Building on the work of the former Community Health Councils

NHS plans and proposals to change the way the way the following services are provided locally

• Breast care services at Ysbyty Ystrad Fawr
• Colonoscopy services at Royal Gwent Hospital
• Mental Health and Learning Disability Specialist Inpatient Support Unit
• Newport East Health and Wellbeing Centre
• Tredegar Health and Wellbeing Centre
• Ebbw Vale Health and Wellbeing Centre
• Midwifery led services
• Stroke services
• Hospital dining services
• IBD infusion service at Nevill Hall Hospital
• Ear wax removal service
• GP services

NHS plans, proposals and reviews of the way services are provided regionally and nationally

• Fertility services, including the location of fertility units
• Diabetic eye screening services
• Ophthalmology (eye care) services

Visits to hear from people receiving care and treatment

• at Ysbyty Aneurin Bevan, Ysbyty Ystrad Fawr, Chepstow Hospital and Nevill Hall Hospital (Ward 3.3 Duffryn)
• at the Emergency Department and Minor Injuries units during the winter

Gathering people’s views and experiences of services, including

• during the COVID-19 pandemic
• living with post-COVID syndrome (long covid)
• healthcare in prison

as well as providing lots of different ways that people can share their share their views and experiences about the things that matter most to them about their health and social care services

Looking at how services are developing and responding to the things that matter to people about how their services are provided

• Non-emergency patient transport service
• A Healthier Gwent Strategy
• Planned care recovery (outpatients and operations)
• Cancer strategy
• Clinical futures programme
• Transgender services
• Infant tongue tie processes
• Welsh Ambulance Services Trust handovers to Emergency Departments and call response times
• Access to urgent care services 
• Recovery of healthcare screening programmes
• Delayed discharges and transfers
• NHS Wales review of the Putting things right procedure.

as well as representing peoples’ interests through involvement in a range of groups set up by or involving the Aneurin Bevan Health Board (or other identified bodies as listed), including:

• Aneurin Bevan Health Board Public Board meetings
• Breast Reference Group
• Cancer Transformation Board
• Clinical Futures Design Board
• Clinical Nutrition & Hydration Steering Group
• Gwent Dementia Board
• Dementia in General Hospitals Steering Group
• Dementia Task & Finish Group (John’s campaign)
• Dementia Pathway sub-group
• End of Life Care Companions Steering Group
• Ebbw Vale Health and Wellbeing centre Project Board
• Equality Impact Assessment Group
• Expansion of the Common Ailments Service
• Eye Care Pathway Group
• Falls & Bone Health Steering Group
• GP Vacant Practice or Branch closure request panels
• Greater Gwent Carers Partnership Board
• Greater Gwent Citizens Panel
• Gwent Local Medical Committee
• Nosocomial Infection Transmission Group
• Integrated Oral Health Group
• Maternity and Neonatal Assurance Group
• Mental Health & Learning Disabilities Partnership Board
• Mental Health in Crisis Programme Board
• Newport Citizens Panel
• Newport East Wellbeing Centre Project Board
• Outpatient Transformation Strategy Steering Group
• Primary Care Borough Communication and Engagement Groups:
• Blaenau Gwent
• Caerphilly
• Monmouthsire
• Newport
• Torfaen
• Primary Care Access Group
• Primary Care Enhanced Services Group
• Primary Care estates Committee
• Primary and Community Care Sustainability Board
• Quality & Patient Safety Committee (Aneurin Bevan University Health Board)
• Quality & Patient Safety Committee (Welsh Ambulance Services Trust)
• Stakeholder Reference Group (Aneurin Bevan University Health Board)
• Stroke Delivery Group
• Tredegar Health and Wellbeing Group
• Urgent Care Transformation Programme Board
• Wales Audiology IT, Digital & Data Task and Finish Group (Welsh Government)

NHS plans and proposals to change the way the way the following services are provided locally

• Fracture Clinic, Prince Charles to Ysbyty Cwm Cynon
• Elective Orthopaedic Surgery, centralisation at Royal Glamorgan Hospital
• Neurology services

Visits to hear from people receiving care and treatment

• Emergency Departments
• Minor Injury Units
• A range of GP surgeries
• Rhos House, Public Health Screening, Mountain Ash
• Ophthalmology services, Princess of Wales Hospital
• Mother and baby clinics, Glanrhyd Hospital
• Acute Assessment Wards, all CTM hospitals
• Orthopaedic surgery, Royal Glamorgan Hospital
• Maternity Services
• Ward 21, Princess of Wales Hospital
• Maesteg Hospital
• GP out of hours, Royal Glamorgan Hospital
• Pharmacy services.

