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Long-term social care investment needed for sector sustainability

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THE WELSH NHS Confederation has responded to the Senedd Local Government and Housing Committee’s new report on The role of local authorities in supporting hospital discharges, warning that long-term investment in social care is essential if the sector is to remain sustainable.

Darren Hughes, director of the Welsh NHS Confederation, said the inquiry had shone a spotlight on problems that have long hampered health and social care in Wales.

“We welcome the committee’s inquiry and corresponding report on this crucial topic, which highlights our key concerns and calls throughout,” he said.

Among the most pressing issues are:

  • Closer integration between health and social care services. The Confederation says that patient discharge delays will only be reduced if the two systems work hand-in-hand at a local level, rather than in isolation.
  • Better use of data. Transparency around performance metrics, combined with standardised digital systems and interoperable electronic care records, is vital to give a full picture of demand and capacity across Wales. The Confederation has called for urgent investment in digital infrastructure to make this possible.
  • Early involvement of social care in discharge planning. Hughes backed the report’s recommendation for joint hospital discharge teams to be embedded in every major hospital. This, he argued, would speed up decision-making, reduce pressure on acute wards, and improve patient outcomes.
  • Workforce shortages. The Confederation highlighted that thousands of social care jobs remain vacant across Wales. Without better pay, conditions, and career development opportunities, recruitment and retention will remain a major obstacle.

Hughes added: “Finally, we know that high levels of social care staff vacancies pose significant challenges for the sector, with a knock-on effect on the NHS and its wider services. Unless we improve pay, working conditions and development opportunities for social care staff, efforts across the entire health and care system will continue to stall, with staff and patients bearing the brunt.”

The Confederation said the report should serve as a wake-up call for both Welsh Government and local authorities, stressing that short-term fixes are no longer enough. Sustained funding, long-term workforce planning, and digital modernisation are all essential if health and care services are to meet the needs of an ageing population and reduce unnecessary strain on hospitals.

 

Health

Plaid Cymru to hold public meeting over Withybush hospital surgery cuts

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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.

 

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Health

Politicians seek legal advice over hospital decisions as petition passes 11,000 signatures

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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.

 

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Health

Welsh Ambulance Service to host bi-monthly Board meeting

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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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