Health
High level of COVID-19 cases is impacting health service provision locally
HYWEL DDA Health Board has said that the high number of COVID-19 cases locally is a concern and is impacting on our public services across the Hywel Dda area. This is despite While the link between coronavirus infections and serious illness is weakening.
Public bodies have been making efforts this week to reassure that multi-agency partners are continually working together across the region to protect our communities, local public services and the NHS.
There have been 300 new coronavirus cases recorded in the Hywel Dda health board area according to the latest figures. Public Health Wales (PHW) data shows there were 199 new cases in Carmarthenshire, 63 in Pembrokeshire and 38 in Ceredigion since the last report.
The total number of cases across the three counties now stands at 26,930 – 16,620 in Carmarthenshire, 6,742 in Pembrokeshire and 3,568 in Ceredigion. One new COVID-19 related death has been recorded in the Hywel Dda area since the last report, with the total reaching 503 throughout the pandemic.
In total 2,618 new cases of coronavirus have been reported across Wales on Friday (Sept 17), bringing the national total to 320,099 cases.
Steve Moore, health board Chief Executive reported that there are 66 people in our hospitals with confirmed COVID, ten of these are in Intensive Care. He stated that about half of those in ICU have been vaccinated and added that the clinical view is that patients respond more quickly and favourably if they are vaccinated. All COVID deaths in the past few weeks have been of unvaccinated people.
Infection rates are coming down slightly but are still very high, with 506 cases per 100,000 people in Carmarthenshire (the 2nd highest level in Wales) and 293 cases per 100,000 in Pembrokeshire. There is a test positivity rate of 16% across the HB area. It is thought that cases peaked on 6th September, though the full impact of schools going back may not yet have been seen.
Hywel Dda University Health Board, Public Health Wales and Carmarthenshire, Ceredigion and Pembrokeshire local authorities together regularly monitor, review and agree actions needed to respond and manage the ongoing pandemic. This is co-ordinated through the Hywel Dda Regional Incident Management Team, established at the beginning of the pandemic, and continues to be further supported by county specific teams.
The Health Board put out a statement on Friday (Sept 17), saying: “Communicating regularly with our public across the region has been a key focus in our response to the pandemic. Currently, this has involved Community Development Outreach workers engaging with minority ethnic groups within the community”; and supporting youth services and groups in messaging to young people about how to keep safe and encourage vaccination.

“Local public sector leaders have come together to acknowledge the sacrifices people have made to keep our communities safe and to appeal to the public for support during the coming days and weeks.
Maria Battle, Chair of Hywel Dda UHB, continued: “The future does bring a degree of uncertainty, such as the roll out of the flu vaccine alongside COVID-19 booster jabs. What is certain however is the commitment of the health board and our partners to be as prepared as possible. The health board’s comprehensive recovery plan outlines, first and foremost, how we recover from the pandemic: how we support our staff to recover after what has been an exhausting year and a half, and how we lay the foundations to recover our services and support our communities.”
Temporary Chief Constable of Dyfed-Powys Police, Claire Parmenter, said: “With the uncertainties we face locally at the moment, we want everyone living, working and visiting this area to keep each other as safe as possible, so please remember the protective behaviours that will help ensure this for us all.
“We want it to be as easy as possible for people to get in touch when they need us. So save your time and report online – as you can now report non-emergency crimes and incidents online quickly and easily on our website
“This includes reports of domestic abuse, crimes, antisocial behaviour, road traffic incidents and collisions, and more. The online reporting isn’t replacing 101. But it’s important to promote the availability of our online services to those who would prefer to use this option, and it does mean we can answer calls from those who cannot contact us online quicker.
“We continue to work with our partners in a coordinated approach to serve in the best interests of our communities at this challenging time.”
Cllr Emlyn Dole, Leader of Carmarthenshire County Council, said: “Carmarthenshire currently has a very high number of COVID-19 cases and is one of the worst affected areas of Wales at the moment. This is putting huge pressure on our services and the NHS.
“This virus does not discriminate – it is affecting people young and old. I would appeal to anyone who has not yet had the vaccine to go and get it as soon as possible. We should also remain vigilant when socialising and follow the measures in place to protect us.”
Councillor Ellen ap Gwynn, Leader of Ceredigion County Council, said “Although Wales is now in Alert Level 0, COVID-19 is still spreading in our communities. We must all continue to consider how we keep each other safe and reduce the risk of spreading the coronavirus. It remains good practice to maintain social distancing and to limit our contacts as much as possible.
“We urge all Ceredigion residents aged 16 and above to ensure that they take up the offer of both doses of the COVID-19 vaccination. It’s easy to go and get the vaccine with walk-in clinics available. Having both doses will not only protect you, but also your family, friends and colleagues. We also look forward to 12-15 year-olds becoming protected through vaccination.”
David Simpson, Leader of Pembrokeshire County Council, said: “It has been easy to think we are through the worst of this pandemic, but the recent weeks have been a reminder how we must all continue to tackle this issue collectively. These past 18 months have been very tough and lockdown restrictions have changed our lives.
“In the past few weeks we have experienced a high volume of visitors to the county which can at times add additional pressures on our services.
“I cannot emphasise enough that this pandemic has not ended. Covid-19 has not gone away and we must all continue to work together and redouble our efforts, particularly as we head into autumn and winter.
“Please continue to socially distance where possible, wear face coverings where required, continue regular handwashing and choose outdoor activities or meet people outdoors over indoors.
“If you have COVID-19 symptoms, get tested. Don’t risk spreading this virus. These are simple actions that we can all take to help. They really do make a difference.
“Our front-line teams are working hard to support our communities and ensure we deliver key services. I would ask for your support to help us to keep Pembrokeshire open and welcoming to all.”
Over half a million doses of vaccine have been delivered in total with 91% of the eligible population having had at least a single dose.
A 3rd dose is soon to be offered to a well-defined group of immunocompromised people. The single dose vaccine for 12-15 year olds will be given out at Mass Vaccination Centres (MVCs) during evenings and weekends starting in early October.
From 27th September booster doses will be given with GPs delivering them to care homes, and the MVCs will be used for everyone else. GPs will be concentrating on administering flu vaccines.
Cases of RSV which can be serious in children under 5 are expected to peak in late October/early November and the HB has been asked to prepare for a 50% increase in cases.

