Health
New NHS data shows the same old problems
ALTHOUGH the latest batch of NHS performance data contained some good news for the Welsh government, chronic problems with meeting targets remain the headline.
The Welsh Government announced further funding to reduce waiting lists earlier this week. Following that announcement, the Health Minister, Jeremy Miles, led a Welsh Parliament debate on waiting times on Tuesday, November 19.
HARD FIGURES
The number of patient pathways increased from 800,163 in August to 801,307 in September, the highest figure on record, equivalent to one-quarter of the Welsh population.
There were still around 618,200 individual patients waiting for treatment in September.
Two-year waits remain at 23,701 in Wales. Eluned Morgan promised to eliminate these waits by March 2023 and again by March this year. The dial is moving slowly in the right direction, but progress is painfully small.
At the end of September, the average (median) time patient pathways had been waiting for treatment was 22.7 weeks.
In October, only 50.4% of red calls (the most serious) received an emergency/ambulance response within eight minutes. This is a tiny improvement but a long way short of the Welsh Government’s performance target for the Welsh Ambulance Service. The Ambulance Service has never hit any of its performance targets since the Welsh Government first set them.
Performance worsened against the 62-day target for patients starting cancer treatment; it is now 55% as of September.
MINISTER FINDS THE POSITIVES
Wales’s Health Minister, Jeremy Miles, responded to the data: “I’m pleased to see the number of patient pathways waiting more than a year and two years for treatment have fallen in the last month.
“This shows positive progress is being made across Wales to reduce the longest waiting times. I hope to see this continue.
“While there has been a small rise in the overall number of patient pathways waiting to start treatment, more than half are waiting less than 26 weeks, and there was a fall in the number waiting more than 36 weeks in September.
“We recognise the impact long waits for treatment can have on someone’s life, both mentally and physically, so we have a laser-like focus on reducing the longest waits and improving access to patient care.
“More than 1,800 people started cancer treatment in September, and nearly 14,000 people received the good news they didn’t have cancer.
“There were also reductions in the long waits for both diagnostics and therapies services and some reductions in the numbers of pathway of care delays.
“Urgent and emergency care services continue to be under great pressure – in October, the Welsh Ambulance Service received the second highest number and proportion of immediately life-threatening calls per day on record, but more than half of these calls received a response within eight minutes.”
NHS “AT CRISIS POINT”
Sam Rowlands MS, Welsh Conservative Shadow Health Minister, said: “I fear that we are at a crisis point as waiting list figures continue to head in the wrong direction in Labour-run Wales.
“The Labour Health Minister’s latest initiatives, even if his expectations are met, will barely scratch the surface in terms of tackling these excessive, record-breaking waits for treatment. Something needs to change fast.
“The Welsh Conservatives will stand up for the Welsh people’s priorities by eliminating restrictive guidance blocking cross-border and cross-sector working and by enacting a substantial workforce plan to boost staffing numbers, with a tuition fee refund for healthcare workers at its heart.”
LOCAL TRENDS
The month-to-month performance data provide a limited snapshot of the details. Their nature encourages politicians to exchange barbs and engage in self-praise. Specious comparisons between Welsh NHS performance and English NHS performance crumble under the gentlest scrutiny, not least as the English NHS counts waiting times and collates patient data differently from the Welsh.
Long-term trends are more revealing.
Immediately before the Covid pandemic (data released in March 2020), 1.6% of patients in the Hywel Dda UHB area waited over 36 weeks from referral to treatment. 85.7% of patients went from referral to treatment within 26 weeks.
By March 2022, 35.2% of patients in the local health board area were waiting for more than 36 weeks, and the percentage seen within 26 weeks had fallen to 56.7%. By the following March, just over 60% were seen within 26 weeks, and the proportion of patients waiting more than 36 weeks had fallen to 28.2%.
If you move forward to September 2024, Hywel Dda UHB’s performance figures have marginally slipped. There are no peaks and troughs in the performance data; they remain steadily bumping along at the same level and are far worse than they were in March 2020.
The Health Minister’s honest acknowledgement that the £50m funding injection to address waiting times is a short-term measure to boost performance and not a long-term solution highlights the scale of the problem. The question of waiting lists is not how much money it will take to tackle them but how much money will be spent before radical reform tackles systemic problems with healthcare delivery.
