Clinical Services Plan phase 2 – stroke questionnaire

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Hywel Dda University Health Board provides health services for people across Carmarthenshire, Ceredigion, and Pembrokeshire. Some of our services are also used by communities in bordering areas of south Gwynedd, and parts of Powys and Swansea/Neath Port Talbot. This second phase of the Clinical Services Plan consultation is specifically about how we deliver stroke services in the future.

Why stroke services need to change

For all our communities we must improve the standards of care we provide and the outcomes our patients experience. We also need to address ongoing staffing challenges that make it difficult to deliver the high-quality service our population deserves. Currently, our stroke services do not meet clinical standards and we do not have seven-day specialist cover. This can lead to patient outcomes that are not as good as they could be. This is why we need to change the way stroke services are delivered so they are safe, sustainable, accessible and kind for patients and staff.

Why we are seeking your views on stroke services

Our Board reviewed everything it heard during the Clinical Services Plan consultation: feedback and alternative ideas from our communities, the available evidence including workforce considerations and patient safety requirements. In considering all this information the Board identified a preferred option for how stroke services could be delivered in the future. This preferred option came as a result of bringing together two alternative ideas that came from our community in response to the consultation.

Although the challenges and issues remain the same, this new idea is different from the options we initially consulted on. We want to understand the views of our staff, patients, families, carers and stakeholders, before the Board makes a final decision on the future model for stroke services in Hywel Dda.

The Board has a preferred option, which is the option we are now seeking views on through this engagement. However, we also want to understand whether you prefer one of the previous options considered at the extraordinary Board meeting in February, and the reasons for this.

Our preferred option

A stroke unit at Glangwili with 24-hour specialist cover, seven days a week. Bronglais, Prince Philip and Withybush would become treat and transfer hospitals. Stroke patients would be transferred to Glangwili from these hospitals for their acute stroke care. Bronglais would also have a stroke rehabilitation unit, meaning patients closest to this hospital would be transferred back to Bronglais from Glangwili for their stroke specific rehabilitation.

We mention treat and transfer in the preferred option. Treat and transfer in stroke is when someone with suspected stroke is first taken (or comes) to their nearest Emergency Department or Acute Medical Assessment Unit. They receive urgent assessment and any time critical treatment (such as thrombolysis) there. If they then need specialist-led acute stroke care, they are transferred in appropriate transport (usually an ambulance) to an acute stroke unit, or thrombectomy centre at Bristol or Cardiff.

We want you to tell us:

  • whether you support the preferred option and why
  • if you don’t support the preferred option, whether a previous option considered by Board would work better and why
  • anything else you think we need to consider to make stroke services work better in the future, including any mitigations or improvements, and potential Welsh Language impacts if the service operates differently in the future

For information about this second phase of the consultation on stroke services, please read the consultation document that accompanies this questionnaire and/or go online to: hduhb.nhs.wales/stroke-consultation

To give your feedback, please complete the questionnaire online below by Sunday 26 July 2026.

If you wish to receive a paper copy or need a more accessible format, please call us on 0300 303 8322 (local call rates) and select option 5 'other services' or email hyweldda.engagement@wales.nhs.uk

The views of people responding in a personal capacity will be anonymous. Please do not include personally identifiable information about yourself (or anyone else) in the free-text boxes, only your views are needed. Feedback from representatives of organisations, or someone responding in an official capacity, may be shared.

We will use your views, alongside the supporting evidence we have gathered throughout each stage of the Clinical Services Plan programme, to inform our final decision on the future service model for stroke services in Hywel Dda. Your feedback will also help us make the most of the preferred option and better understand how we can reduce negative impacts on communities.

All questions are optional. All information you provide will be processed in accordance with data protection legislation and will be used to inform this phase of the consultation. Any personal information that could identify you will be kept for no more than one year after decisions have been finalised. For further information, please see https://hduhb.nhs.wales/privacy-notices/


Hywel Dda University Health Board provides health services for people across Carmarthenshire, Ceredigion, and Pembrokeshire. Some of our services are also used by communities in bordering areas of south Gwynedd, and parts of Powys and Swansea/Neath Port Talbot. This second phase of the Clinical Services Plan consultation is specifically about how we deliver stroke services in the future.

