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Health board launches critical services consultation as MP demands answers

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A MAJOR public consultation on the future of nine vital NHS services in west Wales is expected to be launched on Wednesday (May 29), following a meeting of Hywel Dda University Health Board.

The consultation, part of the board’s Clinical Services Plan, will run until August 31 and seek views on how care is delivered across services including critical care, stroke, radiology, emergency general surgery and orthopaedics. All nine services have been described as “fragile” by the board due to mounting pressures on staff, infrastructure and safety.

The consultation comes after months of political pressure, with elected representatives across parties accusing the health board of presiding over a system that is “not delivering” for the people of west Wales.

Tufnell presses for action

Henry Tufnell MP: Says Heath Board has lack of transparency and accountability (Pic: Herald)

Labour MP Henry Tufnell, who represents Mid and South Pembrokeshire, has already met with Hywel Dda’s leadership several times this year, including a formal meeting with Chief Executive Dr Phil Kloer on February 14, where he presented findings from a major survey of over 1,000 local residents.

“There’s still no acceptance by the board that there’s a problem,” Mr Tufnell said. “The management is failing us here in Pembrokeshire. There’s a complete lack of transparency and accountability.”

He said 62% of residents reported waiting over a week for a GP appointment, and 87% believed health services in the region had worsened in recent years. He has submitted a Freedom of Information request to the board demanding transparency on waiting times, patient access, and emergency care capacity.

Although health is devolved to the Welsh Government, Tufnell insists he will continue to apply pressure as the public face of growing discontent in Westminster.

“I want to see concrete commitments to improving patient access and safeguarding the future of local hospitals. The people I represent deserve clarity, not vague promises,” he added.

MSs warn of crisis and call for protection of Withybush

Concern over the future of Withybush Hospital and wider NHS services is also being raised by Senedd Members. On Wednesday (May 22), Samuel Kurtz MS and Paul Davies MS met with senior Health Board figures to demand urgent action.

“The number one issue in my inbox is unacceptable treatment delays,” Kurtz said. “Behind every statistic is a person — someone living in pain, anxiety, or uncertainty because our health system is not delivering.”

He went further, accusing the Welsh Labour Government of failing after 26 years of overseeing NHS Wales:

“No amount of spin from Labour Ministers can cover up the truth: our health service is in crisis.”

Kurtz and Davies called for full protection of Withybush Hospital and its emergency department, warning that any further downgrading would be “unacceptable to local people.”

Withybush: hospital under strain

Withybush General Hospital in Haverfordwest remains at the heart of local fears. In 2023, six wards were forced to close due to the discovery of Reinforced Autoclaved Aerated Concrete (RAAC) in the structure—leading to the loss of over 100 beds during emergency repairs. Although the hospital reopened in April 2024, officials warn the issue is ongoing, with further scanning and potential closures scheduled later this year.

The hospital has already seen key services centralised or reduced over the past decade, sparking repeated public protests. Critics argue the consultation could be used to justify further cuts.

Consultation opens amid NHS crisis

The Clinical Services Plan proposes to review nine key services across west Wales: critical care, emergency general surgery, stroke, endoscopy, radiology, dermatology, ophthalmology, orthopaedics and urology.

The Health Board says no preferred option has been chosen and insists the public consultation is vital to shaping future services.

Interim Medical Director Mr Mark Henwood said: “We want to hear your views on which options best address the challenges, improve standards, and reduce waiting times. We’re also keen to understand any concerns, impacts, or alternative ideas you may have — including your thoughts on the future role of our main hospitals.”

The consultation launches amid the release of new NHS Wales data showing continued underperformance on cancer treatment targets, delays in A&E departments, and worsening waiting times across many regions—including Pembrokeshire.

Get involved

The public can share views through online questionnaires and at a series of in-person and virtual events running throughout the summer. The consultation results will be considered by the Health Board in November 2025—unless high response levels delay analysis.

To take part or learn more, visit:
https://hduhb.nhs.wales/clinical-services-plan

Residents can also register with the board’s engagement scheme at:
https://www.haveyoursay.hduhb.wales.nhs.uk/siarad-iechyd-talking-health

 

Health

Wales most aware of alcohol addiction, but experts warn summer habits carry danger

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MORE people in Wales recognise alcohol as addictive than anywhere else in Britain, new research has found, but health experts are warning that awareness alone may not be enough to prevent harmful drinking habits.

The findings come ahead of the busy summer period, when pubs, beer gardens, festivals, barbecues and outdoor events often lead to increased alcohol consumption.

According to YouGov data, 86% of people in Wales describe alcohol as addictive — the highest figure recorded across Britain and above the national average of 78%.

Only 14% of Welsh respondents said alcohol was either “not very addictive” or “not addictive at all”.

By comparison, London recorded the lowest level of awareness, with 69% of respondents recognising alcohol as addictive.

Health professionals say the results show that while many people understand the risks, regular drinking can still become habitual, particularly during periods of increased socialising.

Official figures suggest adults consume an average of 10.7 litres of pure alcohol per person each year, equivalent to around 21 UK units per week. That is around nine pints of beer or seven large glasses of wine, and is significantly above the recommended maximum of 14 units a week.

Nearly one in five adults are also said to drink at hazardous levels or above, with men more than twice as likely as women to fall into that category.

Dr Karen Faulkner, Associate Medical Director at Panthera Clinic, said alcohol occupied a “unique place” in British culture because it was both legal and socially encouraged.

