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Health

The NHS at 75: Urgent national dialogue required to address future healthcare needs

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AS THE NATION celebrates the 75th anniversary of the NHS, the Welsh NHS Confederation has called upon the Welsh and UK Governments to engage in a comprehensive national conversation regarding the innovation and transformation of the health and care system. In a press release, the Welsh NHS Confederation emphasised the need to adapt to meet the requirements of future generations.

On Wednesday, 5th July, the Welsh NHS Confederation will present a report at the Senedd, signalling the commencement of a public debate on the future of healthcare and care services. The organisation acknowledges the public’s enduring trust in the NHS and its fundamental principles of providing free care to all in need. However, it is widely recognised that the existing health and care services are unsustainable. Over the past 75 years, the demographics of the population have undergone significant changes, with substantial improvements in life expectancy for both men and women in England and Wales, an achievement to be celebrated.

Nevertheless, the challenges posed by an ageing population with increased frailty and chronic conditions necessitate a thorough re-evaluation of health and social care. The NHS is confronted with mounting demands while simultaneously contending with immediate pressures that impede long-term planning for health and care services.

This pivotal moment calls for collaborative efforts to co-produce and redesign services, ensuring they effectively adapt to the evolving needs of the population and remain sustainable in the future. Crucially, the NHS must empower individuals to make informed decisions about their own well-being and independence, guaranteeing access to the most appropriate care for their specific requirements.

It is vital to recognise that access to healthcare represents only a fraction of a population’s overall health, with socio-economic factors playing a substantial role. Wales, for instance, faces the highest poverty rate among the four nations of the UK, with more than one-third of children (34 per cent) living in poverty.

The Welsh population grapples with a multitude of health challenges that hinder life expectancy and widen inequalities, many of which lie beyond the direct purview of the NHS. Improving population health and well-being necessitates an integrated approach that encompasses services and sectors beyond healthcare. Redirecting resources towards long-term investment in public engagement and communication, as well as implementing preventative measures across sectors such as housing, education, transport, and access to the arts and leisure, is imperative. All sectors bear responsibility for creating a preventive model, fostering an economic, social, and natural environment in Wales that supports good health and well-being throughout one’s life.

Continuing along the current trajectory is not an option; change is needed urgently. A transparent and candid conversation with the public about the future of health and care services is essential. This discussion must revolve around an NHS that receives adequate and sustainable funding, an NHS that delivers care and prevention directly to individuals and communities, an NHS that empowers and enables, and one that benefits from improvements in public health. The foundation of this dialogue must be an ambitious and sincere partnership between the NHS and the people it serves.

Darren Hughes, Director of the Welsh NHS Confederation, expressed the importance of adapting to opportunities and challenges, a characteristic deeply ingrained in the NHS’s history. He acknowledged the invaluable contributions of NHS staff, social care staff, volunteers, third-sector organisations, unpaid carers, and communities in supporting the nation’s health and well-being. However, Hughes cautioned that the existing efforts alone are insufficient to ensure the long-term sustainability of health and care services for future generations. He emphasised the urgency of engaging in a national conversation to unite behind a shared vision for the NHS’s future. Hughes highlighted that the responsibility lies with the population and all sectors

 

Health

NHS Wales users share mental health support stories

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Two Welsh patients say free online programmes helped them manage anxiety and stress

TWO people who transformed their mental wellbeing with the help of NHS Wales’ online support services are encouraging others to seek help during Mental Health Awareness Week.

Kate, 39, from Cardiff, and George Ryley, 27, from Aberystwyth, both say free online self-help programmes helped them regain control during difficult periods in their lives.

The pair were supported through SilverCloud Wales, a suite of digital mental health programmes based on Cognitive Behavioural Therapy, managed by Powys Teaching Health Board.

The stories are being highlighted as part of Mental Health Awareness Week, which this year focuses on the theme of “Action”.

Parental anxiety

Kate sought help after her young son began suffering febrile seizures, triggering severe anxiety that quickly escalated.

“My chest would tighten and I’d get this feeling like a wave of nausea,” she said. “I couldn’t eat, couldn’t focus.”

She described becoming consumed by fear, constantly checking on her son and worrying about possible seizure triggers.

“I was so distracted at work that I had to stay behind after hours, and at home I didn’t feel I was always present with my son in the right way,” she said.

After speaking with her GP, Kate was diagnosed with parental anxiety and referred to SilverCloud’s “Space from Anxiety” programme.

She said the flexibility of the online course made it easier to fit around family life.

“I could do it in the evening when my son had gone to sleep, or during breaks in the day. It worked around me,” she said.

Kate says she still regularly uses mindfulness, breathing exercises and writing techniques she learned through the programme.

“I haven’t had a single anxiety attack since I started it,” she added. “I’ve not looked back.”

Stress and illness

Meanwhile, Aberystwyth resident George Ryley turned to the service after work pressures and illness left him physically and mentally exhausted.

“I was used to being busy and active,” he said. “Then suddenly, even having a shower would sap all my energy for the day.”

