Arwystli Medical Practice

10/09/2026

08/09/2026

Please see below our activity sheet for September. We are delighted that singing has returned after the summer break and another woodland visit, which was much enjoyed, is available again this month.

07/09/2026

We are pleased to let patients know that Electronic Prescriptions are coming soon to Arwystli Medical Practice.

This means that, once the service is live, most prescriptions can be sent electronically from the practice to your pharmacy. This will help reduce the need for paper prescriptions and make the prescription process easier for patients, pharmacies and the practice team.

📱 Please use the NHS Wales App to order repeat medication (Llanidloes Patients only at the moment)
The best way to order your repeat medication is through the NHS Wales App. We will no longer supply a paper medication list but all your medication is on your account on the App.

(Caersws patients please continue to email medication requests)

Ordering through the app is secure, convenient and helps the practice process repeat prescription requests more efficiently. You can use the app to request your regular repeat medication without needing to contact the surgery by phone.

💊 What is the Electronic Prescription Service?
The Electronic Prescription Service, often called EPS, allows prescriptions to be sent electronically from the GP practice to a patient’s pharmacy.

You will not usually need to collect a green paper prescription from the practice.

Your pharmacy will still need time to prepare your medication.

Electronic prescriptions are safe, secure and easier to track.

Use the following link to sign up to use the NHS Wales App.

The NHS Wales App lets you view your GP health record, order repeat prescriptions, and manage appointments, all in one secure place. It’s available on mobile or web.

07/09/2026

‼️An Update From Our Dispensary Teams in Llanidloes & Caersws‼️

We are currently experiencing an exceptionally high volume of work in our dispensary, which is causing some delays in preparing repeat medication requests.

Our team is working as hard as possible to process everything safely. If you have a few days of medication left, please allow some extra time before coming to collect your prescription. We greatly appreciate your patience and kindness toward our staff during this busy period.

Flu Vaccination Bookings

We are slowly sending out text booking links to eligible patients to schedule their flu appointments. When you receive a link, please use it to book your appointment online rather than calling the surgery.

Our phone lines are currently experiencing a surge in calls, and using the self-book link helps keep our lines free for patients with urgent medical needs.

Thank you for your ongoing support and cooperation.

24/08/2026

🟠STORY 4 🟠

Delyth lives with family but her health has been deteriorating of late. She has had a few admissions to hospital over that last 18 months and each time she is weaker as a result.

One day Delyth feels unwell, she is wobbly on her legs and family are concerned she may fall. She is also more confused. Family call the local surgery and she has a home visit from her usual GP shortly after.

The GP shares family concerns that mobility at home is not safe but also recognises trips to distant hospitals haven’t always been helpful. A short period of in-patient rehabilitation in a local Community Hospital is considered and investigations are planned. A referral to the health board to organise this is made.

The health board suggest avoiding a Community Hospital would be better for her and being in a hospital will see her de-condition. Instead they send a therapies team to the house to assess the patient. Unfortunately despite a thorough assessment and plan, Delyth has a fall going to the loo that night and ends up in a hospital far from home. After assessments in the District General Hospital, Delyth is transferred to her local Community Hospital but now can’t walk without support. Her confidence has gone, and she needs lifting to get to the toilet or into her chair. Delyth voices to the nurses on the ward that she doesn’t want to go back to that hospital far from home, even if her life were to be at risk. A decision is made to discharge her to a care home in a nearby town. Delyth passes away shortly after.

Mae Delyth yn byw gyda'i theulu, ond mae ei hiechyd wedi bod yn dirywio yn ddiweddar. Mae hi wedi cael ei gyrru i'r ysbyty ar sawl achlysur dros y 18 mis diwethaf. O ganlyniad, mae yn wannach ac yn fwy bregus yn dilyn pob ymweliad.
Un diwrnod, mae Delyth yn teimlo'n sâl; mae hi'n ansicr ar ei thraed gan beri i’r teulu boeni y gallai syrthio. Mae hi hefyd yn fwy dryslyd. Mae'r teulu'n ffonio'r feddygfa leol, ac yn fuan wedyn, mae ei meddyg teulu arferol yn ymweld â hi yn ei chartref.
Mae’r meddyg teulu yn rhannu pryderon y teulu nad yw symudedd Delyth yn y cartref bellach yn ddiogel. Ar yr un pryd, mae yn cydnabod nad yw teithiau i ysbytai pell wedi bod o gymorth bob amser. Ystyrir cyfnod byr o adferiad fel claf mewnol mewn ysbyty cymunedol lleol a gwneir trefniadau ar gyfer ymchwiliadau pellach,. Gwneir atgyfeiriad at y bwrdd iechyd i drefnu hyn.
Mae'r bwrdd iechyd yn awgrymu y byddai'n well i Delyth osgoi mynd i ysbyty cymunedol, gan y byddai aros mewn ysbyty yn arwain at ddirywiad yn ei gallu corfforol. Yn hytrach, maent yn anfon tîm therapi i'r cartref i asesu'r claf. Yn anffodus, er gwaethaf asesiad a chynllun trylwyr, mae Delyth yn cwympo wrth fynd i'r toiled y noson honno. O ganlyniad caiff ei derbyn i ysbyty ymhell o'i chartref. Ar ôl cael ei hasesu yn yr ysbyty cyffredinol lleol, caiff Delyth ei throsglwyddo i'w hysbyty cymunedol lleol, ond erbyn hyn ni all gerdded heb gymorth. Mae hi wedi colli pob hyder, ac mae angen cymorth i’w chodi a’i symud i fynd i'r toiled neu i'w chadair. Mae Delyth yn dweud wrth y nyrsys ar y ward nad yw hi eisiau mynd yn ôl i'r ysbyty hwnnw ymhell o'i chartref, hyd yn oed pe bai ei bywyd mewn perygl. Gwneir penderfyniad i'w rhyddhau i gartref gofal mewn tref gyfagos. Bu farw Delyth yn fuan wedyn.

