Hywel Dda confirmed today that it will not immediately adopt a recommendation from its Vacant Practice Panel to close the Pontyates site and disperse all 4,350 patients to neighbouring practices. Instead, the Board said it will “hear the views of patients and the local community” before making a final decision in May.
The recommendation to close the surgery was first set out by the Vacant Practice Panel, which Hywel Dda convened in October 2025 “in line with national guidance” to review long‑term options for Meddygfa’r Sarn. According to the health board, the panel examined continued health board management, mergers with neighbouring practices, procuring a new provider, and managed dispersal. Hywel Dda said the panel concluded that dispersal “offered the most sustainable long‑term solution”.
The Board discussed that recommendation at its meeting on Thursday but agreed to pause the process and begin an eight‑week engagement period from Monday 9 February to Monday 6 April. Hywel Dda said the purpose is to understand “the potential impacts” of the proposal and what support may be needed if the closure goes ahead.
Andrew Carruthers, Chief Operating Officer at Hywel Dda University Health Board, said the Board had a duty to ensure patients could access “safe, high‑quality and sustainable GP services”.
“We recognise that this recommendation may mean significant change for patients and communities, which is why it is essential that we take the time to listen before making a final decision,” he said. “The engagement period will allow people to share their views, ask questions, and help inform the Board’s decision in May.”
Hywel Dda said no changes will take place during the engagement period and stressed that Meddygfa’r Sarn “will continue as normal”. The health board also thanked the community for the support shown to staff during what it described as “a period of change”.
The health board said patients, staff and stakeholders will be able to attend public drop‑in events during the engagement period, with dates to be announced shortly. Patients will also receive letters explaining how to take part, and a survey will be available online and in paper form from 9 February.
Meddygfa’r Sarn has been directly managed by Hywel Dda since 2017, after the former GP partners resigned their contract. The health board said the practice has faced “ongoing and significant staffing challenges” and currently has no permanently employed GPs. It also described the Pontyates building as “small” with “limited facilities”.
If the panel’s recommendation is ultimately approved, Hywel Dda said patients would be transferred to the nearest suitable practice, including Coalbrook Surgery in Pontyberem, Meddygfa Minafon in Kidwelly, and for some patients, practices in Llanelli.
The announcement follows months of public pressure, with councillors and residents previously warning that closing the Pontyates site would be a “massive blow” to the village and surrounding communities.
Hywel Dda said further information about the engagement process will be shared in the coming days.
