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Health

Emergency care failing in Wales, warns damming report

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EMERGENCY healthcare in Wales is failing too many people, according to a stark new report by Llais, the statutory body representing the public’s voice in Welsh health and social care. The report, based on feedback from over 700 people, calls for urgent action, warning that the state of emergency services has reached a crisis point.

Llais’ study, conducted over a five-week period, included visits to 42 emergency departments, minor injury units, and medical assessment units across Wales. The findings highlight severe delays, overcrowding, and a system struggling to meet even basic expectations.

Patients forced to find their own way to hospital

One of the most alarming takeaways from the report is the frequency of ambulance delays. Many patients reported waiting for up to 12 hours for emergency transport, forcing them to either drive themselves or rely on friends and family, despite being seriously unwell. Some even risked worsening their condition by taking taxis or public transport.

A patient at Morriston Hospital’s emergency department described the situation as dire: “I drove because the ambulance ETA was 7-8 hours, but I had severe chest pain and couldn’t wait that long.”

Others recounted horror stories of being sent to the wrong hospitals due to poor communication, leaving them stranded and paying exorbitant taxi fares to correct the mistake. One patient, initially taken to Glangwili Hospital despite their complex spinal history, had to pay £130 for a taxi back to Swansea, where they should have been taken in the first place.

Unbearable waiting times and overcrowding

The report details widespread reports of excessive waiting times, with many patients enduring 8 to 24 hours before receiving care. In some cases, waits exceeded 26 hours. Overcrowding is commonplace, with many patients left waiting in corridors, unable to access beds or even chairs.

One individual at Royal Glamorgan Hospital A&E said: “I’ve been waiting 12 hours and only had triage and a water sample. I’m in a corridor that’s meant to be for paediatrics – it’s uncomfortable and degrading.”

Families of vulnerable patients described feeling abandoned, with little communication from staff about their loved ones’ condition. One woman at Bronglais General Hospital recounted her frustration: “We are not too sure what is going on. We spoke to a nurse just over an hour ago. We are still waiting. We’ve been given no explanation of what the treatment is to be.”

Critical incidents declared

The Llais report warns that the pressures on Welsh emergency services are not temporary, but systemic. Since the study was conducted, ‘business critical incidents’ have been declared by both the Welsh Ambulance Service NHS Trust and Aneurin Bevan University Health Board. Other health boards, including Swansea Bay and Cwm Taf Morgannwg, have issued urgent warnings about overwhelming demand.

Calls for immediate action

Llais Chief Executive Alyson Thomas has called for immediate action, stating: “The voices we’ve heard paint a stark picture of a system under immense pressure. While we commend the dedication of healthcare staff, they are working in a system that is not giving them or the people they care for the support they need.”

The report calls for urgent measures, including:

  • Faster ambulance response times
  • Better coordination between emergency services and primary care
  • Increased staffing and resource allocation
  • Improved dignity and care for patients waiting in corridors
  • Greater transparency and accountability from NHS Wales and the Welsh Government

Welsh Conservative response: “Labour’s mismanagement to blame”

James Evans MS, Welsh Conservative Shadow Cabinet Secretary for Health and Social Care, has sharply criticised the Welsh Labour Government’s handling of emergency care.

“Emergency care is losing the very essence of its definition. Responses are too slow, and far too many people are suffering as a result of Labour’s mismanagement,” Evans stated.

He dismissed the idea that ‘winter pressures’ could explain the ongoing crisis, arguing that the current state of emergency care has become an unacceptable ‘new normal.’

“No one should be waiting over 12 hours in A&E, certainly not the many thousands we are seeing every month. The Welsh Labour Government seems completely unwilling to get to grips with this situation. Only the Welsh Conservatives stand ready to replace them so that we can fix Wales.”

Calls for reform

Keir Starmer, Prime Minister, acknowledged the crisis, stating: “The NHS in Wales is in urgent need of reform. Investment and reform need to go together… On occasions, using the private sector to get down waiting lists? Yes, that’s been going on a long time. We will do that to get waiting lists down.”

In a Senedd debate in January 2025, concerns were raised that waiting lists have hit record highs after nine months of continuous increases, forcing many patients to pay for private healthcare after years of waiting.

First Minister of Wales, Eluned Morgan, stated: “Reducing waiting times must be our key objective… It’s about rolling up our sleeves and collaborating to deliver the investment and reform desperately needed for healthcare in Wales.”

A Welsh Labour Government statement reaffirmed their commitment to the NHS: “Your Welsh Labour Government will always support the NHS – and will always support the NHS to change and modernise. That means continuing to invest in the NHS… Reforms have also focused on providing more care and NHS services out of hospital and in local communities.”

A system at breaking point

With emergency care in Wales under “extreme and unsustainable pressure,” as described by Llais Chair Professor Medwin Hughes, many patients and staff feel abandoned in a system that is failing them.

