Reports

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.

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.

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

Llais has been hearing from lots of people in rural areas across all of Wales who have shared what they see as the strengths but also the struggles of accessing health and social care. With roughly 1 in 3 people in Wales living in areas classified as rural, it is important that these voices are heard and acted on to avoid further health inequities.