Pembrokeshire needs now is not panic, hedging, or election-time theatrics. It needs backbone.
If politicians want to criticise Donald Trump, they are welcome to do so. But they should not use him as an excuse to duck a decision that could benefit Pembrokeshire for decades to come.
Trump is temporary.
The opportunity for Pembrokeshire is not.
Comment
Attack on Jewish ambulances: When hatred burns, nobody wins
THE IMAGES from Golders Green this week should stop all of us in our tracks.
Ambulances, not symbols of power, not political offices, not even property tied to profit, but ambulances, vehicles dedicated to saving lives, were set alight in the early hours of the morning. Oxygen tanks exploded. Families were forced from their homes. Volunteers who give their time freely to help others were targeted.

If that does not cross a line, then we have lost sight of where the line is.
Police are treating the attack as antisemitic. It is hard to see it as anything else. And it should be said plainly: there is no cause, no grievance, no anger about events abroad that can justify targeting Jewish communities in Britain, least of all those providing emergency care.
But if we are honest, this did not come out of nowhere.
Across Europe, and yes, in parts of the UK, tensions linked to the Israel-Gaza conflict have been bleeding into our streets, our conversations, and increasingly, our behaviour. What begins as outrage about war risks mutating into something darker: collective blame, dehumanisation, and eventually violence.

We have seen this pattern before in history. It never ends well.
At the same time, we cannot pretend that outrage only travels in one direction. Reports from the West Bank of settler violence, homes torched, communities terrorised, are deeply disturbing. Innocent people are suffering there too, often with little protection and even less accountability.
These are different situations, with different causes and different responsibilities. But they are connected by one dangerous thread: the erosion of empathy.
When people stop seeing individuals and start seeing “sides”, everything becomes easier to justify.
Burning an ambulance becomes, in someone’s mind, an act of resistance.
Torching a home becomes, in someone else’s mind, a matter of security.
Both are wrong.
And both depend on the same lie, that the person on the receiving end somehow deserves it.
Britain now faces a choice.
We can import the hatred of a conflict thousands of miles away, allowing it to fracture communities that have lived side by side for generations. Or we can draw a firm line and say: not here.
That means something uncomfortable for everyone.
Those who stand with Israel must be willing to speak out when Palestinians are attacked unjustly. Silence in those moments undermines credibility and fuels resentment.
Those who stand with Palestine must be equally clear in condemning antisemitism, not hedging it, not contextualising it, not quietly ignoring it when it appears on “their side”.
Because once you start excusing hatred when it suits your position, you are no longer arguing for justice, you are just choosing your victims.
The attack in Golders Green is not just about four burnt-out vehicles. It is a warning sign.
If ambulances are fair game, what is not?
Britain has long prided itself on being a place where different communities can live together, disagree, protest, and still recognise each other’s humanity. That tradition is under strain.
The truth is, anger is easy. Outrage is easy. Social media makes both effortless.
Restraint is harder. Nuance is harder. Refusing to hate, especially when confronted with images of suffering, is one of the hardest things we can ask of people.
But it is also the only thing that prevents society from sliding into something far worse.
The flames in Golders Green were put out.
What matters now is whether we put out the ones that lit them.
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