Health
Patients face long journeys under west Wales hospital shake-up plans
A PUBLIC consultation on sweeping changes to hospital services in west Wales is entering its final days, with campaigners warning that patients in Pembrokeshire and Ceredigion could be forced to travel much longer distances for vital care.
Hywel Dda University Health Board launched the consultation in May after identifying nine hospital services it says are “fragile and in need of change.” The board argues that the current system cannot guarantee safe, high-quality or timely care across its four main hospitals – Withybush in Haverfordwest, Glangwili in Carmarthen, Prince Philip in Llanelli, and Bronglais in Aberystwyth.
The consultation closes on Sunday (Aug 31), with final decisions expected later this year.
Critical care changes

One of the most controversial proposals involves critical care. At present, intensive care units operate at all four hospitals. Under some of the options being considered, patients at Withybush needing specialist critical care would be transferred to Glangwili.
Three models have been put forward:
- Option one: Intensive care kept at Bronglais and Glangwili, with “enhanced care units” at Withybush and Prince Philip.
- Option two: Intensive care at Bronglais, Glangwili and Withybush, with Prince Philip downgraded. Patients needing the highest level of care would still be moved to Glangwili.
- Option three: Intensive care retained at all four hospitals.
Surgery and stroke care
Emergency general surgery is another key service under review. One option would see patients needing operations at Withybush stabilised locally but then transported to Glangwili for surgery, before being sent back to Haverfordwest to recover. Another option would rotate surgeons weekly between Glangwili and Withybush, requiring extra cover for children’s surgery when teams are based in Pembrokeshire.
Stroke services could also change significantly. Bronglais may be turned into a “treat and transfer” site, meaning stroke patients would be moved to other hospitals – including Withybush – for inpatient care.
Other services under review
The consultation also covers endoscopy, radiology, dermatology, ophthalmology, orthopaedics and urology. Proposals include:
- Shifting some diagnostic radiology into a new community-based diagnostic centre.
- Expanding dermatology and ophthalmology provision in community settings rather than hospitals.
- Consolidating overnight urology patients at Prince Philip, with day cases and outpatient clinics continuing in Haverfordwest and Aberystwyth.
Board response

Medical Director Mark Henwood said: “No decisions have been made on the options presented, and there are currently no preferred solutions. The changes we are looking to make are to ensure we have safe, high-quality services and affordable healthcare in the future, and have at their heart the best interests of the people of west Wales and their patient experience.
“We ask that you review the consultation documents and share your views on which options you believe are best able to address service fragilities, improve standards, or reduce waiting times. We want to listen to your concerns or potential impacts you think options may have and your views on the future role of our hospitals.”
Political reaction

