Health
Glangwili Hospital faces increased pressure as children’s services centralised

GLANGWILI HOSPITAL in Carmarthen is set to face a surge in demand as it becomes the main provider of children’s healthcare services for the entire Dyfed region, following significant changes in paediatric care at Withybush Hospital in Pembrokeshire and Bronglais Hospital in Ceredigion. This centralisation has raised concerns about how Glangwili will manage the influx of young patients from all three counties: Carmarthenshire, Pembrokeshire, and Ceredigion.
The closure of the Paediatric Ambulatory Care Unit (PACU) at Withybush Hospital in Haverfordwest was recently made permanent, leaving families in Pembrokeshire without local access to hospital-based care for children. This decision came after the unit’s hours were reduced in 2016 and its services were “temporarily” transferred to Glangwili during the pandemic, only to never return. Hywel Dda University Health Board cited financial and staffing constraints as the main reasons for this closure, leaving Glangwili as the sole 24-hour inpatient paediatric facility in the region.

Adding to the strain, Hywel Dda University Health Board has announced that children requiring more than 24 hours of care at Bronglais Hospital in Aberystwyth will also be transferred to Glangwili, starting 1 November 2024. This temporary measure, expected to last six months, is a response to a shortage of paediatric nurses at Bronglais. However, families fear that the increased burden on Glangwili could have long-term consequences for children’s healthcare in Dyfed.
The announcement has been met with concern from local politicians and community members. Ceredigion MS Elin Jones described the decision as a “real shock,” warning of its impact on families in the region. “This will cause real concern to ripple through the community,” she remarked, emphasising the need to ensure the change remains temporary. Many residents also fear the decision sets a worrying precedent for the future of paediatric care in Ceredigion.
Dr. Gwen Rees criticised the decision, stating it could lead to “poorer health and wellbeing outcomes” due to limited access to inpatient care. Highlighting the challenges faced by families in rural areas, Dr. Rees noted that the transfer to Glangwili poses logistical and emotional difficulties, particularly for those living over an hour away.

With the upcoming changes, Glangwili Hospital now faces the task of providing paediatric care to the entirety of the former county of Dyfed. Encompassing Carmarthenshire, Pembrokeshire, and Ceredigion, this is a vast and largely rural area, making travel to the hospital difficult for many families. In some cases, parents may now face journeys of over an hour to access hospital care for their children, a situation that is particularly concerning for emergencies and those requiring ongoing treatment.
Parents and local campaigners have expressed their dismay, arguing that the centralisation of services at Glangwili could compromise the quality and timeliness of care for children across the region. Residents of Pembrokeshire and Ceredigion have already voiced their frustrations over the closure of Withybush’s PACU, pointing out that previous “temporary” reductions in services often become permanent. The prospect of Glangwili now having to handle patients from all three counties has only heightened their concerns about the sustainability of paediatric healthcare in west Wales.

In response, Hywel Dda University Health Board has assured the public that the changes are necessary to address staffing shortages and financial challenges while ensuring safe care delivery. Dr. Prem Kumar Pitchaikani, Clinical Director for Women & Children’s Services, emphasised that the adjustments at Bronglais are a “short-term operational change” meant to prioritise the safety of patients and staff. However, many families remain sceptical, especially given the history of gradual service reductions at Withybush.
The health board has also promised to support families affected by these changes, including providing designated ambulance vehicles and exploring other transport solutions. Despite these efforts, the reality of centralising care at Glangwili raises questions about how effectively the hospital can manage the increased patient load without compromising the level of care.
As the changes take effect, communities across Carmarthenshire, Pembrokeshire, and Ceredigion will be watching closely to see how Glangwili Hospital adapts to its new role as the main paediatric care provider for the entire Dyfed region.
Health
Ambulance delays linked to patient deaths, as local tragedy highlights crisis

