Health
Good news for patients: Fresh approach rescues GP practice in Johnston
NEW and late information available to the Health Board relating to accommodating GP services in the Neyland and Johnston Medical Practice means that a decision to move Johnston patients to practices in Haverfordwest and Milford Haven has been scrapped.
The Board’s Vacant Practice Panel had recommended the immediate closure of the Johnston Surgery, with patients there re-registered in practices in Milford and Haverfordwest at the end of October.
Local GPs, pharmacies, community councils, and patients vehemently objected to the plan.
However, until the new information arrived, the Board was certain to follow the Panel’s recommendation.
However, the Board heard that a fresh proposal involving alternative premises, the possible recruitment of more GPs, and fresh provision on a new model gave the Board the chance to avoid dispersing patients in Johnston elsewhere.
The Board will establish a new practice to cover all 6,000 patients registered and will review the Vacant Practice Panel procedure.
The Board acknowledged retaining a 6,000-patient practice was a risk but that keeping a practice of that size would be more attractive to new GPs.
The key submission to the Board came from Community Interest Care CIC, a group including a former deputy director of the Health Board, business stakeholders, and input from the Council’s Director of Social Services, Jonathan Griffiths.
Member of the CIC, Cllr Paul Miller, told The Herald the Board deserved praise for listening to the strong concerns of patients and other practices about retaining a consolidated service.
He said: “Since the Vacant Panel process, it has become apparent that there are opportunities to use alternative premises, and additional GPs have come forward to support the practice in the short term.
“Given that maintaining the full list of 6000 patients will support the medium-long term sustainability of the practice, we can now commit to maintaining the list at 6000 patients.
“I’m very pleased that Hywel Dda Health Board’s meeting today confirmed the recommendation to manage the Neyland GP Practise for 12 months directly.
“Their decision gives us the breathing space we need to develop a sustainable, long-term plan for maintaining GPs’ services.”
He continued: “I was also pleased to note that the Health Board rejected the recommendation to disperse the patient list from Johnston.
“That’s really good news in my view for the long-term viability of the practice, and I’d like to put on record my thanks to the Health Board for listening to the concerns I, many patients, the LMC and the neighbouring practices raised.
“We’ve now got 12 months to come up with a plan to sustain the service long term and I look forward to working constructively with the Health Board to make sure we do.”
Neyland Town Council welcomed Thursay’s decision by the Board of the Hywel Dda University Health Board to retain the full patient list currently held by the Neyland and Johnston Surgery, and to run the Practice as a whole as a Health Board ‘managed practice.’
In an official statemenet the council said: “We appreciate that a ‘managed practice’ is not the ideal solution for any Practice, but as an interim measure to allow time for an alternative GP services provider to put forward a viable business case, the Board’s bold and sensible decision in light of new information not to accept the initial Vacant Practice Panels recommendation to disperse the patient list, will certainly be welcomed by Neyland’s community, as well as the communities in Johnston and other areas surrounding Neyland.
“The decision to maintain the existing patient list of approximately 6000 patients is important to the long-term future of the Practice, and is something that Neyland Town Councillors have been calling for since meeting with Members of Hywel Dda’s management team on the 11th August 2022. Removing the immediate uncertainty around the future of the Practice will go some way to address the concerns and worries of our community, regarding obtaining Health Care Services locally, in line with a stated aim of the Board. Neyland Town Council would urge Hywel Dda UHB to fully engage with alternative providers, as the Vacant Practice Panel suggested in their report to the Board and indeed in today’s meeting and would ask them to explore all avenues available to secure the long-term future and success of the Neyland and Johnston GP Surgery.
“Moving forward, to address concerns raised in today’s meeting regarding the process followed by the Vacant Practice Panel, if faced with a similar situation again we would ask that the Board seriously consider automatically moving a vacant practice to a ‘managed practice’ for a set period of a minimum of 12 months. A proposal previously made by Neyland Town Council in the 11th August meeting. This would provide some security for surgery staff and importantly remove immediate concerns of the patient base, while allowing the Vacant Practice Panel sufficient time to explore every avenue, which would be in addition to their already extensive workload.”
Health
Medicine shortages now ‘most severe on record’, health leaders warn
PATIENTS are facing some of the worst medicine shortages ever seen in the UK, with pharmacists warning the situation now poses a serious risk to safety.
The National Pharmacy Association said shortages affecting commonly used medicines are becoming more frequent, lasting longer, and causing increasing disruption for patients, GP surgeries and pharmacies.
The warning comes as Serious Shortage Protocols for Creon, used by people with pancreatic cancer and cystic fibrosis to help digest food, have been in place since May 2024 and have now been extended until July 10, 2026.
HRT treatment Estradot has also been under a Serious Shortage Protocol since December 2024, with the current extension also running until July 10.
Patients travelling between pharmacies
A survey by the National Pharmacy Association found that 98 per cent of pharmacies had encountered patients who had visited several pharmacies in one day to find a prescription.
It also found that 96 per cent of pharmacies believed the current situation posed a serious risk to patient safety, while 89 per cent said they had been unable to dispense a medicine at least once a day because of supply problems.
Some pharmacy teams have also faced anger and abuse from patients unable to obtain medication.
Olivier Picard, Chair of the National Pharmacy Association, said: “Medicine shortages are becoming more frequent, lasting longer and causing increasing disruption for patients.
“These shortages are some of most severe the UK has experienced.
“It is deeply distressing to find patients who have travelled from pharmacy to pharmacy to find the medicines they need without success.”
Calls for urgent taskforce
The NPA is calling on the government to convene an emergency taskforce involving manufacturers, wholesalers, clinicians and pharmacists.
It also wants changes to rules which currently stop pharmacists from making simple substitutions, such as changing a tablet to a capsule or a cream to an ointment, even where a safe alternative is available.
Professor Victoria Tzortziou Brown, President of the Royal College of GPs, said medicine shortages were frustrating for patients, GPs and pharmacists, and added pressure to already stretched services.
She said the College supported pharmacists being able to make limited changes to prescriptions where a medicine is unavailable and a safe alternative exists.
She added: “The most important thing is that patients are able to access the medication they need safely and without delay.”
The Cystic Fibrosis Trust and Pancreatic Cancer UK have also raised concerns about the impact of shortages of pancreatic enzyme replacement therapy, including Creon, on people who rely on the medication to digest food, maintain weight and stay well enough for treatment.
Health
Woman jailed assaults on police, harassment and XL Bully possession
A CARMARTHEN woman has been jailed after admitting a lengthy catalogue of offences including assaults on police officers, harassment, breaching a Community Protection Notice, shop theft, possession of an XL Bully dog and assaulting a paramedic.
Tilly Rees, 25, of Llys Caermedi, Carmarthen, appeared before Llanelli Magistrates’ Court on Wednesday (Jun 18).
The court heard that Rees admitted multiple breaches of a Community Protection Notice issued in 2025, including incidents in which she shouted abuse in public, caused distress to residents and repeatedly targeted individuals named in court proceedings.
Harassment campaign
Among the offences was a harassment charge relating to a course of conduct against a Carmarthen man between March and May this year.
Prosecutors said Rees approached him on multiple occasions, shouted abuse, called him a paedophile and video-recorded him and his home.
She also admitted a series of Community Protection Notice breaches linked to the same behaviour.
Police assaults
The court heard that Rees assaulted a number of police officers during incidents in Llanelli on May 1 and May 5.
Several assault charges against serving police constables were taken into account by the court when sentence was passed.
A further charge of assaulting a paramedic at Dafen Police Station on June 12 was also admitted.
Shop theft and XL Bully
Rees also admitted stealing items including sanitary products, deodorant, skincare products and reading glasses from a Carmarthen pharmacy.
In a separate matter, she admitted possessing an XL Bully dog contrary to the Dangerous Dogs Act. The court ordered the dog to be forfeited and destroyed after Rees relinquished her rights to it.
Restraining orders imposed
District Judge M Layton imposed a number of restraining orders preventing Rees from contacting named individuals or referring to them online.
The orders prohibit direct or indirect contact and restrict social media activity relating to those protected by the orders.
Jailed for 26 weeks
Magistrates concluded that only an immediate custodial sentence could be justified.
Rees was sentenced to a total of 26 weeks’ imprisonment.
The court heard that some of the offences were committed while she was already subject to a suspended sentence, while others involved assaults on emergency workers carrying additional aggravating factors.
Education
Senedd Members walk out after Reform MS’s comments
COMMENTS made by a Reform MS led to a walkout in the Senedd during a debate on the Welsh Government’s international spending.
A Reform motion, calling for an end to all Welsh Government international spending, was rejected by Senedd Members on Wednesday June 17.
Wednesday’s plenary opened with Llywydd Huw Irranca-Davies reminding members to mind their language and tone when contributing, following clashes between Reform UK’s Joe Martin and the First Minister in Tuesday’s proceedings.
Mr Irranca-Davies said: “Robust disagreement is part of democratic debate, but it must always be grounded in respect and we must avoid using language that has the potential to inflame debate or to increase tensions.”
The debate was opened by Reform’s shadow minister for finance and government efficiency, Cai Parry-Jones, but it was the contribution made by Caerdydd Penarth MS Joe Martin which sparked the most controversy.

