Protect Bronglais Services

29/10/2026

Today, on World Stroke Day, we’re opening the Mid Wales Health Declaration to everyone. 💚

On the 17th October, representitives from across Mid Wales came together at our Mid Wales Health Summit to set out clearly what we need from Welsh Government. Since then, so many of you have asked how you can show your support. So now everyone can read and sign the Declaration.

This campaign began with the fight for stroke services at Bronglais Hospital. More than 17,000 of you signed the petition. But the But the inequalities facing rural Mid Wales run far deeper. Now we’re asking you to stand with us again. The people of Mid Wales deserve a health service that works for us - not a system that expects us to work around it.

The Declaration calls on the Minister for Health and Care to:
1️⃣ Put people at the heart of decision-making
2️⃣ End the silo approach to Mid Wales
3️⃣ Establish one clear point of accountability for the entire health and care system
4️⃣ Test every service change against the needs of Mid Wales
5️⃣Be prepared to deliver real and effective change
6⃣Turn promises into measurable action

Please read the Declaration, add your name, and share it with your family and friends.

Mid Wales has spoken. Now Welsh Government needs to listen, and then act.

👉 https://protectbronglais.com/mid-wales-health-declaration/

Heddiw, ar Ddiwrnod Strôc y Byd, rydyn ni’n agor Datganiad Iechyd Canolbarth Cymru i bawb.

Ar y 17eg Hydref, daeth cynrychiolwyr o bob cwr o’r Canolbarth at ei gilydd yn ein Huwchgynhadledd Iechyd Canolbarth Cymru i ddweud yn glir beth sydd ei angen arnon ni gan Lywodraeth Cymru. Ers hynny, mae cymaint ohonoch chi wedi gofyn sut gallwch chi ddangos eich cefnogaeth. Felly nawr, gall pawb ddarllen ac arwyddo’r Datganiad.

Dechreuodd yr ymgyrch hon gyda’r frwydr dros wasanaethau strôc yn Ysbyty Bronglais. Fe arwyddodd dros 17,000 ohonoch chi’r ddeiseb. Ond mae’r anghydraddoldebau sy’n wynebu cefn gwlad y Canolbarth yn mynd yn llawer dyfnach. Nawr rydyn ni’n gofyn i chi sefyll gyda ni unwaith eto. Mae pobl Canolbarth Cymru yn haeddu gwasanaeth iechyd sy’n gweithio i ni - nid system sy’n disgwyl i ni weithio o’i chwmpas hi.

Mae’r Datganiad yn galw ar y Gweinidog Iechyd a Gofal i:

1️⃣ Rhoi pobl wrth galon y broses o wneud penderfyniadau
2️⃣ Rhoi diwedd ar y dull seilo yng Nghanolbarth Cymru
3️⃣ Sefydlu un pwynt atebolrwydd clir ar gyfer y system iechyd a gofal gyfan
4️⃣ Profi pob newid i wasanaethau yn erbyn anghenion Canolbarth Cymru
5️⃣ Bod yn barod i sicrhau newid go iawn ac effeithiol
6⃣ Troi addewidion yn weithredu mesuradwy

Darllenwch y Datganiad, ychwanegwch eich enw a rannwch gyda’ch teulu a’ch ffrindiau.

Mae Canolbarth Cymru wedi siarad. Nawr mae angen i Lywodraeth Cymru wrando, ac yna gweithredu.

18/10/2026

18/10/2026

17/10/2026

Part 2
17/10/2027 Mid Wales Health Summit
Uwchgynhadledd Iechyd Canolbarth Cymru

17/10/2026

Mid Wales Health Summit
Uwchgynhadledd Iechyd Canolbarth Cymru 17/10/26

17/10/2026

17/10/26 new link with improved sound quality: https://www.facebook.com/share/v/1CEvEXnaZe/

23/07/2026

Mae ymgynghoriad Hywel Dda ar ddyfodol gwasanaethau strôc yn cau ar ddiwedd dydd Sul 26 Gorffennaf. Ar ôl iddo gau, dyna ni, fydd dim cyfle arall i roi eich barn ar gof a chadw cyn i'r Bwrdd Iechyd benderfynu.

