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Report Library

We represent independently and without bias the interests of patients and the public in the way that NHS services are planned and provided across the counties of Carmarthenshire, Ceredigion and Pembrokeshire. 

Our volunteer members who live in the communities we serve are supported by a small team of staff who work together to carry out regular visits to health services talking to the people using the service and the people providing the care to influence the changes that can make a big difference

Our Recent Local Visit Reports:

We want to share some of the stories that people told us about their recent experiences of accessing mental health support. This has been at a time when services had to be delivered differently. These different ways of working were sometimes felt to be helpful but some found the new ways of getting support, were not what they expected or needed. 

Read the full report here

During the pandemic we have heard from people about the worries they had about their dental care. Like many services, dental practices had to think about the safety of their staff and patients. This meant that people could no longer go to their dentist for routine appointments and although there was emergency care available, this was not always what people needed. Instead, people went without check-ups or basic dental procedures such as fillings, or denture repairs for many months. Other people who wanted to register with a dentist, found that they were unable to do so

Read the full report here

People in the Hywel Dda area are diverse whether they live in towns, villages and rural location, on the coast or in-land. Our residents have homes and families of different types. No one is typical. Some people live alone, others live in large extended families. Some people own their own large homes in a parcel of land, others may rent small flats. Some people drive, some work part time, some have retired. Despite all these differences, we all have one thing in common – we have all been affected by the coronavirus pandemic in one way or another. The pandemic has had an impact on people’s health care. Whether people regularly use health services or are infrequent attenders in GP surgeries, the changes that have arisen from the coronavirus pandemic has had an impact on what is available to them

Read the full report here

Preseli Practice faced some changes in autumn 2019 when another GP Surgery in nearby Cardigan closed following staff retirement. This meant that patients of the Cardigan surgery now had to be registered elsewhere.

For Preseli Practice, this meant that 200 patients from the closed surgery needed to join Crymych. Compared to other surgeries in the area this was not a large number of new patients, however the CHC wanted to understand the impact this had on the surgery and on patient experiences. The newly registered patients inevitably had to get used to having medical care in a different place and with different staff. However, the patients already in Crymych may also have experienced some changes due to the additional numbers going to the surgery.

Read the full report here

This report sets out our findings from a visit to Ash Grove on 7 August 2019 and a patient survey that we used at the same time. In September 2018, it became a “managed practice”, which means that Hywel Dda University Health Board stepped in to take over its management and day-to-day running. This happens when a practice hands back its General Medical Services (GMS) contract, and the Health Board feels that the practice must not close. Leading up to this point, the local community was understandably very concerned given the risk of closure and the uncertain future. One of the main problems the practice has faced is the lack of doctors and the use of a high number of locum (temporary) doctors covering clinics.

It is important to note that we did not visit because we had heard any specific concerns about the practice or the quality of care it offers. Instead, we were keen to understand what patients had to say nearly a year after the practice had gone through upheaval and change.

Read the full report here

This report sets out our findings from a visit to New Quay Surgery on November 6th 2019 and a patient survey that we used at the same time. It is important to note that we did not visit because we thought that things were going wrong. Instead, we were keen to understand what patients had to say given that a number of practices in south Ceredigion have been under pressure following closures of GP surgeries in the surrounding area. This has meant that some practices like New Quay have had to take on more patients. Additionally, the practice manager noted that they had also seen increasing numbers of patients wanting to join from another local practice. The list size at New Quay is now approximately 5,300.

Read the full report here

Glangwili General Hospital in Carmarthen is the largest acute District General Hospital in South West Wales. It provides in-patient care, outpatient facilities and a wide range of services, mainly to residents within the Hywel Dda area. It also has a 24 hour Accident and Emergency department. This report sets out the findings from our unannounced visit to Derwen Ward at Glangwili hospital.

Read the full report here

Neyland Surgery faced some changes in autumn 2018 when another nearby surgery made some changes to the way it operated. Previously, Argyle Medical Group had been responsible for Neyland Surgery, using it as one of their branch surgeries. This meant that all the patients using Neyland Surgery were registered as patients of the Argyle Medical Group.

Read the full report here

This report lays out our findings after we visited hospital maternity settings in May 2019. As well as visiting Bronglais, Glangwili and Withybush Hospitals we also used a survey so that people could give us their views even if we did not see them in hospital. Our survey ran until the end of July 2019. We have combined the results of our visits and the information we had from the survey into this report.

Read the full report here

We visited Llynyfran Surgery on 31 July 2019 to talk to patients about their experiences there. We also used a patient survey that people could fill in, in their own time, to tell us their views. This survey was available in the surgery for patients to take away and a linked survey was also available on-line on our website.

Read the full report here

Fishguard surgery faced some changes in Spring 2019 when a nearby practice Goodwick Surgery merged with Fishguard Health Centre. Before this merger happened, Goodwick surgery was managed by Hywel Dda University Health Board (the Health Board). This change took place after the retirement of a General Practitioner (GP) in 2015. The surgery's last remaining salaried GP resigned in December 2016.

Read the full report here

We visited Meddygfa Emlyn on 21 August 2019 to talk to patients about their experiences there. We also used a patient survey that people could fill in themselves to tell us their views. This survey was available in the surgery for patients to take away and a linked survey was also available on-line on our website.

Read the full report here

Llandovery Hospital is located in the small town of Llandovery in the north east of the county of Carmarthenshire. It is an older hospital and historically in the mid to late 19th century, it was part of the old workhouse and infirmary. It would have been called a ‘cottage hospital’ in the past although it is now more accurately referred to as a community hospital. It is run by Hywel Dda University Health Board (“the Health Board”) This report sets out the findings from our unannounced visit to the hospital, which took place in August 2019.

Read the full report here


Hywel Dda Community Health Council, Suite 5,1st Floor, Ty Myrddin, Carmarthen, SA31 1LP. 
Phone: 01646 697610 Email: hyweldda@waleschc.org.uk

Hywel Dda Community Health Council welcomes correspondence in Welsh, and that corresponding in Welsh will not lead to delay