Health
Good news for patients: Fresh approach rescues GP practice in Johnston
NEW and late information available to the Health Board relating to accommodating GP services in the Neyland and Johnston Medical Practice means that a decision to move Johnston patients to practices in Haverfordwest and Milford Haven has been scrapped.
The Board’s Vacant Practice Panel had recommended the immediate closure of the Johnston Surgery, with patients there re-registered in practices in Milford and Haverfordwest at the end of October.
Local GPs, pharmacies, community councils, and patients vehemently objected to the plan.
However, until the new information arrived, the Board was certain to follow the Panel’s recommendation.
However, the Board heard that a fresh proposal involving alternative premises, the possible recruitment of more GPs, and fresh provision on a new model gave the Board the chance to avoid dispersing patients in Johnston elsewhere.
The Board will establish a new practice to cover all 6,000 patients registered and will review the Vacant Practice Panel procedure.
The Board acknowledged retaining a 6,000-patient practice was a risk but that keeping a practice of that size would be more attractive to new GPs.
The key submission to the Board came from Community Interest Care CIC, a group including a former deputy director of the Health Board, business stakeholders, and input from the Council’s Director of Social Services, Jonathan Griffiths.
Member of the CIC, Cllr Paul Miller, told The Herald the Board deserved praise for listening to the strong concerns of patients and other practices about retaining a consolidated service.
He said: “Since the Vacant Panel process, it has become apparent that there are opportunities to use alternative premises, and additional GPs have come forward to support the practice in the short term.
“Given that maintaining the full list of 6000 patients will support the medium-long term sustainability of the practice, we can now commit to maintaining the list at 6000 patients.
“I’m very pleased that Hywel Dda Health Board’s meeting today confirmed the recommendation to manage the Neyland GP Practise for 12 months directly.
“Their decision gives us the breathing space we need to develop a sustainable, long-term plan for maintaining GPs’ services.”
He continued: “I was also pleased to note that the Health Board rejected the recommendation to disperse the patient list from Johnston.
“That’s really good news in my view for the long-term viability of the practice, and I’d like to put on record my thanks to the Health Board for listening to the concerns I, many patients, the LMC and the neighbouring practices raised.
“We’ve now got 12 months to come up with a plan to sustain the service long term and I look forward to working constructively with the Health Board to make sure we do.”
Neyland Town Council welcomed Thursay’s decision by the Board of the Hywel Dda University Health Board to retain the full patient list currently held by the Neyland and Johnston Surgery, and to run the Practice as a whole as a Health Board ‘managed practice.’
In an official statemenet the council said: “We appreciate that a ‘managed practice’ is not the ideal solution for any Practice, but as an interim measure to allow time for an alternative GP services provider to put forward a viable business case, the Board’s bold and sensible decision in light of new information not to accept the initial Vacant Practice Panels recommendation to disperse the patient list, will certainly be welcomed by Neyland’s community, as well as the communities in Johnston and other areas surrounding Neyland.
“The decision to maintain the existing patient list of approximately 6000 patients is important to the long-term future of the Practice, and is something that Neyland Town Councillors have been calling for since meeting with Members of Hywel Dda’s management team on the 11th August 2022. Removing the immediate uncertainty around the future of the Practice will go some way to address the concerns and worries of our community, regarding obtaining Health Care Services locally, in line with a stated aim of the Board. Neyland Town Council would urge Hywel Dda UHB to fully engage with alternative providers, as the Vacant Practice Panel suggested in their report to the Board and indeed in today’s meeting and would ask them to explore all avenues available to secure the long-term future and success of the Neyland and Johnston GP Surgery.
“Moving forward, to address concerns raised in today’s meeting regarding the process followed by the Vacant Practice Panel, if faced with a similar situation again we would ask that the Board seriously consider automatically moving a vacant practice to a ‘managed practice’ for a set period of a minimum of 12 months. A proposal previously made by Neyland Town Council in the 11th August meeting. This would provide some security for surgery staff and importantly remove immediate concerns of the patient base, while allowing the Vacant Practice Panel sufficient time to explore every avenue, which would be in addition to their already extensive workload.”
Health
RCN Wales appoints Nicola Williams as Executive Director
NICOLA WILLIAMS will take up the role in April, bringing more than three decades of experience in nursing and senior leadership.
The Royal College of Nursing (RCN) has announced the appointment of Nicola Williams as its new Executive Director for Wales.
She joins the organisation from Velindre University NHS Trust, where she currently serves as Executive Director for Nursing, Allied Health Professionals and Health Care Scientists. With 38 years of experience in nursing and more than six years at executive board level, she is widely recognised across NHS Wales for her work in improving patient outcomes.
A highly experienced strategic leader, Williams has worked across a wide range of clinical and organisational settings. She has led major transformation programmes, strengthened national clinical leadership networks and championed innovation and evidence-based improvements in care. Her work has contributed to changes adopted across Wales and has been recognised with national awards.
Speaking about her appointment, Nicola Williams said: “I feel privileged to be appointed as Executive Director of RCN Wales. I’m a proud nurse, passionate about patient safety and improving care standards.
“Delivering the best care is only possible when nursing staff are supported to work in safe, inclusive environments. I will stand alongside members and their patients.
“Nursing staff are the backbone of health and care. I am determined to support our members across Wales, wherever they work, to meet the challenges ahead and shape the future of our profession.
“I look forward to meeting members across Wales and ensuring our work is informed by their experiences and expertise.”
