Health
‘Serious concerns’ as Hywel Dda Health Board confirms closure Johnston Surgery

- Pharmacist slams “a dereliction of duty” putting patients at risk
- Board ignores GPs who say they’re already overburdened
- Managed practice in Neyland could still be short of GPs
EXCLUSIVE
GP SERVICES in Johnston will stop at the end of October, The Pembrokeshire Herald can reveal.
Current patients registered with the practice will be forced to other GP practices over their and those practices’ strenuous objections.
4,000 patients will remain registered with a GP practice managed by the Health Board and based in Neyland.
Based on their geographical location and list availability, the remaining patients will be forced to go to GPs in Haverfordwest or Milford Haven.
In reaching its decision, the Board ignored objections from patients based in Johnston, the lack of suitable public transport, rejection of the proposals by Johnston Community Council, concerns expressed by Johnston Pharmacy, IT issues, and other GP practices’ unwillingness and lack of capacity to deliver services.
Instead, the Board decided that a Health Board Managed Practice be established to operate from St Clement’s Surgery in Neyland to serve those patients living in Neyland and the surrounding area.
(approximately 4,000 patients).
Those patients living closer by travel time to another GP Practice than St Clement’s will be re-registered with the closest practice (approximately 2,000 patients).
The Board claims that decision is in line with the Health Board’s strategic aim of delivering care closer to home by delivering it in less convenient locations further from people’s homes.
No existing GP practices were prepared to run the General Medical Services contract for Neyland and Johnston.
One respondent said: “I have serious concerns about the systematic and insidious degradation of health services in Pembrokeshire by Hywel Dda Health Board.
“The inability to recruit and retain medical professionals in Pembrokeshire to run local GP surgeries and hospital facilities is a direct result of either deliberate or consequential actions by this health board and is deeply concerning.
“The fact that HDUHB sent out a six-page document requesting feedback on a serious situation of potential loss of the sole medical practice in the town, and less than half a page is given space to express those concerns, the remaining pages that are dedicated to requests for data on my ethnic, sexual and gender specifics would indicate to me that your attention is perhaps not focused on the right priorities of issues requiring being urgently addressed.”
Robert Street Practice in Milford Haven said: “We are very concerned that changing the practice boundary, deregistering patients, and allocating them to neighbouring practices will destabilize these practices.
“As you know, we have ongoing sustainability issues and feel that any change to our list size could exacerbate this.
“We continue to operate an open but closed list, in line with BMA guidance due to workload issues. However, our list size continues to grow due to ongoing patient allocations.
“We are concerned that the LHB have not considered our position and how the proposed sudden influx of patients could impact on our ability to provide services for our patients.”
St Thomas Surgery, Haverfordwest said: “We currently have sustainability issues ourselves. We have struggled to recruit suitable clinicians (doctors/nurses) over the last 2 to 3 years. We have not successfully replaced a retiring partner.
“Our practice will have 3 doctors over the age of 60 in the next 12 months. Retirement may occur at short notice, especially if clinical practice becomes unsustainable.”
St Thomas’s also points out the list reallocation comes at a particularly busy time, as GPs prepare to deliver flu vaccines and covid boosters during October and November.
Winch Lane Surgery made much the same points, adding: “Further increase in the practice population cannot be matched by an increased number of clinicians as there are no rooms for them to work in.
Responses from GP practices and the public also pointed out that new housing developments were already increasing the number of patients each practice registered before adding in extra patients from the closed GP base in Johnston.
And that’s before new patients’ details are screened and considered by the GP practices to which they are shunted.
Simon Noott of Johnston Pharmacy said moving GP services away from Johnston could undermine his business’s viability.
He added: “It would be a massive blow to the population of Johnston if they were to lose their surgery. Johnston village has a significant population; many needing medical services have limited mobility and would have to make the choice of postponing/not receiving treatment if moved to a different town.
“There is also a large population on low incomes who would find the cost of transport to another town prohibitive and an impediment to accessing GP services.”
Mr Noott concluded: “It would be a dereliction of duty for the Health Board to leave this population under provisioned and the result will lead to significant patient harm.”
Not only were Simon Noott’s concerns given a load of soft soap by the Board, but it also ignored every concern expressed by the GP practices.
The Board even acknowledges that position when defending its “challenging decision”.
It concedes regardless of the feeling of patients and stakeholders, the need to balance the risk of future service delivery outweighed public feedback and the concerns of health professionals.
On Monday (Sept 26) the Health Board issued a statement claiming no decision had been made.
However, if the Board contradicts its own expert panel, it will have to find enough GPs to staff both surgeries when its vacant practice panel says that can’t be done due to a lack of GPs. Contradicting a finding made twice by its own advisors would be unheard of.
Business
Pembrokeshire care providers urged to improve risk management

