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Patient Experience and Perception of First Language Usage in Healthcare: The Welsh Perspective

Maisie E. Edwards Orcid Logo, Owen Bodger Orcid Logo, Menna Brown Orcid Logo, Llinos Roberts Orcid Logo, Luke D. Roberts Orcid Logo, Jeffrey Davies Orcid Logo, Alwena Morgan Orcid Logo

Journal of Patient Experience, Volume: 13

Swansea University Authors: Owen Bodger Orcid Logo, Menna Brown Orcid Logo, Jeffrey Davies Orcid Logo, Alwena Morgan Orcid Logo

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Abstract

Research shows that using a patient's preferred language is vital for effective healthcare communication. Consultations in a second language can lead to treatment delays and misdiagnoses. In Wales, while Welsh and English have equal status in the public sector, independent primary care provider...

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Published in: Journal of Patient Experience
ISSN: 2374-3735 2374-3743
Published: SAGE Publications 2026
Online Access: Check full text

URI: https://cronfa.swan.ac.uk/Record/cronfa71399
Abstract: Research shows that using a patient's preferred language is vital for effective healthcare communication. Consultations in a second language can lead to treatment delays and misdiagnoses. In Wales, while Welsh and English have equal status in the public sector, independent primary care providers like General Practices (GPs) are not fully bound by Welsh Language Standards (WLS), resulting in inconsistent bilingual provision. This mixed methods study combined focus groups and a survey of 361 Welsh speakers to explore awareness of WLS and experiences of bilingual GP care. Analysis revealed low awareness (27%) of the WLS and significant unmet language needs. 71% had never been offered a Welsh-language consultation and 57% with English-speaking GPs said they would feel more comfortable having Welsh-medium consultations. In high Welsh-speaking areas, 32% felt restricted by not being able to use their first language during GP appointments. There was strong support for recording language preference in health records. Findings highlight both the need and desire for Welsh-language provision in primary care, and the importance of policy changes to support an “active offer” approach.
Keywords: patient perspectives/narratives; bilingual care; language discordance; clinician–patient relationship; communication; inclusion; patient experience
College: Faculty of Medicine, Health and Life Sciences