Placing Hywel Dda’s difficulties in a national perspective, the Welsh Government’s planned care recovery plan established a target to eliminate two-year waits in most specialities by March 2023. ‘Most’ refers to all specialities, excluding seven recognised as exceptionally challenging even prior to the pandemic.
Those specialisms, which include Orthopaedics, ENT, and Gynaecology, are large areas of surgical practice. They are excluded from targeted improvements because tackling them is too difficult. Proposals to establish surgical hubs made by the Welsh Conservatives have not attracted Welsh Government support as resources and staffing remain highly problematic. However, a quick win for the Welsh Government on the longest waiting times is potentially available.
Health
NHS Trust CEO ‘forced out’ after raising concerns — Welsh Govt denies wrongdoing
A CONSERVATIVE MS has pressed the Welsh Government for answers after the sudden departure of the Velindre University NHS Trust’s chief executive, amid media reports that he raised concerns about alleged governance failures within NHS Wales Shared Services.
During Health Questions in the Senedd today, James Evans MS asked Health Secretary Jeremy Miles to explain why former CEO David Donegan left his post after just a year. Reports circulating in recent weeks suggest Mr Donegan had raised issues relating to governance, and in some accounts, possible criminality. These claims have not been substantiated publicly.
Velindre’s own 2024/25 annual report notes that the Trust “escalated concerns to Audit Wales and Welsh Government about the current governance of Shared Services, which hadn’t been reviewed since 2012.” No details of the concerns have been published.
Welsh Government response
Jeremy Miles MS confirmed in the chamber that correspondence relating to the issues does exist, but said it would not be appropriate to release sensitive material while internal processes are ongoing. He did not comment on the circumstances of Mr Donegan’s departure, citing employment confidentiality rules which are standard across the NHS and public sector.
A Welsh Government spokesperson has previously said that they expect all NHS bodies to follow “proper governance and HR procedures,” and that they “do not comment on individual employment matters.”
Velindre NHS Trust position
Velindre has not publicly stated that Mr Donegan was removed because of whistleblowing activity. The Trust has described his departure simply as a “change in leadership” and says it continues to engage with Audit Wales and the Welsh Government on governance matters.
Opposition criticism
After the exchange, James Evans MS — the Welsh Conservative Shadow Cabinet Secretary for Health — criticised the Health Secretary’s “lack of transparency”.
He said:
“I am extremely disappointed with the Health Secretary’s refusal to provide clarity on the circumstances surrounding Mr Donegan’s departure, or to release the correspondence relating to governance concerns within Shared Services. The public must be able to trust that millions of pounds of NHS funds are being managed properly.”
Mr Evans said he will write to the First Minister and Cabinet Secretary formally requesting the publication of correspondence “in the interests of full accountability.”
Context: What is NHS Shared Services?
The NHS Wales Shared Services Partnership (NWSSP) manages national procurement, payroll, recruitment, estates services and other core functions for health boards and trusts. It sits within Velindre University NHS Trust but operates independently of its operational healthcare work. Governance arrangements for NWSSP were originally set a decade ago and are subject to periodic review by Audit Wales.
There is no evidence at present of wrongdoing by the Welsh Government or NWSSP, beyond the concerns referenced in Velindre’s annual report.
Health
Wales’ biggest hospital overrun by pigeons – even in operating theatres
Patients wheeled through tunnels “carpeted in bird faeces” as ministers accused of abandoning the NHS
CARDIFF’S University Hospital of Wales – the largest hospital serving South and West Wales – has been branded a national disgrace after whistle-blowers revealed a chronic pigeon infestation, including birds nesting inside areas used to prepare sterile operating theatres.

Tunnels ‘carpeted in droppings’
Patients, including those critically ill, are being pushed along underground corridors described as “ankle-deep in water and carpeted with bird faeces”, with buckets placed along walkways to catch rain leaking through failing roofs. Staff say the stench is overwhelming and that vulnerable patients are being traumatised by the conditions.
One frontline worker, speaking anonymously to The Pembrokeshire Herald, said the situation had become intolerable: “The place is full of pigeons. You see them flapping around in trauma theatres while surgeons are trying to save lives. The smell is vile.”
Photographs passed to this newspaper show floor surfaces coated in pigeon droppings and staff weaving around flocks of birds to reach wards.

