WELSH NHS Confederation says planned care is improving but calls for prevention, sustainable social care funding and investment in estates and equipment

NHS leaders in Wales have welcomed major progress in cutting waiting lists, including what they said was a record monthly reduction, but warned improvements could stall without longer term reform and investment.

New data for November show there were just under 757,900 referral to treatment patient pathways waiting to start treatment, a fall of around 23,400 compared with October and about 44,000 fewer than the same time last year.

The figures also show just over 38,100 pathways waiting longer than one year for a first outpatient appointment, down on the previous month and 62.9% lower than the peak in August 2022. It is the lowest figure since October 2020.

For the longest waits, the number of pathways waiting more than two years fell to just under 6,900, down 90.2% from the peak, a month on month reduction of 450, and 17,500 fewer than the same month last year.

The update also included emergency care activity, with just under 87,700 attendances recorded across all emergency departments in December, an average of 2,828 per day. That was 159 fewer attendances per day than the previous month and similar to last December.

Responding to the activity and performance statistics for November and December, Nesta Lloyd-Jones, assistant director of the Welsh NHS Confederation, said it was very positive to see progress across planned care in Wales.

She said November saw the biggest monthly waiting list reduction on record, with December expected to show further cuts, and added that while not every performance area improved month to month, many measures were ahead of where they were a year ago.

Ms Lloyd-Jones also pointed to improvements in ambulance handover delays over the last year, which she said reflected a focus by the NHS and local authorities on improving patient flow, leading to faster care and better outcomes for patients.

However, she warned the NHS could not rely on unplanned targeted funding alone and said a wider shift was needed, including a stronger focus on prevention, a sustainable plan for social care and a rethink on capital investment, to ensure progress is maintained.

Only 64.3% of patients were seen within four hours in December, as Conservatives accuse Welsh Government of failing to end long waits

PERFORMANCE in Welsh emergency departments has slipped further from the four-hour target, with new NHS figures showing the lowest level for three years.

The latest statistics show that in December, only 64.3% of patients spent less than four hours in emergency departments from arrival to admission, transfer or discharge — far below the 95% target.

The figures also show 10,193 patients waited 12 hours or more in December, despite the target being that no patients should face waits of that length.

The Welsh Conservatives said the overall NHS waiting list remains at 757,866 patient pathways (November), which they described as the equivalent of nearly one in four people in Wales. They also highlighted what they claim is a continuing gap with England, stating that Wales had 6,883 two-year waits for treatment compared with 177 in England.

In a statement, Peter Fox MS, Chair of the Senedd’s Health and Social Care Committee and the Welsh Conservatives’ Shadow Cabinet Secretary for Health and Social Care, said: “It is clear that after 27 years of Plaid-backed Labour Governments, our NHS is broken. In some areas, the situation is even deteriorating.”

He claimed ambulance response times, cancer performance and emergency department waits had all worsened, and said the Welsh Conservatives would declare a “health emergency”, increase hospital bed capacity, and roll out rapid diagnostic centres and surgical hubs to improve patient flow and cut waits.

The Welsh Government has previously pointed to recent reductions in the overall waiting list and the longest waits for planned treatment, alongside investment aimed at increasing appointment capacity, including through weekend clinics.

Conservatives say ministers must be held to account as health chief confirms figures are not routinely available

CONSERVATIVE MS Andrew RT Davies has demanded Senedd ministers begin collecting and publishing data on “corridor care” in Welsh hospitals, after the Welsh Government confirmed it is not currently able to provide routine figures.

Mr Davies raised the issue in the Senedd during questions to Health Minister Jeremy Miles, asking whether information is being gathered on patients being cared for in corridors and, if so, how many people are affected.

Mr Miles told MSs the data is not currently available in a form that can be published routinely, but said the Welsh Government is “trialling approaches” which would put ministers in a position to provide regular publication.

The exchange comes amid ongoing concern across Wales about severe pressure in emergency departments and delays in moving patients into appropriate ward beds — a situation that can result in people waiting for treatment, assessment or admission in areas not designed for patient care.

The term “corridor care” is widely used to describe circumstances where patients receive care in inappropriate settings, often due to a lack of capacity elsewhere. Health bodies and staff representatives have warned that such conditions can affect privacy and dignity, make infection control harder, and place additional strain on staff working in already pressured environments.

Mr Davies said he had been contacted by constituents in the Vale of Glamorgan reporting what he described as unacceptable experiences in local hospitals, adding that frontline NHS staff should not be blamed.

He also linked the issue to wider spending priorities at the Senedd, claiming that services were under strain while ministers pursued other policies, including plans to expand the size of the Senedd and maintain a “Nation of Sanctuary” approach to asylum seekers.

Mr Davies said it was vital that corridor care data was collected and published so that the scale of the problem could be measured and ministers held to account.

Mr Davies said: “I’m frequently contacted by Vale constituents reporting unacceptable experiences in local hospitals.

“This is not the fault of NHS staff – but hospitals are underfunded thanks to resources instead going towards Plaid Cymru separatist and Labour plans for 36 more Senedd members and a Nation of Sanctuary for asylum seekers.

“We must end corridor care – and it’s vital this data is made available to hold Senedd ministers to account.”

In response, the Welsh Government position is that it is working on ways to standardise and publish information on corridor care, but that the data is not yet routinely available across the system.

Opposition parties and health campaigners have argued that without clear national reporting, it is harder for the public and Senedd members to understand how widespread the issue is, whether it is improving, and which hospitals are under the greatest pressure.

The Welsh Government has not yet set out when routine publication will begin, but ministers say the trial work is intended to enable regular reporting in future.