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Health

‘Truly abysmal’ – Welsh NHS waiting list hits new record high

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THE LATEST NHS statistics paint a bleak picture of healthcare in Wales, with waiting lists reaching an unprecedented 802,268 patient pathways in November—marking the tenth consecutive month of increases. These figures have sparked widespread criticism, with opposition parties and healthcare charities lambasting the Welsh Labour Government for its handling of the crisis.

The latest figures have sparked widespread criticism of the Welsh Government (Pic: File)

Waiting lists and emergency care in decline

The 802,268 patient pathways recorded represent more than one in four of the Welsh population. Behind this staggering number lies a harsh reality for patients. The median waiting time has now climbed to 23 weeks, a stark contrast to the 14-week average in England. For those waiting more than two years for treatment, the figure has risen again to 24,361. This is a glaring failure considering Labour’s repeated promises to eliminate two-year waits by 2023 and 2024—targets that remain unmet.

Emergency departments also continue to struggle. The percentage of patients seen within four hours has dropped to 64.8%, well below the target of 95%. In December, 10,857 patients waited more than 12 hours for care, an 11% increase from the previous month. Only 47.6% of red calls, the most serious emergency cases, received an ambulance response within eight minutes in December.

Ambulances waiting to off load patients outside Withybush Hospital A&E in Haverfordwest (Pic: Herald)

Cancer treatment performance falls short

Cancer services are in an equally dire state. The performance against the critical 62-day target for starting cancer treatment has fallen to just 60.2%—far below the 75% benchmark. While Health Secretary Jeremy Miles highlights incremental progress, including a reduction in long waits for diagnostics and therapies, critics argue this is too little, too late.

James Evans MS, Welsh Conservative Shadow Cabinet Secretary for Health and Social Care, called the statistics “truly abysmal,” adding:
“People are dying unnecessarily across Wales. Families are losing loved ones prematurely, and NHS staff morale is plummeting. The Welsh Labour Government has broken the NHS and continues to fail those who depend on it.”

Welsh Government defends record

Defending the NHS – Jeremy Miles said more money had been made available (Image: File)

In response, Jeremy Miles pointed to recent funding increases and measures to address long waits. He highlighted a £50 million investment aimed at improving outpatient services and diagnostics, alongside a decline in delayed hospital discharges over the last four months.

“The health service in Wales continues to provide quality care to thousands of people every day, despite immense pressures from winter illnesses, including Covid-19 and flu,” said Mr Miles. “These figures do not yet reflect the impact of our latest investments, but I am confident that we will see improvements in the coming months.”

Charities demand action on cancer

There have been several protests against closure of services in Pembrokeshire (Pic Herald)

Cancer charities have voiced their frustration over the slow progress in improving treatment waiting times. Kate Seymour, Head of External Affairs at Macmillan Cancer Support, described the current state of cancer care as “woefully inadequate.” She criticized the lack of strong national leadership and urged the Welsh Government to implement the recommendations of Audit Wales’s recent report on cancer services.

“The latest data shows real people are facing agonizing delays, unsure if they have cancer or when their treatment will start,” said Ms Seymour. “People in Wales with cancer deserve better.”

Judi Rhys MBE, Chief Executive of Tenovus Cancer Care, echoed these concerns, describing the findings of the Audit Wales report as “deeply disappointing.” She highlighted the lack of progress on stubbornly long waiting times for certain cancer types, including gynaecological cancers.

Political fallout

There has been heated discussion in the Senedd over NHS service delivery (Image: File)

The political repercussions have been swift. Last week, the Welsh Conservatives tabled a motion in the Senedd, calling for the immediate implementation of Audit Wales’s ten recommendations to improve cancer services. The motion criticized the Welsh Labour Government for its failure to meet national performance targets since 2020 and accused it of undermining its own Cancer Improvement Plan through poor communication and unclear priorities.

Labour members, however, voted against the motion, prompting sharp criticism from James Evans MS, who called the vote “shameful.”

