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Clinical services plan

We have a shared vision with our communities for us to live healthy, joyful lives.

Due to the nature of service provision across Mid and West Wales, it is recognised that a wide range of services have some fragilities. This was a key driver behind the development of the Health Board’s strategy which seeks to reduce, if not eliminate, the risks to sustainable service provision.  

Our strategy called ‘A Healthier Mid and West Wales: Our future generations living well’ (opens in new tab), has the ambition to shift from a service that just treats illness to one that keeps people well, prevents ill-health or worsening of ill health, and provides any help you need early on. Until the strategy is fully implemented, in particular the establishment of the proposed new hospital network, services are having to manage these fragilities on a daily basis.  

The pandemic has further exposed these deficiencies, with many services unable to restore pre-COVID activity levels or service models. To respond to this, we are going to review services that are in urgent need of attention so we can develop a set of plans to support key services over the medium-term.  

Some of the services included with the Clinical Services Plan programme are: 

  1. Emergency General Surgery 
    Emergency General Surgery (EGS) is a surgical discipline encompassing predominantly abdominal emergencies. The general surgical service is for the treatment of patients with emergency problems.  

  1. Ophthalmology (eye care) 
    Ophthalmology is the treatment of eye diseases, injuries, and surgical procedures. Our service is for paediatric and adult patients in our area who have sight problems that need treatment.  

  1. Orthopaedics 
    Orthopaedics, also known as orthopaedic surgery, is a branch of medicine that focuses on the care of the skeletal system and its interconnecting parts. 

  1. Urology 
    Urology cares for adult patients with urological conditions. The Urology service focus on the care of the genito-urinary tract system in both men and women (e.g., kidneys, bladder) and the reproductive tract in men (eg, testicular, penile, and prostate).   

  1. Critical Care  
    Critical Care provides treatment to adults, in a separate and self-contained area of the hospital. The units are dedicated to the management and monitoring of patients with life-threatening and critical conditions. The service offers specialist skills which include medical, nursing, and other personnel experienced in the management of these patients. 

  1. Dermatology 
    Dermatology services focus on the diagnosis and treatment of diseases of the skin, hair, and nails in both children and adults. 

  1. Stroke 
    A stroke is a serious life-threatening medical condition that happens when the blood supply to part of the brain is cut off.  

  1. Radiology 
    Radiology is a medical specialty that uses imaging techniques (such as X-rays) to diagnose, treat and monitor diseases and injuries identified within the body. 

  1. Endoscopy 
    An endoscopy is a procedure used in medicine to look inside the body. The endoscopy procedure uses an endoscope to examine the interior of a hollow organ or cavity of the body. Unlike many other medical imaging techniques, endoscopes are inserted directly into the organ.   

The intention is to consider the issues within each of the services initially and produce an issues paper looking back over the last five years. The development of the issues paper will be clinically led and undertaken in an open and transparent manner, with the engagement of stakeholders. The issues paper will then be presented to Board for further consideration.  

As part of the Health Board’s Clinical Services Plan programme, a number of staff and patients were invited to complete a survey to provide their views on the services outlined above. 

Thank you for your continued support while we work to improve our services.

If you would like to share your views about your experiences of using any of the services outlined in the Clinical Services Plan programme please get in touch by:

If you would like to be kept informed about developments on one or more of the above services, please share your contact details as above, and note the service/s you wish to be informed about (e.g. Urology /Ophthalmology).

If you would like to kept up-to-date on developments generally within Hywel Dda University Health Board, you can join Siarad Iechyd/Talking Health by contacting the above or go to Siarad Iechyd/Talking Health (opens in new tab) 

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