Announcing to his colleagues that he had “good news”, Mr Martin began his statement by sharing that he had “found the £9 million” needed for Plaid’s “childcare idea”.
However, Mr Martin then added that the “bad news” was to get the money the government would have to stop funding “some of the most pointless schemes known to man”.
One example Mr Martin gave of these so-called “pointless schemes” was a beekeeping scheme in Uganda designed to advance gender equality.
The scheme, run by Bees for Development and their partner organisation, The Uganda National Apiculture Development Organisation, aimed to enhance women’s economic empowerment through beekeeping.
It challenged gender norms in the industry, increasing the visibility of women in technical and policy leaderships roles.
Mr Martin then suggested Wales had won the “Who can find the stupidest use of taxpayer money?” competition because of a scheme supporting tree planting in Uganda.
He said: “We actually asked some Ugandan people what they thought about Wales’s scheme to send them money for trees and they said, ‘Why are you sending us money for trees?’
“We then asked the same question to some Welsh students who had been through our underfunded education system, but we didn’t get a reply because we had e-mailed them and they couldn’t read.”
Mr Martin went on to criticise the money spent on mini embassies abroad.
He said: “In India, one of the functions of those mini embassies is to recruit nurses to come and work in our NHS, which is great because it means that the Welsh people who would have otherwise become nurses can instead go on universal credit.”
The Reform MS then added: “I have enquired as to why we can’t just have an enormous pit where we burn all the money, but apparently that’s not compliant with net zero.”
At this point in Mr Martin’s statement Plaid Cymru’s Zaynub Akbar, of Caerdydd Ffynnon Taf, announced she was going to leave the Siambr.
She said: “I don’t accept any of this and I don’t want to be a part of it, so I’ll be leaving the chamber.”