“The Welsh Labour Government has broken the NHS, is out of ideas, and is on its way out of office. We stand ready to fix Wales,” said Mr Evans.

The human cost

Some patients are saying that they have been in pain whilst awaiting operations (Pic: NHS)

For patients and families across Wales, these statistics are more than just numbers—they represent painful realities. Behind every delay is someone anxiously waiting for a diagnosis or treatment, often with life-altering implications.

One such patient, Rhian Davies from Newport, has been waiting over two years for a hip replacement. “The pain is unbearable, and it’s getting worse,” she said. “I can’t believe I’ve been left to wait this long. It feels like they’ve forgotten about us.”

As pressure mounts on the Welsh Labour Government, health experts and opposition parties are united in their call for urgent reform. Whether the latest investments and strategies will be enough to reverse the downward spiral remains to be seen. For now, the people of Wales continue to endure a healthcare crisis that shows little sign of abating.

 

Health

RCN Wales appoints Nicola Williams as Executive Director

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NICOLA WILLIAMS will take up the role in April, bringing more than three decades of experience in nursing and senior leadership.

The Royal College of Nursing (RCN) has announced the appointment of Nicola Williams as its new Executive Director for Wales.

She joins the organisation from Velindre University NHS Trust, where she currently serves as Executive Director for Nursing, Allied Health Professionals and Health Care Scientists. With 38 years of experience in nursing and more than six years at executive board level, she is widely recognised across NHS Wales for her work in improving patient outcomes.

A highly experienced strategic leader, Williams has worked across a wide range of clinical and organisational settings. She has led major transformation programmes, strengthened national clinical leadership networks and championed innovation and evidence-based improvements in care. Her work has contributed to changes adopted across Wales and has been recognised with national awards.

Speaking about her appointment, Nicola Williams said: “I feel privileged to be appointed as Executive Director of RCN Wales. I’m a proud nurse, passionate about patient safety and improving care standards.

“Delivering the best care is only possible when nursing staff are supported to work in safe, inclusive environments. I will stand alongside members and their patients.

“Nursing staff are the backbone of health and care. I am determined to support our members across Wales, wherever they work, to meet the challenges ahead and shape the future of our profession.

“I look forward to meeting members across Wales and ensuring our work is informed by their experiences and expertise.”

In her new role, Williams will lead the RCN’s work in Wales and provide strategic leadership across key priority areas spanning the UK.

She succeeds Helen Whyley, who has held the position since February 2019 and will move into a new role as Director of Service Innovation at the RCN.

 

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Health

Decision pending on adult mental health referral pathway

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HYWEL DDA University Health Board will decide next week whether to make changes to the GP referral pathway for routine adult mental health services permanent.

The decision will be taken at a public Board meeting on Thursday (Mar 26).

Board members will consider a proposal to formalise changes already introduced in Ceredigion and, if approved, roll out the revised pathway across Pembrokeshire and Carmarthenshire.

Since March 2025, adults in Ceredigion seeking routine mental health support have been advised by their GP to contact the NHS 111 Wales ‘Press 2’ service, rather than being referred directly to the county’s Community Mental Health Team.

The temporary change was introduced in response to ongoing staffing shortages. Health Board officials say the approach has helped maintain timely access to face-to-face assessments for those who need them, while directing initial contact through a single access point.

The 111 ‘Press 2’ service provides telephone assessments by local wellbeing practitioners, supervised by registered mental health nurses, offering advice, support and onward referrals where required.

At its November 2025 meeting, the Board agreed to extend the temporary pathway until the end of March 2026. A nine-week engagement exercise followed, running from December 8 to February 9, to gather feedback from patients, professionals and stakeholders on the potential long-term impact.

Andrew Carruthers, Chief Operating Officer at Hywel Dda University Health Board, said: “I would like to thank everyone who took the time to share their views and experiences.