14/08/2026

🟢 STORY 3 🟢

In the last week we have seen a hypothetical ‘Delyth’ from Bwrdd Iechyd Addysgu Powys / Powys Teaching Health Board This ‘patient’ has been made up showing how it is foreseen their care will be carried out under the new community care proposals. To help our patients understand the full picture, Powys GP Practices are sharing real life examples of real situations felt across Powys…..

Delyth is 84 years old and lives alone in a small village outside of town. She has lived in the same house for nearly sixty years. Her husband died several years ago and her nearest daughter lives over an hour away. Delyth values her independence fiercely. She still tends her garden, attends chapel when she can, and knows most of the people in her village by name.

One winter morning, Delyth develops a chest infection. At first it seems minor, but over the following days she becomes weaker and increasingly short of breath. Eventually her GP visits and decides she needs inpatient care. She is not critically ill, but she is too unwell to remain safely at home.

Traditionally, Delyth might have been admitted to her local community hospital. There she would have been cared for close to home. The nurses would know her family. The GPs on the ward would know her medical history. Friends from the village could easily visit. Her daughter could call in after work. If she became confused or anxious, familiar faces would be nearby.
Instead, under a future model with reduced local inpatient provision, no local bed is available. Delyth is taken by ambulance to a hospital much further from home. Her daughter now faces a round trip of several hours to visit. Friends who once called regularly can no longer get there. Days pass without familiar faces at her bedside.

The hospital staff are caring and professional, but they do not know Delyth as a person. They know her observations, medications and diagnosis. They do not know that she is fiercely independent, that she struggles if routines change, or that she becomes withdrawn when separated from her community.

After ten days she is medically fit for discharge. However, she has lost confidence. She is walking less. Her appetite has deteriorated. She no longer feels able to manage at home. The illness that brought her into hospital has improved.
Everything else has got worse.

More community support is needed before discharge can happen. Assessments are arranged. Transport is organised. Days become weeks. Eventually Delyth returns home, but she is not the same person who left. She now requires regular care visits. Her confidence has gone. The garden becomes overgrown. The independence she fought hard to preserve has slowly diminished.

Her daughter later reflects:
"Mum didn't need a bigger hospital. She needed a hospital closer to home."
No single decision caused the problem. No clinician made a mistake. No one intended harm. The system simply lost sight of something important - For people living in rural communities, healthcare is not just about treatment. It is about proximity, family, familiarity and maintaining independence.

