Reports

From July to November 2025 Llais engaged in an all-Wales conversation with thousands of people through national and community events, one to one conversations and through health and social care networks and associations. 

This was an opportunity to share experiences of health and social care as part of the Health and Social Care We Want project. 

We spoke with people juggling impossible waits, carers stretched to breaking point, and people who told us what keeps them going, what gets in the way, and what they want to be different. 

A core message that ran through everything people shared with us was that; people want a health and social care system that treats them like human beings, not numbers. 

They want to be listened to, to receive joined up care, to have honest communication, to be supported before things reach crisis and they want decisions that are person-centred. 

They also shared a deep sense of pride in the dedication of front-line staff, who so often make the difference between fear and reassurance. 

This manifesto sets out twelve evidence-based reforms grouped under four  themes: equity and access, prevention and early intervention, person-centred care, and integration of services. These are not abstract policy  ideas. They are practical and achievable changes that people told us would  make the biggest difference to their experience of health and social care.

Llais exists to champion the voices of people who use health and social care services.

That is why across Wales, in villages, towns, and cities, we have listened to tens of thousands of people. In community halls, high streets, schools, local GPs, care homes, and online, people have shared their experiences, frustrations, and hopes for health and social care.

This manifesto is built on those voices: the people’s priorities, what matters most, what would make the biggest difference to their lives, and what needs to change.

In April 2025, Llais Powys visited the Newtown area to talk to people about their experiences with health and social care.

Through over 50 conversations and multiple survey responses, we heard feedback that celebrated local staff and services but also revealed systemic issues and gaps in care. Quotes from residents are included below to reflect the strength of feeling and lived experiences. 

In April 2025, Llais Powys undertook a focused community engagement programme in the Newtown locality—the ninth in a rolling programme aligned with the 13-locality model of the Powys Regional Partnership Board. The goal  was to gather local insight into health and social care experiences, particularly where people access services within Wales or cross-border in England.