NEIL THOMAS thought testicular cancer was something that happened later in life — until he was diagnosed at 35.

In April 2019, Neil, who was working as a teacher in Doha, Qatar, rolled over in bed after a long day at work and felt something unusual. A self-check revealed a hard lump in one of his testicles.

The next morning, the now 41-year-old from Lawrenny, Pembrokeshire, spoke to his wife Zoe, who urged him to see a doctor. An ultrasound confirmed the tumour and within a week he was in surgery to remove his left testicle.

“It was all very quick,” Neil told The Herald. “The biopsy showed it was a fast-growing cell type, so they gave me two rounds of chemotherapy as well. It was a traumatic time — for me, my wife and my family. Those first four weeks were particularly hard. I was constantly worried and struggled to process what was happening.”

Neil credits his mum — a breast cancer survivor — with encouraging him and his brother to regularly check themselves. That habit may have saved his life.

“I didn’t realise testicular cancer mainly affects younger men,” he said. “In my head, cancer was something for older people. I would advise anyone with concerns to get checked out straight away. Catching it early meant it could be treated fast and stopped from spreading.”

His experience reflects a wider lack of awareness among young men. A recent Movember survey found that 61% of men aged 16 to 40 didn’t know their age group was at risk of testicular cancer — which is the second most commonly diagnosed cancer in men aged 15 to 39 globally.

Despite the importance of early detection, the survey found that:

• 17% of young men feel unsure how to check their testicles
• 26% feel very confident
• 51% feel somewhat confident
• 5% have no idea at all

Worryingly, 15% of young men never check themselves, and only 20% do so once a month.

When asked why they might not go to a doctor after finding something unusual, 18% said they would be afraid it was something serious, 23% said they wouldn’t go unless there was pain, and 22% would wait until it got “really serious.” Still, 67% said they would make a doctor’s appointment if something didn’t feel normal.

This April, during Testicular Cancer Awareness Month, the global men’s health charity Movember is encouraging men to “Know Thy Nuts” — a campaign aimed at helping men get familiar with what’s normal and what to do if something feels off.

A recent survey by the charity found that 84% of men who visited Movember’s testicular health guide felt more confident performing self-checks afterwards.

Professor Simon Rice, Global Director of the Movember Institute of Men’s Health, said: “Testicular Cancer Awareness Month is about taking control of your health. The simplest action young men can take is to get to know their nuts. That way, if they notice any changes, they can see a doctor. When caught early, testicular cancer is highly treatable.”

Movember is urging men to take a few minutes this month to check themselves, learn what’s normal, and encourage others to do the same. Visit the Know Thy Nuts website to find out more.

The Herald understands that 70 men died of testicular cancer in the UK in 2019 — an average of nearly six each month. That year, the death rate was 0.2 per 100,000 men.

Movember has invested in more than 25 testicular cancer projects worldwide and has also developed its Nuts & Bolts support hub, co-designed with survivors to offer advice, resources and a sense of community.

A MIDWIFE team from Hywel Dda University Health Board has won a prestigious national award for their work improving safety for mothers and babies.

The Maternity and Neonatal Governance and Risk Team took home three awards at the 2025 Maternity Unit Marvels (MUM) Awards, organised by the charity Baby Lifeline.

The team had already been told they would receive two accolades in the workforce category: the Promoting Collaboration and Team Working award, and the Achieving Excellence Through Service Improvements award.

But they were surprised to also be named national winners of the workforce category, beating strong competition from NHS teams across the UK.

The ceremony took place at the Palace of Westminster in London on Thursday (Mar 13), with awards presented by Call the Midwife star Linda Bassett and hosted by Lord Darzi of Denham.

Representing Hywel Dda on the night were Cerian Llewellyn (Interim Head of Midwifery), Dr Tipswalo Day (Consultant Obstetrician and Gynaecologist), Dr Mathew Pickup (Consultant Paediatrician), Angela Morgan (Midwife), Bethan Osmundsen (Senior Nurse Manager for Acute Paediatrics), and Leah Andrew (Senior Nurse).

The awards celebrate excellence in maternity and neonatal care and are judged by senior representatives from NHS England, the Royal College of Midwives, the Royal College of Obstetricians and Gynaecologists, the Nursing and Midwifery Council, and other key health bodies.

Dana Scott, Director of Midwifery at Hywel Dda UHB, said: “Winning these awards has been a fantastic recognition of the collective efforts of our team at Hywel Dda.

“Knowing that all the hard work of our multi-disciplinary team to make one of the most precious moments in life a safe and positive experience for mums and their families has been recognised by a prestigious panel of expert judges means so much to us.”

