Powys Teaching Health Board is set to consider next week whether to launch a formal public consultation on major changes to local NHS services.

The Better Together proposals could see inpatient beds provided at fewer community hospital sites across Powys, although the health board says no decisions have yet been made.

The proposals cover adult physical health, adult mental health, urgent care and some diagnostic services, and will be considered by the board next Wednesday (September 16).

If approved, the consultation would run from October 5 until January 10, 2027.

The health board says the plans are being developed in response to growing demand for healthcare, an ageing population and difficulties recruiting and retaining staff across the county.

It says all options being considered would retain services at all existing community hospital sites.

However, the number of sites providing inpatient beds would be reduced as more care is provided in people's homes and in community settings.

The proposals would also see Urgent Care Centres introduced, open from 8am to 8pm, seven days a week.

These would provide a wider range of assessment, treatment and diagnostic services than current Minor Injury Units.

The health board also wants to strengthen community mental health services, crisis response, NHS 111 Wales Press 2 and sanctuary services.

Under the proposals, a single centre of excellence for mental health inpatient care would be established in the Bronllys/Brecon area.

Powys Teaching Health Board chair Dr Carl Cooper said the board was being asked to decide whether the plans were ready to be put out for public scrutiny.

“Our responsibility is to consider whether the evidence, options and supporting information are sufficiently developed to progress to this important next step. If consultation is approved, we want people to test the evidence, challenge our thinking, and help inform what happens next,” he said.

“The recommendations being considered by the board on September 16 have been informed by feedback from thousands of patients, residents, NHS staff and partner organisations over that last two years.

“This is not currently a decision on the future configuration of services. Such decisions could only be made following full and meaningful consultation.”

Kate Wright, Executive Medical Director, said: "Harm from prolonged hospital stays have become well evidenced. It is clear that a health system that can provide more care in community settings would deliver better care and outcomes for patients."

“These proposals explore how we can provide safe, high-quality care for future generations, support more people to stay well and independent, and retain inpatient care for those whose needs cannot safely be met at home. They are focused on strengthening community services for patients with physical and Mental Health needs.”

The Better Together plans look ahead over the next 10 years and beyond, with the health board saying the aim is to keep services safe and sustainable while helping more people remain independent and receive care closer to home.

If the consultation goes ahead, responses, alternative proposals and any new evidence submitted during the process would then be considered before a final decision.

The current plan is for recommendations following the consultation to be considered by the health board in spring 2027.

Board papers and supporting information for next week's meeting are available here.