Health
Whistleblower says capacity test was used to silence him after media exposure
Jacob Robertson claims Swansea Bay Health Board ordered unlawful mental health assessment the day after his story appeared online
A YOUNG patient receiving care under Swansea Bay University Health Board says he was subjected to a sudden and unlawful mental capacity assessment as retaliation for going public with concerns about his treatment.
Jacob Robertson, 19, has accused the Health Board of attempting to silence him using what he describes as “a misuse of clinical tools for non-clinical purposes” following the publication of his story by Wales Online in May.
The following day, he says he was unexpectedly summoned into a room at Cefn Coed Hospital where two doctors and a nurse were waiting — with a capacity assessment form already prepared.
“There was no warning, no advocate, no explanation,” said Mr Robertson. “The doctor literally said, ‘Don’t know why to be honest… I was just told to do it.’ That’s not how lawful assessments work. It was clearly ordered from above — an abuse of power to intimidate me.”
Mr Robertson was ultimately found to have capacity, but says the process itself breached guidance under the Mental Capacity Act 2005, and occurred without proper notice, consent, or justification. He has submitted a formal complaint and says he intends to escalate the matter to the Public Services Ombudsman for Wales.
He alleges this is part of a wider pattern of harmful decision-making within the Health Board, including failures in risk management, denial of access to NICE-recommended therapies, and what he describes as “institutional attempts to discredit or silence whistleblowers.”
Mr Robertson is diagnosed with Emotionally Unstable Personality Disorder (EUPD). Despite multiple consultant psychiatrists and AMHP social workers recommending Dialectical Behaviour Therapy (DBT), he says the service refused to offer the therapy on age-related grounds — a reason he claims breaches national guidance.
In addition, he has raised safety concerns after being hospitalised following an anaphylactic reaction to Brazil nuts, despite his known allergy being recorded. He says no follow-up was undertaken, and that nurses had dismissed his earlier complaints as “attention seeking.”
In correspondence seen by The Herald, Mr Robertson also challenges inaccurate medical records, including a diagnosis of autism spectrum disorder (ASD) that he says was ruled out by internal assessments but continued to appear in his clinical notes.
His online petition calling for a public investigation into Swansea Bay mental health services has now gathered over 3,000 signatures. In the petition, he draws attention to multiple deaths associated with Ward F at Cefn Coed Hospital, including those of Andrew Davies, Jean Pike, and Nicolas Harrison — each the subject of a coroner’s Prevention of Future Deaths report.
“The truth is I wouldn’t still be here if I hadn’t fought this hard,” he told The Herald. “But I shouldn’t have to. The way I’ve been treated for raising genuine, fact-based concerns has been nothing short of hostile.”
HEALTH BOARD DECLINES TO COMMENT ON INDIVIDUAL CASE
When approached for comment, Swansea Bay University Health Board issued the following statement: “Strict confidentiality rules mean we are unable to comment on individual patients in our care and therefore cannot comment on the claims being made. However, we can confirm we are aware of the patient’s concerns, and we are working to better understand and hopefully resolve them. We actively encourage patients to always let us know if they have any concerns.”
COMPLAINTS ESCALATING
The capacity assessment complaint is now one of several issues Mr Robertson is pursuing. He has submitted three formal complaints, and has pledged to bring matters to the ombudsman if the Health Board does not take meaningful action.
A video recorded by Mr Robertson outlining the capacity assessment incident is available on YouTube and includes audio excerpts he says prove the process was conducted improperly.
The Herald understands Mr Robertson has the backing of both his mental health advocate and legal support in asserting that the capacity assessment lacked lawful basis.
CALLS FOR TRANSPARENCY AND REFORM
Jacob Robertson’s case is now one of the most high-profile patient-led campaigns to emerge from Swansea Bay’s mental health system in recent years. His detailed documentation, willingness to speak publicly, and insistence on accountability reflect growing frustration among service users across Wales.
While the Health Board says it is “working to better understand” the issues raised, campaigners argue that deeper cultural change is required.
“The problem isn’t that they don’t know,” said Mr Robertson. “It’s that they don’t want to admit what they already know. And until they do, people will continue to be harmed — or worse.”
His fight for answers — and for access to safe, appropriate care — continues.
If you or someone you know has been affected by mental health care failings at Swansea Bay University Health Board, contact us in confidence at [email protected]
Charity
Local St John Ambulance cadets confirmed national first aid champions
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
Charity
Paul Sartori receives generous support from the James Tudor Foundation
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.
Health
FOI raises fresh questions over plan to close Pontyates GP surgery
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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