“The dignity of patients is not even being considered anymore. The system is chaotically inefficient and in desperate need of a review,” one patient at Glan Clwyd Hospital remarked.

Llais has vowed to keep pushing for reform, but with patient experiences growing increasingly dire, the question remains: how much longer can Wales’ emergency healthcare system hold on before it completely collapses?

Health

Ward closures at Prince Philip Hospital, Llanelli as norovirus cases rise

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FOUR wards at Prince Philip Hospital in Llanelli have been temporarily closed and visiting restrictions introduced after cases of norovirus were confirmed on the site and in the wider community.

Hywel Dda University Health Board said the measures came into force on Tuesday (Jan 13) and apply to the whole hospital, even though four wards are currently affected.

Visiting has been limited to essential visits only, with the health board asking members of the public not to attend the hospital “until further notice”. Essential visiting may be permitted in exceptional circumstances, and families are being advised to contact wards directly or the hospital switchboard for guidance.

Norovirus is a highly contagious virus that can cause vomiting and diarrhoea, and outbreaks often lead to ward closures to help prevent further spread.

Sharon Daniel, Hywel Dda’s Director of Nursing, Quality and Patient Experience said: “We have taken the decision to restrict all but essential visiting to Prince Philip Hospital in order to keep patients and staff safe and to halt the spread of norovirus, which is currently circulating in our local community.

“I know this will be difficult for those who have loved ones in hospital and we will re-open the wards as soon as it is safe to do so. Please keep an eye on our website or social media for further updates.”

The health board said other hospital sites across Hywel Dda are operating as normal, but urged people not to visit friends and relatives if they have symptoms of flu, sickness or diarrhoea, and to wear a face covering when attending clinical sites.

Ms Daniel added: “You should only come to our sites if you are feeling well. This helps us limit the spread of viruses and protect our most vulnerable patients. It also helps us to keep staff well, so that they can look after those in greatest need of our care.”

Hywel Dda also encouraged eligible people to take up flu vaccinations, and said information on flu jabs — including RSV and COVID-19 boosters where applicable — is available via the health board’s website or its vaccination helpline.

For further information, the public can call 0300 303 8322 (option one) or email [email protected].

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Community

Screening crisis: 15,000 ‘missing’ women at risk of breast cancer in Wales

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A PETITION signed by more than 4,000 people has thrust Wales’ breast cancer screening programme into the spotlight amid low take-up and “massive” disparities across the country.

On Monday January 12, Senedd Members considered the 4,254-signature petition on improving the national Breast Test Wales screening programme run by Public Health Wales.

The Senedd’s petitions committee heard only 69% of women invited for screening attended their appointment in 2022/23, below a 70% minimum standard and an 80% target.

The petitioners wrote: “If the 80% target was met, 15,871 more women would have been screened and an estimated 154 more breast cancers detected.”

Breast Cancer Now, which organised the petition, pointed to latest uptake data for the UK – showing England at 70%, Northern Ireland at 74% and Scotland at 75%.

Highlighting an awareness campaign launched in England in 2025, the charity urged the Welsh Government to similarly promote potentially life-saving breast screening.

Plaid Cymru’s Lindsay Whittle was taken aback: “I would say this is certainly the most alarming statistic I have read in possibly the past 35-40 years I’ve been involved in politics.

Caerphilly's Plaid Cymru MS Lindsay Whittle
Caerphilly’s Plaid Cymru MS Lindsay Whittle

“To think that 15,000 women are walking around Wales not being screened and 154 of those women probably have early signs of breast cancer is alarming.

“And we have to send out a 999 message to women in all corners of Wales: please use this facility, it is absolutely vital. If this facility was taken away, we would probably have demonstrators outside this building – and rightly so.”

Calling for a communications campaign to save lives, Caerphilly MS Mr Whittle added: “The low take-up in many areas of Wales is a matter of national concern.”

He urged colleagues on the cross-party petitions committee to write to health secretary Jeremy Miles, seeking answers on breast cancer screening.

The politician questioned: “What is England doing differently to Wales because they seem to be more successful? Well, that shouldn’t be right obviously.”

Mr Whittle stressed: “We have to ensure that women’s lives are protected and they’re given this help as fast as possible. Early detection is vital.”

Vaughan Gething, the former First Minister and health secretary, supported calls to ask the Welsh Government for an update on plans for a new wider screening equity strategy.

Former First Minister Vaughan Gething
Former First Minister Vaughan Gething

Labour’s Carolyn Thomas, who chairs the committee, explained people continue to go every three years if they attend their first screening, “so it’s getting them there in the first place”.

Ms Thomas, who had to rearrange her own appointment last week due to a family medical emergency, said early detection could save the NHS as much as £100m.

A Public Health Wales report showed significant disparities, with uptake ranging from more than 70% in Carmarthenshire to 40% on Anglesey in 2021/22.

