Operation Nightingale 23

We have launched Operation Nightingale 23 which will support and reduce pressure on our colleagues in the NHS.


You will be aware of the acute pressures currently being experienced in the NHS in Wales including within our local hospital at Withybush.

As a local authority, we recognise those pressures are unprecedented and across the board, including bed capacity, discharge from hospital and the provision of care packages in the community.

Our response will involve direct communication with Welsh Government and our partners in the health, voluntary and third sectors.

This dedicated webpage will provide helpful information on the campaign and the work completed by our teams across the Authority.



Council launches social care campaign to support the NHS and those most in need


What is Operation Nightingale 23?

Operation Nightingale is a dedicated response by Pembrokeshire County Council intended to help reduce pressure on the NHS, in particular by tackling the issue of medically fit patients being unable to leave hospital.


Why is Operation Nightingale 23 needed?

There is insufficient capacity in Health and Social Care, whether in hospital, residential care or at home.

This has been exacerbated by winter pressures including Covid-19 and flu, complexity of presentations at hospital and workforce recruitment and retention challenges including lack of accommodation for key workers.

Ambulances are unable to off-load patients and therefore respond to emergencies.

At any time there are a number of patients who are medically fit to leave hospital but awaiting care assessments.

This creates pressures throughout the hospital and on the ambulances that cannot off-load.


What is the aim of Operation Nightingale 23?

The aim is to rapidly discharge medically fit-to-leave hospital patients into community care in order to bring relief to the blockages affecting our hospitals and ambulance service.

The aim is to achieve the above safely and improve health and wellbeing outcomes for patients.

The longer term aim is to maintain a better flow rate of patients through hospital and into appropriate care settings where supply can consistently meet demand.


What are you doing to achieve this aim?

Pembrokeshire County Council is examining a variety of options including the short-term redeployment of staff into community support roles, additional social work capacity and the diversion of existing social work capacity to prioritise hospital assessment.

In addition, this will include the engagement of community groups and volunteers to allow people to safely leave hospital and return home.

The Authority is looking to its partners and communities for support across a variety of contributing activities that have the potential to have an immediate impact.

The Council also continues to promote its ‘In Pembrokeshire we care’ campaign aiming to recruit staff into the care sector.


How can I help?

A key feature of Operation Nightingale 23 is a call to arms to its partners, community groups, local communities and volunteers to help medically fit patients who ready to be discharged to safely leave hospital and return home.

Examples of what people can do to help include:

  • Collecting relatives from hospital in as timely as a manner as possible
  • volunteering to help take people home from hospital
  • retirees/ former professionals from the care sector returning to work for a temporary period to help alleviate the pressures


If you think you can offer your help to support the Operation Nightingale 23 campaign, please get in touch with PAVS/Pembrokeshire Community Hub on


To support the Operation Nightingale 23 campaign, members of the community can discover more about social care jobs and opportunities in Pembrokeshire on the In Pembrokeshire We Care website or alternatively, give us a call on 01437 775197.

Anyone wishing to discuss the Council’s current vacancies in social care please contact our Recruit team at recruit@pembrokeshire.gov.uk

ID: 9509, revised 17/01/2023