All examples shared of Delyth (generic name) are true life examples. Real cases given to us by our own clinical teams of real patients, from the last 6 months.
Yn yr wythnos ddiwethaf, rydym wedi gweld ‘Delyth’ damcaniaethol gan Bwrdd Iechyd Addysgu Powys / Powys Teaching Health BoardBoard. Mae’r ‘claf’ hwn wedi’i ffugio i ddangos sut y rhagwelir y bydd eu gofal yn cael ei ddarparu o dan y cynigion gofal cymunedol newydd. Er mwyn helpu ein cleifion i ddeall y darlun llawn, mae Meddygfeydd Teulu Powys yn rhannu enghreifftiau bywyd go iawn o sefyllfaoedd go iawn a deimlir ledled Powys…..
Astudiaeth Achos 4 Delyth
Mae Delyth yn 84 oed ac yn byw ar ei phen ei hun mewn pentref bach y tu allan i’r dref ac wedi byw yn yr un tŷ ers bron i drigain mlynedd. Bu farw ei gŵr sawl blwyddyn yn ôl, ac mae ei merch agosaf yn byw dros awr i ffwrdd. Mae Delyth yn berson annibynnol iawn ac yn dal i ofalu am ei gardd, yn mynychu’r capel pan all, ac yn adnabod rhan fwyaf o bobl y pentref.
Un bore gaeafol, mae Delyth yn datblygu haint ar y frest. Ar y dechrau ymddengys nad yw yn rhywbeth mawr, ond dros y dyddiau nesaf mae’n gwanhau ac yn mynd yn fwyfwy byr ei hanadl., Ar ôl ychydig ddyddiau mae ei meddyg teulu yn ymweld â hi ac yn penderfynu bod angen gofal claf mewnol arni. Nid yw’n ddifrifol wael, ond nid yw chwaith yn ddigon da i allu aros yn ddiogel yn ei chartref.
Yn draddodiadol, y tebyg yw y byddai Delyth wedi cael ei gyrru i’w hysbyty cymunedol lleol. Yno, byddai wedi cael gofal yn agos at ei chartref. Byddai’r nyrsys yn adnabod ei theulu a byddai’r meddygon teulu ar y ward yn gyfarwydd â’i hanes meddygol. Byddai ffrindiau o’r pentref yn gallu galw heibio’n rhwydd, a byddai ei merch yn gallu ymweld ar ôl gwaith. Pe bai’n mynd yn ddryslyd neu’n bryderus, byddai wynebau cyfarwydd gerllaw.
Yn hytrach, o dan fodel y dyfodol lle mae llai o ddarpariaeth gwelyau lleol ar gael, nid oes gwely lleol iddi. Caiff Delyth ei chludo mewn ambiwlans i ysbyty llawer pellach o’i chartref. Mae ei merch bellach yn wynebu taith o sawl awr yno ac yn ôl i ymweld â hi. Nid yw’r ffrindiau a arferai alw’n rheolaidd yn gallu cyrraedd yno mwyach ac mae’r dyddiau’n mynd heibio heb unrhyw wyneb cyfarwydd wrth ochr ei gwely.
Mae staff yr ysbyty yn ofalgar ac yn broffesiynol, ond dydyn nhw ddim yn adnabod Delyth fel person. Maent yn adnabod ei chyflwr, y feddyginiaeth mae’n ei chymryd a’i diagnosis, ond does ganddynt ddim syniad pa mor bwysig yw ei hannibyniaeth iddi, ei bod yn ei chael hi’n anodd pan fydd newid yn y drefn arferol, nac ychwaith ei bod yn tueddu i ymneilltuo pan gaiff ei gwahanu o’i chymuned.
Ar ôl deg diwrnod, mae Delyth yn ddigon da yn feddygol i adael yr ysbyty. Fodd bynnag, mae hi wedi colli hyder. Mae’n cerdded llai, mae ei harchwaeth wedi gwaethygu, ac nid yw’n hi yn teimlo ei bod hi'n gallu ymdopi gartref mwyach - er ei bod hi bellach wedi gwella o’r salwch barodd iddi fod yn yr ysbyty.
Mae popeth arall wedi gwaethygu.
Mae angen mwy o gymorth cymunedol cyn y gellir ei rhyddhau. Trefnir asesiadau. Trefnir cludiant. Mae dyddiau'n troi'n wythnosau. Yn y diwedd, mae Delyth yn dychwelyd adref, ond nid yw hi yr un person ag a aeth ymaith. Bellach, mae angen ymweliadau gofal rheolaidd arni. Mae ei hyder wedi diflannu. Mae'r ardd yn tyfu’n wyllt. Mae'r annibyniaeth y bu'n brwydro'n galed i'w chadw wedi pylu'n raddol.
Yn ddiweddarach, wrth edrych yn ôl, dywedodd ei merch:
"Doedd Mam ddim angen bod mewn ysbyty fwy. Angen bod mewn ysbyty nes at adref oedd hi.”
Nid un penderfyniad achosodd y broblem. Ni wnaethpwyd unrhyw gamgymeriad gan yr un clinigwr ac ni fu’n fwriad gan neb i achosi niwed. Yn y pen draw, collodd y system olwg ar rywbeth pwysig. I bobl sy’n byw mewn ardaloedd gwledig, mae gofal iechyd yn llawer mwy na thrin salwch. Mae’n ymwneud â bod yn agos at deulu a chyfeillion, gweld wynebau cyfarwydd, a gallu cadw eu hannibyniaeth.
Mae pob enghraifft a rennir o Delyth (enw generig) yn enghreifftiau bywyd go iawn. Achosion go iawn a roddwyd i ni gan ein timau clinigol ein hunain o gleifion go iawn, o’r 6 mis diwethaf

13/08/2026

🔵 STORY 2 🔵

In the last week we have seen a hypothetical ‘Delyth’ from Bwrdd Iechyd Addysgu Powys / Powys Teaching Health Board. This ‘patient’ has been made up showing how it is foreseen their care will be carried out under the new community care proposals. To help our patients understand the full picture, Powys GP Practices are sharing real life examples of real situations felt across Powys…..

