Health
Concern over ‘green light’ for NHS privatisation

SENEDD Members quizzed Wales’ health secretary about long NHS waits amid concerns about health boards getting the “green light” to commission private sector services.
Jeremy Miles, who was appointed health secretary in September, told the Senedd an extra £22m, on top of £28m announced last month, will go to tackling the longest NHS waits.
In a statement on November 19, Mr Miles said the £50m will be made available to health boards immediately and “where necessary” will be spent on private hospital capacity.
Mabon ap Gwynfor, his Plaid Cymru opposite number, raised concerns about privatisation.
He said: “We have yet another example of the government having to absorb added costs from their mismanagement of existing NHS capacity, something we’ve seen before with respect to the spiralling bills associated with agency staffing.
“From a broader perspective, this also speaks to the false economy on which the government’s funding of the health service has been based for some time, which is to throw money at the front line without dealing with the issues upstream.”
Mr ap Gwynfor pointed to a backdrop of two-year waiting time targets being dropped by the Welsh Government, with one in five people now on a waiting list.
He said: “Back in September, the solution … was to offer treatments in England. By October, the solution was to pay £28m to tackle waiting lists. Now we’re in November, the solution is to increase that £28m to £50m. I wonder what the next statement will be next month.”
Mr ap Gwynfor said the £50m will not be used to address a recruitment and retention crisis, nor boost student placements on medical training courses following an “alarming” slump.
The Dwyfor Meirionnydd Senedd member, who published a report on NHS governance earlier the same day, asked how much will go to private providers.
But Sam Rowlands, the Tories’ shadow health secretary, welcomed ministers “encouraging” health boards to commission services from the private sector.
He said: “I’m not sure if some of your colleagues will approve of that but it’s something we’ve long called for: cross-sector collaboration to tackle waiting lists here in Wales.”
The North Wales representative raised concerns about a “staggering” 619,200 patients awaiting treatment, with 24,000 people waiting two years compared with 124 in England.
Warning of systemic failure, Mr Rowlands said: “The 95% target for patients spending less than four hours in A&E in Wales has never been met. The 95% target of patients waiting fewer than 26 weeks in Wales hasn’t been met in more than 10 years.
“The 75% target for cancer patients to start treatment within 62 days of cancer being suspected has never been met in Wales.”
Mr Miles cautioned against cross-border comparisons, saying waiting time measures in England are “very much narrower” than in Wales.
He said the £50m will see 16,000 more people treated, an extra 14,000 tests carried out and up to 20,000 more outpatient appointments by March 2025.
Mr Miles told the Senedd that £3m will go towards reducing the longest waits for autism and ADHD assessments amid exponential growth in demand.
He said: “In six months alone, waiting lists for neurodevelopmental assessments have increased by more than 2,000. Assessments can be complex and reductions to the waiting lists have been quickly subsumed by new referrals.”
The health secretary recognised that short-term measures will be insufficient on their own, stressing: “I have been clear with the NHS: we need to transform the way we deliver services while we focus on clearing the backlog. Our funding is intended to support this.”
Health
Charitable donations fund ECG machines worth £14,000 for Withybush Hospital

THANKS to generous donations, Hywel Dda Health Charities – the official charity of Hywel Dda University Health Board – has purchased two new Electrocardiogram (ECG) machines worth over £14,000 for the Emergency Department at Withybush Hospital.
Chest pain is a very common presentation at the Emergency Department which sees between 100 and 130 patients a day. ECG machines provide key information on a patient’s heart by measuring rhythm and electrical activity.
The additional ECG machines will help ensure that patients presenting with chest pain receive an assessment as quickly as possible.
Senior Nurse Manager Josephine Dyer said: “We are so grateful that generous donations from our local community have enabled us to purchase the two ECG machines for the Emergency Department.
“High numbers of patients present with chest pain and require an ECG, so we hope that having the additional machines will reduce waiting times and offer an improved patient experience.”
Nicola Llewelyn, Head of Hywel Dda Health Charities, said: “We are deeply thankful for the generous support from our local communities which allows us to offer services beyond what the NHS can provide in the three counties of Hywel Dda. Every donation we receive is greatly appreciated!”
For more details about the charity and how you can help support local NHS patients and staff, go to www.hywelddahealthcharities.org.uk
Health
UK fertility rates falling: Welsh counties among worst-hit, new data shows

