In response to the other concerns raised in the report, it said it had introduced a "quality and safetysystem" into mental health services which closely monitors the standards of care on wards, including nutrition infection control and training and education, among others.
But some physicians are upset by the expansion, saying it will further splinter an already fragmented health care system and therefore harm quality and patient safety.
"Our current system is simply not sustainable, presenting us with quality and safety issues and inefficiencies, " stated consultation documents published by the Hywel Dda board.
In industries where public safety must be ensured, engineers and technicians depend on different versions of this widely recognized quality-management system.