Why stroke services need to change

For all our communities we must improve the standards of care we provide and the outcomes our patients experience. We also need to address ongoing staffing challenges that make it difficult to deliver the high-quality service our population deserves. Currently, our stroke services do not meet clinical standards and we do not have seven-day specialist cover. This can lead to patient outcomes that are not as good as they could be. This is why we need to change the way stroke services are delivered so they are safe, sustainable, accessible and kind for patients and staff.

Why we are seeking your views on stroke services

Our Board reviewed everything it heard during the Clinical Services Plan consultation: feedback and alternative ideas from our communities, the available evidence including workforce considerations and patient safety requirements. In considering all this information the Board identified a preferred option for how stroke services could be delivered in the future. This preferred option came as a result of bringing together two alternative ideas that came from our community in response to the consultation.

Although the challenges and issues remain the same, this new idea is different from the options we initially consulted on. We want to understand the views of our staff, patients, families, carers and stakeholders, before the Board makes a final decision on the future model for stroke services in Hywel Dda.

The Board has a preferred option, which is the option we are now seeking views on through this engagement. However, we also want to understand whether you prefer one of the previous options considered at the extraordinary Board meeting in February, and the reasons for this.

Our preferred option

A stroke unit at Glangwili with 24-hour specialist cover, seven days a week. Bronglais, Prince Philip and Withybush would become treat and transfer hospitals. Stroke patients would be transferred to Glangwili from these hospitals for their acute stroke care. Bronglais would also have a stroke rehabilitation unit, meaning patients closest to this hospital would be transferred back to Bronglais from Glangwili for their stroke specific rehabilitation.

We mention treat and transfer in the preferred option. Treat and transfer in stroke is when someone with suspected stroke is first taken (or comes) to their nearest Emergency Department or Acute Medical Assessment Unit. They receive urgent assessment and any time critical treatment (such as thrombolysis) there. If they then need specialist-led acute stroke care, they are transferred in appropriate transport (usually an ambulance) to an acute stroke unit, or thrombectomy centre at Bristol or Cardiff.

We want you to tell us:

  • whether you support the preferred option and why
  • if you don’t support the preferred option, whether a previous option considered by Board would work better and why
  • anything else you think we need to consider to make stroke services work better in the future, including any mitigations or improvements, and potential Welsh Language impacts if the service operates differently in the future

For information about this second phase of the consultation on stroke services, please read the consultation document that accompanies this questionnaire and/or go online to: hduhb.nhs.wales/stroke-consultation

To give your feedback, please complete the questionnaire online below by Sunday 26 July 2026.

If you wish to receive a paper copy or need a more accessible format, please call us on 0300 303 8322 (local call rates) and select option 5 'other services' or email hyweldda.engagement@wales.nhs.uk

The views of people responding in a personal capacity will be anonymous. Please do not include personally identifiable information about yourself (or anyone else) in the free-text boxes, only your views are needed. Feedback from representatives of organisations, or someone responding in an official capacity, may be shared.

We will use your views, alongside the supporting evidence we have gathered throughout each stage of the Clinical Services Plan programme, to inform our final decision on the future service model for stroke services in Hywel Dda. Your feedback will also help us make the most of the preferred option and better understand how we can reduce negative impacts on communities.

All questions are optional. All information you provide will be processed in accordance with data protection legislation and will be used to inform this phase of the consultation. Any personal information that could identify you will be kept for no more than one year after decisions have been finalised. For further information, please see https://hduhb.nhs.wales/privacy-notices/

  • Stroke questionnaire - phase 2 Clinical Service Plan

    Please read the stroke services phase 2 consultation document and supporting documents, for more information. These include what we heard during the Clinical Services Plan consultation, travel, funding and timescales for implementation.



    Click here to complete the questionnaire
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Page last updated: 02 Jun 2026, 01:43 PM