Staff shortages, cyber threats and rising demand highlight urgent need for action
CARE providers in Pembrokeshire are being urged to strengthen their risk management practices as they face increasing operational and financial pressures.
Ansvar Insurance, a leading specialist in the care sector, has warned that without proactive steps, services across the county could struggle to cope with a combination of rising demand, regulatory complexity and evolving risks.
The call comes as new data from the Welsh Government reveals that 2,226 adults in Pembrokeshire were receiving care and support at the end of March 2024 — a 3.5% rise compared to the same time the previous year.
Meanwhile, the sector continues to grapple with a shortage of staff. Although vacancy rates in Wales have slightly improved — dropping from 9% in 2022 to around 6% in early 2025 — providers are bracing for further recruitment challenges as UK immigration changes restrict the hiring of overseas care workers.
David Eccles, Head of Distribution at Ansvar, said: “The care sector is facing both operational and financial challenges. While the new Health and Social Care (Wales) Act 2025 may bring benefits in the long term, care providers in Pembrokeshire need to take action now to manage the growing risks.”
Alongside staffing pressures, cyber security has become a major concern. With increasing reliance on digital systems, providers are more exposed to data breaches, which can carry significant financial and reputational damage. Across the UK, care providers who reported at least one cyber incident in the past three years faced average costs of £9,528 per breach.
Health and safety obligations, personal accident risk, public liability exposure, and complex compliance requirements also continue to stretch provider capacity.
Eccles added: “There’s no doubt that care providers across Pembrokeshire deliver vital support to the most vulnerable. But in today’s climate, they must review their risk management strategies, invest in staff development, enhance cyber protection, and ensure they have the right insurance cover in place to meet the specific needs of the sector.”
Health
Hywel Dda pledges to end new HIV transmissions by 2030

Fast Track West Wales initiative launches across the region
HYWEL DDA University Health Board has formally pledged to become a Fast Track Region, launching Fast Track West Wales — a regional commitment to end new HIV transmissions by 2030 and reduce stigma across Carmarthenshire, Ceredigion, and Pembrokeshire.
The pledge was signed by Chief Executive Dr Phil Kloer, Executive Director of Public Health Dr Ardiana Gjini, and Sexual Health Consultant Dr Adam Tyler. By joining the global Fast Track Cities initiative, Hywel Dda UHB becomes part of an international and Welsh network of cities and regions working to eliminate new HIV transmissions. The approach centres on expanding testing, prevention, treatment, and access to support services, while also tackling long-standing stigma.
Dr Ardiana Gjini said the move marked a significant step forward for public health in West Wales.
“Becoming a Fast Track Region represents a powerful commitment to our communities,” she said. “Fast Track West Wales is not only about ending new HIV transmissions — it’s about challenging stigma and ensuring dignity for those living with HIV.
“HIV has long been associated with LGBTQIA+ communities, but it’s essential to understand that HIV does not discriminate. Anyone can be affected. Our upcoming campaigns will focus on broadening public understanding and fostering greater compassion.”
Fast Track West Wales is part of Fast Track Cymru, a national programme bringing together health boards, local authorities, voluntary organisations, and individuals with lived experience. The initiative aims to ensure equity, access, and education, so that no one is left behind.
More information about Fast Track Cymru is available at: www.fasttrackcymru.org
Education
Pembrokeshire pupils praised for leading the way on mental health and wellbeing

Tavernspite and Templeton schools recognised by Hywel Dda University Health Board
HYWEL DDA UNIVERSITY HEALTH BOARD has praised the outstanding efforts of pupils at Tavernspite and Templeton schools, who are pioneering a whole-school approach to emotional and mental wellbeing.
Earlier this year, Dr Ardiana Gjini, Executive Director of Public Health, visited the schools and was given a tour by pupils showcasing a wide range of initiatives aimed at supporting the health and wellbeing of the entire school community.
As part of their ongoing commitment to becoming Health Promoting Schools, children presented their approach to wellbeing, highlighting activities that foster healthy habits including regular physical activity, balanced nutrition, personal safety, environmental responsibility, good hygiene, and positive social relationships.
The schools have also created a joint initiative known as TEaM – Tavernspite/Templeton Emotional and Mental Well-being. This pupil-led group plays a key role in ensuring that emotional and mental health remains central to school life. Notably, the schools are the first in the UK to be recognised as official “parkrun schools,” a testament to their dedication to encouraging active lifestyles among pupils.
Head teacher Kevin Phelps said:
“Being a health promoting school is the most important work we do. As a federation, we believe deeply in supporting the physical and emotional wellbeing of our staff, pupils, and wider school families.
The many innovative practices we’ve adopted – from TEaM, our emotional wellbeing programme, to the Daily Mile, Smartphone-Free Childhood and parkrun – have already made a significant and positive difference to the health of our community.”
Dr Ardiana Gjini added:
“Schools are vital settings for promoting and protecting health and wellbeing. Tavernspite and Templeton have shown what’s possible when health and education work hand-in-hand.”
Hywel Dda University Health Board has supported the schools for more than a decade, providing training, resources, and guidance as part of their health promotion journey.
To learn more about the Whole School Approach to Emotional and Mental Wellbeing, visit:
https://hduhb.nhs.wales/healthcare/services-and-teams/staying-healthy/children-and-young-people/
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