The West Wales options are now in the public domain, so readers of NHSreality can have access. The fact is that it is difficult, in an under-capacity market, to attract doctors to where there is no tertiary capacity, no research, and from where promotion is unlikely. When doctors do come and compete for jobs, is where there is a bribe, and a system that allows choices across Deaneries. This is present for GP training schemes, but is not yet facilitated for pre-registration F1 & F2 posts. The population demographic for Wales, and West Wales in particular, shows that Pembrokeshire has the highest population density, and that’s without holiday visitors in the 4 summer months…. Watch for the short term fixes, watch for nurses and other staff leaving, and the possibility of civil unrest. Whatever solution is proposed, the debate will be local, and a utilitarian solution will not come out of public meetings.
The official documents for the West Wales options are belwo.