Carmarthen West and South Pembrokeshire MS, Samuel Kurtz, has raised alarm over the proposals, warning that Withybush cannot be allowed to lose more key services.
Mr Kurtz said: “Withybush has served generations of Pembrokeshire families – including my own; I was born here. It is more than just a building – it is a lifeline.
“This is the result of years of centralisation by the Welsh Government. We’ve already lost SCBU, consultant-led maternity care, and children’s A&E. Each service cut chips away at the hospital’s viability.
“If A&E is threatened, that would be a red line – one I will not allow to be crossed. Withybush doesn’t need more uncertainty. It needs support. Investment. Certainty.”
Preseli Pembrokeshire MS Paul Davies added: “This consultation is the latest in a long line of consultations that have all resulted in vital services being cut at Withybush hospital – and enough is enough.
“It is not acceptable for the people of Pembrokeshire to have to travel further for vital health services. Withybush hospital has been under attack for years because of the Health Board’s ideological pursuit of a shiny new hospital elsewhere in west Wales. Withybush hospital and the people it serves deserve support and investment, not more cuts.”
Next steps
The consultation runs until August 31. Responses will then be analysed before the proposals are debated at a health board meeting expected in November.
If approved, the changes could mean significant shifts in how people across Pembrokeshire, Ceredigion and Carmarthenshire access treatment, with some services centralised and others downgraded or relocated.
How to have your say
Members of the public can respond to the Hywel Dda University Health Board consultation until Sunday (Aug 31).
- The consultation documents and response forms are available at: hduhb.nhs.wales
- Paper copies can be requested by phoning 01554 899 056 or by emailing [email protected]
- Responses can also be sent by post to: Freepost RSXB-YJAT-HGEY, Hywel Dda University Health Board, Corporate Offices, Ystwyth Building, Hafan Derwen, St David’s Park, Carmarthen, SA31 3BB
The board says it wants to hear views on which options should be taken forward, as well as any alternative ideas from the community.
Health
Plaid Cymru to hold public meeting over Withybush hospital surgery cuts
Candidates say residents must be heard after emergency services decision
PLAID CYMRU candidates for the Ceredigion Penfro constituency will host a public meeting in Pembrokeshire to discuss concerns over the future of services at Withybush Hospital.
The event will take place at 6:30pm on Monday (Mar 31) at Letterston Village Hall, giving residents the opportunity to share their experiences and concerns following Hywel Dda University Health Board’s decision last month to remove emergency general surgery from the hospital.
Campaigners say the move will force many patients requiring urgent treatment to travel further for care, raising fears about the potential impact on patient safety in rural west Wales.
Elin Jones, Plaid Cymru lead candidate for Ceredigion Penfro, said: “Withybush is such an important hospital for the community and residents of Pembrokeshire. The decision to remove its emergency general surgery will severely weaken the life-saving capacity of this hospital.
“Plaid Cymru has long championed small rural hospitals such as Bronglais and Withybush. We need to ensure these hospitals remain strong local services within our communities. Withybush should have the basic life-saving and everyday treatment services it needs to function as a full general hospital.”
Kerry Ferguson, Plaid Cymru candidate for Pembrokeshire within the Ceredigion Penfro constituency, said the recent success of a public petition had demonstrated the strength of local feeling.
“It’s great to see that the online petition calling for Welsh Government intervention to restore emergency surgery and essential services at Withybush has reached its target, meaning it will now be debated in the Senedd,” she said.
“We are extremely disappointed by the Health Board’s decision to remove emergency general surgery at Withybush. Increased journey times for anyone in need of urgent medical treatment will put lives at risk. We need government intervention now to overturn this decision.”
Residents across Pembrokeshire have continued to raise concerns about the future of services at the hospital, which has long been a focal point in debates about healthcare provision in rural west Wales.
Health
Politicians seek legal advice over hospital decisions as petition passes 11,000 signatures
PEMBROKESHIRE’S two Members of the Senedd have written jointly to the Welsh Government’s Counsel General seeking legal advice on possible ways to challenge decisions made by Hywel Dda University Health Board affecting healthcare services in the county.
Paul Davies MS and Samuel Kurtz MS have asked the Counsel General, Julie James MS, to outline what legal mechanisms may exist to scrutinise or challenge the health board’s decision-making process, particularly in relation to changes impacting services at Withybush Hospital.

Their move comes amid growing concern from residents, clinicians and community groups about the impact of service changes on patient safety and access to care, especially in a rural county where travel times to alternative hospitals can be significant.
Public concern has also been reflected in a petition calling for intervention over the future of services at Withybush Hospital. The petition has now attracted more than 11,000 signatures and continues to gain support.
Having passed the required threshold, the petition can now be considered for debate in Senedd Cymru.
The two MSs say the level of public backing highlights the strength of feeling locally and the need for greater scrutiny of decisions being taken about healthcare provision.
Paul Davies MS said: “Residents across Pembrokeshire are deeply concerned about the cumulative impact that changes to healthcare services could have on patient safety and access to care in a rural area. The fact that more than 11,000 people have signed the petition highlights just how strongly people feel about this issue.”
Samuel Kurtz MS added: “People deserve confidence that decisions affecting vital healthcare services have been taken properly and with full consideration of the impact on local communities. We have therefore written to the Counsel General to seek advice on what legal avenues may exist to challenge these decisions and what powers the Welsh Government has to intervene where serious concerns have been raised.”
The MSs have also asked the Welsh Government to clarify what role it can play in reviewing or intervening where there are significant concerns about the governance and decision-making processes of a health board.
Health
Welsh Ambulance Service to host bi-monthly Board meeting
THE WELSH AMBULANCE SERVICE is preparing to host its bi-monthly Board meeting – and the public are invited.
Join the meeting on Thursday 26 March via Microsoft Teams to hear senior leaders cover a full agenda, including approval of the Integrated Medium-Term Plan for 2026-29, which outlines what the organisation will prioritise and deliver, how it will use its resources and how it will continue to improve care for the people of Wales over the next three years.
Board members will approve the initial revenue budget for the year ahead and receive an update on current financial performance.
The Board will also hear from Mr Clarke from Cwmbran, who describes an experience of trying to access help via 999 for his late father who was terminally ill.
There will also be an opportunity to pose a question to the Board.
Chair Colin Dennis said: “Board meetings give you the opportunity to really get to know our ambulance service, with a clear view of how important decisions are shaped and the processes behind them.
“They also create a forum to hear directly about ongoing work, explore how we can strengthen support for the Trust’s staff and patients, and connect with the people responsible for shaping those decisions.”
Click here to watch the Board meeting on Thursday 26 March 2026 from 9.30am.
This link will be active from 10 minutes before the meeting starts.
To pre-submit a question, please email [email protected] by no later than Wednesday 25 March 2026.An agenda will be available on the Trust’s website in the days prior to the meeting.
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