More than 300 professionals sign open letter calling for prevention-focused care and urgent reform

OCCUPATIONAL therapists across Wales are urging the new Welsh Government to act before pressure on the NHS and social care system deepens further.

More than 300 members of the Royal College of Occupational Therapists in Wales have signed an open letter calling for a major shift towards prevention, early intervention and care closer to home.

They say too much support is currently arriving only after people have reached crisis point.

The therapists argue that earlier help in the community could reduce hospital admissions, ease pressure on overstretched services and improve lives across Wales.

Occupational therapists work across the health and care system, supporting premature babies and families in neonatal care, helping children take part in school, enabling adults to stay in or return to work, and helping older people live safely in their own homes.

The Royal College says the profession is often overlooked, despite playing a vital role in keeping people independent and reducing demand on hospitals.

Its members are calling for five key changes, including embedding occupational therapists in every community healthcare cluster, improving workforce planning, putting prevention at the heart of health policy, ending inconsistencies in provision, and opening leadership roles to occupational therapists.

Paul Smith, RCOT Policy and Public Affairs Lead for Wales, said: “Wales can’t afford to keep waiting for a crisis to happen.

“Occupational therapists are already preventing hospital admissions, easing pressure on stretched services and supporting people to do the occupations they want and need to do.

“But they need to be positioned to provide the right support at the right time to make maximum impact.”

The call comes amid continued concern over waiting times, delayed discharges and pressure on hospitals, including in rural parts of Wales where patients often face long journeys for care.

RCOT says ministers, health boards, councils and sector leaders must now work with the profession to ensure people receive the right support earlier, closer to home, and before problems spiral into crisis.

Health bosses promise better joined-up care — but patients will want assurances over Withybush and travel distances

PEMBROKESHIRE patients are likely to be asking what a major NHS shake-up means for the future of hospital services closer to home after a new regional health body formally took over planning across south west Wales.

Health chiefs this week confirmed that regional working has formally transferred from ARCH (A Regional Collaboration for Health) to the South West Wales Regional Joint Committee (RJC), bringing together Hywel Dda and Swansea Bay university health boards under a new leadership structure.

The move is being presented by NHS leaders as a way to improve coordination, reduce waiting times and strengthen specialist healthcare across the region.

Key programmes expected to continue under the new body include cancer care, stroke services, vascular treatment, orthopaedics, pathology and eye care.

But for many in Pembrokeshire, the announcement may trigger familiar concerns about whether “regional working” could eventually mean more services being delivered further east, requiring patients to travel longer distances to Carmarthen or Swansea.

Withybush Hospital remains fiercely valued by local communities, and previous changes to hospital services have often sparked strong public reaction.

For patients in more rural parts of Pembrokeshire — including St Davids, Fishguard, Newport, Crymych and Tenby — access to healthcare can already involve journeys of 40 to 60 miles or more for appointments and treatment.

While health officials insist the new structure is about improving care and making better use of expertise across the region, questions are likely to be asked locally over how Pembrokeshire’s voice will be represented in decisions affecting frontline services.

Among the issues patients may want clarified are whether services currently provided at Withybush could be affected, how travel difficulties for rural communities will be considered, and whether the new regional approach will improve care locally or lead to greater centralisation.

The Regional Joint Committee replaces ARCH, which since 2015 brought together Swansea Bay University Health Board, Hywel Dda University Health Board and Swansea University to support healthcare innovation and service planning.

Health leaders say the new committee will continue to support research, technology and partnership working, while involving patients and communities in shaping services.

But in here Pembrokeshire, many will this plan weaken Withybush, not strengthen it.

MENTAL HEALTH support has become a key issue for businesses in Wales as employers face growing pressure to help staff manage financial strain, stress and wellbeing at work.

The issue is being highlighted during Mental Health Awareness Week, with new insight from Reed showing that support for employee wellbeing is now an important part of attracting and retaining staff.

Workers in Wales said they need an annual income of £42,000 to live comfortably, compared with an average regional salary of £36,000. That leaves a “comfort gap” of £6,000.

Reed’s latest salary guides also show that 71% of workers say pay has become more important since the cost-of-living crisis, with many employees feeling the pressure of rising everyday costs.

The strain is not only financial. Separate research shows almost one in four workers in Wales, 24%, say they have previously been formally diagnosed with a mental health condition — the highest reported proportion of any UK region.

Pay alone ‘not enough’

Becky Hole, Regional Director at Reed, said employers now needed to look beyond salary alone.

She said: “In Wales, financial pressure and mental health challenges are closely linked. Our data shows that many employees are placing greater importance on stability and support, particularly where salary growth is constrained.

“This means benefits that support work-life balance and mental wellbeing are becoming a much more important part of how valued people feel at work.

“Organisations that prioritise employee wellbeing also benefit in tangible ways. By providing stronger support for mental health, employers can lower staff turnover and reduce the long-term costs linked to ongoing recruitment and the loss of skilled, experienced employees.”

What workers want

WHEN asked what would help them manage stress, 35% of workers in Wales said they wanted more flexible working, 34% wanted better mental health training for managers, and 30% wanted clearer communication about support already available.

However, Reed said there remains a gap between what workers want and what they receive.

The most common benefits currently reported by workers in Wales are onsite parking, at 28%, flexi time, at 26%, and hybrid working, at 23%. Nearly one in five workers, 18%, said they receive no benefits at all.

Ms Hole added: “What this shows is a disconnect between what employees say would most help them manage stress and how clearly mental health support is currently embedded and communicated.

“However, Wales stands out when it comes to flexi time, with a higher proportion of employers offering this benefit compared to other regions — a positive step given its proven role in supporting employee wellbeing and work-life balance.

“Flexible working, open conversations about mental health and managers who are properly trained all come through strongly as priorities.

“Employers have a responsibility to look after their people, and those who want to help their workforce truly destress need to ensure their benefits are visible, accessible and actively support everyday mental resilience.”

Reed said businesses that take wellbeing seriously are more likely to retain skills, stability and trust over the long term.