Why we need to change - and how we can all play a part

We first set out our A Healthier Mid and West Wales strategy in 2018. A lot has changed since then. We have all felt the impact of rising costs, the COVID‑19 pandemic, and increasing pressure on public services.

We said in our 2018 strategy we wanted to move from a health service that mainly treats illness to one that helps people stay healthy for longer. We want to provide more support for prevention and early help in local communities. These remain our core aims, but our strategy needs to respond to our changing world. Hospitals should not be the first place people turn to for help, and we need a more radical approach that focuses on prevention, earlier support and stronger communities.

We have listened to thousands of people across our communities, including our staff and partner organisations. Your views helped us understand what matters most and shaped a clearer, more honest picture of the choices ahead. We have heard you want more support earlier, closer to where you live, easier access to appointments and services, and a greater focus on preventing illness rather than reacting to it. We will continue to listen and we invite you to get involved.