Os nad ydych chi wedi ymateb eto, plîs gwnewch. Dim ond ychydig funudau mae'n cymryd.

Ymatebwch yma: https://biphdd.gig.cymru/amdanom-ni/canolbarth-a-gorllewin-cymru-iachach/cynllun-gwasanaethau-clinigol/ymgynghoriad-stroc/dogfen-ymgynghoriad-stroc/

Rydyn ni wedi drafftio ymateb y gallwch chi ei gopïo a'i basio'n syth i mewn i flwch sylwadau adran 4 os hoffech chi, neu rhowch eich barn eich hun. Y mwya o ymatebion gawn ni, y gorau:

Nid yw'r opsiwn a ffefrir gan BIPHDd ar gyfer gwasanaethau strôc yn adlewyrchu'n ddigonol anghenion y boblogaeth wledig y mae'n ei gwasanaethu.

Mae'r cymunedau sy'n dibynnu ar Ysbyty Bronglais yn ymestyn i mewn i Bowys a de Gwynedd, ardaloedd gwledig iawn gyda phellteroedd teithio hir a seilwaith trafnidiaeth cyfyngedig. Ni ellir cymhwyso model a ddatblygwyd ar gyfer canolfannau trefol yma.
Cyflwynir y model "trin a throsglwyddo" arfaethedig fel un sy'n seiliedig ar dystiolaeth, ac eto nid yw'r Bwrdd Iechyd wedi nodi rhanbarthau gwledig cyffelyb lle mae system o'r fath wedi gweithio'n llwyddiannus. Gallai cleifion yng Nghanolbarth Cymru wynebu teithiau ffordd hir ar un o gamau mwyaf tyngedfennol eu gofal, heb dystiolaeth glir bod y dull hwn yn gwella canlyniadau mewn ardaloedd â daearyddiaeth debyg.
Yn hytrach, dylai Ysbyty Bronglais aros yn ganolfan strôc wledig, gan ddarparu asesiad brys, delweddu, triniaeth acíwt, gofal cleifion mewnol parhaus ac adsefydlu, a throsglwyddo dim ond y cleifion hynny sydd angen ymyriadau arbenigol iawn fel thrombectomi neu niwrolawdriniaeth. Mae telefeddygaeth eisoes yn galluogi cyngor arbenigol cyflym a dylid ei defnyddio i gryfhau gwasanaethau strôc lleol yn hytrach na'u disodli.
Trafnidiaeth yw un o wendidau mwyaf y cynnig o hyd. Er ei fod yn cydnabod pryder y cyhoedd, nid oes strategaeth drafnidiaeth fanwl yn yr ymgynghoriad. Ychydig iawn o wybodaeth sydd am gapasiti ambiwlansys, cludiant cleifion, gwelliannau i drafnidiaeth gyhoeddus na sut y disgwylir i berthnasau ymweld â chleifion a allai fod filltiroedd lawer o'u cartref. Cydnabyddir bod cyfranogiad y teulu yn rhan hanfodol o adferiad ar ôl strôc, ac eto mae'r awgrym y gall cyfathrebu digidol wneud iawn am lai o ymweld yn methu â chydnabod anghenion perthnasau oedrannus, cleifion ag anawsterau cyfathrebu ac ardaloedd â chysylltedd digidol gwael.
