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Health board confirms major hospital changes across west Wales

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Emergency surgery centralised as Withybush role shifts toward planned care

MAJOR changes to hospital services across west Wales have been approved following an extraordinary meeting of Hywel Dda University Health Board on Thursday (Feb 19).

Board members agreed the next steps in the organisation’s Clinical Services Plan, covering nine services identified as under pressure or “fragile”, including emergency general surgery, critical care, stroke and orthopaedics.

The decisions will see some specialist services concentrated on fewer hospital sites, alongside plans to expand planned care at Prince Philip Hospital in Llanelli and Withybush Hospital in Haverfordwest.

Health chiefs stressed that no immediate changes would take place, with implementation expected to happen gradually over several years.

At Bronglais General Hospital in Aberystwyth there will be increasing focus on acute and emergency care

Consultation and decision process

During summer 2025, the Health Board carried out a major public consultation involving more than 4,000 questionnaire responses and engagement events attended by over 4,000 people.

An independent report produced by Opinion Research Services summarised the feedback, while board members also considered workforce pressures, clinical standards, estate issues and financial factors.

Twenty-two alternative proposals submitted by the public were formally assessed against criteria including sustainability, accessibility and deliverability.

Emergency surgery changes

Under the plans, emergency general surgery operations will be concentrated at Glangwili Hospital in Carmarthen and Bronglais Hospital in Aberystwyth.

Patients from Pembrokeshire requiring surgery will be transferred to Glangwili when operative treatment is needed.

However, emergency departments will continue operating as normal at all four hospitals.

The Health Board promises increased planned care activity while continuing initial emergency access at Withybush Hospital in Haverfordwest

Other service changes

Across the region, the approved direction includes:

• Intensive care units remaining at Bronglais, Glangwili and Withybush, with Prince Philip Hospital providing enhanced care for less critically ill patients.
• Dermatology services primarily based at Prince Philip Hospital, supported by community clinics and telemedicine.
• Endoscopy procedures brought together at Prince Philip while retaining bowel screening across sites.
• Ophthalmology services concentrated mainly at Glangwili with community provision elsewhere.
• Orthopaedic surgery expanding at Withybush for less complex procedures.
• Radiology retaining emergency imaging at all hospitals with new diagnostic hubs planned.
• Urology inpatient care centralised at Prince Philip Hospital.

Stroke services remain under review, with further public engagement planned before final decisions.

The Health Board said that Glangwili Hospital there will be increasing focus on acute and emergency care

Future role of hospitals

The Board confirmed the intended future roles of the four main hospitals:

• Bronglais Hospital — broad range of services.
• Glangwili Hospital — increasing focus on acute and emergency care.
• Prince Philip Hospital — expanding planned care role.
• Withybush Hospital — increased planned care activity while continuing initial emergency access.

Health leaders emphasised there would be no change to how patients access emergency departments or minor injury units.

Board leaders respond

Health Board Chair Dr Neil Wooding said the changes were necessary to secure services for the future.

“Our ambition is for people to live healthier lives for longer by supporting people to keep well and preventing ill health,” he said.

“These decisions are not easy, but as a Board we have a duty to ensure that our services provide the best outcomes for our patients and meet the highest standards.”

Lee Davies, Executive Director of Strategy and Planning, said most services now had a clear direction.

“Our priority is always to deliver the highest standards of care for our patients across Hywel Dda and neighbouring communities,” he said.

Next steps

Detailed implementation plans will now be developed, with further engagement expected in areas where decisions are not yet finalised, particularly stroke services.

Patients are being advised to continue attending appointments as normal while the changes are planned.

More information, including board papers and meeting recordings, is available via the Health Board website.

 

Charity

Charity donation transforms chemotherapy waiting room at Glangwili Hospital

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A £26,273 donation from the West Wales Prostate Cancer Support Group has helped create a calmer and more comfortable space for patients undergoing cancer treatment

A GENEROUS charitable donation has helped transform the patient waiting room at Glangwili Hospital’s Chemotherapy Day Unit.

Hywel Dda Health Charities, the official charity of Hywel Dda University Health Board, has used a £26,273 donation from the West Wales Prostate Cancer Support Group to fund a major refurbishment of the unit’s waiting room and adjacent kitchen.

The West Wales Prostate Cancer Support Group is a patient-led group of volunteers working across West and South West Wales, offering support to prostate cancer patients, as well as their families and friends.

The project has created a more welcoming, comfortable and calming environment for patients receiving treatment, along with relatives and carers who accompany them to appointments.