What local Heath Board is doing?
Vaccination – Hywel Dda University Health Board, Public Health Wales and Carmarthenshire, Ceredigion and Pembrokeshire local authorities together regularly monitor, review and agree actions needed to respond and manage the ongoing pandemic. This is co-ordinated through the Hywel Dda Regional Incident Management Team, established at the beginning of the pandemic, and continues to be further supported by county specific teams.
Health care – Board says it has taken steps to ensure it can care for those most critically ill in our hospitals by postponing some operations temporarily and realigning our workforce; has further limited visiting in areas affected by COVID-19.
Supporting communities – through the local county incident management teams (IMTs), local authorities are providing guidance and support to schools following the recent return of pupils.

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.
Health
Turkish dental clinic to hold Haverfordwest meet-up
DENTISTS FROM ANTALYA TO VISIT COUNTY TOWN
A TURKISH dental clinic is running a dental meet-up in Haverfordwest this weekend as part of a promotional visit to Wales.
Unique Smile Turkey, which has a permanent office in Wales in Swansea, says its top dentists will be coming to Haverfordwest on Sunday (May 3).
The event is being advertised as a “Dental Meet-Up” and is scheduled to run from 10:00am to 6:00pm at the Mariners Hotel.
The visit features three clinicians: Assoc Prof Dr Ummuhan Tozoglu, described as a specialist in oral diagnosis, radiology and dental planning; Professor Dr Sinan Tozoglu, described as an oral and maxillofacial surgeon and implantologist; and Professor Dr Ismet Duran, described as a periodontologist and implantologist.
The team have between twenty and 35 years of experience in their respective fields.
A contact number has also been provided for enquiries: +90 505 678 90 90.
The visit comes amid continuing interest in dental tourism, with many people in the UK looking overseas for cosmetic dentistry, implants and other private dental treatment.
Turkey has become one of the most popular destinations for such treatment, although patients are generally urged to make careful checks before committing to any procedure abroad, including aftercare arrangements, qualifications, insurance, treatment plans and what support would be available if complications arise after returning home.

Health
Welsh public backs urgent action on dementia ahead of Senedd elections
Calls grow for diagnosis, care and support to become national priority
NEW figures reveal overwhelming public demand for dementia to be placed at the top of Wales’ political agenda, with voters urging action on diagnosis, treatment and support ahead of the Senedd elections.
Research by Alzheimer’s Society Cymru shows that 83% of people in Wales want dementia made a healthcare priority, while 69% believe it is currently overlooked and underfunded.
More than a thousand adults were surveyed, with the findings highlighting growing concern over diagnosis rates and access to care. Wales continues to record some of the lowest dementia diagnosis rates in the UK, leaving thousands of families without clarity or support.
Around 51,000 people are currently living with dementia in Wales, a figure expected to rise to 70,000 by 2040. Despite this, only 57% of people have received a formal diagnosis, with rates falling as low as 48% in rural areas such as Powys.
Improving diagnosis remains a key concern, with 91% of those surveyed saying access to timely diagnosis must improve, and 87% backing increased investment in diagnostic services. However, respondents also stressed that diagnosis alone is not enough, with 91% saying people with dementia must receive better support, including help for unpaid carers.
Ceri Parry, from Cardiff, said she was forced to retire early from her role as a headteacher at the age of 55 due to a lack of support for her mother, who was diagnosed with Alzheimer’s disease in 2020.
She said: “I fully support improving early and accurate diagnosis, but this must also come with improved support and care for families afterwards. There’s five years between my relatives’ diagnoses and nothing changed. On both occasions we left with a leaflet and the unknown.
“The wait for improved diagnosis, treatment and support needs to end. Dementia must be a top priority for the next Welsh Government, for families living with it now and for those who will face it in the future.
“We also found there was no diagnosis assessment available in the Welsh language. That’s a fundamental issue if a diagnosis is to be accurate and safe for people who speak Welsh as their first language. Ignoring someone’s identity is ignoring the person.”
The survey also found that visible action would be key to restoring public confidence, with 72% calling for improved dementia services, 64% backing more funding for research, and 63% wanting better access to treatments.
Gemma Roberts, National Influencing Manager at Alzheimer’s Society Cymru, said: “Dementia is Wales’s biggest killer and one of the greatest health and social care challenges we face.
“Hope is on the horizon with new treatments and faster, more accurate diagnosis, but the system is not keeping pace. Without urgent transformation, people in Wales risk missing out.
“We are at a turning point. The next Welsh Government must deliver a bold new dementia strategy that transforms diagnosis and ensures access to quality care, treatments and support.”
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