Health
Demand on NHS continues to rise as services struggle
Health crisis deepens
THE DEMAND for health and care services in Wales has reached unprecedented levels, with record-breaking emergency calls and growing pressures across the NHS.
In December, an average of 217 immediately life-threatening calls were made daily to the ambulance service—the highest on record. This trend has continued to rise steadily over time.
Latest figures also reveal that in November, the number of open patient pathways increased from just over 802,100 to nearly 802,300, the highest ever recorded. However, management data suggests that while there were nearly 802,300 open patient pathways, the number of individual patients on treatment waiting lists was around 619,100, a slight drop from 620,300 the previous month.
Compared to last year, there have been improvements in waiting times for diagnostic services, therapies, and cancer treatments.
‘Unprecedented demand’
Responding to the latest NHS performance figures, Darren Hughes, director of the Welsh NHS Confederation, said:
“Demand on NHS services remains historically high, with some areas facing record-breaking pressures month after month. More people are falling ill and requiring increasingly complex care and treatment.”
He acknowledged a slight increase in patient pathways (by 200) but noted that this was a much smaller rise than in previous months. He credited the tireless efforts of NHS staff and targeted initiatives aimed at reducing waiting lists.
Despite some reductions in the number of medically fit patients unable to leave hospital, major challenges remain, impacting capacity and patient flow. Social care services are also under extreme pressure, facing staff shortages and budget constraints while dealing with surging demand.
Emergency departments are feeling the strain, with ambulance arrivals and patient numbers reflecting a wider system under pressure. Hughes pointed out that official statistics fail to capture the rising demand on primary, community, and mental health services.
Despite advanced winter planning, virtual wards, discharge hubs, and same-day emergency care units, Hughes warned that the NHS and social care system is struggling with outdated infrastructure, limited budgets, and workforce shortages.
“Without a shift towards long-term planning and funding, health and care leaders will struggle to break this vicious cycle,” he said.
He also highlighted the severe flu season and rising cases of respiratory illnesses, which have further strained services.
“We want to thank NHS staff for their continued monumental efforts in caring for the people of Wales under extremely difficult circumstances,” he added.
Health
Average of 18 deaths a week in Wales linked to A&E delays, figures reveal
NEARLY 1,000 deaths in Wales have been linked to long waits in accident and emergency departments, according to new data.
Figures published by the Royal College of Emergency Medicine (RCEM) estimate that 965 deaths in 2025 were associated with patients waiting 12 hours or more for care. That equates to around 18 deaths a week and marks an increase of 29 compared to 2024.
The RCEM has described the situation as a “tragedy” that should send shockwaves through the political system.
Dr Rob Perry, Vice President of RCEM in Wales, said his thoughts were with the families affected.
He said: “My heart goes out to the loved ones of anyone who died following long waits in emergency departments.
“These are often some of the most vulnerable patients — those who are seriously ill or injured and in need of urgent admission. They should be receiving timely care, but too often they are left waiting the longest.”
Dr Perry said the figures point to a wider failure across the healthcare system, highlighting a lack of hospital beds and what is known as “exit block” — where patients cannot be discharged due to delays elsewhere in the system.
He said improving patient flow through hospitals, rather than diverting people away from emergency departments, is key to tackling long waits.
With Senedd elections approaching, the RCEM is urging political parties to prioritise increasing hospital capacity and addressing overcrowding in emergency departments.
A Welsh Government spokesperson said too many people are still waiting too long for emergency care.
They said: “Long stays in emergency departments are distressing for patients and their families and can lead to poorer outcomes, particularly for older people and those with complex needs.
“We have made clear that health boards must improve patient flow, eliminate 12-hour waits and end care being delivered in temporary spaces.
“We are working with the NHS, local authorities and partners to reduce pressures by expanding community-based care and increasing social care capacity.
“We remain committed to improving outcomes for people who need emergency treatment.”
Sandy Harding, Associate Director of Nursing, Policy and Professional Practice, Royal College of Nursing Wales said: “These findings are deeply disturbing and reflect our members’ experience in our 2025 report On the frontline of the UK’s corridor care crisis.
“Every day, our members are witnessing the consequences of a system under extreme and sustained pressure, where patients are waiting far too long in environments that are not fit for safe, dignified care.
“Corridor care has become an all-too-common reality in our hospitals, with patients being treated in inappropriate spaces without the privacy, monitoring, or resources they need. This is not what patients deserve, and it is not what nursing staff are trained to deliver.
“Behind the figures are real people – patients whose conditions can deteriorate rapidly while waiting and nursing staff who are doing everything they can in increasingly difficult circumstances. The emotional and professional toll on the workforce cannot be overstated.
“We urgently need action to address the root causes of these delays, including improving patient flow, increasing capacity and investing in both health and social care services. Without meaningful intervention, we risk normalising a level of care that falls far below acceptable standards.
“Our Election Manifesto is clear that the next Welsh government must eradicate corridor care as a matter of urgency, and we expect that in the first 50 days of being in office that they:
- commit to publish Corridor Care data by Health Board monthly
- direct NHS Wales to pause the reduction in hospital beds and commission two national reviews, to examine A&E and hospital bed capacity at different levels of patient dependency
- establish care delivered to a patient in a chair for more than 24 hours as a “never event”.”
