Health
Campaign launched to save stroke recovery services in Hywel Dda area
THE STROKE ASSOCIATION is calling for support to sign petition as stroke recovery services are under threat in Carmarthenshire, Ceredigion and Pembrokeshire
People who have a stroke in the Hywel Dda health board area are at risk of being abandoned, according to the leading stroke charity.
The Stroke Association is deeply concerned that, as of 2023-24, the funding for the Life After Stroke service in Hywel Dda UHB is unlikely to provide a quality and equitable service for those most vulnerable stroke survivors in Carmarthenshire, Ceredigion and Pembrokeshire.
The Stroke Association’s Life After Stroke Service has been supporting stroke survivors in the Hywel Dda Health Board area for more than a decade. The service provides a life-line for people after they leave hospital; helping stroke survivors and their loved ones set their own goals for recovery, manage their condition and become more independent.
In 2022 alone, the Stroke Association provided specialised person-centred support to more than 250 new stroke survivors and their carers in the Hywel Dda health board area; reducing hospital readmissions, supporting mental health needs and most importantly, supporting stroke survivor independence.
Katie Chappelle, Associate Director Wales, Stroke Association said “Hywel Dda University Health Board has been de-prioritising stroke services for years. There has been no inflation increase in our funding for over six years, resulting in a real-terms cut for stroke support services. Part of the service has historically been provided by Carmarthenshire Local Authority, but they have now withdrawn this money, due to changes in how they pay for community-based prevention services.
With this support coming to an end, we want to work closely with Hywel Dda UHB to design an effective and quality service which continues to support stroke survivors and their loved ones to rebuild life after stroke. We urge the Health Board to reconsider their upcoming tender, and include the additional adequate funding needed to deliver an equal stroke recovery service across all three areas for stroke survivors in the years ahead.
“Charities are integral to the healthy functioning of our society and should be accepted as a partner in the health and social care system, particularly at times of strain, rather than seen as a “nice to have”. This means supporting charities with long-term funding and integrating them into decision making. Charities are often best placed to engage with a wide range of people, particularly those who are seldom heard. At the Stroke Association we ensure that stroke survivors have a voice in the decisions that affect them. If there is a failure to recognise, respect and realise the true value of the work that charities do, there is a risk of losing essential provision and the person-centred approach that charities bring to our society.”
There are almost 10,000 stroke survivors living in the Hywel Dda Health Board area. Without this essential service, stroke survivors risk feeling abandoned after they leave hospital, placing further pressure on health and social services, at a time of great strain. 47% of stroke survivors within the health board are registered with GP surgeries that are in the Local Authority area of Carmarthenshire. The other 20% live in Ceredigion and 33% in Pembrokeshire highlighting a need for a service in all three areas. (Data is from GP register 2019-2020)
Dave Jones, from Ammanford, Carmarthenshire had a stroke in 2017 at 36 years old. He was young, fit and healthy and he never expected it. “When I came out of hospital, I had double vision, my right arm and right leg didn’t work. I couldn’t speak properly. I got to the point of I didn’t want to be here. I actually got to the steps of ending it all. The support I have received from the Stroke Association has been invaluable.”
The dad of two continued, “My co-ordinator has been a huge help to me. She is always there whenever I need her. I would never have got to where I have got without her.”
Dave is part of a young men’s peer group based in Carmarthen “we help each other through it and meet up and talk about our experience, it is a massive help to me. Without the opportunity and help to set up this group by the Stroke Association who knows where we would all be. It has been a real saviour to many of us.”
As Dave continues to rebuild his life he has recently become a Stroke Association support co-ordinator, “It is a fantastic organisation that has helped me so much and I want to give back and help others as I know first-hand how important the Life After Stroke service is for stroke survivors.”
Adam Price MS for Carmarthen East & Dinefwr said that“having met with the Stroke Association recently, I am fully aware of the excellent service they provide to stroke survivors across my constituency. Despite a shrinking budget and significant pressures, the Life After Stroke service has continued to provide vital support to patients across the Hywel Dda area.
“It is vital that stroke recovery services do not get left behind, and we must do whatever we can to save our stroke recovery service. I would urge members of the public to sign this petition to demonstrate just how much support there is for the Life After Stroke service in Carmarthenshire.”
When stroke strikes, part of your brain shuts down. And so does a part of you. Recovery is tough, but with the right specialist support and a ton of courage and determination, the brain can adapt. The Stroke Association is here to support people to rebuild their lives after stroke.
The Stroke Association has delivered a stroke recovery service across all three areas of Hywel Dda health board for more than a decade. We support stroke survivors, their families, and carers to rebuild their lives after stroke.
To help save our stroke recovery service in Hywel Dda please sign our petition to show your support here
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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