She said: “What’s particularly interesting is that most people understand alcohol can be addictive, yet many still underestimate how easily regular drinking can become habitual. Dependence often develops gradually and doesn’t always fit the stereotypes people associate with addiction.

“During the summer months, drinking can become even more normalised through holidays, beer gardens, barbecues, festivals and sporting events.

“The challenge isn’t necessarily a lack of awareness about alcohol’s risks. It’s recognising when a socially accepted habit has crossed the line into something that’s beginning to have a negative impact on your health, wellbeing or daily life.”

Dr Faulkner said people wanting to cut back should consider planning alcohol-free days, alternating alcoholic drinks with water or soft drinks, setting limits before social events, and keeping track of their weekly intake.

She also urged people to watch for signs that alcohol may be becoming more important than intended, including finding it difficult to relax, socialise or enjoy an event without drinking.

Panthera Clinic has launched a free online Alcohol Health Calculator to help people assess how their drinking habits may be affecting their health and wellbeing.

Dr Faulkner added that low and no-alcohol alternatives had become more widely available, making it easier for people to reduce their intake while still taking part in social occasions.

 

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Health

Welsh Government refuses to halt Withybush and Bronglais service review

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Health Minister tells Paul Davies MS that decisions remain a matter for Hywel Dda University Health Board

THE WELSH GOVERNMENT has declined to intervene in controversial plans affecting services at Withybush and Bronglais hospitals, prompting fresh criticism from local Senedd Member Paul Davies.

In a letter dated June 19, Health and Care Cabinet Secretary Mabon ap Gwynfor said responsibility for planning and delivering NHS services rests with local health boards and confirmed that Hywel Dda University Health Board should continue its consultation process on proposed service changes.

The response follows concerns raised by Mr Davies on behalf of constituents in Pembrokeshire and Ceredigion over the future configuration of clinical services, including stroke care.

While acknowledging strong public concern about access to healthcare in rural communities, the Minister stopped short of offering any commitment to block or reverse the Health Board’s proposals.

Instead, he stressed that any changes must be supported by robust evidence, maintain patient safety and demonstrate improved outcomes.

The Minister wrote: “Responsibility for planning and delivering health services rests with local health boards, including decisions about how services are organised.”

He added that proposals must improve outcomes for patients, maintain safe and equitable access to care and be supported by thorough impact assessments.

Paul Davies MS described the response as disappointing.

Posting the letter on social media, he said: “This letter tells me that the Welsh Government is not going to stand in the way of the Health Board’s plans.”

He added that he would raise the issue in the Senedd chamber next week and continue pressing ministers to intervene.

The exchange comes as Hywel Dda University Health Board continues a public consultation on proposed changes to stroke services across west Wales.

The consultation, which opened on May 28, is due to run until July 26.

In his response, the Minister stated that anyone suffering a stroke should receive treatment “as quickly as possible in the most appropriate setting” and said the current model of stroke care in Wales must evolve if national standards are to be achieved.

The comments are likely to fuel concern among campaigners opposed to the proposed changes, who fear services could become increasingly centralised and further away from rural communities in Pembrokeshire and Ceredigion.

 

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Health

Medicine shortages now ‘most severe on record’, health leaders warn

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PATIENTS are facing some of the worst medicine shortages ever seen in the UK, with pharmacists warning the situation now poses a serious risk to safety.

The National Pharmacy Association said shortages affecting commonly used medicines are becoming more frequent, lasting longer, and causing increasing disruption for patients, GP surgeries and pharmacies.

The warning comes as Serious Shortage Protocols for Creon, used by people with pancreatic cancer and cystic fibrosis to help digest food, have been in place since May 2024 and have now been extended until July 10, 2026.

HRT treatment Estradot has also been under a Serious Shortage Protocol since December 2024, with the current extension also running until July 10.

Patients travelling between pharmacies

A survey by the National Pharmacy Association found that 98 per cent of pharmacies had encountered patients who had visited several pharmacies in one day to find a prescription.

It also found that 96 per cent of pharmacies believed the current situation posed a serious risk to patient safety, while 89 per cent said they had been unable to dispense a medicine at least once a day because of supply problems.

Some pharmacy teams have also faced anger and abuse from patients unable to obtain medication.

Olivier Picard, Chair of the National Pharmacy Association, said: “Medicine shortages are becoming more frequent, lasting longer and causing increasing disruption for patients.

“These shortages are some of most severe the UK has experienced.

“It is deeply distressing to find patients who have travelled from pharmacy to pharmacy to find the medicines they need without success.”

Calls for urgent taskforce

The NPA is calling on the government to convene an emergency taskforce involving manufacturers, wholesalers, clinicians and pharmacists.

It also wants changes to rules which currently stop pharmacists from making simple substitutions, such as changing a tablet to a capsule or a cream to an ointment, even where a safe alternative is available.

Professor Victoria Tzortziou Brown, President of the Royal College of GPs, said medicine shortages were frustrating for patients, GPs and pharmacists, and added pressure to already stretched services.

She said the College supported pharmacists being able to make limited changes to prescriptions where a medicine is unavailable and a safe alternative exists.

She added: “The most important thing is that patients are able to access the medication they need safely and without delay.”

The Cystic Fibrosis Trust and Pancreatic Cancer UK have also raised concerns about the impact of shortages of pancreatic enzyme replacement therapy, including Creon, on people who rely on the medication to digest food, maintain weight and stay well enough for treatment.

 

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