Nid yw'r ymgynghoriad chwaith yn rhoi digon o fanylion am gleifion sy'n rhy wael i gael eu trosglwyddo, gan gynnwys y rhai sydd angen gofal lliniarol. Nid yw'n glir o hyd ble bydd y cleifion hyn yn cael gofal strôc arbenigol, pa staffio fydd yn aros yn lleol a sut y bydd y gwasanaethau hyn yn cael eu darparu.
Mae canoli bron bob gwasanaeth strôc yn Ysbyty Glangwili hefyd yn creu risg ddiangen. Mae un uned yn gwasanaethu ardal wledig mor fawr yn agored i darfu gweithredol ac yn lleihau cydnerthedd ar draws y Bwrdd Iechyd.
Mae'r cynnig hefyd yn ymddangos yn anghyson â meini prawf asesu'r Bwrdd Iechyd ei hun. Disgrifir y bydd yn cymryd hyd at wyth mlynedd i'w weithredu, er gwaethaf y disgwyliad datganedig y dylai opsiynau fod yn gyflawnadwy o fewn dwy i bedair blynedd. Mae angen bron i £20 miliwn o fuddsoddiad cyfalaf ynghyd â chostau staffio uwch, sy'n golygu bod ei gyflawni yn dibynnu ar a***n ychwanegol a gweithlu nad ydynt wedi'u sicrhau eto.
Mae dogfennau strategol y Bwrdd Iechyd ei hun yn disgrifio Ysbyty Glangwili fel safle sy'n heneiddio ac wedi'i gyfyngu sydd angen buddsoddiad sylweddol, tra bo'r Ysbyty Gorllewin Cymru newydd arfaethedig flynyddoedd lawer i ffwrdd. Mae buddsoddi'n drwm mewn uned strôc newydd yng Nglangwili dim ond i adleoli'r gwasanaethau eto pan gaiff yr ysbyty newydd ei adeiladu yn codi rhagor o gwestiynau am werth am a***n a chynllunio hirdymor.
Mae cryn ansicrwydd hefyd ynghylch yr Unedau Strôc Rhanbarthol Cynhwysfawr arfaethedig ar gyfer Cymru. Nid yw eu lleoliadau, eu hamserlenni na'u perthynas â gwasanaethau strôc lleol wedi'u cadarnhau eto. Ni ddylai newidiadau mawr i wasanaethau lleol fynd yn eu blaen cyn i'r cynlluniau ehangach hyn gael eu sefydlu.
Mae Cymdeithas Strôc Cymru hefyd wedi datgan nad yw'n cefnogi'r model adsefydlu "trin a throsglwyddo" arfaethedig, gan rybuddio ei fod yn peryglu gwneud gwasanaethau'n dameidiog, tanseilio gofal dan arweiniad arbenigwyr a chynyddu anghydraddoldebau iechyd.
Nid yw'r opsiwn a ffefrir yn mynd i'r afael yn ddigonol â realiti darparu gofal strôc ar draws Canolbarth Cymru wledig, gan adael cwestiynau sylweddol heb eu hateb ynghylch tystiolaeth, trafnidiaeth, diogelwch cleifion, gweithlu, darpariaeth Gymraeg, y gallu i gyflawni a chost.