George said a period of poor health linked to mould toxicity left him bed-bound for several weeks and badly affected his mental wellbeing.

After contacting his GP, he was referred for counselling and encouraged to try SilverCloud’s “Space from Stress” programme.

“I didn’t have the most positive mindset at first,” he said. “But as I worked through it, I was amazed at how effective it was.”

Each SilverCloud user is assigned a dedicated supporter who provides encouragement and advice throughout the course.

“Having such lovely feedback on my progress was really motivating,” George said.

“I’ve recommended SilverCloud to so many people who I know have been struggling with stress.”

Taking the first step

Fionnuala Clayton, project manager for NHS Wales’ Online CBT Service, said the stories showed how small actions could make a major difference.

“This Mental Health Awareness Week reminds us that action doesn’t have to be dramatic or overwhelming – sometimes it’s simply about taking that first step to seek support,” she said.

“SilverCloud Wales gives people the tools to understand their thoughts, manage anxiety and stress, and build resilience in a way that fits around busy working and family lives.”

SilverCloud Wales is free to access through NHS Wales and can be used on phones, tablets or laptops.

The service is not intended as a crisis support platform or for those requiring high levels of intervention.

People can sign up at nhswales.silvercloudhealth.com/signup.

 

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Charity

Local St John Ambulance cadets confirmed national first aid champions

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ST JOHN AMBULANCE is proud to share that three local St John Ambulance cadets have been crowned National First Aid champions after competing against eight other cadet teams representing counties across Wales.

The team, comprising Emily Williams (Yr 10, Ysgol Bro Gwaun), Ruby Collins (Yr 10, Ysgol Henri Tudor), and Gemma Tilbury (Yr 11, Ysgol Henri Tudor) represented the whole of Dyfed, and demonstrated exceptional skill, teamwork, and composure throughout three demanding rounds.

The competition consisted of a first aid knowledge quiz and exam, followed by a practical skills challenge assessing communication, teamwork, and the ability to perform under pressure—an area in which they excelled. The final round featured a complex, theatrically produced first aid scenario. Here, the team showed remarkable calm and professionalism as they stabilised a casualty with a severe compound bleed involving a large object lodged in the wound.  They also managed distressed and aggressive members of the public, and successfully resuscitated an unresponsive, non-breathing casualty using CPR and a defibrillator—all completed in record time.

In Pembrokeshire, cadets train every Monday evening during term time from 5:45–7:15pm, with sessions focussing on practical, hands-on learning of real-life first aid skills, including CPR, defibrillator use, treatment of severe wounds, allergic reactions, choking, strains and sprains, head injuries, heart attacks, hypothermia, and much more. Training is engaging and interactive, often involving active, game-based learning, ensuring there is rarely a dull moment.

 Cadets also have the opportunity to support a wide range of events delivered by St John Ambulance Cymru. Working alongside adult volunteers and healthcare professionals, they engage with the public at events of all sizes, applying their skills in real-world, and sometimes life-saving, situations.

 Beyond events, cadets are encouraged to share their knowledge within the community, helping to lead first aid demonstrations and inspire others. Previous outreach has included sessions with Scouts, Cubs, Brownies, and Girlguiding groups, as well as senior community organisations such as the Pembroke Lions and specialist charities like Pembrokeshire People First. On a larger scale, cadets played a key role in organising and delivering “Defibruary,” where they helped lead a team of St John first aiders to train over 950 students at Henri Tudor in a single day in February 2026.

If you are interested in volunteering, opportunities are available for cadets aged 11–16 and adults aged 16+. We are always keen to welcome new members and are happy to discuss opportunities for adults to support the cadet programme as youth leaders.    

To find out more visit https://www.sjacymru.org.uk/volunteer

 

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Charity

Paul Sartori receives generous support from the James Tudor Foundation

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Paul Sartori Hospice at Home is celebrating a major support package from The James Tudor Foundation thanks to an unrestricted grant to help fund the charity’s vital end-of-life care services throughout the county. 

The £46,364 grant award ill be paid over three years.

Commenting on the windfall, the new Chief Executive Officer, Laura Hugman, said, “At a time where funding and funding partnerships are challenging, we’re very grateful to The James Tudor Foundation in helping us achieve our aims and passion for supporting and bringing reassurance to the local families who need us.” 

Paul Sartori Hospice at Home provides an holistic approach to end-of-life care, which encompasses home nursing, equipment loan, complementary therapies, bereavement and counselling support, physiotherapy, future care planning, and training. The team provides thousands of hours of day and night respite care each year, ensuring that patients can receive the support they need, complementing the statutory provision within the comfort of their own homes.

Judith Williams, Grant Development Officer at Paul Sartori Hospice at Home, expressed the charity’s gratitude: “We’re incredibly thankful to The James Tudor Foundation for their continued generosity. Their support helps us maintain our nursing service, which is a lifeline for many families facing end-of-life care challenges.”

Paul Sartori Hospice at Home offers a comprehensive range of services to individuals with life-limiting illnesses, ensuring they can be cared for at home with dignity, independence, and comfort.

 

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