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Health

New Year, same waiting list woes, for people with arthritis in Wales

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VERSUS ARTHRITIS has expressed concern over the latest NHS Wales waiting time figures, highlighting the persistent struggles faced by those awaiting orthopaedic surgery. The charity, which supports people living with arthritis across the UK, called for urgent action from NHS Wales and the Welsh Government to tackle the staggering number of delayed procedures.

Speaking to The Herald, Mary Cowern, Head of Wales at Cymru Versus Arthritis, said: “A new year but the same disappointing news for people with arthritis waiting for orthopaedic surgery in Wales. Though there has been a small decrease in overall Trauma and Orthopaedic (T&O) figures, the number of people waiting over a year has risen.

“NHS Wales remains in uncharted territory, and it’s people with arthritis waiting for surgery who are again paying the price – in pain and losing their mobility and independence.”

Alarming statistics

The latest Trauma and Orthopaedic waiting list figures, covering November 2024, paint a grim picture:

  • 102,938 people were waiting for T&O treatment in Wales – a 1% decrease from October 2024.
  • 59,828 people (58%) had been waiting longer than 26 weeks, compared to 15,323 people in 2019.
  • 47,797 people (46%) had been waiting over 36 weeks, a stark rise from 6,570 people in 2019.
  • 32,137 people (31%) had been waiting over a year for treatment, up from just 2,473 in 2019.
  • 5,106 people (5%) had been waiting over two years – compared to a mere 76 people in 2019.

These figures reflect a system struggling to recover despite promises of collaboration between NHS Wales and NHS England.

Cross-border collaboration stalled

Ms. Cowern also addressed the ongoing debate around cross-border healthcare. The BMA in Wales recently criticised excessive bureaucracy, which has hindered efforts to streamline patient referrals to NHS England.

“We still await further details on how the cross-border partnership will work,” said Ms. Cowern. “The chaos caused by red tape and bureaucracy needs to be resolved. People with arthritis shouldn’t suffer from systemic failings years on end.”

Powys Teaching Health Board has been a focal point of this issue, with many patients unable to access timely care. Ms. Cowern added:
“The goal of recovery shouldn’t drag us back to pre-pandemic levels. The ambition should be to create something better, with a clear roadmap and realistic targets. All people with arthritis awaiting treatment deserve better.”

A widespread crisis

Arthritis and musculoskeletal conditions affect over 980,000 people in Wales and more than 20 million across the UK. These conditions are a leading cause of persistent pain and disability.

To even join the waiting list for procedures like hip or knee replacements, individuals must already experience significant daily pain, often impacting their ability to work and live independently. Waiting further exacerbates these challenges.

Versus Arthritis is the UK’s largest arthritis charity, dedicated to improving the lives of those living with the condition. Through research, campaigning, and support, the charity says it aims to ensure everyone with arthritis has access to the treatments they need, along with the hope of a cure.

Health

Doctor sounds alarm about scurvy cases among children

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A DOCTOR warned of re-emerging cases of scurvy, a disease caused by vitamin C deficiency, among children and young people in Wales.

Dana Beasley, Wales deputy officer at the Royal College of Paediatrics and Child Health, raised concerns about a lack of vitamin C from fruit and vegetables in children’s diets.

She told the Senedd’s health committee: “I never thought I would see this in my lifetime as a paediatrician in a developed country, I’ve seen children with vitamin C deficiency: scurvy.

“This is something out of books from pirate stories long, long ago. We have seen children in Wales with vitamin C deficiency, it’s tragic.

“Vitamin C deficiency is rare but I’ve seen it, there’s been several cases but vitamin D deficiency is more frequent.

“It’s heartbreaking to see because our children are not well – we’re already robbing them of a healthy adult life before they even start school.”

In September, a medical journal warned scurvy – a disease which, if untreated, can lead to potentially fatal bleeding – is re-emerging due to the cost of living and poor diets.

