Moves to change the system of community health councils in Wales have come in for criticism from representatives in rural areas.
Re-organisation will see the numbers of community health councils increasing from 22 to 27 but the councils are set to be grouped together into federations. As a result, the numbers of offices will decrease to nine, which councillors in rural areas believe will put off some people raising complaints about services with the community health councils.
In north Wales the three offices in Caernarfon, Anglesey and Dolgellau will be reduced to two.
The changes have been criticised as being another level of bureaucracy.
Anglesey community health chief officer Dilys Shaw said residents in rural areas would be forced to travel further to make complaints about health services.
Community health councils are seen as an important "grass roots" level of the service.