In her new role, Williams will lead the RCN’s work in Wales and provide strategic leadership across key priority areas spanning the UK.
She succeeds Helen Whyley, who has held the position since February 2019 and will move into a new role as Director of Service Innovation at the RCN.
Health
Decision pending on adult mental health referral pathway
HYWEL DDA University Health Board will decide next week whether to make changes to the GP referral pathway for routine adult mental health services permanent.
The decision will be taken at a public Board meeting on Thursday (Mar 26).
Board members will consider a proposal to formalise changes already introduced in Ceredigion and, if approved, roll out the revised pathway across Pembrokeshire and Carmarthenshire.
Since March 2025, adults in Ceredigion seeking routine mental health support have been advised by their GP to contact the NHS 111 Wales ‘Press 2’ service, rather than being referred directly to the county’s Community Mental Health Team.
The temporary change was introduced in response to ongoing staffing shortages. Health Board officials say the approach has helped maintain timely access to face-to-face assessments for those who need them, while directing initial contact through a single access point.
The 111 ‘Press 2’ service provides telephone assessments by local wellbeing practitioners, supervised by registered mental health nurses, offering advice, support and onward referrals where required.
At its November 2025 meeting, the Board agreed to extend the temporary pathway until the end of March 2026. A nine-week engagement exercise followed, running from December 8 to February 9, to gather feedback from patients, professionals and stakeholders on the potential long-term impact.
Andrew Carruthers, Chief Operating Officer at Hywel Dda University Health Board, said: “I would like to thank everyone who took the time to share their views and experiences.
“I would also like to thank West Wales Action for Mental Health for supporting engagement with patients, including those with lived experience, alongside GPs, primary care teams, mental health staff and third sector partners.
“Our priority is to ensure mental health services remain accessible, fair and sustainable. The temporary changes in Ceredigion have shown some positive benefits, and the feedback we have received from across the three counties will play an important role in shaping the Board’s decision.”
The Board will review all evidence and feedback before making a final decision on the future of the adult mental health referral pathway.
GPs will continue to refer patients with urgent or complex needs directly to community mental health teams where appropriate, and have access to a dedicated NHS 111 professional line for additional clinical advice.
Further details, including the full Board papers, are available here:
https://biphdd.gig.cymru/amdanom-ni/eich-bwrdd-iechyd/cyfarfodydd-y-bwrdd-2026/agenda-a-phapuraur-bwrdd-26-mawrth-2026/
The meeting will be streamed live from 9:30am on Thursday (Mar 26) via:
www.youtube.com/hywelddahealthboard1
Health
Parents urged to check children’s vaccinations after meningitis cases
Local pharmacy reports MenB vaccine shortage amid rising concern
PARENTS and carers across west Wales are being urged to check their children’s vaccination status following recent meningitis cases in the UK.
The warning comes as a local pharmacy has confirmed a shortage of the Meningitis B (MenB) vaccine, highlighting growing pressure on supplies.
Mendus Pharmacy said it currently has no availability of the vaccine due to what it described as a nationwide supply issue.

In a statement, the pharmacy said: “We would like to inform our patients that, due to ongoing supply issues, we currently have no availability of the Meningitis B vaccine.
“Unfortunately, this is a nationwide shortage and all stock is currently unavailable.
“We understand this may be particularly concerning given the recent outbreak reported in Kent, and we completely appreciate the importance of timely vaccination.”
The pharmacy confirmed it is operating a waiting list and will contact patients once supplies return.
Health officials say keeping vaccinations up to date remains one of the most effective ways to prevent serious illness and reduce pressure on NHS services.
Dr Ardiana Gjini, Executive Director of Public Health at Hywel Dda University Health Board, urged parents to act.
She said: “Vaccination is one of the most effective ways we can protect children and young people from serious illness.
“Ensuring your child is fully vaccinated not only safeguards their health but also helps prevent the spread of infections within our communities.
“I strongly encourage all parents and carers to check their child’s vaccination status. If you are concerned that your child may have missed routine vaccinations, please speak to your GP.”
Meningococcal disease is a serious and potentially life-threatening infection that can lead to meningitis or septicaemia. While many people recover, some are left with long-term physical, neurological or psychological complications. Around one in ten cases can be fatal.
Although the disease can affect anyone, babies, young children, teenagers and young adults are at greatest risk.
In Wales, vaccines protecting against meningococcal strains A, B, C, W and Y are offered as part of the NHS immunisation programme. Infants receive the MenB vaccine, while teenagers are offered the MenACWY vaccine.
Latest figures from the Health Board show that uptake among 16-year-olds for the MenACWY vaccine stands at 76.4%, meaning a significant number of young people remain unprotected as they approach adulthood.
For younger children, uptake of the MenB vaccine is higher but still below the recommended 95% target. Around 92.8% of infants are vaccinated by their first birthday, rising slightly to 91.8% by their second.
Health officials say these figures reflect strong engagement from families and primary care teams but stress that continued vigilance is needed.
Families are being advised to check their child’s vaccination record with their GP or by contacting the Health Board directly. Parents should also ensure babies receive their scheduled MenB doses and that teenagers receive their MenACWY and 3-in-1 booster vaccines, which are currently being delivered in schools.
Parents are also urged to remain alert to the symptoms of meningitis and septicaemia and to seek urgent medical advice if they have concerns.
Further information on symptoms is available via NHS 111 Wales.
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