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
Welsh Government pledges to boost NHS and schools following Spring Statement

First Minister says UK Government funding will help Wales tackle waiting times and support communities
THE FIRST MINISTER has welcomed a £1.6bn funding boost confirmed in the UK Chancellor’s Spring Statement – saying it will allow the Welsh Government to invest in health, education, and communities across the country.
In a measured response to the Chancellor Rachel Reeves’ economic update, First Minister Eluned Morgan acknowledged the difficult financial context but stressed that Wales stood ready to use the additional resources to deliver real improvements.
She said: “The Spring Statement confirms the £1.6bn boost to our funding for the next financial year and provides an additional £16m on top of that.
“Wales will benefit from a growing economy and interest rates that are going down.”
The statement comes after the UK Government outlined a package of spending plans aimed at restoring fiscal balance, including controversial cuts to disability benefits and warnings from the Office for Budget Responsibility about sluggish income growth and rising inflation in 2025.
Despite the uncertain national outlook, the First Minister said Wales remained focused on its priorities.
“Our commitments remain firm,” she said. “The confirmed boost to our funding from the UK Government for 2025-26 means the Welsh Government will strengthen our NHS, cut waiting times, support schools and help communities thrive – making real differences to people’s lives.”
She also confirmed that ministers in Cardiff Bay would now review the broader implications of the Spring Statement.
“We will now thoroughly assess the Spring Statement’s implications on our future spending plans,” she added.
The Welsh Government has already faced criticism over pressures on the health service and education, with local authorities calling for more support to deal with inflationary pressures and increasing demand.
While the funding uplift is welcome, public sector leaders are warning that tough choices still lie ahead, particularly given the impact of UK-wide welfare reforms and cost-of-living challenges facing Welsh households.
The Herald understands that ministers will meet next week to begin budget planning in light of the new figures.
To add some context, here is what Gus Williams, interim CEO at Chambers Wales South East, South West and Mid, said. He told The Pembrokeshire Herald: “As expected, there was not much in terms of new announcements in the Chancellor’s Spring Statement today. The OBR forecasts highlight economic concerns already familiar to most businesses in Wales. Inflation concerns have not yet disappeared and there are worries about business and consumer confidence.
“Infrastructure and housing falls within the remit of the Welsh Government and like the rest of the UK, Welsh businesses support the prioritisation of simplifying the planning system but are keen to see the proof of this with spades in the ground. The industrial strategy and increased defence spending we hope will have a positive impact in Wales where the manufacturing and defence industries have a significant presence. Infrastructure investments are proven to boost economic investment, and channelling more spending out of the civil service and directly into infrastructure and increasing the amount of funding available to Wales is also welcome, providing the right projects are chosen.
“It is difficult to see any significant improvement in confidence and investment driving economic growth without capital investment led by the government. The government remains bound by fiscal rules that I would argue ignore the economic impact of borrowing to fund capital investments. Part of the problem has been the lack of any robust return on investment analysis on government spending.
“Consumer confidence remains hamstrung by a two-tier economy. The success of healthcare, welfare, and employment reforms will hang on whether they manage to improve overall employment and wage growth; this will be a big test over the next 12 months. The government has been clear that this is how it expects to be judged in the long term.
“Business owners are facing significant headwinds, the full impact of which we are yet to see. The economy could break out of these headwinds but the government will need to lead the way – just cutting spending will not change much, reform needs to achieve change.
“Global trade remains the government’s other major challenge. At the moment the government is trying to balance its relationship with the US and EU and whether events will force them off the fence one way or another remains to be seen. With domestic demand static, growth may be dependent on how the global trade environment now evolves.”
From a business point of view, Lloyd Powell, head of ACCA Cymru/Wales, said: “This week’s announcements by the Chancellor are likely to be cautiously welcomed by Welsh businesses.
“Small businesses in particular will be pleased to have some breathing space on VAT, with the threshold increased slightly to £90,000. ACCA had called for this given the artificial brake on growth it represents for smaller businesses, combined with the knock-on impact to HMRC of dragging more businesses into this tax regime at a time when service levels are already at historically poor levels.
“We welcome the commitment to further improvements to the R&D tax relief scheme, as well as plans to improve regulation in the tax advice market, to recognise the value of professional agents.
“As well as the effects from the NI cut, VAT registration threshold increase, child benefit changes, alcohol and fuel duty freezes, the Chancellor announced that Wales will be allocated a ‘Barnett consequential’ of £170m. He also announced Levelling Up funding for Welsh projects – £10m for Venue Cymru and £5m for Newport. The Chancellor also announced a £160m deal for the UK government to purchase the site of the planned Wylfa nuclear site in North Wales.
“The Chancellor announced the scrapping of the Furnished Holiday Lets scheme, which gives extra tax reliefs on properties being rented out to holidaymakers. There are more than 11,000 self-catering holiday lets in Wales, according to the Welsh Government’s latest list of properties paying non-domestic rates.
“Whilst a welcome simplification to the tax system overall may boost the availability of rented accommodation locally, the removal of the short-term holiday let regime will be a blow for some. The Welsh Government has already introduced changes to make it harder for holiday lets to be exempt from council tax.”
Health
Pembrokeshire man’s shock diagnosis sparks call for awareness

NEIL THOMAS thought testicular cancer was something that happened later in life — until he was diagnosed at 35.
In April 2019, Neil, who was working as a teacher in Doha, Qatar, rolled over in bed after a long day at work and felt something unusual. A self-check revealed a hard lump in one of his testicles.
The next morning, the now 41-year-old from Lawrenny, Pembrokeshire, spoke to his wife Zoe, who urged him to see a doctor. An ultrasound confirmed the tumour and within a week he was in surgery to remove his left testicle.