PARAMEDICS across the UK are warning that patients are dying because ambulances are unable to offload them into overcrowded A&E departments — a situation tragically echoed in the death of a Pembrokeshire mother whose ambulance never arrived.
Charlotte Burston, 40, from Llanteg, began experiencing severe chest pains on Christmas Day 2023. Her teenage daughter called 999 twice, but was told it would be an hour and a half before help could arrive.
No ambulance was dispatched in time, not because of a lack of willingness, but because so many vehicles were already stuck in hospital bays, unable to hand over patients due to chronic delays and lack of space inside emergency departments.
With no other option, Charlotte’s stepfather drove her towards Withybush Hospital. She suffered a heart attack on the way and later died at Morriston Hospital on New Year’s Eve.
An expert report presented at a recent pre-inquest hearing concluded that had ambulance staff been present at her home, she would “on the balance of probabilities” have survived.
The case comes as a new report by Unison highlights the scale of the crisis facing ambulance services. A survey of almost 600 ambulance workers found that two-thirds had witnessed patients deteriorate during prolonged waits outside hospitals, and one in 20 had seen patients die in their care due to delays in handover.
More than half of respondents reported delays of over six hours, and one in seven had waited 12 hours or more outside emergency departments.
Unison General Secretary Christina McAnea said: “Ambulance workers want the best for their patients. But this is no longer the reality. Ambulances and hospital corridors have become makeshift treatment rooms. The pressure on the NHS is unsustainable.”
Unison is calling for urgent action to increase staffing levels across ambulance, hospital and community services, improve GP access, and expand social care capacity to free up hospital beds.
Pembrokeshire Coroner Mark Layton, who is overseeing the Burston inquest, said that had the 999 call been prioritised properly, paramedics would have been sent and the tragic outcome may have been avoided.
Health
Welsh Government announces additional funding for hospices

HOSPICSE across Wales are set to receive a further £5.5 million in funding to help continue delivering essential palliative and end-of-life care services.
The cash boost is in addition to the £3 million uplift in recurrent funding confirmed in the Welsh Government’s 2025–26 budget. The new funding will support Wales’ twelve NHS-commissioned hospices — including the country’s two children’s hospices — in managing financial pressures and ensuring fair pay for staff.
Hospices in Wales play a vital role in supporting patients, families and carers during the most challenging times, and are committed to providing dignified and personalised care outside of hospital settings.
Health Secretary Jeremy Miles said: “Hospices play a vital role in supporting families at some of the most difficult times.
We are committed to strengthening and improving palliative and end-of-life care to ensure everyone who needs hospice support receives dignified and personalised care, outside of hospital.”
Liz Booyse, Chair of Hospices Cymru, welcomed the announcement: “We welcome the Welsh Government’s commitment of funding. It is a testament to the importance of the hospice sector within our healthcare system, and we are immensely grateful. Our services provide vital care and support to over 20,000 children and adults affected by terminal illnesses each year.
This funding is a significant step forward, and we will continue working in partnership with the Welsh Government to achieve a sustainable funding settlement that will bring greater stability to the Welsh hospice sector.”
Matthew Brindley, Policy and Advocacy Manager for Wales at Hospice UK, added: “Recent years have been very tough for Wales’s hospices, amid a combination of rapidly rising costs and ever-growing need for end-of-life care.
We’re grateful to the Welsh Government for recognising both the pressure hospices are under, and the immense value they bring to Wales’ health and social care system.
It’s vital we continue to work together toward a more sustainable approach to hospice funding in Wales. Our population is ageing, with increasingly complex health needs. We need a strong, robust palliative and end-of-life care system — and hospices in Wales are ready to play their part.”
Health
Mind, Body and Spirit Awareness Day at North Pembrokeshire venue

This Saturday, April 12, thoughts will be turning to the mind, body and spirit, thanks to the ever-popular Awareness Day that takes place at Canolfan Hermon in North Pembrokeshire.
This is the fourth event of its kind at the village hall and each year the event continues to grow from strength to strength.
This year, there will be a total of eight therapists in attendance as well as two mediums, a card reader and ten stall holders selling spiritual, mind and body items including crystals, jewellery, honey and cosmetics. There will also be a stall from the Jig-So Children’s Centre in Cardigan while hot food and refreshments will also be served throughout the day by Fusion Kitchen.
As with previous events, the Mind, Body and Spirit Awareness Day will be raising funds for Breast Cancer and Thrombosis UK. As a result, there will be a £1 entry fee as well as optional raffle tickets and a Memory Tree for additional donations. A light language healing demonstration will take place at 1 pm.
People near and far are invited to experience the different therapies, while event organiser Lynda Barnes says there is guaranteed to be something here for everyone. The event starts at 11 am and will continue until 3 pm.
For further information, contact Lynda Barnes on 07920249194.
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