Gathering people’s views and experiences of services 

• Diabetes care
• Pharmacy services, including arrangements for repeat prescriptions
• General care and experience in hospital settings, including waiting in ambulances outside emergency departments.

as well as developing community forums and providing lots of other, different ways that people can share their views and experiences about the things that matter most to them about their health and social care services.  

Looking at how services are developing and responding to the things that matter to people about how their services are provided

• hospital to home arrangements, including care packages
• working with Forest View Medical Practice in their continued engagement with their population via a schedule of meetings

NHS Plans and proposals to change the way services are provided locally

• System wide transformation of health care to realise the Health Board’s “Healthier Mid and West Wales Strategy”
• Children’s services in Carmarthenshire and Pembrokeshire
• Adult Mental Health Services
• Learning Disability Services
• New centres and projects in development, including Cross Hands Integrated Care Facility, Pentre Awel, Carmarthen Hub/Pond Street, Delta Connect, Llandovery Wellbeing Centre, Fishguard Hub, Cylch Caron, Aberystwyth Health Centre, Borth Community Project, Tenby Campus development
• Older community hospitals
• Temporary/urgent changes introduced in response to the Covid-19 pandemic or other pressures, including, for example:

• In Ceredigion, Y Banwy Ward, Rhiannon Ward, Enlli Ward, Surgical pathway changes, Ambulatory Care, cardiorespiratory changes.
• In Glangwili, Ambulatory care, major colorectal surgery, Clinical Decisions Unit (CDU) usage, phlebotomy, urgent suspected cancer elective pathway, oncology, 
• In Prince Philip, fracture clinic, phlebotomy, urology, Ty Bryngwyn bed capacity
• In Withybush, paediatric ambulatory care, radiology, antenatal

• Llandovery Hospital Minor Injury Unit
• Pembrokeshire Community Nursing Service
• Neurology
• Health visiting
• Screening services
• Intensive Therapy Unit in Prince Philip Hospital
• Use of demountable day surgery units in Prince Philip Hospital
• Specialist nursing 
• Community pharmacy services
• Essential works relating to fire regulations
• UV light treatment
• Urgent and emergency care services
• Out of hours services
• GP services
• Care for people with heart problems
• Welsh Ambulance Services Trust services
• Relocation of out-patient physiotherapy in Glangwili
• Relocation of some services, including Dyfed Drug and Alcohol Service and Child Psychology to new premises

Plans and proposals to change the way services are provided regionally and nationally

• South West Wales Cancer Centre Regional Strategic Programme
• Changes in hospital services provided to people living in West Wales by Swansea Bay Local Health Board
• Oesophageal Cancer Services
• Sexual assault referral centres
• Regional pathology services
• Ophthalmology services
• Dermatology services
• Stroke services

Gathering people’s views and experiences of services 

Providing lots of different ways that people can share their views and experiences about the things that matter most to them about their health and social care services.  

