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Nearly a quarter work for Cardiff and Vale health board, which provides a large proportion of tertiary care, meaning the impact on planned services will be significant.

"Regarding specialist tertiary care, it is important to note that Kettering General Hospital is not a tertiary centre for specialist investigation, diagnosis and treatment, so on occasions where that may be needed we would appropriately refer a patient to a specialist hospital for ongoing care and treatment."

In late March, a 70-year-old woman was wheeled into a government-backed tertiary care hospital in a Colombo suburb.

She said two critical patients were stabilized and transferred to tertiary care facilities.

Experts say the emphasis is on tertiary care at the expense of preventive or primary care.