Community
Calls to block Withyhedge landfill expansion amid ‘worst in Wales’ claims
Campaigner and Senedd Member urge residents to respond as consultation deadline approaches
FRESH calls have been made to block the proposed expansion of Withyhedge Landfill, with residents warning that allowing further waste operations would be “outrageous” given the site’s recent track record.
Natural Resources Wales (NRW) is currently consulting on a permit variation application submitted by Resources Management UK Ltd (RML), which operates the Pembrokeshire site.
The consultation, which could allow the site to accept additional waste including up to 50,000 tonnes of “waste soils” per year, will remain open until Thursday (Mar 26).
The Herald has previously reported on ongoing issues at Withyhedge, including complaints of strong odours, gas emissions and concerns about potential health impacts in nearby communities.
In a formal objection submitted to NRW, long-time campaigner Colin Barnett said the regulator should not consider expanding the site while problems persist.
He said: “The public have had enough of ineffective regulation of Withyhedge Landfill by NRW’s hands-off minimal inspection process.
“We don’t want to breathe toxic gases from this landfill. We don’t want to be woken up in the night by poisonous gases trapped in our house and we don’t want to step out into our gardens to be chased inside from the insidious stink still being emitted from the pit of corruption.”
The objection raises concerns about the operator’s compliance record, claiming the site has been among the worst-performing permitted installations in Wales in recent years, with further issues identified following its reopening in 2025.
It also points to reported hydrogen sulphide emissions, which residents say have at times exceeded recognised odour guidelines and caused distress to those living nearby.
Barnett added: “RML, the waste company, will say they spent £10 million on resolving this problem. We would advise them to ask for their money back as we still get horrendous spikes of gas drifting into our communities.”
The proposed variation would also include revised restoration levels and changes to monitoring of groundwater, surface water and leachate.
However, objectors argue that the term “waste soils” is too vague and could include contaminated materials. Particular concern has also been raised about the site’s existing licence to accept asbestos and the potential risks of handling multiple hazardous waste streams.
Barnett said: “Of specific public concern is their request to tip asbestos on this site. Beggars belief.”
The objection also questions whether the permit process is being advanced ahead of any decision by Pembrokeshire County Council on increasing the site’s capacity.
Concerns have further been raised about what has been described as a “daisy chain” of companies linked to the site’s ownership, which objectors claim allows waste to be transported with limited oversight.
Barnett said: “The documents identify our concern with the ‘daisy chain’ of companies owned by David Neal that allow him to transport waste into our county with minimal inspection.”
Preseli Pembrokeshire MS Paul Davies has also urged residents to take part in the consultation, warning that local voices must be heard before any decision is made.
Mr Davies said: “This consultation is an important opportunity for residents to make their views known about the future of the Withyhedge landfill site.
“There have been ongoing concerns about the site’s environmental performance and its impact on local communities, and it’s vital that Natural Resources Wales hears directly from the people who live in the area.
“I have made clear to the Welsh Government that I believe the site should be looking towards closure rather than expansion, and that Pembrokeshire must not become a dumping ground for waste.
“I would strongly encourage residents to take part in the consultation and submit their views before the deadline.”
NRW’s consultation process is ongoing, and no final decision has yet been made.
The proposed changes are likely to intensify an already heated debate around Withyhedge, which has become one of the most contentious environmental issues in Pembrokeshire in recent years.
Health
Calls for urgent action as ‘corridor care’ concerns grow in Welsh hospitals
CONCERNS over patients being treated in hospital corridors have intensified after a new report highlighted the scale of pressures facing emergency departments across Wales.
The Royal College of Emergency Medicine has published findings describing the increasing use of so-called “corridor care”, where patients receive treatment in non-clinical areas due to overcrowding.
Responding to the report, Rhian Bowen-Davies warned that the situation risks becoming normalised unless urgent action is taken.
She said: “The findings offer further important insight into the scale and impact of care delivery in non-clinical environments and demonstrate why far more needs to be done.
“Words like ‘frightening’ and ‘warzone’ should never be used to describe aspects of our health service, yet this kind of language is increasingly common in reports from patients and staff, as well as in conversations I’ve had with older people and their loved ones across Wales.”
The Commissioner said there is growing evidence that corridor care is now an “everyday reality” within the NHS, driven by sustained pressures on services.
She added that the practice puts both the safety and dignity of patients at risk, particularly older people, who are more vulnerable when treated outside appropriate clinical settings.
Call for coordinated response
The Commissioner is now urging health boards and the next Welsh Government to take coordinated action to ensure patients are treated in suitable environments at all times.
She said improving conditions would not only help deliver safe and dignified care, but also rebuild public confidence in the health service.
“Restoring trust is crucial,” she added. “Many older people feel that confidence in the system has been lost.”
The report adds to mounting pressure on NHS services in Wales, where emergency departments have faced ongoing challenges with demand, staffing and patient flow.
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