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Health

Difficulties accessing GP practices leaving older people suffering in pain

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A SIGNIFICANT number of older people throughout Wales are facing difficulties when trying to access GP practices, leaving many individuals suffering in pain, living with deteriorating conditions and feeling worried and anxious.

That’s the key finding of a new report published today by the Older People’s Commissioner for Wales, Access to GP Practices in Wales: Older People’s Experiences, which is based on evidence shared by over 900 older people living throughout Wales.

The Commissioner’s report reveals that changes to the way that GP services in Wales are accessed, which have accelerated a great deal in recent years, and the changing relationships between patients and their practices often make it difficult for older people to find suitable appointments with an appropriate clinician.

Of particular concern is the fact that these kinds of difficulties have resulted in some individuals withholding information about their health or symptoms with some clinicians, preferring to discuss certain matters only with their own doctor, something that presents a significant risk to people’s health.   

Many older people also told the Commissioner that services often do not feel ‘joined-up’ and that communication between services can be poor, which has resulted in cases of patient information going missing, crucial prescriptions being delayed, and people being sent ‘from pillar to post’ when trying to resolve issues.

In addition to these issues, the Commissioner found that around two-thirds of older people who responded to her survey find it difficult make suitable appointments, or face issues when trying to contact or communicate with their GP practice, whether by telephone or online. Other issues highlighted included accessing services and information in a language of choice – a particular barrier for Black, Asian and Minority Ethnic older people – and getting to surgeries via public transport. 

Discussing the findings of her report, Older People’s Commissioner for Wales, Heléna Herklots CBE, said: “As we get older, accessing GP and other health services often becomes a more prominent part of our lives and these play a crucial role in supporting many older people to stay healthy, independent and safe.

“Older people often share concerns about the difficulties they experience when accessing GP practices with me and my team at engagement events, as well as through my Advice and Assistance service, and I wanted to examine these issues in more detail to ensure older people are not prevented from accessing a crucial part of the health service.

“The large number of responses to my survey demonstrates that these kinds of issues are affecting the lives of many older people throughout Wales, and I would like to thank everyone who got in touch for making their voices heard and providing so much evidence to support my calls for action.

“My report shows that alongside long-standing issues that will be familiar to us all – such as difficulties making appointments or getting through to practices on the phone – the changing nature of GP services and relationships between patients and their GP practices also appears to be creating barriers for older people in terms of arranging the right kinds of appointments or accessing an appropriate clinician.

“These kinds of difficulties are leaving many individuals suffering in pain, living with deteriorating conditions and feeling worried and anxious, something that is deeply concerning.”   

The Commissioner’s report includes a series of recommendations for GP Practices, health boards, Welsh Government and other health bodies and organisations, which set out the action needed to improve older people’s experiences and tackle the barriers that make accessing GP practices more difficult.

This includes action focused on building relationships of trust between patients and their surgeries, removing practical barriers to access and improving communication, as well as ensuring there is sufficient investment to modernise systems and improve wider infrastructure.

The Commissioner added: “I am acutely aware of the significant pressures being faced by health services, including GP services, and this was also reflected in responses from many older people, who recognised that staff were doing the best they could under difficult circumstances.

“Much of the action I am calling for will deliver improvements at little or no cost, or is focused on ensuring that existing standards and frameworks – such as the Welsh Government’s Access Standards – are being met and that this is reflected in older people’s experiences.

“Delivering the action I am calling for will help to ensure that people can access the health services they need, when they need them, in a way that suits them, which will make a positive difference to the lives of many thousands of older people throughout Wales.

“As Commissioner, I will be monitoring the progress against this action, and will continue to encourage and support health services, GP practices, and other key organisations to reach out to and engage with older people throughout Wales in a meaningful way so that the voices of patients of all ages help to shape policy and practice. 

“I also want to empower older people by helping them to better understand what they can expect in terms of access to GP practices and where people can find help and support if they experience issues or barriers, and will be soon be publishing a new guide to provide the information they need, which is being developed with support from older people.”

 

Charity

Local St John Ambulance cadets confirmed national first aid champions

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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

 

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Charity

Paul Sartori receives generous support from the James Tudor Foundation

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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.

 

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Health

FOI raises fresh questions over plan to close Pontyates GP surgery

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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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