Health
Health services row escalates as MSs demand action over Withybush and Bronglais
Concerns grow over emergency surgery and stroke care proposals in west Wales
LOCAL Senedd Members have called on the Welsh Government to intervene urgently amid fears that key services could be removed from Withybush Hospital.

Paul Davies MS and Samuel Kurtz MS have written jointly to the Cabinet Secretary for Health and Social Care following last week’s meeting of Hywel Dda University Health Board, where proposals affecting Withybush and Bronglais hospitals were discussed.
The politicians warned that removing emergency general surgery and stroke services from Withybush could have serious consequences for patients across Pembrokeshire and the wider west Wales region.
In their letter, they said the plans could significantly increase travel times for critically ill patients, place further pressure on ambulance services and risk widening health inequalities in rural communities.
They also raised concerns that stripping back core acute services could threaten the long-term viability of the hospital’s Accident and Emergency department.
Stroke treatment was highlighted as a particular concern because outcomes are highly time-dependent, with delays potentially leading to life-changing consequences for patients.
The MSs also pointed to uncertainty surrounding proposed changes at Bronglais Hospital in Aberystwyth, warning that communities across mid and west Wales were already facing geographic barriers to accessing urgent care.
They have formally called on the Welsh Government to step in to ensure services remain at both hospitals.
Samuel Kurtz said the issue had caused “deep concern” locally, adding that rural communities deserved safe and equitable access to emergency healthcare.
Health Board response
Hywel Dda University Health Board has previously said the changes are being considered because some services are “fragile and in need of change,” with workforce pressures, recruitment challenges and increasing demand affecting sustainability.
Following its extraordinary meeting on February 19, the Board confirmed that no immediate changes would take place and that services would continue as normal while detailed implementation plans are developed.
Mark Henwood, the Board’s Executive Medical Director, said: “I would like to reassure members of our community that our services remain safe, but are fragile and need to improve to provide the best patient outcome and experience.
“No immediate changes will take place because of the decisions we made as a Board today… patients should attend their appointments as usual.”
The Health Board has also said changes would likely be introduced in phases over several years and that further engagement is planned, particularly around stroke services, before any final decisions are made.
Longstanding concerns
The latest intervention from politicians comes amid longstanding public concern in Pembrokeshire over the future of services at Withybush, with campaigners repeatedly warning that downgrades could lead to longer journeys to hospitals such as Glangwili in Carmarthen or Morriston in Swansea.
The Herald has approached the Welsh Government for comment.

Business
BPCA calls for stronger action to protect Welsh homes from pests
AHEAD of the Senedd elections in May, British Pest Control Association (BPCA) is calling on the next Welsh Government to do more to protect people in Wales from preventable pest problems in their homes.
In its new manifesto for public health pest management in Wales, the national trade body says no one should have to live with rats, cockroaches, flies or other pests because of poor housing conditions, slow repairs or inadequate waste management.
Housing, public health and environmental regulation are devolved to the Senedd.
BPCA is urging Welsh policymakers to make sure protections against pest problems apply to all renters, not just those in social housing.
The Association warned that pests in homes are not just a nuisance and can pose a risk to health.
Rodents can spread diseases, including leptospirosis, salmonella and listeria, while also causing damage by gnawing pipes and wiring. Cockroaches, flies, and other insects can spread pathogens, contaminate food and damage belongings.
Rosina Robson, Chief Exec of the British Pest Control Association (BPCA), said: “Too many people are still being left to deal with pest problems that could and should have been prevented.
“Where there are building defects, poor waste management or delays to repairs, infestations can quickly take hold. That has a real impact on people’s health, well-being, and quality of life.
“It should not matter whether someone lives in social housing, private rented housing or temporary accommodation. The risks posed by pests are the same, and the protections should be too.
“We want the next Welsh Government to recognise the danger pests pose in people’s homes and make sure everyone in Wales has the right to live in a decent home that is protected from avoidable infestations.”
BPCA’s manifesto calls on the next Welsh Government to:
- Recognise the danger that pests pose to the health and well-being of tenants
- Ensure protections for all renters, including people living in social rented, private rented and temporary accommodation
- Back a stronger public health approach to pest management in Wales.
The manifesto also highlights the wider role of professional pest management in protecting public health, food supply chains and the built environment across Wales.
BPCA says tackling pests properly means more than responding once an infestation has taken hold. Landlords and property managers also need to act on the advice of pest professionals, including improving communal waste disposal, repairing defects in buildings and addressing the conditions that allow pests to thrive.
Niall Gallagher, BPCA’s Technical Manager, added: “We wouldn’t accept pest activity in places such as factories or restaurants where food is prepared, and people should not be expected to put up with the same risks in their own homes.
“This is about prevention, public health and basic standards. Wales has an opportunity to lead the way and make sure fewer people are left living in misery because of pests.”
BPCA’s full manifesto, A manifesto for public health pest management in Wales, is available from the Association’s website.
Health
Nursing graduate jobs crisis warning as NHS pressures deepen
THE ROYAL COLLEGE OF NURSING WALES has warned of a growing jobs crisis for newly qualified nurses, saying a shortage of Band 5 posts could leave up to half of this year’s nursing graduates without work when recruitment opens.
The union said the situation was particularly alarming given the severe pressures already facing NHS Wales, with staff continuing to report overcrowded wards, unsafe conditions and unmanageable workloads across multiple health boards.
RCN Wales said the lack of available jobs for newly trained nurses pointed to a serious failure in workforce planning. It warned that losing new entrants to the profession would place even more strain on already overstretched services and could further affect patient care.
The organisation said the situation also undermined the Welsh Government’s and NHS Wales’ duty to improve the quality and safety of care.