In particular, continue extending the reach and impact into local communities, including taking action to reach people who may be:

• End of life palliative care
• Dementia management and support
• Rheumatology
• Development of new roles in health services, eg., physician associates
• Impact of strike action on patient care
• Seasonal vaccination campaigns/winter planning
• Transforming access to medicines
• Cardigan and Aberaeron Integrated Care Centres
• ‘Customer service’ developments including patient hubs
• Ophthalmology
• Frailty services
• West Wales Care Partnership
• Front of House services at Prince Philip Hospital
• Rural Health and Care Wales collaborative

as well as representing peoples’ interests through involvement in a range of groups set up by or involving the Hywel Dda University Health Board (or other identified bodies as listed), including:

• Hywel Dda University Health Board Public Board
• Strategic, Development and Operational Delivery Committee
• Quality, Safety & Experience Committee
• Healthier Carmarthenshire Operational Board
• Healthier Pembrokeshire Operational Board
• Healthier Ceredigion Strategic Board
• Local Mental Health Partnership Board
• Primary Care Contract Review Sub-Committee
• Maternity Voices Partnership
• Mid Wales Joint Committee for Health and Social Care
• Stakeholder Reference Group
• A&E Glangwili General Hospital Task and Finish Group
• Cardiology
• Unplanned Care Group
• Programme Business Case Land Team Communication and Engagement Group
• Interim Paediatric Review Project Group.

NHS plans and proposals to change the way the way the following services are provided locally

Includes the following temporary changes and permanent proposals:

• Gardden Road Surgery
• Llangollen Health Centre
• Chirk Surgery
• Alyn Family Doctors
• Ysbyty Dolgellau
• Gyffin & Llys Meddyg GP practices
• Queensferry Medical Practice
• Bryn Darland Surgery
• Hillcrest GP Practice
• MIU Dolgellau
• MIU Tywyn Hospital
• Tywyn Health Centre
• Helyg Day Hospital 
• MIU Bryn Beryl
• MIU Alltwen
• Hwb Eifionnyd Dispensaries
• Cochlear Surgery
• Meddygfa Victoria Caergybi
• Strathmore GP surgery
• Cambria and Longford Road GP surgeries
• Stroke Specialised Inpatient Community Rehabilitation Unit
• Neuro Rehabilitation inpatient facility
• Allt Goch Medical Centre
• Vascular services
• Home birth support
• Cochlear Surgery
• Welsh Ambulance Service delivery
• Emergency Medical & Retrieval Services (EMRTS)
• Bodreinallt Surgery
• Dee Valley Medical Practice
• Madryn House Surgery
• Ophthalmology

Looking at how services are developing and responding to the things that matter to people about how their services are provided

• Support to the ‘Tawel Fan’ families 
• Mental health and learning disability services, including older peoples’ mental health, I-Can services
• Vascular services, including links with Liverpool Vascular Centre and services provided in Stoke
• Diabetic Foot Pathway
• Urology/prostate, including use of surgical robot
• Primary Care Services, including general practice and dental services
• Estates: strategy and capital programmes, maintenance, and condition
• Recovery from COVID-19
• Stroke services, including rehabilitation
• Orthopaedic Services Strategy
• Delivery of new Public Health Strategy
• Delivery of new Primary Care Strategy
• On-going configuration of services following ‘Healthcare in North Wales is Changing 2012’
• BCUHB Digital Strategy
• Care and services delivered in Emergency Departments
• Speech and Language Therapy Services
• Menopause Services
• Referral to Treatment Times (RTT); Planned Care and Insourcing
• CAHMS – waiting times 
• Welsh Ambulance Service Trust
• Air Ambulance
• Ophthalmology Services – cataract treatment
• Community Hospitals and Minor Injury Units 
• Delayed Transfers of Care
• Out of Hours Service and roll out of 111 schemes
• Development of a North Wales Medical School
• Development of Health and Social Care Provision (e.g., hubs – Holyhead/Denbigh/ Bangor/ Waunfawr)
• Ysbyty Gwynedd Nursing Review
• End of Life and Palliative Care Strategy
• Oncology services at Ysbyty Glan Clwyd
• Cochlear Implant Services– repatriation of some children’s services
• Support for Home Births
• Clinical Services Strategy
• Living Healthier Staying Well strategy
• Unscheduled Care – including Same Day Emergency Care Centres and Urgent Primary Care Centres
• Pan Cluster Group Primary Care 
• Inverse Care Law Programme

This activity should include representing peoples’ interests through involvement in a range of groups set up by or involving Betsi Cadwaladr University Health Board (or other identified bodies as listed), including:

• 111 Implementation Board
• Abergele Hospital Services Project Group
• Adult and Older Persons Redevelopment Project Board
• Anti-Microbial Steering Group
• Anti-Racist Steering Group
• Bereavement Quality Group (PEoLC)
• BCUHB Public Board
• Crisis Care Steering Group
• Diabetic Footcare Pathway – overarching group and Eastern Region sub-group
• Discharge Protocol Working Group
• Holyhead Health & Wellbeing Hub Project Board
• I-CAN Oversight Group and Sanctuary Steering Group
• Infection Prevention Sub Group and Local Group
• Inverse Care Law – Programme Leadership and Engagement Group
• Joint Services Planning
• Llandudno Hospital Services Project Board
• Llandudno Hospital Stakeholder Group
• Patient and Carer Experience Group
• Neurosciences Board
• North East Wales Cancer Patient Forum
• North West Wales Cancer Patient Forum
• Nutrition and Hydration Task and Finish Group (East Area)
• Patient and Carer Experience Team
• PET Scanner CT Scanner Project Group
• Primary Care Panel
• Quality, Safety & Experience Committee
• Redevelopment of Ysbyty Glan Clwyd
• Regional Treatment Centre Programme Board
• Rehabilitation & ESD Clinical Pathway Delivery Groups (East and West)
• Stakeholder Reference Group
• Strategic Cleanliness Group
• Strategic Infection Prevention
• Strategy, Partnerships and Population Health Committee
• Stroke Delivery Groups (Central and East)
• Stroke Network Overarching Steering Group
• TI Evidence of Outcomes Group
• Vascular Steering Group
• Conwy Voluntary Services Council Liaison Group
• Countess of Chester Lay Governor
• Mid Wales Joint Committee for Health and Social Services
• North Wales Audiology Group
• The Walton Centre Infection Prevention Committee
• The Walton Centre Stakeholder Governors
• Working Towards Making Ysbyty Gwynedd Dementia Friendly
• Ysbyty Gwynedd Review Steering Group
• Welsh Language Strategic Forum

NHS plans and proposals to change the way services are provided locally

• Shaping our future clinical services
• Park Lodge
• MHSOP Ward E10
• Park Road Houses
• Shaping future Hospitals
• Shaping care in our community

The CHC also told us about some COVID-19 related service changes that should be monitored:

• Poison Unit (Gwennwyn Ward)
• E10 UHL
• Park Road Houses
• Whitchurch Day Hospital
• Rowen House
• Park View Health & Wellbeing
• Michaelson Health Park & Respite
• Pentyrch Branch Surgery
• Development of UHW 2 Project
• New Cancer Centre Build. (Velindre)
• GP Surgeries Cardiff & Vale of Glamorgan
• Pharmacy Provision

NHS plans, proposals and reviews of the way services are provided regionally and nationally

• Neurology service from Cwm Taf Morgannwg

Visits to hear from people receiving care and treatment

The CHC identified it had not been able to complete visits to the following services:

• Cedar Ward Hafen Y Coed
• Clinician led unit Maternity UHW

Gathering people’s views and experiences of services, including attending the following events:

• Mental Health & Wellbeing Show
• Festival of Transport
• Minority Ethnic Community Health Fair
• St Athan Fete
• Royal Welsh Show
• The Vale Show
• Flying Start Family Fun Day
• PRIDE Cymru
• Outreach Asda Pentwyn
• Veterans Roadshow
• Autistic Minds Show
• Barry Pride

 as well as providing lots of different ways that people can share their share their views and experiences about the things that matter most to them about their health and social care services.  This should include more outreach activity into local communities and thinking about holding an Armed Forces question time event.  

Looking at how services are developing and responding to the things that matter to people about how their services are provided

The CHC said there were some reports that would need to be completed and sent to the Health Board for its response.  These are reports of the following CHC activities:

• NHS waiting list survey
• District nursing services survey
• 111/out of hours
• Accident and emergency visit.