She was followed by numerous other Senedd Members, including Trefnydd and chief whip Heledd Fychan.
Mr Martin was then reminded by the Llywydd of Senedd rules, which mandate respect in the chamber, before he could continue his contribution.
He concluded his speech to the Senedd by saying: “In Westminster, the Tory party doubled foreign aid whilst imposing austerity. There are now only seven of them in this chamber. The same fate awaits any party that insults taxpayers by frittering money overseas on feel-good vanity projects.
“So, I want to encourage the Party of Wales to be nationalist, to put Wales first. Spend your constituents’ money on your constituents. That way, when someone is lying in a hospital corridor and they ask you, ‘are you really the Party of Wales?’, you’ll be able to say ‘yes’.”
At the end of the debate, the Llywydd directly addressed Mr Martin calling for him to “reflect” on his remarks and contributions, noting that it was “not in line with [his] expectations”.
Mr Irranca-Davies described it as “particularly disappointing” given the comments he made at the beginning of plenary.

He said: “Going forward, I think we all need to reflect on this and make sure that we comply with our conduct within this chamber and the way we comport ourselves in light of my remarks.”
Welsh Conservative leader Darren Millar expressed his support for the Reform-backed motion, saying it is a debate about where responsibilities lie.
He said: “It’s very clear that foreign relations, international development are matters for the UK Government, not the Welsh Government, and as a result of that, I believe that we respect devolution and can expect respect for devolution back when we respect the boundaries of our legislative competence and the competence of the Welsh Government’s position as well.”