RCN Wales is calling on the Welsh Government to provide urgent clarity on the scale of the shortfall, set out credible long-term workforce planning, and introduce immediate system-wide measures to recruit, retain and deploy the nursing workforce Wales needs.
The union said it had received assurances that students would not be penalised if posts were unavailable. That includes being released from any obligation to work in Wales and not being required to repay tuition fee support where workforce shortages prevent them from securing employment.
Professor Sandy Harding, Associate Director of Nursing at RCN Wales, said: “The situation facing newly registered nurses is deeply concerning and exposes serious failures in workforce planning.
“It is becoming increasingly clear that this situation is being driven by financial constraints, including the freezing of vacant posts within local health boards. Our NHS is under intense pressure, yet hundreds of newly qualified nurses may have no posts to enter. This is simply unacceptable.
“These students stepped forward for Wales, trained through immense challenges, and now face uncertainty at the very moment the system needs them most. They deserve far better.
“Every newly qualified nurse will be vital to meeting Wales’s care needs. The RCN will continue to demand transparency, accountability and long-term planning from the system. We will not stop speaking up for students, for our safety-critical nursing workforce, and for the people who rely on safe, high-quality care.”
Health
Crumbling NHS faces £1bn repairs bill in Wales
Senedd election promises collide with the harsh reality of ageing hospitals, fire safety concerns and a maintenance crisis stretching across the country
WALES’ NHS is facing a repair and maintenance crisis of almost £1bn, with some of the country’s biggest hospitals burdened by ageing buildings, serious safety concerns and growing pressure on already stretched budgets.
New figures covering 210 NHS sites show that the backlog of work classed as high risk or significant risk has now reached £917m — up 71% in just four years.
The data, published for 2024-25 by NHS Wales Shared Services Partnership, shows more than £616m of the total relates to serious problems at 12 of Wales’ 13 main hospitals.
Ysbyty Gwynedd has the biggest backlog of high and significant risk repairs at £110.5m, followed closely by University Hospital of Wales in Cardiff, where the figure stands at £106.8m.
The scale of the problem is not just financial. Three hospitals — Bronglais, Prince Philip and Ysbyty Gwynedd — have 40% or more of their space rated as not fire safety compliant. At Ysbyty Gwynedd, 35% of space is also not regarded as health and safety compliant.
Aging estate
The figures highlight the deep-rooted problem of an ageing NHS estate across Wales.
More than 30 NHS sites have buildings where over half the estate predates the creation of the NHS in 1948. Another 17 sites, including University Hospital of Wales and Bronglais Hospital, are mainly made up of buildings between 50 and 60 years old.
Only one major hospital in Wales — the Grange Hospital near Cwmbran — is said to have no maintenance backlog. But even that project, which cost £350m, was first proposed in 2004 and only opened during the Covid pandemic, showing how long major hospital developments can take.
When the wider risk-adjusted backlog is considered across all NHS buildings in Wales, focusing on problems where safety may be at risk, the total cost rises to more than £1bn.
The largest overall figure is in the Betsi Cadwaladr health board area, where the backlog stands at nearly £278m.
Despite the Grange being one of the newest hospitals in Wales, Aneurin Bevan health board still faces a backlog of almost £233m, much of it linked to older sites including the Royal Gwent and Nevill Hall hospitals.
In Hywel Dda, where hopes of a new west Wales hospital remain some way off, the total backlog has reached £221m. Among the worst affected sites is Glangwili Hospital in Carmarthen, where high and significant risk repairs and maintenance amount to £82m.
West Wales pressure
FOR west Wales, the figures are especially troubling.
Hywel Dda residents have already faced years of uncertainty over the future of hospital services, and the scale of the maintenance bill raises fresh questions about how long ageing buildings can continue to serve local communities safely and effectively.
Bronglais Hospital is among the sites with major fire safety compliance concerns, while Glangwili carries one of the largest repair backlogs in the region.
The growing cost of patching up older hospitals will inevitably intensify the political argument over whether ministers should prioritise maintaining existing buildings or push ahead with long-promised new developments.
The chair of Cardiff and Vale health board recently acknowledged that the age and condition of University Hospital of Wales was affecting morale and efficiency, describing the quality and upkeep of buildings as an ongoing concern.
Expert warning
Mark Dayan, a policy analyst at the Nuffield Trust, said Wales had a worryingly large maintenance backlog by any standard.
He warned that poor infrastructure could directly affect the way care is delivered, making it harder for the NHS to reorganise services, improve patient flow or create safe, modern working environments.
The issue is not unique to Wales. NHS England is facing its own enormous repair backlog, estimated at £16bn. But in Wales, where budgets are tighter and hospital plans often move slowly, the pressure is especially acute.
Election battleground
WITH the Senedd election set for Thursday, May 7, parties are offering different solutions to the growing crisis.
Labour has pledged a £4bn Hospitals of the Future fund, promising new hospitals including replacements for Wrexham Maelor Hospital and University Hospital of Wales, as well as a major development in west Wales.
Plaid Cymru says Labour’s sums do not add up, and argues urgent high-risk repairs should come first.
Reform UK says the Welsh Government should concentrate its capital budget on clearing the maintenance backlog rather than making promises on multiple new hospitals.
The Conservatives say they would declare a health emergency and expand capacity through new community hospitals, diagnostic centres and surgical hubs.
The Liberal Democrats say they would upgrade the worst parts of the NHS estate while backing a replacement for University Hospital of Wales, linking investment to wider reform of social care and community services.
The Green Party has called the backlog a disgrace and says it would launch a multi-year programme to bring NHS facilities up to a safe and modern standard.
Whatever the result in May, the next Welsh Government will inherit a stark reality: before it can deliver a new generation of hospitals, it must first confront the spiralling cost of keeping the current estate from falling further into decline.
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