The CHC said it was waiting for responses to the following reports sent to the Cardiff and Vale University Health Board, and that these should be followed up by Llais:

• Spinal Unit visit 
• Maternity Services 
• St Barrucs Ward 
• Alcohol Treatment Centre 
• Transport Services 
• First Floor Ward Velindre
• SSDEC 
• Outpatients.

The CHC also highlighted the following areas that Llais should consider looking into further:

• Keeping people out of hospital
• Surgery waiting times
• Hospital capacity
• Discharge pathways
• Cancer pathways between Velindre NHS Trust and Cardiff and Vale University Health Board

as well as representing peoples’ interests through involvement in a range of groups set up by or involving the Cardiff & Vale University Health Board (or other identified bodies as listed), including:

• Cardiff & Vale University Health Board Public Board meetings
• Car Parking & Traffic Management project
• CRI Project Board Phase 2
• Cardiff & Vale Concerns and Claims Assurance Group
• Cardiff & Vale Armed Forces Forum
• Cardiff & Vale General Medical Services Panel
• Cardiff & Vale Health and Safety Committee
• Cardiff & Vale Infection, Prevention and Control Committee
• Cardiff & Vale Integrated Sexual Health Services
• Cardiff & Vale Neonatal & Obstetric Project Board
• Cardiff & Vale Nutrition & Catering Steering Group
• Cardiff & Vale Patient Feedback Steering Group
• Cardiff & Vale PNA Steering Group
• Cardiff & Vale Quality, Safety and Patient Experience Committee
• Cardiff & Vale Shaping Our Future Wellbeing in our Community Delivery Group
• Cardiff & Vale Specialist Services Major Project Board
• Cardiff & Vale Spiritual Care Group
• Cardiff & Vale Stakeholder Reference Group
• Cardiff & Vale Third Sector Steering Group.

NHS plans and proposals to change the way services are provided locally

• Changing for the Future, covering urgent and planned care services
• Blood test service (phlebotomy)
• Primary care arrangements, including:

• merger between Alfred Street Primary Care Centre, Rosedale Health Centre and Waterside Health Centre
• Amman Tawe Practice
• relocation of Brunswick Health Centre
• Cheriton Medical Centre
• Cymmer surgery
• Dental services - Parkway

• Orthopaedics
• Community home births and Midwifery Led Unit, Neath Port Talbot Hospital
• Acute Medical Services Redesign
• Dental paediatric specialist provision
• Palliative care/end of life provision
• Neonatal services
• Oesophageal cancer services
• Learning disability services
• Repatriation of services linked to the earlier Bridgend boundary changes, including:

• Breast care
• Cardiology
• Gynaecology
• General surgery

• Dental services – Parkway
• Hepatopancreatobiliary surgery

NHS plans, proposals and reviews of the way services are provided regionally and nationally

• Cochlear and bone conduction hearing implant service
• Emergency Medical Retrieval Service (EMRTS)
• Primary Care Accelerated Cluster Development
• A Regional Collaboration for Health (ARCH)
• Learning Disability Intensive support in Cwm Taf Morgannwg and Cardiff & Vale
• Ophthalmology, including cataract network
• Sexual Health Services

 Gathering people’s views and experiences of services

• Hospital discharge arrangements
• Ambulance services
• Dementia care
• Learning disabilities
• Child and Adolescent Mental Health Services (CAMHS)

as well as providing lots of different ways that people can share their views and experiences about the things that matter most to them about their health and social care services.

Looking at how services are developing and responding to the things that matter to people about how their services are provided

• cancer care 
• cardiovascular services
• musculoskeletal disorders 
• mental health
• substance use
• getting to see a GP, including appointment systems
• getting to see a dentist 
• orthopaedic services
• stroke services
• mental health services
• maternity services
• the impact on communities facing unequal health outcomes, particularly in respect of the challenges local people face, including:

• accessing services
• waiting times for treatment
• where patient journeys between services have broken down, and the subsequent impact on patient outcomes

as well as representing peoples’ interests through involvement in a range of groups set up by or involving the Swansea Bay University Health Board (or other identified bodies as listed), including:

• Primary Care Task & Finish Group
• Pan Cluster Planning Group.