“I would also like to thank West Wales Action for Mental Health for supporting engagement with patients, including those with lived experience, alongside GPs, primary care teams, mental health staff and third sector partners.

“Our priority is to ensure mental health services remain accessible, fair and sustainable. The temporary changes in Ceredigion have shown some positive benefits, and the feedback we have received from across the three counties will play an important role in shaping the Board’s decision.”

The Board will review all evidence and feedback before making a final decision on the future of the adult mental health referral pathway.

GPs will continue to refer patients with urgent or complex needs directly to community mental health teams where appropriate, and have access to a dedicated NHS 111 professional line for additional clinical advice.

Further details, including the full Board papers, are available here:
https://biphdd.gig.cymru/amdanom-ni/eich-bwrdd-iechyd/cyfarfodydd-y-bwrdd-2026/agenda-a-phapuraur-bwrdd-26-mawrth-2026/

The meeting will be streamed live from 9:30am on Thursday (Mar 26) via:
www.youtube.com/hywelddahealthboard1

 

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Health

Parents urged to check children’s vaccinations after meningitis cases

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Local pharmacy reports MenB vaccine shortage amid rising concern

PARENTS and carers across west Wales are being urged to check their children’s vaccination status following recent meningitis cases in the UK.

The warning comes as a local pharmacy has confirmed a shortage of the Meningitis B (MenB) vaccine, highlighting growing pressure on supplies.

Mendus Pharmacy said it currently has no availability of the vaccine due to what it described as a nationwide supply issue.

Mendus Pharmacy: No availability of the vaccine

In a statement, the pharmacy said: “We would like to inform our patients that, due to ongoing supply issues, we currently have no availability of the Meningitis B vaccine.

“Unfortunately, this is a nationwide shortage and all stock is currently unavailable.

“We understand this may be particularly concerning given the recent outbreak reported in Kent, and we completely appreciate the importance of timely vaccination.”

The pharmacy confirmed it is operating a waiting list and will contact patients once supplies return.

Health officials say keeping vaccinations up to date remains one of the most effective ways to prevent serious illness and reduce pressure on NHS services.

Dr Ardiana Gjini, Executive Director of Public Health at Hywel Dda University Health Board, urged parents to act.

She said: “Vaccination is one of the most effective ways we can protect children and young people from serious illness.

“Ensuring your child is fully vaccinated not only safeguards their health but also helps prevent the spread of infections within our communities.

“I strongly encourage all parents and carers to check their child’s vaccination status. If you are concerned that your child may have missed routine vaccinations, please speak to your GP.”

Meningococcal disease is a serious and potentially life-threatening infection that can lead to meningitis or septicaemia. While many people recover, some are left with long-term physical, neurological or psychological complications. Around one in ten cases can be fatal.

Although the disease can affect anyone, babies, young children, teenagers and young adults are at greatest risk.

In Wales, vaccines protecting against meningococcal strains A, B, C, W and Y are offered as part of the NHS immunisation programme. Infants receive the MenB vaccine, while teenagers are offered the MenACWY vaccine.

Latest figures from the Health Board show that uptake among 16-year-olds for the MenACWY vaccine stands at 76.4%, meaning a significant number of young people remain unprotected as they approach adulthood.

For younger children, uptake of the MenB vaccine is higher but still below the recommended 95% target. Around 92.8% of infants are vaccinated by their first birthday, rising slightly to 91.8% by their second.

Health officials say these figures reflect strong engagement from families and primary care teams but stress that continued vigilance is needed.

Families are being advised to check their child’s vaccination record with their GP or by contacting the Health Board directly. Parents should also ensure babies receive their scheduled MenB doses and that teenagers receive their MenACWY and 3-in-1 booster vaccines, which are currently being delivered in schools.

Parents are also urged to remain alert to the symptoms of meningitis and septicaemia and to seek urgent medical advice if they have concerns.

Further information on symptoms is available via NHS 111 Wales.

 

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