Mr Millar highlighted that his party has continuously argued against the development of “mini embassies” and “overseas offices”.
The Conservative leader did clarify however that he is not “anti-international aid”, and noted the “generous” nature of the people of Wales.
But he added: “I do not believe that when people are dying waiting for ambulances, when we’re at the bottom of the educational tree as far as the league table of the United Kingdom is concerned, and when our road infrastructure isn’t working, our transport infrastructure is creaking, that it’s right to spend those millions of pounds on those things, when the Welsh Government should be focused on the things for which it is responsible.”
Taking an intervention from Labour’s Huw Thomas, Mr Millar was questioned on whether he recognises that the majority of international spending is on economic development for Wales.

Mr Millar once again referred to the role of the UK Government, noting that it is their responsibility to bring inward investment to the UK as a whole.
He said: “We will always want to be an internationalist country, looking out and seeking to influence the world, but we do that as part of the United Kingdom, an integral part of the United Kingdom.
“And I’m proud to be a member not only of the Welsh Conservative Party, but of the Conservative and Unionist Party, and I believe in the union of the United Kingdom, and that these foreign relationships and international development are done better as a United Kingdom as a whole.”
Plaid Cymru’s Gwyn Williams shared a notably different perspective to that of his Conservative and Reform colleagues.
Prior to being elected to the Senedd, Dr Williams was a consultant ophthalmologist specialising in retina care at Swansea Bay University Health Board.

Speaking as someone who has worked within the Welsh NHS Dr Williams said: “Wales has long been a country that looks beyond our own horizons, looking to make a difference in the world and help where we can, but also we rely on help coming in to us as well.
“Many, many healthcare workers, of course, come from abroad, especially here in Wales, and every hospital in the country would crumble if all the international workers went home.”
He continued: “In Singleton Hospital in Swansea, in the eye department, I am the only Welsh-speaking, Welsh-origin consultant there, and much as I like to convince myself that I can do the work of ten people, I cannot, especially now because I am here.
“Chronic shortages in these sectors increase hospital discharge delays, reduce bed availability and create bottlenecks across the healthcare system.
“At a time when the NHS is struggling, we need the support from abroad as well, though we also, of course, need to grow our own ability.”
Concluding his statement Dr Williams said: “This whole debate tries to position international investment and domestic investment as a zero-sum game. It isn’t.
“Looking outwards does not come at the expense of looking inwards. I suggest that such a simplistic outlook condescends to the people of Wales and stymies science.”

The cabinet minister for government effectiveness, Dafydd Trystan Davies, called for reflection on the tone of the debate, suggesting that the “standard of this debate [had] descended to the level of a public house, not of a national Senedd”.
He said: “My friend the leader of the Welsh Conservatives made a speech, and I disagree with more or less all of it, and yet it was conducted properly and in line with the standing orders and the procedures of this Senedd.
“I think we should all take our duties properly as parliamentarians, whatever views we agree or disagree on.”
Dr Trystan Davies highlighted that international spending makes up just 0.03% of the Welsh Government’s overall budget, which he described as a “small contribution” to “building our prosperity, protecting our public services, strengthening our culture, and promoting our values”.
He said: “Our international work turns that belief into action, creating jobs and investment, exports and partnerships, life-changing experiences for students, new colleagues for our NHS and enabling communities in Wales and beyond to learn from one another.
“When Wales works internationally, Welsh people benefit. Our businesses reach new markets, universities build global partnerships, young people return home with skills and confidence, and Wales’s reputation grows.
“We should be proud of that, not in a narrow way, not with our backs turned to others, but proud to be generous and outward-looking, proud to share, proud to learn – internationalist, not isolationist.”
The motion to end all Welsh Government international spending, tabled in the name of Blaenau Gwent Caerffili Rhymni’s Reform MS Llŷr Powell, was rejected by the Senedd with 37 members for and 48 against.
The Siambr then agreed Plaid Cymru minister Heledd Fychan’s amendment, which proposed the Senedd “regrets Reform UK’s isolationist approach to Wales’s place in the world” and “celebrates Wales’ reputation as an internationalist, tolerant and outward-looking nation open for business, which is enhanced by its international engagement, including spending.”
The amended motion was agreed with 48 in favour and 37 against.
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