Giving evidence to a health committee inquiry on obesity, Dr Beasley pointed to  2021 research which found Welsh children are among the least fit in the world.

Wales received an “F” in the study of 60 countries and the paediatrician warned “so many children” are deficient in vitamin D due to malnutrition and a lack of outdoor activity.

She said: “Children over five and young people should move for an hour a day every day but research has shown that probably 20% of boys maybe do that and 14% of girls.

“That’s shocking, absolutely shocking.”

Dr Beasley told Senedd members: “Cwm Taf’s got the biggest obesity rates [but] hasn’t got any sustained level two or three obesity services. Hywel Dda, that’s got the biggest rate of overweight children with about 28%, hasn’t got any services at all. That’s not right.”

Rocio Cifuentes, the children’s commissioner for Wales, pointed to a Food Foundation report showing 1,000 calories of healthy food costs £8.80 compared with £4.30 for unhealthy food

Rocio Cifuentes has been appointed as the new Children's Commissioner for Wales
Rocio Cifuentes is the Children’s Commissioner for Wales

She said: “Healthy food currently is more expensive and that is a reality that parents who are struggling will have to grapple with and will have to make unhealthier choices.

“They will be forced to – their financial circumstances will dictate that.”

Ms Cifuentes warned of a “huge society-wide challenge” on screen time, emphasising that parents need to lead by example.

She told the committee: “Overall, there’s huge evidence that screen time is increasing for children and young people, and that it’s having a really detrimental impact on their physical health, mental health, education and social skills.”

More than a quarter of children aged four or five in Wales are overweight or obese, according to latest statistics for 2022/23.

The children’s commissioner warned of a “deprivation gap”, with children from the poorest postcode areas significantly more likely to be overweight or obese.

Ms Cifuentes called for a duty to have “due regard” to the UN convention on the rights of the child to be applied to councils as well as Welsh ministers.

She said this would ensure children’s rights form part of councils’ thinking when, for example, taking decisions to close swimming pools or parks.

During an earlier evidence session on February 13, Jonathan Bone, of Nesta Cymru, outlined the innovation charity’s blueprint which aims to halve obesity.

He urged the Welsh Government to go beyond  plans to restrict “buy one get one free”-style deals by banning all price promotions on less healthy products in bigger retailers.

He told the committee: “The modelling suggested that this would lead to a 29% relative reduction in obesity rates, which is 40 times more impactful than the volume price promotions policy currently being drafted.” 

Dr Bone called for mandatory targets for larger retailers to improve the average healthiness of food sold, suggesting this could lead to a 25% fall in obesity rates.

He said: “Over the past 30 years, the majority of government strategies have focused on policies that require individual action and over this time obesity rates have doubled – so these kinds of approaches clearly aren’t working.”

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Health

Welsh NHS Confederation calls for long-term workforce plan

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Leaders urge government to address staffing challenges

THE WELSH NHS Confederation has responded to an Audit Wales report highlighting workforce challenges in the health and social care sector, calling for a fully funded, long-term staffing plan.

Darren Hughes, director of the Welsh NHS Confederation, said: “We welcome Audit Wales’ report on NHS workforce challenges. It’s no secret that the workforce is the lifeblood of the NHS and social care services.”

He reiterated long-standing calls for the Welsh Government to invest in a costed Long-Term Plan to create a sustainable workforce, ensuring the NHS and social care services can meet future demand.

Growing workforce, rising costs

Hughes acknowledged ongoing efforts to reduce reliance on agency staff and fill vacancies but warned that while the NHS workforce is expanding, staffing costs are rising unsustainably.

“Audit Wales rightly questions the sustainability of these rising staffing costs in the current financial climate,” he said.

Multi-disciplinary teams needed

NHS leaders believe that multi-disciplinary teams are key to meeting the evolving needs of the population. However, Hughes expressed concerns over the lack of a national workforce plan and unclear system leadership arrangements.

“Now more than ever, we must work together across NHS and social care boundaries to find long-term solutions to recruitment and retention,” he added.

