Community Health Council Wales: NHS changes 'had to happen'
15 January 2013 Last updated at 20:53 GMT
Health managers have decided to press ahead with controversial plans for big changes in the way NHS care is delivered across mid and west Wales.
Hywel Dda Health Board has approved plans to close minor injury units and centralise other services affecting patients in Carmarthenshire, Ceredigion and Pembrokeshire.
Managers insist the proposals will lead to better care for patients.
Carol Davies, director of Community Health Council Wales, told BBC Wales Today change in the NHS "had to happen" but the reasons needed to be properly communicated to people.