Health

Welsh Government set to change key ambulance target

Published

1 year ago

March 11, 2025

A KEY target for ambulances to respond to the most urgent 999 calls within eight minutes, which has not been met in five years, will be ditched following a review.

Jeremy Miles, Wales’ health secretary, announced a move away from the time-based target of responding to 65% of life-threatening “red” calls within eight minutes from July 1.

The Welsh Government target was last met in July 2020, with 48% of 6,073 red calls receiving an emergency response in eight minutes in January this year.

Mr Miles said a clinician-led review found the eight-minute target, which has been the standard since the 1970s, is no longer appropriate nor fit for purpose.

In a statement to the Senedd on March 11, he explained the ambulance service will trial changes over the next year which will focus on outcomes rather than response times.

A purple category – for cardiac and respiratory arrest – will be added, with the red category for major trauma, bleeding and cases where a person’s condition could rapidly deteriorate.

Mr Miles said of the current eight-minute target: “There is no evidence it helps drive better outcomes. It does not support effective clinical prioritisation.”

He added: “This means that precious ambulance resources are being dispatched to people who are less seriously ill and may not require emergency treatment or onward hospital care.

“And we measure success purely through the lens of response time in these examples. So, if an ambulance arrives in eight minutes and one second and the person survives – that would be regarded as a failure because the response time target was missed.

“But, perversely, if the ambulance arrived within eight minutes and the person unfortunately died – that would be regarded as meeting the target.”

Mr Miles said survival rates in Wales after an out-of-hospital cardiac arrest are less than 5%, compared with 9% in Scotland, 10% in England and far higher elsewhere in the world.

“This is not acceptable…,” he told the Senedd. “We must aspire to do better and to match survival rates in European countries and some US cities.”

The health secretary stated both the purple and red categories will be subject to time-based targets, with an average expected response time of six to eight minutes.

He detailed a focus on early CPR and defibrillation before announcing a group to review ambulance patient handovers, with around 27,000 hours lost due to delays in January.

Mr Miles told Senedd Members: “We must have a significant improvement in ambulance handover performance to ensure ambulances are available to respond to 999 calls in the community and not stuck outside hospitals for hours on end.”

Before the pandemic the median response time for red calls was four minutes and 30 seconds but at the beginning of this year the average was eight minutes and 17 seconds.

Most calls are “amber”, for which there is no corresponding measure, but a further review will assess whether to introduce targets for the category which includes stroke symptoms.

The Senedd’s health committee called for a review of the red target in a report published in August after taking evidence from the Welsh Ambulance Services NHS Trust.

Russell George, the Tory chair of the committee, welcomed the statement, adding: “But, of course, having targets in place is important – they’re there to ensure accountability.”

Plaid Cymru’s Mabon ap Gwynfor also backed the change in direction, describing the red response time target as “largely ornamental” over the past half a decade.

Health

RCN Wales appoints Nicola Williams as Executive Director

Published

20 hours ago

March 20, 2026

Tom Sinclair

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

Published

2 days ago

March 19, 2026

Tom Sinclair

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

Published

2 days ago

March 19, 2026

Tom Sinclair

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.