The Welsh NHS Confederation represents the country’s seven local health boards, three NHS trusts, Health Education and Improvement Wales, and Digital Health and Care Wales.

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Health

‘Postcode lottery’ concerns over fertility treatment

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COUPLES seeking fertility treatment in Wales face a postcode lottery in terms of access to services, a Senedd Member warned.

James Evans, the Conservatives’ shadow health secretary, said the eligibility criteria for NHS-funded fertility treatments varies across the country.

Mr Evans called for the Welsh Government to standardise the criteria to make sure everyone has equal access to treatment and provide people with greater choice.

He said: “There are notable differences in the fertility treatments offered across different health boards and patients often lack autonomy to choose their preferred treatment centre.”

Mr Evans raised the example of ICSI, a treatment for men with infertility, during health questions in the Senedd on February 12.

He said: “For those people with low sperm counts, that is the only way in which they can actually access fertility treatments but some centres don’t do that.”

Peter Fox cautioned that male infertility issues are often overlooked despite studies showing that male factors contribute to 30% to 50% of cases in Wales.

He added: “When males are diagnosed… they’re often left in the dark with no support offered to them because most of the treatment services are focused toward the women.

“A lot of those men are left feeling frustrated – they feel shame, they feel anger – because they don’t feel like they get the mental support needed to get through that time in their lives.”

Standing in for health secretary Jeremy Miles, who was ill, Sarah Murphy, the mental health minister, said one in six couples will struggle with infertility.

She explained that the Human Fertilisation and Embryology Authority regulates the NHS and private sector, setting out the treatments and procedures available.

Raising commissioning policy on fertility services, Ms Murphy stressed: “I think it’s really important to emphasise, though, that this is a specialist service.

Labour MS Sarah Murphy speaking in the Senedd
Sarah Murphy, minister for mental health and wellbeing

“It is not something that is provided across every health board.”

Ms Murphy pointed to services provided in clinics in Cardiff and Swansea, adding: “I understand completely that there will be people out there where this is not ideal, I do.”

She told the Senedd: “There absolutely shouldn’t be any shame or stigma around this – it’s not as uncommon as maybe people think.”

Plaid Cymru MS Mabon ap Gwynfor
Plaid Cymru MS Mabon ap Gwynfor

Mabon ap Gwynfor, Plaid Cymru’s shadow health secretary, warned of high levels of homelessness, mental health issues and financial insecurity among unpaid carers.

He said only 6% of unpaid carers were able to access personal needs assessments during 2024 despite a right to one being enshrined in Welsh law a decade ago.

Mr ap Gwynfor raised concerns about a “chronic lack of capacity” to conduct assessments, with councils facing spending pressures of £559m in 2025/26.

Dawn Bowden, the Welsh Government’s social care minister, recognised the picture, saying: “This is something that I hear consistently from unpaid carers … and carers’ organisations.”

Merthyr Tydfil and Rhymney MS Dawn Bowden
Merthyr Tydfil and Rhymney MS Dawn Bowden

Ms Bowden added: “I want to reassure you, Mabon, that we know we are nowhere near where we need to be with this and this is very much a priority piece of work.”

Plaid Cymru’s Sioned Williams said one in three women will have an abortion in their lives as she criticised a lack of services within Wales despite warnings since 2018.

She told the Senedd that nowhere in Wales offers surgical termination beyond 16 weeks nor any type of abortion after 20 weeks.

Ms Williams said: “If a woman needs access to abortion services beyond this up to the legal limit of 24 weeks, they must travel out of Wales for treatment, usually to Liverpool or London.

Plaid Cymru's shadow social justice minister, Sioned Williams
Plaid Cymru’s shadow social justice minister, Sioned Williams

“Although abortions at later gestations account for only 2% of all abortions, the women who require them are some of society’s most vulnerable.”

Ms Murphy pointed to the ten-year women’s health plan, adding that she has sought to move the issue up the agenda with work on a specialist abortion service under way.

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