There were 250 nursing vacancies alone in 2015-16, with £23.45m spent on agency staff #8211; set against the health board#8217;s deficit for the year of £31.2m.
December 2017 was #8220;challenging#8221; at Aamp;E and minor injuries units with waiting times targets not met #8211; especially at the two main general hospitals.
Also gaps left trying to fill 18 out of the 20 junior medical trainee roles for Carmarthenshire led to additional costs of £700,000.
This outlines some of the difficulties the health board is facing:
RECRUITMENT PROBLEMS #8211; AND TEMPORARY STAFF COSTS
Hywel Dda also has had the second highest turnover of staff in NHS, although this has improved to 6.8%.
WAITING TIMES AND AMBULANCE DELAYS