Health
New hospital sites to be reviewed by appraisal group
PEOPLE from communities across the three counties will next week help score five potential sites for a new hospital in a zone including and between Narberth and St Clears, the Health Board have suddenly announced.
The move is at odds with the wishes of the people of Pembrokeshire who have been campigning to save Withybush Hospital. There are concerns that a hospital further away from Haverfordwest would be too far away in emergencies, and would cause locals unnecessary travel.
The healthboard said that a workshop being held on Tuesday (Jun 28) will be the second of two technical sessions with members of the public, staff and partners.
But campaigners are saying proper consulation is not taking place.
According to the Health Board, the first workshop, held in May, agreed the ‘weighting’ of the seven technical criteria to be used in this scoring process.
The potential sites to be reviewed are:
- Agricultural land and buildings forming part of Kiln Park Farm which is located to the north of Narberth train station and adjacent to the A478, approximately 1km to the north-east of Narberth town centre.
- Agricultural land located to the north-east of Whitland town centre and situated between the A40 to the north, Whitland Rugby Club to the east and Spring Gardens to the south.
- Agricultural land and buildings forming part of Ty Newydd Farm which is located to the east of the Old Whitland Creamery site and Whitland town centre.
- Agricultural land and buildings forming part of Penllyne Court located between Whitland and St Clears just outside Pwll-Trap. The site lies between the Swansea-Haverfordwest railway line to the north and the A40 to the south.
- Agricultural land at old Bryncaerau fields, located adjacent to the junction of the A40 and A477 in St Clears, between the A4066 (Tenby Road) to the south, the village of Pwll Trap to the north and the A40 to the west.
The Health Board argues that all sites are in a zone that is the most central location for the majority of the population in the south of the Hywel Dda area and was determined through public consultation.
The upcoming workshop will apparently involve the scoring by a majority public representation being drawn from across our region and including participants with protected characteristics under the Equality Act 2010.
The Health Board has given assurances it will not close Withybush Hospital. The promise came in response to a petition to retain A&E at Withybush Hospital reached 10,000 signatures back in April.
Speaking then, Lee Davies, director of strategic development and operational planning for Hywel Dda, said the board are aware of the ‘passion’ and ‘strength’ of feeling around the long-term strategy titled ‘A Healthier Mid and West Wales: Our Future Generations Living Well’, which includes plans to build a new hospital on a site as yet unconfirmed believed to be somewhere in the St Clears area.
Mr Davies called the proposed changes a ‘once-in-a-life-time investment’ into the health care services in west Wales.
Mr Davies said: “Our ambition is to move from a service that treats illness to one that keeps people well, prevents ill-health or worsening of ill health, and provides any help you need early on.
“We can also reassure the public that we have no plans or intention to close Withybush Hospital.
“We fully understand the passion and strength of feeling that exists in our communities.
“We share that passion, along with a commitment, to deliver the best possible care and services for people who live in mid and west Wales.”
Supporters of the petition, which having reached 10,000 signatures will now be considered for debate by the Petitions Committee at the Senedd, say they will not let Hywel Dda ‘trample on them’.
Today, following the latest announcement on sites, Lee Davies said: “The health board has been committed to undertaking significant engagement with our communities. This partnership has brought us a step closer to selecting a site for the new hospital, so I am grateful to participants for their involvement in this important part of the process to identify the best hospital sites.
“The outputs from this workshop will be considered by the Board in August, along with the findings from other appraisal groups that are currently ongoing. These appraisal groups are currently reviewing matters covering clinical, workforce and economic / financial issues.
“The final decision about the chosen site will be made by the health board, in agreement with Welsh Government, should they support the funding of the hospital.”
The health board says its ambition is to bring opportunities to provide a wider range of specialist health services to our communities within the boundaries of Hywel Dda than is currently possible.
There is, however, the Board says is an important continued role for Withybush and Glangwili hospitals, which will operate as local community hospitals, with ambulatory services, therapy and nurse-led beds, focusing on rehabilitation and less acute needs. The aim is for most people to receive their care locally and only stay in the new Planned and Urgent Care Hospital when really necessary for acute care and when possible to be transferred back to their homes or to closer hospitals if they need a period of rehabilitation. We plan to have 24/7 minor injury units at Glangwili and Withybush hospitals, based on the successful Prince Phillip Hospital minor injury unit.

The health board said does not intend to make changes at Glangwill or Withybush hospitals until the new hospital is built (we think the new Urgent and Planned Care Hospital will take until at least the end of 2029 to open).
They promised regular engagement – listening and working with our communities, and our partner organisations, and possibly consultation on parts of the programme.