Sharon Daniel, Interim Director of Nursing, Quality and Patient Experience at Hywel Dda, said: “I’m delighted for the team – they’ve worked incredibly hard over the years to support members of our communities.

“Pregnancy can be both an exciting and a worrying time, and our teams try their very best to ensure that they treat all mums, birthing people and their families with compassion and the best care possible.

“Thank you to every member of the team who has played their part in achieving the award.”

Nearly 3,000 babies are born every year in the Hywel Dda region, with the midwifery team supporting families at home, in the community, and in local hospitals.

To find out more about the MUM Awards, visit: www.babylifeline.org.uk/mum-awards

TENS OF thousands of people at the greatest risk of irreversible sight loss are languishing on waiting lists for too long, with services woefully under-resourced, a committee heard.

The Senedd’s health committee took evidence from clinicians, charities and patients as part of a short inquiry into ophthalmology in Wales on March 20.

More than 80,000 patient “pathways” – which include those waiting for multiple treatments – were waiting too long for sight-saving treatment in January, according to the latest data.

Russell George, who chairs the health committee, asked about prevention given half of all sight loss is avoidable with early detection and timely treatment.

Ansley Workman, director of the Royal National Institute of Blind People (RNIB) Cymru, welcomed a new national clinical strategy but warned of a lack of commitment.

“There’s no investment, there’s no timeline,” she said: “And that timeline needs to be at pace and the reason for that is people are going blind in Wales now, so it is a matter of urgency.”

In its written evidence, RNIB Cymru voiced concerns about the lack of a significant investment and direction from ministers in Cardiff Bay.

The charity warned: “Without this, Wales’ eye care waiting lists will continue to rise as will the number of patients … needlessly losing their sight while waiting for NHS treatment.”

Ms Workman raised underreporting of the scale of harm befalling patients in Wales, with “shockingly low” reports despite 80,000 patient pathways being over their clinical target.

Senedd Members heard powerful stories from patients who shared their frightening experiences of living in constant fear of losing their sight.

Rhianon Reynolds, clinical lead for ophthalmology within the NHS Wales Executive, pointed to the development of the national strategy but warned of a lack of support to drive change.

The consultant ophthalmologist said: “We can put the blueprint in place but without investment … it’s going to be difficult to show significant change.”

Ms Reynolds, who is president of the Royal College of Ophthalmologists in Wales, told Senedd Members that ophthalmology is the biggest outpatient speciality in the NHS.

But she said: “We are often perceived as a small speciality because we don’t have inpatients, so … we’re often not overly prioritised in terms of how we are funded.”

Ms Reynolds warned: “In terms of consultant ophthalmologists we are woefully under-resourced in Wales right across the board. Some areas are like a desert.”

She added: “Even if we had more secondary care clinicians, we don’t have the space.”

Ms Reynolds, who works at Aneurin Bevan health board, raised “fundamental problems” with the estate, citing examples of ceilings falling in and plants growing through the walls.

On the £8.5m roll-out of the OpenEyes patient record system, which began in 2021, she explained that Digital Health and Care Wales (DHCW) is responsible for the project.

She told the committee: “We don’t have it across all the health boards, it’s available in Cardiff, it’s potentially being rolled out to other health boards.”

Last week, health secretary Jeremy Miles escalated intervention arrangements at DHCW due to serious concerns about its ability to deliver major programmes.

Asked if roll-out of OpenEyes is being prioritised, Ms Reynolds said: “No, I don’t think it is.”

She told the committee a digital transformation is required, saying: “It’s a huge area of frustration for us,” with services still receiving letters rather than digital referrals.

Ms Reynolds said Wales is well below the Royal College’s recommendation of 3.2 ophthalmologists per 100,000 people, with around 1.9.

“In terms of the consultant workforce, we’re extremely under-resourced,” she warned, adding that there is not a much-needed workforce plan in place.

Wales has the lowest numbers of consultant ophthalmologists of any part of the UK and, across Europe, only North Macedonia has fewer, according to the RNIB’s evidence.

Owain Mealing, chair of Optometry Wales, warned of “clunky” integration between primary optometry and hospital services, with fax machines and paper records still in use.

Andrew Pyott, a consultant ophthalmologist at NHS Highland, undertook a 2021 review on eye care services in Wales which described the situation as serious and fragile.

He said: “The biggest driver is for cataracts services, that’s what patients often see as a priority for them – many who are languishing on long waiting lists, with an impact on their daily lives because they can no longer drive or, in some cases, keep down employment.”

Asked about agreements for patients to be treated in England, he told the committee that Welsh taxpayers are effectively subsidising Bristol’s training programme.

Prof Pyott said: “It would be much better for the Welsh taxpayer to be preparing the next generation of vitreoretinal surgeons for your country.”