A year after plans to close the Welshpool and Caernarfon air ambulance bases were approved, campaigners say they are still waiting for answers - and for a decision following a legal challenge.

The controversial move, backed by NHS Wales' Joint Commissioning Committee (JCC) in April 2024, would see the two bases replaced by a new facility in north Wales, closer to the A55. It followed a review by the Emergency Medical Retrieval and Transfer Service (EMRTS), which claimed the changes would allow the service to respond to 140 more emergency calls each year.

But the decision prompted widespread opposition, especially in rural areas of Powys, where concerns have been raised over longer response times and reduced coverage.

A judicial review into the decision concluded over two months ago - but campaigners say they are still waiting for a verdict, and no progress has been made on alternative emergency services that were promised as part of the plan.

“The campaign groups remain active, striving to maintain this service for those in need,” said a joint statement from campaigners in Mid and North Wales.

“Welshpool and Caernarfon air ambulance bases are considered vital for providing lifesaving services and must be preserved at current locations.”

The review’s recommendations included deploying a new road-based Rapid Response Vehicle (RRV) service to support emergency care in rural communities. But campaigners say there has been no sign of this service materialising - raising fears that patients in isolated areas could be left without timely access to care.

Public opposition to the plans was strong, with more than 30,000 people signing a petition against the closure. A public engagement process found that 66 per cent of responses came from Powys.

At the time of the JCC vote, Powys Teaching Health Board did not support the proposals, warning that the changes should not proceed unless the new road-based service was proven to be adequate.

Hayley Thomas, the board’s chief executive, said the service needed to meet the specific needs of rural patients.

Chief ambulance services commissioner Stephen Harrhy said no bases will close until the new system is up and running.

Campaigners say the air ambulance bases offer more than just emergency support.

“The service not only provides critical emergency medical support but also offers peace of mind to residents, knowing help is readily available,” said group, which includes MSs, councillors and local residents.

“The air ambulance has saved countless lives in the region, and its presence is a symbol of hope and security.

“Hopefully we will soon have an announcement regarding the judge’s decision of the ongoing judicial review. As a campaign group we will continue to fight to preserve the air ambulance bases in Welshpool and Caernarfon, emphasising their importance to the community.

“The campaign groups remain committed to raising awareness, garnering support, and ensuring that both bases remains operational for future generations.”

The joint group consists of: Cynthia and Clive Duce, Bob Benyon, Andy O’Regan, Russell George MS, Cllrs Graham Breeze, Elwyn Vaughan, Joy Jones and Amanda Jenner.