Dylai BIPHDd ailystyried y cynnig hwn a datblygu model strôc gwledig yn ei le sy'n cadw Ysbyty Bronglais fel canolfan strôc leol gynhwysfawr, wedi'i chefnogi gan rwydweithiau arbenigol a thelefeddygaeth, gan sicrhau bod cleifion yn cael gofal o ansawdd uchel mor agos at adre ag sy'n glinigol bosibl.

23/07/2026

The Hywel Dda consultation on the future of stroke services closes at the end of Sunday 26 July. Once it shuts, that's it, there'll be no further chance to put your views on record before the Health Board decides.

If you haven't responded yet, please do. It only takes a few minutes.

Respond here: https://www.haveyoursay.hduhb.wales.nhs.uk/csp-phase-2
Consultation document: https://hduhb.nhs.wales/about-us/healthier-mid-and-west-wales/clinical-services-plan/stroke-consultation/stroke-consultation-document/

We've drafted a reply you can copy and past in directly into the comments of section 4 if you like, or put your own views, the more responses we can get the better:

HDdUHB’s preferred option for stroke services does not adequately reflect the needs of the rural population it serves.
• Communities dependent on Bronglais Hospital extend into Powys and southern Gwynedd – very rural areas with long travel distances and limited transport infrastructure. A model developed for urban centres cannot simply be applied here.
• The proposed "treat and transfer" model is presented as evidence based, yet the Health Board has not identified comparable rural regions where such a system has operated successfully. Patients in Mid Wales could face lengthy road journeys at one of the most time-critical stages of their care, with no clear evidence that this approach improves outcomes in areas with similar geography.
• Bronglais Hospital should instead remain a rural stroke hub, providing emergency assessment, imaging, acute treatment, ongoing inpatient care and rehabilitation, while transferring only those patients who require highly specialised interventions such as thrombectomy or neurosurgery. Telemedicine already enables rapid specialist advice and should be used to strengthen, rather than replace, local stroke services.
• Transport remains one of the proposal's greatest weaknesses. Despite acknowledging public concern, the consultation contains no detailed transport strategy. There is little information about ambulance capacity, patient transport, public transport improvements or how relatives will be expected to visit patients who may be many miles from home. Family involvement is recognised as an essential part of stroke recovery, yet the suggestion that digital communication can compensate for reduced visiting fails to recognise the needs of elderly relatives, patients with communication difficulties and areas with poor digital connectivity.
• The consultation also provides insufficient detail about patients who are too unwell to be transferred, including those requiring palliative care. It remains unclear where these patients will receive specialist stroke care, what staffing will remain locally and how these services will be delivered.
• Centralising almost all stroke services at Glangwili Hospital also creates unnecessary risk. A single unit serving such a large rural area is vulnerable to operational disruption and reduces resilience across the Health Board.
• The proposal also appears inconsistent with the Health Board's own assessment criteria. It is described as taking up to eight years to implement despite the stated expectation that options should be deliverable within two to four years. It requires almost £20 million of capital investment together with increased staffing costs, making delivery dependent on additional funding and workforce that are not yet secured.
• The Health Board's own strategic documents describe Glangwili Hospital as an ageing, constrained site requiring significant investment, while the proposed new West Wales Hospital remains many years away. Investing heavily in a new stroke unit at Glangwili only to relocate services again when the new hospital is eventually built raises further questions about value for money and long-term planning.
• There is also considerable uncertainty surrounding the proposed Comprehensive Regional Stroke Units for Wales. Their locations, timescales and relationship with local stroke services have yet to be confirmed. Major changes to local services should not proceed before these wider plans are established.
• Stroke Association Cymru has also stated that it does not support the proposed "treat and transfer" rehabilitation model, warning that it risks fragmenting services, undermining specialist-led care and increasing health inequalities.
• The preferred option does not adequately address the realities of delivering stroke care across rural Mid Wales leaving significant questions unanswered regarding evidence, transport, patient safety, workforce, Welsh-language provision, deliverability and cost.
HDdUHB should reconsider this proposal and instead develop a rural stroke model that retains Bronglais Hospital as a comprehensive local stroke hub supported by specialist networks and telemedicine, ensuring patients receive high-quality care as close to home as clinically possible.

17/07/2026

Cymraeg isod:

One week to go. The second phase of Hywel Dda's stroke services consultation closes on Sunday 26th
July.
This is your last chance to tell the Health Board that acute stroke care must stay at Bronglais. Every response counts, and our step-by-step guide makes it quick and easy to have your say.
Don't leave it to others. Link below. Respond today. 👇

⏰ Wythnos i fynd. Mae ail ymgynghoriad gwasanaethau strôc Hywel Dda yn cau ddydd Sul 26ain Gorffennaf.
Dyma'ch cyfle olaf i ddweud wrth y Bwrdd Iechyd fod yn rhaid i ofal strôc acíwt aros ym Mronglais. Mae pob ymateb yn cyfri, ac mae ein canllaw cam wrth gam yn ei gwneud hi'n hawdd ac yn gyflym i chi ddweud eich dweud.
Peidiwch â'i adael i bobl eraill. Linc isod. Ymatebwch heddiw. 👇

10/07/2026

Don't forget this tonight - Peidiwch a'g anghofio hwn heno!!