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Health

Plans for new hospital in west Wales reduced to two sites

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The building of a new hospital in west Wales, which could result in around £1.3billion of investment into health and care will now be a choice of two sites, Whitland or St Clears, following a health board meeting today.

An initial 11 sites were nominated, which was reduced to five, and then three last year.

Members of Hywel Dda University Health Board, at an extraordinary board meeting, were asked to whittle down the three proposed sites of Whitland’s Spring Gardens – formerly site 12 – and Ty Newydd – formerly site C – sites and St Clears -formerly site 17 – to two.

A 12-week public consultation was held from February to May of this year, with 17 public drop-in events; more respondents rate all sites as poor, but of the sites, overall views are more evenly balanced in relation to St Clears.

A report for board members said there were widespread concerns raised about plans for a new hospital, primarily around geography/access, citing poor road infrastructure and traffic congestion, and a concern about ambulance response times, supporting refurbishing the existing Glangwili and Withybush sites and retaining services there but also recognising that a modern, fit-for-purpose hospital of sufficient size not possible on the existing sites.

Alternative sites were suggested – later rejected – included the showground in Nantyci, Canaston Bridge, and Penblewin, near Narberth.

The report also highlighted positive comments, saying those in favour felt it would be beneficial for the area economically/in improving health and wellbeing outcomes, help overcome the board’s staffing challenges, offer specialisms/up-to-date technology, and provide modern environments for patients and staff.

It said the St Clears site had drawn the most positive responses, but added: “However, it is important to note that views differ markedly by respondents’ geography/nearest current hospital.”

Of the three sites, Spring Gardens, the cheapest option, drew positives for being equidistant between Glangwili and Withybush, being closer to Pembrokeshire, and close to the A40 trunk road, but negatives were raised about poor road infrastructure, and the site being a complicated and costly sale due to multiple landowners, with limited room for expansion, and clinical/recruitment risks of siting a hospital further west.

Tŷ Newydd, the largest site, gained positives for its nearness to Pembrokeshire, the only site with potential for on-site renewable energy, the nearest to a railway station, and being owned by the county council.

Withybush Hospital Medical Committee stated: “To consider the other two sites when you have a perfect site in public ownership which can be expanded considerably is a no-brainer.”

However, negatives were raised about the lack of an access road, flooding potential, recruitment risks, and fears a large hospital in Whitland would destroy the character of the town.

Positives for the St Clears site – which has a single private landowner – included being geographically central and near large centres of population, no flood risk, easier to recruit/retain staff, less disruptive to local residents, but concerns were raised about the time taken to travel there from the west.

Summarising the lengthy meeting after a short break before a decision was made, Chair Maria Battle said: “Today is another important step to delivering our strategy of independent health and care centres, with investment in repurposing Glangwili and Withybush hospitals, bringing care closer to home.

“A vital part, now more than ever, is a new urgent and planned hospital fit for future generations. Based on the evidence we have been asked to consider reducing the shortlist from three to two sites.”

She said St Clears had the largest public support, other than residents to the west, but had commercial risks associated with it, while Spring Gardens had the highest commercial risk; Ty Newydd – the majority of the site proposed being owned by Carmarthenshire County Council -having the lowest commercial risk, but was the least liked by the public.

“I propose, taking all the evidence into account, that we take forward, as a board, the Ty Newydd site in Whitland and the St Clears site.”

Members backed this, and other recommendations, with the three suggested alternative sites of Canaston Bridge, Penblewin and Nantyci rejected.

The chair finished: “Never has it been more urgent that we in west Wales have a new hospital that is fit for purpose and fit for the future; let’s keep pushing forward to realise the vision that everyone in west Wales wants.”

 

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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Health

FOI raises fresh questions over plan to close Pontyates GP surgery

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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.

 

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