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NHS Changes

What we do when health boards tell us they want to make changes

We ask the health board to show people:

  • why it thinks things need to change
  • what it thinks will be better for patients if things change
  • who will be affected if things change
  • how much it will cost.

We agree with the health board what they should do to help make sure people:

  • know about their ideas for change
  • can easily share their views and ideas or ask questions.

What we do once people have shared their views and ideas

We look carefully at what people have said. Often, people have different views and ideas about what is best.

We make sure the health board:

  • has thought carefully about what everyone has said
  • uses what people have said to change its plans where it needs to
  • answers the questions and any concerns people have raised.

Once we have done this, we need to decide if we agree with the changes the health board wants to make.

When we decide, we must think about:

  • the positive and negative effects the changes may have on all communities
  • particular groups of people may be affected by the proposed changes
  • how services may be affected if things change or if they don’t
  • whether there are things the health board can do to limit any negative impacts
  • Whether the health board has given people enough chance to have their say about changes to services
  • Whether the health board has considered different options when deciding on changes to services 

After discussing the proposals, the CHC shares its decisions, including any comments and caveats with the Health Board.  If we do not support the proposal, we continue discussions with the Health Board with the aim of agreeing a way forward that best supports the patients’ perspective. In the unlikely event that we are unable to reach an agreement, we follow an agreed process, which may involve making a referral to the Minister for Health and Social Services’.

Regional Service Changes - service changes that span multiple NHS areas and affect 2 or more Health Board areas. Such as specialised services.

Local Service Changes – service changes within the Cwm Taf Morgannwg Health Board area.  Such as GP Practices.

We are also notified of urgent temporary changes as, and when they occur.

We are currently involved in the proposals and plans of:


Local Service Change

Regional Service Change



Major Trauma

Head and neck

Vascular Services

Diabetes services relocation

Radiotherapy Satellite Centre

Breast Diagnostic unit

Think 111

Maesteg Community Hospital

Tertiary Thrombectomy Services in South Wales


If you would like more information on any of the above service changes, please contact the office.


Cwm Taf Morgannwg, Community Health Council, Ty Antur, Navigation Park, Abercynon, CF45 4SN

Phone:01443 405830 


Cwm Taf Morgannwg Community Health Council welcomes correspondence in Welsh, and that corresponding in Welsh will not lead to delay