Local voices shape review of temporary service change
There is still time to share your views in the current review of temporary changes to NHS services in Powys by completing our online survey by 15 February 2026.
Hundreds of people have attended community drop-in events across the county to share their views and experiences of local health services, including the current temporary service changes.
These views will inform Powys Teaching Health Board’s (PTHB) ongoing review of the temporary changes, with a report due to be presented to the next meeting of the Board in March 2026.
Adrian Osborne, Deputy Director at PTHB said:
“We introduced these temporary changes to help us respond to significant challenges relating to quality, workforce and long-term sustainability of services. We reviewed the temporary changes in July 2025. We found that they were delivering benefits for the outcome and safety of patient care, but we also recognise the strength of public feeling about local community hospital services.
“If you weren’t able to join our community drop-in events there is still time to share your views in our online survey by 15 February 2026.”
How to get involved
Our Discussion Paper provides an update on the temporary service changes introduced by Powys Teaching Health Board in December 2024 and seeks your views. It:
- explains why the temporary changes were proposed,
- summarises the engagement undertaken during Summer 2024 and what we heard,
- sets out the decisions made by the Board in October 2024 and the implementation of the temporary changes,
- shares the work we have undertaken to review and evaluate the temporary changes, and
- seeks your views by 15 February 2026.
We invite you to read our Discussion Paper and share your views at www.haveyoursaypowys.wales/tsc2025
About the Temporary Service Changes and Next Steps
Health services in Powys are facing significant challenges related to quality, workforce and long-term sustainability.
During 2024 we introduced a number of temporary changes to help us respond to these challenges whilst maintaining vital patient care.
The Board approved the following temporary service changes:
- A change to the opening hours (8am to 8pm) for the Minor Injury Units (MIUs) in Brecon and Llandrindod Wells.
- Implementation of two Ready to Go Home Units (RTGHUs) in Llanidloes and Bronllys in combination with strengthened inpatient rehabilitation at Brecon and Newtown.
We reviewed the temporary changes in July 2025. The temporary changes were delivering benefits for patient care, but we recognise the strength of public feeling about local community hospital services.
When we reviewed the temporary changes in July 2025, we had planned a period of formal consultation from Autumn 2025 looking at all the adult physical and mental health community services we provide across the county. This would help us to make decisions about the temporary changes and the permanent future shape of services.
These are complex issues, and we do not want to rush the decisions that need to be made. We now expect the formal consultation on the permanent future shape of these services to take place later in 2026.
In the meantime, the temporary changes will remain under review. This review process is looking at quality, safety, outcomes and patient experience, as well as listening to the public and local stakeholders.