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Dear Editor - Western Telegraph readers will recall the consultation in 2006 when thousands of people rejected proposals involving the local health boards (LHB) of Pembrokeshire, Carmar-thenshire and Ceredigion. At the same time proposals to merge the three NHS trusts were also rejected.

Pembrokeshire Comm-unity Health Council then responded with The people's vision', which was endorsed by 15,000 residents as the preferred solution for the provision of acute health services in Pembrokeshire.

The Pembrokeshire LHB resolved that the people's vision should be the basis for a new planning forum set up to review the acute services in the three counties.

While the forum met, behind the scenes a committee produced a plan to merge the three health trusts, which was implemented on April 1st. Now it seems the three local health boards are to be merged.

Also, the Welsh Assembly spatial plan has been reviewed, from which plans emerge for the future decisions on Assembly spending.

Changing the spatial plan from the 2004 version to the 2008 update may be the way in which the people's vision will be denied.

Whatever collective view the public may express on a specific policy proposal, it appears a behind the scenes' team produces plans and updates that make sure the aspirations of the Assembly are achieved whatever the public say.

Ronald Weedon Dolphin Cottage, Landshipping Quay, Narberth.

6:23pm Monday 28th April 2008

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