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Pembrokeshire man’s shock diagnosis sparks call for awareness

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NEIL THOMAS thought testicular cancer was something that happened later in life — until he was diagnosed at 35.

In April 2019, Neil, who was working as a teacher in Doha, Qatar, rolled over in bed after a long day at work and felt something unusual. A self-check revealed a hard lump in one of his testicles.

The next morning, the now 41-year-old from Lawrenny, Pembrokeshire, spoke to his wife Zoe, who urged him to see a doctor. An ultrasound confirmed the tumour and within a week he was in surgery to remove his left testicle.

Neil Thomas: Diagnosed with testicular cancer at just 35 (Pic: Movember)

“It was all very quick,” Neil told The Herald. “The biopsy showed it was a fast-growing cell type, so they gave me two rounds of chemotherapy as well. It was a traumatic time — for me, my wife and my family. Those first four weeks were particularly hard. I was constantly worried and struggled to process what was happening.”

Neil credits his mum — a breast cancer survivor — with encouraging him and his brother to regularly check themselves. That habit may have saved his life.

“I didn’t realise testicular cancer mainly affects younger men,” he said. “In my head, cancer was something for older people. I would advise anyone with concerns to get checked out straight away. Catching it early meant it could be treated fast and stopped from spreading.”

His experience reflects a wider lack of awareness among young men. A recent Movember survey found that 61% of men aged 16 to 40 didn’t know their age group was at risk of testicular cancer — which is the second most commonly diagnosed cancer in men aged 15 to 39 globally.

Despite the importance of early detection, the survey found that:

  • 17% of young men feel unsure how to check their testicles
  • 26% feel very confident
  • 51% feel somewhat confident
  • 5% have no idea at all

Worryingly, 15% of young men never check themselves, and only 20% do so once a month.

When asked why they might not go to a doctor after finding something unusual, 18% said they would be afraid it was something serious, 23% said they wouldn’t go unless there was pain, and 22% would wait until it got “really serious.” Still, 67% said they would make a doctor’s appointment if something didn’t feel normal.

Neil and Zoe Thomas want to spread awareness about testicular cancer (Image: Supplied)

This April, during Testicular Cancer Awareness Month, the global men’s health charity Movember is encouraging men to “Know Thy Nuts” — a campaign aimed at helping men get familiar with what’s normal and what to do if something feels off.

A recent survey by the charity found that 84% of men who visited Movember’s testicular health guide felt more confident performing self-checks afterwards.

Professor Simon Rice, Global Director of the Movember Institute of Men’s Health, said: “Testicular Cancer Awareness Month is about taking control of your health. The simplest action young men can take is to get to know their nuts. That way, if they notice any changes, they can see a doctor. When caught early, testicular cancer is highly treatable.”

Movember is urging men to take a few minutes this month to check themselves, learn what’s normal, and encourage others to do the same. Visit the Know Thy Nuts website to find out more.

The Herald understands that 70 men died of testicular cancer in the UK in 2019 — an average of nearly six each month. That year, the death rate was 0.2 per 100,000 men.

Movember has invested in more than 25 testicular cancer projects worldwide and has also developed its Nuts & Bolts support hub, co-designed with survivors to offer advice, resources and a sense of community.

 

Health

RCN Wales appoints Nicola Williams as Executive Director

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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.

 

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Health

Decision pending on adult mental health referral pathway

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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

 

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Health

Parents urged to check children’s vaccinations after meningitis cases

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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.

Mendus Pharmacy: No availability of the vaccine

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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