Health
Former director of Withybush says ‘lives will be lost without urgent NHS shake-up’
PEOPLE will die unless there is an urgent shake-up of NHS care, a former emergency medicine director has warned.
Dr Iain Robertson-Steel said ambulance delays and the lack of resources were the worst he had ever seen.
The former director of Withybush Hospital said ambulance delays and the worst lack of resources he’d ever seen as indicators of decline.
Dr Robertson-Steel, also Chairman of the Bench at Haverfordwest Magistrates’ Court, has recounted how he has had to drive two people to hospital himself due to the ambulance shortage.
He stated: “In rural areas with long journey times, you have to have an effective ambulance service, so it’s important that the numbers shouldn’t be reduced.

“If we fail to deliver prompt care for coronary disease, strokes and sepsis, lives will be lost unless we reorganise. It’s a stark warning but it’s a message that many of my clinical colleagues and I have been putting out for some years – there’s no doubt that delayed care costs lives.”
It follows comments from the Chief Executive of NHS Wales earlier this week, who admitted the health service is facing its “most challenging period” since the beginning of the pandemic.
Dr Andrew Goodall was also unable to defend the disparity between the waiting time for NHS treatment with England, where it is five times less likely a patient will have to wait over a year for operation than in Wales, stating more must be done to improve access to care.
Labour’s Health Minister in Cardiff Bay also said this week that she “can’t rule out” routine NHS services being suspended during the winter months.
Commenting, Welsh Conservative and Shadow Health Minister Russell George MS said: “Another day, another stark warning from medical experts to the Labour Cardiff Bay Government about how it is imperative it changes it ways to save our health service from collapse.
“Ministers may want to blame the pandemic but the warning signs were flashing on the dashboard long before that – the NHS treatment backlog doubled in just one year before Covid struck and now is out of control with one-in-five Welsh people of a waiting list.
“Dr Robertson-Steel is right: the worst A&E waits ever, the longest waiting list ever, and the second slowest ambulance response times on ever. It’s no wonder he felt he had to say what he did.
“Welsh Conservatives have long called for rapid diagnostic centres and advocated Covid-light centres for over a year to focus on addressing the backlog and ensuring people did not lockdown to save the NHS only for Labour ministers to squander all that hard work.”

Dr Iain Robertson-Steel retired in April 2018 as the Director of Withybush DGH in Haverfordwest and county Director and commissioner for Pembrokeshire.
He previously held posts as director of A&E services at the Royal Wolverhampton NHS Trust, was consultant medical director of West Midlands Ambulance Service and NHS Direct Birmingham and the Black Country.
He has held honorary senior lecturer posts and has worked as a service modernisation consultant. He has published many articles on emergency care.
He is registered on the GMC register, with specialist skills in general practice and primary care.
He was a founder medical member of the Faculty of Pre-hospital Care, Royal College of Surgeons Edinburgh.
He previously served in the Royal Air Force, his connection with Wales dates back to RAF Brawdy in Pembrokeshire.
He has recently retired having qualified from Birmingham University Medical School in 1979 and has lived in West Wales since 2006.
Charity
Local St John Ambulance cadets confirmed national first aid champions
ST JOHN AMBULANCE is proud to share that three local St John Ambulance cadets have been crowned National First Aid champions after competing against eight other cadet teams representing counties across Wales.
The team, comprising Emily Williams (Yr 10, Ysgol Bro Gwaun), Ruby Collins (Yr 10, Ysgol Henri Tudor), and Gemma Tilbury (Yr 11, Ysgol Henri Tudor) represented the whole of Dyfed, and demonstrated exceptional skill, teamwork, and composure throughout three demanding rounds.
The competition consisted of a first aid knowledge quiz and exam, followed by a practical skills challenge assessing communication, teamwork, and the ability to perform under pressure—an area in which they excelled. The final round featured a complex, theatrically produced first aid scenario. Here, the team showed remarkable calm and professionalism as they stabilised a casualty with a severe compound bleed involving a large object lodged in the wound. They also managed distressed and aggressive members of the public, and successfully resuscitated an unresponsive, non-breathing casualty using CPR and a defibrillator—all completed in record time.
In Pembrokeshire, cadets train every Monday evening during term time from 5:45–7:15pm, with sessions focussing on practical, hands-on learning of real-life first aid skills, including CPR, defibrillator use, treatment of severe wounds, allergic reactions, choking, strains and sprains, head injuries, heart attacks, hypothermia, and much more. Training is engaging and interactive, often involving active, game-based learning, ensuring there is rarely a dull moment.
Cadets also have the opportunity to support a wide range of events delivered by St John Ambulance Cymru. Working alongside adult volunteers and healthcare professionals, they engage with the public at events of all sizes, applying their skills in real-world, and sometimes life-saving, situations.