Before the refurbishment, the waiting area was described as dated, dark and uninviting, in contrast to the compassionate care provided by staff within the unit. Patients can often spend long periods in the space before treatment or clinic appointments.

The work included the removal of old fixtures, full redecoration, new flooring and ceiling, the purchase of more comfortable furniture, and the addition of artwork to help improve the atmosphere.

Gina Beard, Lead Cancer Nurse, said: “We are so grateful for the donation from the West Wales Prostate Cancer Support Group, which has enabled us to transform the space.

“This has made a real difference to our patients. We’ve been able to create a space that feels less clinical and more comforting. The calming colours and comfortable seating help ease anxiety and make a difficult time a little more bearable for patients and their loved ones.”

Nicola Llewelyn, Head of Hywel Dda Health Charities, added: “We are deeply grateful to the West Wales Prostate Cancer Support Group for their donation.

“Your generosity has enabled us to create a pleasant and relaxing space for patients and their families.”

Hywel Dda Health Charities supports NHS patients and staff across Carmarthenshire, Ceredigion and Pembrokeshire.

 

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Health

Deputy Minister sets out priorities for social care, mental and women’s health

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Plans include same-day mental health support, a National Care Service for Wales and action on women’s health

PLANS to improve access to social care, provide same-day mental health support and strengthen women’s health services have been outlined by the Welsh Government.

Deputy Minister for Social Care, Mental Health and Women’s Health Delyth Jewell said she wanted to give greater prominence to areas which she believes have not received the attention they deserve.

Her priorities include progressing plans for a National Care Service for Wales, with the ambition of delivering social care that is free at the point of need.

The Deputy Minister also said safeguarding arrangements would be strengthened to better protect children and adults at risk.

Mental health services are set to move towards a model of open-access, same-day support, with 21 demonstrator sites already underway and further rollout planned.

The Welsh Government said future action on dementia will also be set out in a new Dementia Strategy for Wales, focusing on brain health, earlier diagnosis and improved support.

A Women’s Health Summit will also be held later this month, bringing together women with lived experience and clinicians.

The summit will focus on tackling the normalisation of pain, with work already underway to improve endometriosis and abortion services, as well as maternity safety and support for families who experience the loss of a baby.

Delyth Jewell said: “I want to help shine a light onto areas that haven’t had the focus they are due.

“On mental health, women’s health, and yes, the social care system that for too long has been undervalued.

“These areas deserve more attention and prominence. They deserve a voice in the heart of government, and I promise I will give that to them.”

Alzheimer’s Society’s National Influencing Manager Gemma Roberts said: “We are delighted that the Welsh Government has reaffirmed its commitment to developing a new dementia strategy for Wales. We stand ready and eager to work with the Welsh Government to turn this ambition into a reality.  

“People with dementia in Wales routinely face prolonged delays to diagnosis followed by gaps and stark inequalities in treatment and support. Delays of this scale have quietly become routine for dementia, Wales’s biggest killer, but would not be accepted for cancer or heart disease. It’s vital that the Plaid Cymru manifesto commitment to a diagnosis target of 12 weeks is included in the new strategy.  

“The science is flying with faster, more accurate diagnosis and new treatments on the horizon. With the delivery of a bold dementia strategy for Wales that tackles diagnosis, care and support, delivering the transformation that people living with dementia need.” 

 

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Community

Hywel Dda reaffirms commitment to Armed Forces community

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HYWEL DDA UNIVERSITY HEALTH BOARD has reaffirmed its commitment to the Armed Forces community by re-signing the Armed Forces Covenant.

The covenant was signed at the Wales National Armed Forces Day 2026 event, held at Pembrey Country Park on Saturday, June 27.

It was signed on behalf of the health board by Armed Forces Champion and Independent Board Member Michael Imperato, alongside Lisa Gostling, Deputy Chief Executive and Director of Workforce and Organisational Development.

The Armed Forces Covenant is a national promise to ensure that members of the Armed Forces community are treated fairly. It supports serving personnel, veterans, service leavers and their families, with a veteran defined as anyone who has served for at least one day.

By re-signing the covenant, Hywel Dda says it is continuing its role as an Armed Forces friendly employer and healthcare provider across west Wales.

This includes supporting the recruitment and employment of veterans, recognising military skills, providing additional support for reservists, offering flexible working for service families, working with partner organisations, supporting cadet groups and Armed Forces charities, and improving access to healthcare for veterans.

Anyone currently serving, or who has previously served in the Armed Forces, can find out more about the support available through Hywel Dda University Health Board’s Armed Forces Covenant pages.

Staff who are part of the Armed Forces community can also access support through the health board’s Armed Forces Staff Network by contacting [email protected].

 

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