Health minister Mark Drakeford has sparked anger amongst Ceredigion councillors with his response to the council's motion of no confidence in Hywel Dda Health Board.
Councillors passed the motion at their December meeting where they expressed fears over the future of Cardigan Hospital and declared a vote of no confidence in the health board's ability to deliver services in Ceredigion.
But in his reply, the minister said the problem between the health board and county council should be "solved locally" and he understood Hywel Dda was dealing with the matter. He encouraged the council to contact Hywel Dda chief executive Trevor Purt.
"I'm very disappointed with this response," Cllr Ceredig Davies told this week's full council meeting.
"If we thought we could solve it locally why would we have passed a motion of no confidence. The minister should take this seriously. The health board are accountable to him and he should take note how the people of mid Wales are very unhappy with how Hywel Dda are operating."
Councillors agreed to reply to the minister expressing their anger with his response.
* An offer by Hywel Dda officers to take a workshop with county councillors has been rejected. The workshop was due to take place later this month but councillors at this week's full council meeting felt strongly that Hywel Dda should come to a council meeting that was open to the public.
"They should have the backbone to stand before the public and explain what their vision is for the future of health services in this area," said Cllr Ceredig Davies.
And Cllr Gareth Davies, who works for the health board at Bronglais Hospital, said: "I would like the whole board to come here and be accountable to the county council."