Rhys ab Owen, who sits as an independent, suggested a debate in the main chamber but recognised the clock was ticking on the Senedd term with an election in May.

Independent MS Rhys ab Owen
Independent MS Rhys ab Owen

He said: “I was unaware of this issue before the petition and I’d be very interested to know the reason behind the difference between different local authorities. There must be a reason: why is Ynys Môn so low at 40%? It’s a massive outlier.”

The committee agreed to write to health secretary Jeremy Miles about the forthcoming screening equity strategy and the use of 11 mobile centres in Wales.

Breast Cancer Now also expressed concerns about delays in data reporting, with a 2023/24 annual report set to be published a year after the equivalent English data.

The charity stressed: “Timely annual statistical reporting, in line with the timescale of other UK nations, increases transparency and accountability within Wales’ breast screening programme, and supports evidence-based decision making and long-term planning.”

In an earlier letter to the committee, Mr Miles told the committee uptake rates can vary across regions, age groups and socioeconomic backgrounds.

He wrote: “The reasons women choose not to take up the offer are complex. Factors may include lack of awareness, fear or anxiety about the screening process and results, cultural and language barriers, access issues, and the impact of misinformation.

“We are committed to maximising breast screening uptake across all communities, recognising its vital role in early cancer detection and improved outcomes.”

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Health

Welsh Liberal Democrats blame social care shortages after Swansea Bay escalation

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HOSPITAL PRESSURE IN SWANSEA BAY COULD HIT PATIENTS FROM PEMBROKESHIRE WHO RELY ON SPECIALIST SERVICES

CONCERNS have been raised about pressure on hospitals in Swansea Bay after the health board declared its highest level of escalation for the second time in a week — a move that could have knock-on effects for patients from Pembrokeshire who rely on Swansea hospitals for specialist treatment.

Swansea Bay University Health Board’s escalation, known as a Business Continuity Incident, is triggered when demand and capacity pressures reach a critical level, allowing extra internal measures to be put in place to manage patient flow, staffing pressures and bed availability.

While the health board serves Swansea and Neath Port Talbot, its hospitals also provide specialist services used by patients from across west Wales. Pembrokeshire residents are regularly referred to Morriston Hospital and Singleton Hospital for a range of care, including nuclear medicine and other specialist investigations and treatments not always available locally.

The Welsh Liberal Democrats said the latest escalation underlined what they claim is a deeper system-wide issue: shortages in social care leaving patients unable to leave hospital when medically fit, which in turn blocks beds and adds pressure across emergency and planned services.

The party said: “The crisis declared by Swansea Bay University Health Board is further proof that Wales’ NHS cannot be fixed without urgent action on social care.”

Powys example cited

The party pointed to Powys, where the council is led by the Welsh Liberal Democrats, claiming hospital discharge delays have been cut by a third after additional funding was used to recruit more social care staff.

They said the funding was secured by Welsh Liberal Democrat leader Jane Dodds MS during last year’s budget negotiations and directed into expanding community care capacity.

“Social care failure as much as an NHS one”

Responding to Swansea Bay’s decision to declare its highest escalation level again, Jane Dodds MS said the hospital pressures were being driven in part by the lack of care available in the community.

“When hospitals are full and patients are stuck in beds because the care they need at home isn’t available, that is a social care failure as much as an NHS one,” she said.

“What we are seeing in Swansea Bay is exactly what happens when social care is underfunded and overstretched – hospital backlogs, delayed discharges and staff pushed to breaking point.

“Labour has run social care in Wales into the ground, and the consequences are now being felt in hospitals like Morriston and Singleton.

“The lesson is clear: fixing social care fixes the NHS. Wales needs sustained investment in community and social care, not endless crisis management once hospitals are already full.”

Local candidate: “People see it every day”

Sam Bennett, a Swansea councillor and Senedd candidate for Gŵyr Abertawe, said residents were seeing the impact of care shortages daily.

“People across Swansea are seeing the impact of social care shortages every day, whether that’s loved ones stuck in hospital or pressure on frontline staff,” he said.

“Investing properly in care isn’t optional, it’s essential if we want our local hospitals to cope, and it will be my priority should I be elected to the Senedd this May.”

Wider impact

Escalations of this kind are generally introduced to manage periods of exceptional pressure and can involve steps to prioritise urgent care, support discharge planning and manage demand across services.

For Pembrokeshire, any sustained disruption in Swansea Bay can cause concern because of the region’s reliance on specialist appointments and procedures carried out in Swansea. Patients and families are often already travelling long distances for care, and delays or rescheduling can have significant practical and emotional impact.

Health boards have repeatedly urged the public to use NHS services appropriately during periods of high demand and to support timely discharge where it is safe to do so, as blocked beds can quickly intensify pressure across the system.

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