“It was all very quick,” Neil told The Herald. “The biopsy showed it was a fast-growing cell type, so they gave me two rounds of chemotherapy as well. It was a traumatic time — for me, my wife and my family. Those first four weeks were particularly hard. I was constantly worried and struggled to process what was happening.”
Neil credits his mum — a breast cancer survivor — with encouraging him and his brother to regularly check themselves. That habit may have saved his life.
“I didn’t realise testicular cancer mainly affects younger men,” he said. “In my head, cancer was something for older people. I would advise anyone with concerns to get checked out straight away. Catching it early meant it could be treated fast and stopped from spreading.”
His experience reflects a wider lack of awareness among young men. A recent Movember survey found that 61% of men aged 16 to 40 didn’t know their age group was at risk of testicular cancer — which is the second most commonly diagnosed cancer in men aged 15 to 39 globally.
Despite the importance of early detection, the survey found that:
- 17% of young men feel unsure how to check their testicles
- 26% feel very confident
- 51% feel somewhat confident
- 5% have no idea at all
Worryingly, 15% of young men never check themselves, and only 20% do so once a month.
When asked why they might not go to a doctor after finding something unusual, 18% said they would be afraid it was something serious, 23% said they wouldn’t go unless there was pain, and 22% would wait until it got “really serious.” Still, 67% said they would make a doctor’s appointment if something didn’t feel normal.

This April, during Testicular Cancer Awareness Month, the global men’s health charity Movember is encouraging men to “Know Thy Nuts” — a campaign aimed at helping men get familiar with what’s normal and what to do if something feels off.
A recent survey by the charity found that 84% of men who visited Movember’s testicular health guide felt more confident performing self-checks afterwards.
Professor Simon Rice, Global Director of the Movember Institute of Men’s Health, said: “Testicular Cancer Awareness Month is about taking control of your health. The simplest action young men can take is to get to know their nuts. That way, if they notice any changes, they can see a doctor. When caught early, testicular cancer is highly treatable.”
Movember is urging men to take a few minutes this month to check themselves, learn what’s normal, and encourage others to do the same. Visit the Know Thy Nuts website to find out more.
The Herald understands that 70 men died of testicular cancer in the UK in 2019 — an average of nearly six each month. That year, the death rate was 0.2 per 100,000 men.
Movember has invested in more than 25 testicular cancer projects worldwide and has also developed its Nuts & Bolts support hub, co-designed with survivors to offer advice, resources and a sense of community.
Health
Hywel Dda midwife team scoop top UK award

A MIDWIFE team from Hywel Dda University Health Board has won a prestigious national award for their work improving safety for mothers and babies.
The Maternity and Neonatal Governance and Risk Team took home three awards at the 2025 Maternity Unit Marvels (MUM) Awards, organised by the charity Baby Lifeline.
The team had already been told they would receive two accolades in the workforce category: the Promoting Collaboration and Team Working award, and the Achieving Excellence Through Service Improvements award.
But they were surprised to also be named national winners of the workforce category, beating strong competition from NHS teams across the UK.
The ceremony took place at the Palace of Westminster in London on Thursday (Mar 13), with awards presented by Call the Midwife star Linda Bassett and hosted by Lord Darzi of Denham.
Representing Hywel Dda on the night were Cerian Llewellyn (Interim Head of Midwifery), Dr Tipswalo Day (Consultant Obstetrician and Gynaecologist), Dr Mathew Pickup (Consultant Paediatrician), Angela Morgan (Midwife), Bethan Osmundsen (Senior Nurse Manager for Acute Paediatrics), and Leah Andrew (Senior Nurse).
The awards celebrate excellence in maternity and neonatal care and are judged by senior representatives from NHS England, the Royal College of Midwives, the Royal College of Obstetricians and Gynaecologists, the Nursing and Midwifery Council, and other key health bodies.
Dana Scott, Director of Midwifery at Hywel Dda UHB, said: “Winning these awards has been a fantastic recognition of the collective efforts of our team at Hywel Dda.
“Knowing that all the hard work of our multi-disciplinary team to make one of the most precious moments in life a safe and positive experience for mums and their families has been recognised by a prestigious panel of expert judges means so much to us.”
Sharon Daniel, Interim Director of Nursing, Quality and Patient Experience at Hywel Dda, said: “I’m delighted for the team – they’ve worked incredibly hard over the years to support members of our communities.
“Pregnancy can be both an exciting and a worrying time, and our teams try their very best to ensure that they treat all mums, birthing people and their families with compassion and the best care possible.
“Thank you to every member of the team who has played their part in achieving the award.”
Nearly 3,000 babies are born every year in the Hywel Dda region, with the midwifery team supporting families at home, in the community, and in local hospitals.
To find out more about the MUM Awards, visit: www.babylifeline.org.uk/mum-awards

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