Delivering our strategy

In February 2022, we sent a Programme Business Case (PBC) to Welsh Government. A PBC is a high-level document, which sets out to secure Welsh Government support for a programme of investment. You can read the full PBC document in the Technical Documents section (opens in new window).  

Our PBC outlines the case for the buildings and infrastructure we need to deliver our long-term strategy – A Healthier Mid and West Wales.

It seeks the greatest investment into health and well-being that west Wales will have ever seen, in the region of £1.3billion. It builds on our promise to bring as much care as possible close to you.

It includes:

• Building, or developing existing, community facilities across the three counties of Carmarthenshire, Ceredigion, and Pembrokeshire.

• The construction of a new Urgent and Planned Care Hospital.

• Repurposing or rebuild of Withybush and Glangwili General Hospitals.

• Refurbishment of Bronglais General Hospital and Prince Philip Hospital.

If successful in this first stage, there are then three further stages, which could take several years, to secure the ultimate investment needed to deliver the facilities listed above, including the new Urgent and Planned Care Hospital. Sometimes, this is agreed in smaller parts, so projects within the programme could be funded at different times.

We have decided to consult with you on the potential site for a new Urgent and Planned Care Hospital now, prior to receiving investment, because we have committed to continuous engagement with you and because our services are fragile, and we cannot lose time in delivering our vision. Our consultation to narrow down or identify a preferred site will continue whilst we await feedback from the Welsh Government. The development of our new hospital is subject to Welsh Government support, and, if funding was not agreed, we would not be able to purchase the site for the new hospital.

For major investments such as this, the next stage also includes an independent review of the clinical model (the way we plan to provide care), which we and the Welsh Government will jointly commission. This will provide further reassurance that the investments we are seeking will help us deliver the right care for our communities in the future.