However campaigners say that proper engagement is not happening.
A spokesperson from the Save Withybush Campaign told The Herald: “Under the Future Generations Act they are legislatively obligated to engage in co-production with residents before making any decisions regarding changes to services.
“This includes vulnerable groups, people without cars, and especially those who will be most affected by the proposed changes.
“We know from our research that they have not done that.
“They have conducted piecemeal consultations which have not used the correct methodology. And they certainly have not actively reached out to the people who would be most affected by this – should these changes ever go ahead.”
Meanwhile, Pembrokeshire County Councillors are due to meet with health board representatives to find out more about the future of care and the implications for Withybush Hospital next month.
A Notice of Motion has been tabled by Haverfordwest’s John Cole raising concerns about the loss of services and the “downgrading” of the county’s general hospital.

It was due for discussion at Thursday’s (June 16) social care overview and scrutiny committee but members decided to postpone its consideration until a planned seminar with Hywel Dda University Health Board was held, with a provisional date of July 4 referenced.
Clr. Cole’s motion states: “With the recently published declaration of the Hywel Dda Health Board on the future of Pembrokeshire’s only general hospital I would like to ask the council to stand with our electorate in supporting the fight to retain services essential to the health and well-being of residents.
“Many of our residents feel the council, particularly us elected members, are, or appear, indifferent to the concerns being expressed. I believe in doing such.
“We can show that councillors are united and stand with the people of Pembrokeshire we were elected to serve’. would be showing diligence that the best price available is received.”
He tabled the motion in March, adding “I’m sure all members are as concerned with the prospect of losing services and the downgrading of our General Hospital Withybush. This is why I brought my NOM before the council.”
Commenting on Hywel Dda’s designation of five possible future sites, Samuel Kurtz MS, said: “After many years, the Health Board have finally confirmed the five potential sites of the new hospital.
“We now need an honest, detailed, and transparent conversation about the potentials of each of these sites, both positive and negative. This is why this consultation is so important.
“Our local communities should be central to this decision-making process, engagement is key. It’s vital that every local resident has a say in this matter.
“Concerns remain strong in the community regarding access to an A&E department if it is further away. The Welsh Labour Government and the Health Board must answer these concerns honestly, and if they can’t, then maintaining the current services with investment at their locations must also be an option.
“We want to see all of Pembrokeshire and all Carmarthenshire served by a top-class health service which is accessible to all residents.”
Health
RCN Wales appoints Nicola Williams as Executive Director
NICOLA WILLIAMS will take up the role in April, bringing more than three decades of experience in nursing and senior leadership.
The Royal College of Nursing (RCN) has announced the appointment of Nicola Williams as its new Executive Director for Wales.
She joins the organisation from Velindre University NHS Trust, where she currently serves as Executive Director for Nursing, Allied Health Professionals and Health Care Scientists. With 38 years of experience in nursing and more than six years at executive board level, she is widely recognised across NHS Wales for her work in improving patient outcomes.
A highly experienced strategic leader, Williams has worked across a wide range of clinical and organisational settings. She has led major transformation programmes, strengthened national clinical leadership networks and championed innovation and evidence-based improvements in care. Her work has contributed to changes adopted across Wales and has been recognised with national awards.
Speaking about her appointment, Nicola Williams said: “I feel privileged to be appointed as Executive Director of RCN Wales. I’m a proud nurse, passionate about patient safety and improving care standards.
“Delivering the best care is only possible when nursing staff are supported to work in safe, inclusive environments. I will stand alongside members and their patients.
“Nursing staff are the backbone of health and care. I am determined to support our members across Wales, wherever they work, to meet the challenges ahead and shape the future of our profession.
“I look forward to meeting members across Wales and ensuring our work is informed by their experiences and expertise.”
In her new role, Williams will lead the RCN’s work in Wales and provide strategic leadership across key priority areas spanning the UK.
She succeeds Helen Whyley, who has held the position since February 2019 and will move into a new role as Director of Service Innovation at the RCN.
Health
Decision pending on adult mental health referral pathway
HYWEL DDA University Health Board will decide next week whether to make changes to the GP referral pathway for routine adult mental health services permanent.
The decision will be taken at a public Board meeting on Thursday (Mar 26).
Board members will consider a proposal to formalise changes already introduced in Ceredigion and, if approved, roll out the revised pathway across Pembrokeshire and Carmarthenshire.
Since March 2025, adults in Ceredigion seeking routine mental health support have been advised by their GP to contact the NHS 111 Wales ‘Press 2’ service, rather than being referred directly to the county’s Community Mental Health Team.
