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NHS Changes - Wales

The Welsh Assembly government's vision for the NHS in Wales is outlined in their 'Together for Health' document.

The NHS in Wales underwent structural reconfiguration in 2009, with 22 Local Health Boards (LHBs) combined with 7 NHS Trusts to form 7 Local Health Boards.

Three NHS trusts remain:

  1. Velindre NHS Trust
  2. The Welsh Ambulance Service NHS Trust (WAST)
  3. Public Health Wales (the unified organisation for the whole of Wales). 

All websites for the Local Health Boards and NHS Trusts can be found on the NHS Wales website.

The Welsh Government’s vision for the NHS in Wales is outlined in the document Together for Health, the 5-year vision for the NHS running until 2016.

It is based around community services with patients at the centre, and places prevention, quality and transparency at the heart of healthcare.

NHS in Wales: further changes since 2012

Since 2012 the NHS in Wales has been undergoing further reconfiguration in a bid to centralise some services, and to change the way services are delivered. There is an increasing emphasis on providing services closer to people’s own homes.

Hywel Dda Health Board and Betsi Cadwaladr University Health Board undertook consultation exercises in 2012.

In 2013 the South Wales Health Boards of Aneurin Bevan Health Board, Cardiff and Vale University Health Board Cwm Taf Health Board and Abertawe Bro Morgannwg University (ABMU) Health Board came together to develop a South Wales Programme.

In 2014 the Welsh Institute for Health and Social Care published the Mid Wales Healthcare Study, addressing the issue of rural healthcare service provision.

This study is receiving attention from the Welsh Government, local authorities and relevant stakeholders including the Local Health Boards of Powys, Betsi Cadwaladr, Hywel Dda, Aneurin Bevan and ABMU.

Velindre NHS Trust has been engaged in planning with neighbouring Health Boards, but is not currently undergoing reconfiguration.


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