Beyond events, cadets are encouraged to share their knowledge within the community, helping to lead first aid demonstrations and inspire others. Previous outreach has included sessions with Scouts, Cubs, Brownies, and Girlguiding groups, as well as senior community organisations such as the Pembroke Lions and specialist charities like Pembrokeshire People First. On a larger scale, cadets played a key role in organising and delivering “Defibruary,” where they helped lead a team of St John first aiders to train over 950 students at Henri Tudor in a single day in February 2026.
If you are interested in volunteering, opportunities are available for cadets aged 11–16 and adults aged 16+. We are always keen to welcome new members and are happy to discuss opportunities for adults to support the cadet programme as youth leaders.
To find out more visit https://www.sjacymru.org.uk/volunteer
Charity
Paul Sartori receives generous support from the James Tudor Foundation
Paul Sartori Hospice at Home is celebrating a major support package from The James Tudor Foundation thanks to an unrestricted grant to help fund the charity’s vital end-of-life care services throughout the county.
The £46,364 grant award ill be paid over three years.
Commenting on the windfall, the new Chief Executive Officer, Laura Hugman, said, “At a time where funding and funding partnerships are challenging, we’re very grateful to The James Tudor Foundation in helping us achieve our aims and passion for supporting and bringing reassurance to the local families who need us.”
Paul Sartori Hospice at Home provides an holistic approach to end-of-life care, which encompasses home nursing, equipment loan, complementary therapies, bereavement and counselling support, physiotherapy, future care planning, and training. The team provides thousands of hours of day and night respite care each year, ensuring that patients can receive the support they need, complementing the statutory provision within the comfort of their own homes.
Judith Williams, Grant Development Officer at Paul Sartori Hospice at Home, expressed the charity’s gratitude: “We’re incredibly thankful to The James Tudor Foundation for their continued generosity. Their support helps us maintain our nursing service, which is a lifeline for many families facing end-of-life care challenges.”
Paul Sartori Hospice at Home offers a comprehensive range of services to individuals with life-limiting illnesses, ensuring they can be cared for at home with dignity, independence, and comfort.
Health
FOI raises fresh questions over plan to close Pontyates GP surgery
Health board accused of misleading claims over recruitment as pressure mounts ahead of final decision
A FREEDOM of Information disclosure has raised serious questions over plans to close Meddygfa’r Sarn in Pontyates, with claims the health board failed to properly attempt to recruit permanent doctors before recommending its shutdown.
The row centres on Hywel Dda University Health Board, which is due to make a final decision on the surgery’s future later this month.
An FOI response reveals that while the board cited a “lack of recruitment interest” in its January report, there is limited evidence of any recent, targeted recruitment campaign specifically aimed at the Pontyates practice.
Instead, the board confirmed that salaried GP roles were advertised in 2020 across its wider portfolio of managed practices — rather than as a focused effort to fill posts at Meddygfa’r Sarn itself. Those vacancies did not result in successful appointments.
‘No real attempt’
Independent Senedd candidate Carl Peters-Bond, who is also a patient at the surgery, has strongly criticised the health board, accusing it of presenting a misleading picture to justify closure.
He said: “They cited a lack of recruitment interest as justification for closing this surgery — but they never actually ran a proper recruitment campaign for it.
“Sending out general adverts years ago is not the same as making a serious, targeted effort to keep a vital community service alive.”
He also raised concerns about the consultation process, claiming it focused on the impact of closure rather than asking whether closure should happen at all.
Fully reliant on locums
The FOI confirms that Meddygfa’r Sarn currently has no salaried GPs and is entirely dependent on locum doctors.
While the health board says this model is unsustainable in the long term, the same disclosure shows several other managed practices across the region also rely heavily on locum staff — some to a significant degree.
Cost data included in the response suggests Meddygfa’r Sarn is not the most expensive practice per patient within the health board’s area.
Alternative options unclear
Another key issue raised by campaigners is the apparent lack of explored alternatives.
The FOI response indicates that the health board does not hold information on alternative local solutions, including potential relocation or different service models within the Pontyates area.
Campaigners argue this suggests closure was considered before all options had been properly examined.
A 52-page independent report submitted as part of the consultation process states that dispersing patients to other surgeries should only be considered as a last resort, after full recruitment efforts and capacity assessments have been carried out.
Health board position
Hywel Dda University Health Board maintains that the surgery, which serves around 4,350 patients, has faced long-standing recruitment difficulties and increasing reliance on temporary staff.
It says a Vacant Practice Panel concluded that dispersing patients to neighbouring surgeries would provide a more sustainable long-term solution.
The board has also acknowledged that transport and access concerns are likely to be a major issue for patients if the closure goes ahead, with a full Equality Impact Assessment expected to be considered before a final decision.
Decision later this month
The future of Meddygfa’r Sarn will be decided at a meeting of Hywel Dda University Health Board on Wednesday (May 28) at Yr Egin in Carmarthen.
With local anger growing and new questions emerging from the FOI disclosure, pressure is mounting on board members to reconsider the proposal.
Campaigners say the case now hinges on a simple question: whether enough was done to save the surgery before moving to close it.
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