NHS plans and proposals to change the way services are provided locally

• North Powys Wellbeing Programme
• Crickhowell Medical Practice, Belmont Branch Surgery
• Knighton and East Radnorshire – Knighton hospital

NHS plans, proposals and reviews of the way services are provided regionally and nationally

• Shrewsbury & Telford Hospital Transformation Programme:

• development of emergency centre at Royal Shrewsbury Hospital
• development of Planned Care Centre at Princess Royal Hospital in Telford
• Cardiology Inpatient Services

• Hereford & Worcester ICS Stroke Programme
• Emergency Medical & Retrieval Service (EMRTS)
• Hospital services and paediatric services provided by Hywel Dda University Health Board
• Welsh Ambulance Services Trust – transforming the emergency ambulance service, developing a new model of care
• Positron Emission Tomography (PET) scanner location
• healthcare in prison

Gathering people’s views and experiences of services, including

• Young people and mental health

as well as providing lots of different ways that people can share their share their views and experiences about the things that matter most to them about their health and social care services

Looking at how services are developing and responding to the things that matter to people about how their services are provided

• equity of services for people accessing services in England and Wales
• Virtual wards
• Gender identity services
• Eating disorders
• Hospital discharge arrangements
• Maternity services

as well as representing peoples’ interests through involvement in a range of groups set up by or involving Powys Local Health Board (or other identified bodies as listed), including:

• Aneurin Bevan University Health Board Public Board 
• Betsi Cadwaladr University Health Board Nuclear Medicine Stakeholder Meetings
• Hereford & Worcester ICS Stroke Programme Board
• Mid Wales Joint Committee for Health and Social Care
• Powys Teaching Health Board Public Board
• Powys Teaching Health Board Audit, Risk and Assurance Committee
• Powys Teaching Health Board Patient Experience, Quality and Safety Committee
• Powys Teaching Health Board Delivery and Performance Committee
• Powys Teaching Health Board Planning, Partnership and Population Health Committee
• Powys Teaching Health Board Workforce and Culture Committee
• Powys Teaching Health Board Patient Experience Steering Group
• Powys Teaching Health Board Ex-Armed Forces Forum
• Powys Teaching Health Board Mental Health and Learning Disabilities Planning and Delivery Group
• Powys Teaching Health Board Mental Health Engage to Change subgroup
• Powys Teaching Health Board Access Forum
• Powys Teaching Health Board 111, Swansea Bay University Health Board and Shropdoc Out of Hours Quarterly Performance Monitoring Meeting
• Powys Teaching Health Board Pelvic Health Screening Group
• Powys Teaching Health Board Knighton Hospital developments
• Primary Clare Cluster Meetings
• Powys Children and Young People Network
• Powys Dementia Standards Community Engagement Working Group
• Powys Dementia Network
• Powys Association of Voluntary Organisations (PAVO) Community Network Meetings:

• Crickhowell
• Knighton & Presteigne
• Llandrindod/Rhayader/Builth/Llanwrtyd Wells
• Newtown
• Machynlleth
• Welshpool/Montgomery/Llanfair Caereinion/Ystradgynlais

• Powys Third Sector Transport Network
• Red Kite Healthcare Solutions
• Shrewsbury & Telford Hospital NHS Trust Public Board
• Shrewsbury & Telford Digital Advisory Group
• Shrewsbury & Telford Hospital NHS Trust meetings with Healthwatch Shropshire, Telford & Wrekin
• Shrewsbury & Telford Hospital NHS Trust Engagement Update meetings
• Shrewsbury & Telford Hospital NHS Trust Ockenden Report Assurance Committee
• Shrewsbury & Telford Hospital NHS Trust Public Assurance Forum
• Shrewsbury & Telford Hospital NHS Trust Public Update Meetings
• Shropshire, Telford & Wrekin Hospital Transformation Programme Implementation & Oversight Group
• Shrewsbury & Telford Hospital NHS Trust Women’s Health Project
• Shrewsbury & Telford Hospital NHS Trust Digital Advisory Group
• Shropshire & Telford & Wrekin Maternity Voices Partnership