During one of her spells of delirium Delyth sadly falls and breaks her hip. She is taken to the nearest general hospital, an hour away where she has an operation to repair her hip. She is then ready to be transferred out of the acute hospital bed. Ideally she goes to her local community ward, which is run by doctors, she knows them well and they know her, and her family. She recognises and trusts them. However, her local ward has been closed down so she is instead sent to a hospital an hour from her home. Her daughter doesn't drive and there is only 1 bus a day, which would mean her daughter would be away from her own home all day, so she can only visit once a week. Delyth's home help and neighbours can't visit often because it is too far away. Delyth becomes more confused and disoriented in the community hospital and has to be transferred again to the one mental health unit left in the county which is even further from her friends and family. She is too confused to be able to work with the physiotherapist so her mobility deteriorates and she is eventually unable to get up from a chair. She never regains her previous independence and is finally moved into a care facility.

All examples shared of Delyth (generic name) are true life examples. Real cases given to us by our own clinical teams of real patients, from the last 6 months
Yn yr wythnos ddiwethaf, rydym wedi gweld ‘Delyth’ damcaniaethol gan Bwrdd Iechyd Addysgu Powys / Powys Teaching Health Board. Mae’r ‘claf’ hwn wedi’i ffugio i ddangos sut y rhagwelir y bydd eu gofal yn cael ei ddarparu o dan y cynigion gofal cymunedol newydd. Er mwyn helpu ein cleifion i ddeall y darlun llawn, mae Meddygfeydd Teulu Powys yn rhannu enghreifftiau bywyd go iawn o sefyllfaoedd go iawn a deimlir ledled Powys…..

Yn ystod un o’i chyfnodau o ddryswch acíwt (deliriwm), mae Delyth yn cwympo ac yn torri ei chlun. Caiff ei chludo i’r ysbyty cyffredinol agosaf, awr o daith i ffwrdd, lle mae’n cael llawdriniaeth i drwsio ei chlun. Wedi hynny, mae’n barod i gael ei throsglwyddo allan o’r gwely gofal acíwt. Yn ddelfrydol, byddai’n dychwelyd i’w ward gymunedol leol, sy’n cael ei rhedeg gan feddygon y mae’n eu hadnabod yn dda ac sydd hwythau’n ei hadnabod hi a’i theulu. Mae’n eu hadnabod, yn ymddiried ynddynt ac yn teimlo’n gyfforddus yn eu gofal. Fodd bynnag, mae ei ward leol wedi cau, ac felly caiff ei hanfon i ysbyty sydd awr o daith o’i chartref. Nid yw ei merch yn gyrru, ac nid oes ond un bws y dydd. Byddai hynny’n golygu bod yn rhaid I’w merch fod oddi cartref drwy’r dydd er mwyn ymweld â’i mam, felly dim ond unwaith yr wythnos y gall ymweld â hi. Ni all gofalwr yn y cartref Delyth na’i chymdogion ymweld yn aml oherwydd bod yr ysbyty mor bell i ffwrdd. Mae Delyth yn mynd yn fwyfwy dryslyd ac anesmwyth ei byd yn yr ysbyty cymunedol, ac yn y pen draw mae’n rhaid ei throsglwyddo unwaith eto i’r unig uned iechyd meddwl sydd ar ôl yn y sir - sydd ymhellach fyth o’i ffrindiau a’i theulu. Mae hi’n rhy ddryslyd i allu cydweithio â’r ffisiotherapydd, ac o ganlyniad mae ei symudedd yn dirywio. Yn y diwedd, ni all godi o gadair heb gymorth. Nid yw byth yn adennill yr annibyniaeth oedd ganddi o’r blaen, ac yn y pen draw caiff ei symud i gartref gofal.

Mae pob enghraifft a rennir o Delyth (enw generig) yn enghreifftiau bywyd go iawn. Achosion go iawn a roddwyd i ni gan ein timau clinigol ein hunain o gleifion go iawn, o’r 6 mis diwethaf

12/05/2026

Activity Data for March 2026
💻 Further information can be found on our website
https://www.arwystlimedicalpractice.nhs.wales/
NHS Services can be easily accessed by logging onto our website or the NHS Wales APP! 📢
Manage your healthcare quickly and easily:
💊 Order repeat prescriptions (Llanidloes Patients only at this time)
❌ Cancel your appointments
📱 Download the NHS Wales App today to take control of your health.
🤲Self-Help Hub
📑Admin requests
If you're unable to use the NHS app, you can register on the NHS website
👉 https://app.nhs.wales/login
If you need help with any of the above please ask a member of staff.