Health

Health board: Changes will bring “resilience and sustainability” to West Wales services

Published

5 months ago

February 19, 2026

Executive Director says emergency surgery transfer is about quality — not loss

THE EXECUTIVE DIRECTOR of Strategy and Planning at Hywel Dda University Health Board has defended the decision to transfer certain emergency surgery operations from Withybush Hospital, saying the changes are designed to strengthen services rather than remove them.

***Lee Davies: Executive Director of Strategy and Planning***

Lee Davies told The Herald the “single biggest change” people in west Wales will notice is increased resilience across hospital services.

“The most significant change will be increased resilience and sustainability across services in West Wales,” he said.

“We are strengthening the way services are delivered so that they are less vulnerable to staffing pressures and more consistently available.”

Why now?

Mr Davies said the decision was driven by concerns that some services had become overly dependent on small numbers of clinicians.

“Wales covers a large geographical area, and currently many services are delivered across multiple sites,” he said.

“That has meant that clinical teams are often spread thinly, with some services heavily dependent on a small number of individuals.

“As a result, those services can become vulnerable if staffing circumstances change.”

He added that in certain areas, performance was not matching standards seen in larger UK centres.

“These changes are necessary to strengthen our services, improve sustainability, and ensure we consistently meet high standards of care.”

Emergency surgery at Withybush

Mr Davies confirmed that patients requiring certain general surgery operations will now be transferred to Glangwili Hospital.

However, he rejected suggestions that this amounted to the removal of all emergency surgical care from Pembrokeshire.

“This does not mean that all emergency surgery activity will cease at Withybush Hospital,” he said.

“A small number of patients who require operative procedures will be transferred to Glangwili. Where appropriate, patients will be transferred back to Withybush at the earliest opportunity.”

He acknowledged that some residents may perceive the change as a loss.

“We recognise that some people may see this as a loss,” he said.

“Rather than reacting to staffing pressures in an unplanned way, we are proactively designing a more sustainable and stable model. We believe this approach will provide safer, higher-quality care for the people of Pembrokeshire.”

Reassurance over local hospitals

Asked whether any hospital would lose services under the wider Clinical Services Plan, Mr Davies said no community would lose access.

“There will be changes to how services are provided across West Wales,” he said.

“However, no community will lose access to services. In some cases, services may be delivered in a different location or in a different way.”

He added that all four main hospital sites would continue to play a “vital and important role”.

Monitoring outcomes

Mr Davies said the board had established baseline quality and safety data ahead of the changes and would closely monitor performance.

“We have defined outcome measures and performance expectations,” he said.

“As we move into the improvement phase, we will evaluate whether the changes are delivering anticipated improvements in quality, safety and patient experience.”

Health

Deputy Minister sets out priorities for social care, mental and women’s health

Published

19 hours ago

July 8, 2026

Tom Sinclair

Plans include same-day mental health support, a National Care Service for Wales and action on women’s health

PLANS to improve access to social care, provide same-day mental health support and strengthen women’s health services have been outlined by the Welsh Government.

Deputy Minister for Social Care, Mental Health and Women’s Health Delyth Jewell said she wanted to give greater prominence to areas which she believes have not received the attention they deserve.

Her priorities include progressing plans for a National Care Service for Wales, with the ambition of delivering social care that is free at the point of need.

The Deputy Minister also said safeguarding arrangements would be strengthened to better protect children and adults at risk.

Mental health services are set to move towards a model of open-access, same-day support, with 21 demonstrator sites already underway and further rollout planned.

The Welsh Government said future action on dementia will also be set out in a new Dementia Strategy for Wales, focusing on brain health, earlier diagnosis and improved support.

A Women’s Health Summit will also be held later this month, bringing together women with lived experience and clinicians.

The summit will focus on tackling the normalisation of pain, with work already underway to improve endometriosis and abortion services, as well as maternity safety and support for families who experience the loss of a baby.

Delyth Jewell said: “I want to help shine a light onto areas that haven’t had the focus they are due.

“On mental health, women’s health, and yes, the social care system that for too long has been undervalued.

“These areas deserve more attention and prominence. They deserve a voice in the heart of government, and I promise I will give that to them.”

Community

Hywel Dda reaffirms commitment to Armed Forces community

Published

2 days ago

July 7, 2026

Tom Sinclair

HYWEL DDA UNIVERSITY HEALTH BOARD has reaffirmed its commitment to the Armed Forces community by re-signing the Armed Forces Covenant.