Two-thirds predict family sizes will shrink even further by 2040
NEW figures released by Fertility Family reveal that parts of Wales have seen some of the steepest declines in fertility rates across the UK, with the Isle of Anglesey recording a drop of more than 44% over the past 15 years.
The Beyond the Birth Rate report combines official birth statistics with survey data to explore why fewer people are choosing to have children – and why they’re waiting longer when they do.
Wales’ top ten fertility declines
The study identified the ten Welsh areas most affected by declining birth rates. The Isle of Anglesey tops the list with a fall of 44.21%, followed by Wrexham, Caerphilly and Merthyr Tydfil – all of which have seen declines of more than 27%.
Rank | Area | Fertility rate decline |
---|---|---|
1 | Isle of Anglesey | -44.21% |
2 | Wrexham | -31.01% |
3 | Caerphilly | -27.74% |
4 | Merthyr Tydfil | -27.53% |
5 | Powys | -26.17% |
6 | Conwy | -25.45% |
7 | Pembrokeshire | -24.46% |
8 | Denbighshire | -24.35% |
9 | Cardiff | -23.54% |
10 | Blaenau Gwent | -23.18% |
Newport recorded the smallest decline in Wales, with a drop of just 8.6%.
How does the rest of the UK compare?
London has mirrored Wales’ dramatic decline, with boroughs such as Southwark also showing a 44.21% drop in fertility rates. However, some parts of England have been less affected.
Colchester has seen the smallest national drop, at just -3.95%, while other areas such as Runnymede (-5.19%), Lancaster (-6.04%), and Gravesham (-7.07%) have remained relatively stable.
Financial pressure tops list of reasons
The report suggests that the primary driver behind shrinking family sizes is economic hardship.
- 40% of people said financial stability was the key reason for delaying children.
- 23% described starting a family as simply unaffordable.
- 60% of respondents believe this financial strain is a major factor behind the rising age of first-time mothers.
Why are people waiting longer?
In addition to economic challenges, lifestyle and societal shifts are also playing a major role:
- 47% cited career ambitions and workplace pressures.
- 44% blamed difficulties in finding the right partner.
- 34% pointed to the housing crisis and lack of affordable homes.
These factors are leading to more people having children later in life – a decision which often reduces fertility and the total number of children they may have.
Smaller families likely the future
Over the past 15 years, the UK’s overall fertility rate has declined by 26.9%. That means for every two women of childbearing age, one fewer child is being born.
Looking ahead, 67% of people surveyed expect family sizes to shrink even further in the next 10 to 20 years.
The study also revealed:
- 40.7% believe more single parents will have children independently.
- 20.5% expect an increase in adoption and surrogacy.
- 14.9% foresee co-parenting arrangements becoming more common.
- A striking 47% said they believe more people will choose not to have children at all.
With both economic and social factors contributing to the trend, the report paints a clear picture: the traditional family model in the UK is evolving – and quickly.
Health
NHS performance in Wales ‘a mixed bag’ as latest figures released

THE NUMBER of Welsh NHS patients waiting more than two years for treatment has fallen by 26%, according to data released by the Welsh Government on Thursday, April 17.
However, waiting times for ambulances have increased, while A&E performance continues to be under severe pressure.
The latest NHS statistics for Wales revealed that the NHS treatment waiting list remains at 793,946 pathways.
Two-year waits are 15,005 in Wales, compared with only 161 in England. The Labour Health Minister, now First Minister, Eluned Morgan, promised to eliminate these waits by March 2023 and again by March 2024 but failed to meet these targets. The target remains a long way off from being met.
The Welsh Government’s Cabinet Secretary for Health and Social Care, Jeremy Miles, said: “I am very happy to see a significant fall in the longest waits and the overall size of the waiting list falling for the third month in a row.
“This shows what can be achieved when health boards focus on delivering services, including faster treatment and increased NHS capacity, by embracing new ways of working.
“Those efforts have been supported by our £50m additional investment.
“We still have more work to do to reach our ambitious targets, but it is encouraging to see waiting times consistently falling.
“Two-year waits have fallen to their lowest levels since June 2021 and were more than 26% lower compared to the previous month.”
However, the NHS in England has already eliminated two-year waits. At the same time, a significant number of specialisms in Wales, including orthopaedic care, are excluded from the waiting time data.
Jeremy Miles continued: “The number of pathways waiting more than a year for their first outpatient appointment has fallen for a third consecutive month and is nearly 28% lower than the peak in August 2022.
“The number of patient pathways waiting 36 weeks and the average time waiting for treatment were both lower than the previous month.
“Performance improved against the 62-day cancer target in February, increasing to more than 60%, whilst 1,800 people started cancer treatment and 13,000 people were told the good news they did not have cancer.
“A significant improvement was achieved in March in reducing the total number of delayed hospital discharges, with a drop of 114 delays over the previous month. This was the lowest delay figure over the past year and the overall second lowest since reporting began two years ago.”
However, despite the Welsh Government blowing its own trumpet, performance still lags far behind the already poor performance of the Welsh NHS against targets preceding the Covid pandemic.
James Evans MS, Welsh Conservative Shadow Cabinet Secretary for Health and Social Care, said: “Labour Ministers will try to claim success today, but these statistics are worse than a mixed bag.
“The reduction in two-year waits is welcome, but the fact that they still exist at all, when they haven’t for so many months in England, coupled with worsening ambulance response times, is a testament to Labour’s failure to meet their targets.
“The Welsh Conservatives want to see improvements across the board and we can only achieve that by removing restrictions to cross-border, cross-community and cross-sector capacity sharing and by, flnally, enacting a long-term workforce plan.”
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