Health
Patients left in pain as dentists slam Welsh Government ‘spin’
NHS DENTISTRY in Wales is in crisis. The state of NHS dental care has been overshadowed by the broader collapse of NHS services in Wales, from spiraling waiting lists to patients being treated in hospital corridors.
This week, the British Dental Association (BDA) took a chainsaw to Welsh Government claims of an improving picture in NHS dentistry, accusing ministers of spreading half-truths and spin.
A SYSTEM IN DECLINE

NHS dentistry garners fewer headlines than delays in cancer treatment, GP shortages, and the overall deterioration of the Welsh NHS. Yet, of all these crises, the rapid collapse of dental services is among the most stark.
The Herald asked Hywel Dda University Health Board how many dental practices in Pembrokeshire had vacancies for NHS patients. The Health Board could not provide an answer. That means local patients in need of dental care must either ring around every dental practice listed on Hywel Dda’s website or rely on emergency services. Even for those accepted onto an NHS dental list, waiting times for treatment remain extensive.

Currently, more than 1.5 million people in Wales are unable to secure an NHS dentist, with many more facing months or even years of delays.
Sam Kurtz, MS for Carmarthen West and South Pembrokeshire, called the situation “one of the top issues” raised by his constituents.
“The system is failing,” Mr Kurtz said. “Patients are left in pain, dentists are overwhelmed, and public trust in NHS dentistry is eroding, all while the Welsh Labour Government sits back and watches this crisis unfold.”
LONG-TERM FAILURE TO ACT
As with many issues plaguing the Welsh NHS, the collapse of NHS dentistry was predictable—and avoidable.
As The Herald reported last week regarding GP shortages, dentists have been retiring at a foreseeable rate for years, with little or no effort made to replace them—especially those willing to take on NHS patients.
Over 10% of dentists have been leaving the profession annually since 2010-11, with 2024 marking the second-highest departure rate in over a decade. The overall number of dentists in Wales continues to decline, with around 20% nearing retirement.
In 2022, 93% of dental practices in Wales were not accepting new NHS patients, and 88% were refusing new child patients.
The impact of this failure to recruit and retain dentists is clear.
Large parts of rural Wales are now NHS dental deserts. The lack of access disproportionately affects children, older people, pregnant individuals, disabled people, those with additional learning needs, and lower-income families.
Despite repeated assurances from the Welsh Government about increasing NHS dental appointments and the supposed success of its dental contract, reports from Senedd committees and direct questioning in the Welsh Parliament reveal a chasm between ministerial claims and patients’ realities.
DENTISTS ACCUSE WELSH GOVERNMENT OF ‘BAD FAITH’

This week, the British Dental Association delivered a scathing assessment of the Welsh Government’s handling of NHS dentistry.
“For too long, the Welsh Government has offered spin, half-truths, or doublespeak on dentistry,” the BDA said.
In an open letter to Health Secretary Jeremy Miles, the BDA called for honesty, accusing the government of misrepresenting negotiations over the General Dental Service contract for 2024-25.
Mr Miles claimed the Welsh General Dental Practice Committee had refused further negotiations, but the BDA described this as “a spectacular act of bad faith.”
The association warned that the promised funding uplift for dental practices—backdated to April 2024—has yet to materialise, putting the financial sustainability of services at risk.
“This uplift means another real-terms pay cut for dentists and insufficient funds to cover running costs,” the BDA said. “It will not begin to meet the hike in employers’ National Insurance contributions coming in April.”
The BDA also criticised the Welsh Government’s misleading claims about investment and patient numbers.
“Ministers claim investment and patient numbers are breaking records. The reality is that investment in dentistry has stalled, and the number of patients seen each year remains 30% lower than in 2019. It is time our patients received the dental service they deserve—not empty promises and PR stunts like the so-called Dental Access Portal, which does nothing to create extra appointments out of thin air.”
‘GASLIGHTING’ WALES ON DENTISTRY

At the heart of the crisis is the deeply flawed NHS dental contract, which offers a fixed price for all NHS treatments. This financial model forces dentists to hand back contracts or operate at a loss. Complex procedures, which take time and resources, often leave dentists out of pocket, discouraging them from taking on NHS work.
Plaid Cymru’s Health and Social Care spokesperson, Mabon ap Gwynfor MS, did not mince words, accusing Labour of “gaslighting” the Welsh public over the scale of the crisis.
“The people of Wales experience this crisis daily—being forced to go private, travelling long distances, or, in extreme cases, pulling their own teeth. Meanwhile, dentists are burning out.
“Labour’s empty boast of 400,000 ‘extra’ appointments has rightly been called out as spin. NHS dentistry needs fundamental, systemic reform. The contract is simply not fit for purpose, and, like the entire primary care sector, it must be prioritised.”
The question now is whether the Welsh Government will listen—or whether patients will continue to suffer while ministers cling to their narrative.
Health
RCN Wales appoints Nicola Williams as Executive Director
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.
Health
Decision pending on adult mental health referral pathway
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
Health
Parents urged to check children’s vaccinations after meningitis cases
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.

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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