The covenant was signed at the Wales National Armed Forces Day 2026 event, held at Pembrey Country Park on Saturday, June 27.

It was signed on behalf of the health board by Armed Forces Champion and Independent Board Member Michael Imperato, alongside Lisa Gostling, Deputy Chief Executive and Director of Workforce and Organisational Development.

The Armed Forces Covenant is a national promise to ensure that members of the Armed Forces community are treated fairly. It supports serving personnel, veterans, service leavers and their families, with a veteran defined as anyone who has served for at least one day.

By re-signing the covenant, Hywel Dda says it is continuing its role as an Armed Forces friendly employer and healthcare provider across west Wales.

This includes supporting the recruitment and employment of veterans, recognising military skills, providing additional support for reservists, offering flexible working for service families, working with partner organisations, supporting cadet groups and Armed Forces charities, and improving access to healthcare for veterans.

Anyone currently serving, or who has previously served in the Armed Forces, can find out more about the support available through Hywel Dda University Health Board’s Armed Forces Covenant pages.

Staff who are part of the Armed Forces community can also access support through the health board’s Armed Forces Staff Network by contacting [email protected].

Health

Hywel Dda rolls out new tool to help patients stay independent in hospital

Published

3 days ago

July 6, 2026

Tom Sinclair

Early warning system aims to prevent hospital-related decline and support faster recovery

HYWEL DDA University Health Board is among the first in Wales to introduce a new approach to spotting and preventing hospital-related decline in patients.

The Deconditioning Early Warning Indicator, known as DEWI, helps staff identify early signs that a patient may be losing strength, mobility or confidence during a hospital stay.

The aim is to make sure patients remain as active and independent as possible while receiving care, helping them return home at the same level of independence they had before admission, or even before they became unwell.

Deconditioning can develop quickly, even during a short stay in hospital, and can affect a patient’s physical, mental and emotional wellbeing.

The DEWI tool uses a structured set of indicators to build a picture of each patient’s abilities and to highlight any changes at an early stage. This allows staff to put timely support in place, including help with movement, nutrition, hydration and confidence.

Developed by NHS Wales Performance and Improvement, the tool has been tested across a number of health boards and was formally launched in November 2025. It is now being rolled out across Hywel Dda hospital sites.

More than 650 patients have already been supported using the DEWI tool during their hospital stay, with early indications showing positive trends in maintaining or improving function during admission.

Sharon Daniel, Executive Director of Nursing, Quality and Patient Experience, said: “We recognise that deconditioning can cause significant harm to our patients, often developing quickly and impacting independence and recovery during a hospital stay.

“It is therefore highly encouraging to see the Health Board leading the way in embedding the DEWI tool, alongside the development of a complementary Action Bundle which helps patients to stay active and independent.”

Across Hywel Dda, ward teams are now building the tool into everyday care. This includes the use of visual information boards and activities designed to encourage patients to remain active, engaged and independent.

Estelle Williams, Sister on the Acute Frailty Unit at Withybush General Hospital, said the tool was already helping staff focus on practical steps.

She said: “From a ward perspective, the DEWI tool has been really useful in helping our staff think about deconditioning as part of everyday care.

“It keeps things simple and focuses on practical actions we can take, like supporting patients to stay mobile, encouraging independence and paying attention to nutrition and hydration.

“It also fits nicely alongside the initiatives we already have in place, including the use of fortified milkshakes, bringing everything together in a more joined-up way.”

James Severs, Executive Director of Allied Health Professions and Health Science, said preventing deconditioning was central to improving outcomes for patients.

He said: “Preventing deconditioning is fundamental to improving patient outcomes and reducing the long-term impact of illness.

“This work highlights the vital role all ward staff have in keeping people active, supporting recovery and maintaining independence throughout their hospital stay.

“By identifying risks early and intervening promptly, we are helping patients recover faster and return home with greater confidence.”

The Health Board said future phases will focus on further developing the DEWI tool and embedding it as part of standard care before, during and after hospital admission.

Caption: The Deconditioning Team at Withybush General Hospital. From left: Annie, Occupational Therapy Technician; Ruth and Rosie, nurses; Lauren, Health Care Assistant; Estelle, Sister; and Violet from Hotel Services.