Consultants warn hospital is now a risk
The revelations come just weeks after nearly three hundred senior consultants at the Heath signed an unprecedented letter warning morale was “at an all-time low” and stating the physical condition of the hospital now poses a serious infection risk. Pigeon droppings can carry cryptococcus, a fungus potentially fatal to those with weakened immune systems.
Despite this, ministers in Cardiff Bay have pressed ahead with hundreds of millions of pounds for expanding the Senedd by thirty-six new politicians and for major expenditure on the Welsh Government’s “Nation of Sanctuary” asylum policies.

Political row deepens
Welsh Conservative Senedd leader Andrew RT Davies said the state of the Heath symbolised years of neglect.
“Senedd ministers must take responsibility for the appalling condition of our hospitals. While Labour and Plaid spent money on vanity projects, they ignored the NHS. Patients in Pembrokeshire, Ceredigion and Swansea are paying the price.”
Built in the early 1970s, the Heath now requires more than £100 million in urgent repairs. Last winter entire wards were left freezing when heating systems failed, while engineers are said to be so overstretched that routine maintenance can take weeks.
In one instance, a seventy-seven-year-old emphysema patient from West Wales spent four days under blankets because radiators in his bay would not work. Another elderly man spent his final hours being wheeled through pigeon-infested tunnels because the lifts had broken again.

Health board ‘accepts’ poor conditions
Cardiff and Vale University Health Board acknowledged the conditions were “unacceptable” and said additional pest-control measures would be introduced, insisting patient safety had not been compromised. However, the hospital was placed at the highest level of Welsh Government intervention last month, and staff say the situation on the ground has barely changed.
A Welsh Government spokesperson said it was providing “targeted support” to address long-standing problems with the estate.
‘Ashamed to bring patients through’
For families in Pembrokeshire who rely on the Heath for major trauma, neurosurgery and cancer services, confidence in the system continues to erode.
A nurse from Tenby who trained at the hospital told The Herald: “We used to be proud to work there. Now we’re ashamed to bring patients through corridors that look like something from a horror film.”
The pigeons may be the most visible sign of decline – but staff say the deeper crisis begins in Cardiff Bay, where the decisions that shape Wales’s health service are made.
The people of Wales, they insist, deserve far better.
Health
Wales on brink of wiping out new HIV cases as infections plunge 20 percent
WALES is charging toward its ambitious 2030 target of zero new HIV transmissions after recording a dramatic 20 per cent drop in new cases during 2024, the Welsh Government revealed on World AIDS Day.
Cabinet Secretary for Health Jeremy Miles hailed the fall as proof that the HIV Action Plan for Wales 2023–26 is “delivering results at lightning speed”, with record numbers of tests, expanding PrEP access and every health board now signed up to the international Fast Track Cities initiative.
More than 33,000 free postal HIV test kits have been snapped up since the service launched, while a new long-acting injectable form of PrEP – given once every two months – is rolling out across every corner of the country for the first time.
Mr Miles said: “Thanks to highly-effective treatments, people with HIV in Wales are living long, healthy lives. Our focus now is stopping the virus in its tracks and stamping out the stigma that still lingers.”
The annual update, published this afternoon, shows testing and prevention efforts have never been higher, yet almost half of people newly diagnosed in 2024 were still identified at a late stage – prompting clinicians to scrutinise every case for missed opportunities.
A nationally funded peer-support programme, run by people living with HIV, is being commissioned to ensure no one faces the virus alone, while anti-stigma training reaches NHS staff, social care workers and secondary-school pupils.
Wales has also become one of the first nations in the world to have 100 per cent health-board commitment to the Fast Track Paris Declaration, with a new all-Wales coalition to be funded from January.
Work is also under way on a single sexual-health case-management IT system to give clinicians real-time data and allow ministers to track progress toward the 2030 goal.
Mr Miles warned, however, that global cuts in HIV funding could reverse hard-won gains in poorer countries.
“I will keep banging the drum internationally,” he pledged. “No one, anywhere, should be left behind.”
Campaigners welcomed the progress but urged the government to redouble efforts on late diagnosis and PrEP uptake among under-served groups.
Terrence Higgins Trust Cymru said: “These figures are genuinely exciting, but we can’t take our foot off the pedal. Zero transmissions by 2030 is within touching distance – let’s grab it.”
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