The temporary change was introduced in response to ongoing staffing shortages. Health Board officials say the approach has helped maintain timely access to face-to-face assessments for those who need them, while directing initial contact through a single access point.
The 111 ‘Press 2’ service provides telephone assessments by local wellbeing practitioners, supervised by registered mental health nurses, offering advice, support and onward referrals where required.
At its November 2025 meeting, the Board agreed to extend the temporary pathway until the end of March 2026. A nine-week engagement exercise followed, running from December 8 to February 9, to gather feedback from patients, professionals and stakeholders on the potential long-term impact.
Andrew Carruthers, Chief Operating Officer at Hywel Dda University Health Board, said: “I would like to thank everyone who took the time to share their views and experiences.
“I would also like to thank West Wales Action for Mental Health for supporting engagement with patients, including those with lived experience, alongside GPs, primary care teams, mental health staff and third sector partners.
“Our priority is to ensure mental health services remain accessible, fair and sustainable. The temporary changes in Ceredigion have shown some positive benefits, and the feedback we have received from across the three counties will play an important role in shaping the Board’s decision.”
The Board will review all evidence and feedback before making a final decision on the future of the adult mental health referral pathway.
GPs will continue to refer patients with urgent or complex needs directly to community mental health teams where appropriate, and have access to a dedicated NHS 111 professional line for additional clinical advice.
Further details, including the full Board papers, are available here:
https://biphdd.gig.cymru/amdanom-ni/eich-bwrdd-iechyd/cyfarfodydd-y-bwrdd-2026/agenda-a-phapuraur-bwrdd-26-mawrth-2026/
The meeting will be streamed live from 9:30am on Thursday (Mar 26) via:
www.youtube.com/hywelddahealthboard1
Health
Parents urged to check children’s vaccinations after meningitis cases
Local pharmacy reports MenB vaccine shortage amid rising concern
PARENTS and carers across west Wales are being urged to check their children’s vaccination status following recent meningitis cases in the UK.
The warning comes as a local pharmacy has confirmed a shortage of the Meningitis B (MenB) vaccine, highlighting growing pressure on supplies.
Mendus Pharmacy said it currently has no availability of the vaccine due to what it described as a nationwide supply issue.

In a statement, the pharmacy said: “We would like to inform our patients that, due to ongoing supply issues, we currently have no availability of the Meningitis B vaccine.
“Unfortunately, this is a nationwide shortage and all stock is currently unavailable.
“We understand this may be particularly concerning given the recent outbreak reported in Kent, and we completely appreciate the importance of timely vaccination.”
The pharmacy confirmed it is operating a waiting list and will contact patients once supplies return.
Health officials say keeping vaccinations up to date remains one of the most effective ways to prevent serious illness and reduce pressure on NHS services.
Dr Ardiana Gjini, Executive Director of Public Health at Hywel Dda University Health Board, urged parents to act.
She said: “Vaccination is one of the most effective ways we can protect children and young people from serious illness.
“Ensuring your child is fully vaccinated not only safeguards their health but also helps prevent the spread of infections within our communities.
“I strongly encourage all parents and carers to check their child’s vaccination status. If you are concerned that your child may have missed routine vaccinations, please speak to your GP.”
Meningococcal disease is a serious and potentially life-threatening infection that can lead to meningitis or septicaemia. While many people recover, some are left with long-term physical, neurological or psychological complications. Around one in ten cases can be fatal.
Although the disease can affect anyone, babies, young children, teenagers and young adults are at greatest risk.
In Wales, vaccines protecting against meningococcal strains A, B, C, W and Y are offered as part of the NHS immunisation programme. Infants receive the MenB vaccine, while teenagers are offered the MenACWY vaccine.
Latest figures from the Health Board show that uptake among 16-year-olds for the MenACWY vaccine stands at 76.4%, meaning a significant number of young people remain unprotected as they approach adulthood.
For younger children, uptake of the MenB vaccine is higher but still below the recommended 95% target. Around 92.8% of infants are vaccinated by their first birthday, rising slightly to 91.8% by their second.
Health officials say these figures reflect strong engagement from families and primary care teams but stress that continued vigilance is needed.
Families are being advised to check their child’s vaccination record with their GP or by contacting the Health Board directly. Parents should also ensure babies receive their scheduled MenB doses and that teenagers receive their MenACWY and 3-in-1 booster vaccines, which are currently being delivered in schools.
Parents are also urged to remain alert to the symptoms of meningitis and septicaemia and to seek urgent medical advice if they have concerns.
Further information on symptoms is available via NHS 111 Wales.
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