Health

Mental health crisis response plan welcomed — but families say detentions will continue

Published

12 months ago

April 30, 2025

Protests at the Senedd as campaigners accuse Welsh Government of failing autistic and learning-disabled people

A MAJOR new mental health strategy promising same-day support in Wales has been overshadowed by rising anger from families who say vulnerable people are still being detained in hospitals simply because of their disabilities or autism.

Police at the A&E department at Bronglais Hospital in Aberystwyth in early April 2025: The vehicles contain patients having a mental heath crisis , and awaiting help. One patient was detained for 19 hours in a police van. (Image: Herald)

The Welsh Government says its ten-year plan will transform mental health support by focusing on early help, social prescribing, and same-day access via GPs and community services. The NHS’s urgent 111 helpline—where callers can “press 2” for mental health support—is now receiving nearly 6,000 calls a month.

***Protest outside the Senedd last year (Pic: Natasha Hirst)***

But critics say that behind the numbers lies a more troubling story—one of systemic failure for people with learning disabilities and autism.

On Wednesday, April 17, protesters from the Stolen Lives campaign gathered outside the Senedd in Cardiff Bay to accuse ministers of inaction. The campaign was founded by Dr. Dawn Cavanagh, from Hook, Pembrokeshire, whose own son is detained in a secure mental health hospital.

“We are talking about people being imprisoned without committing any crime,” said Dr. Cavanagh. “Their only crime is being disabled. It has traumatised us as a family.”

***People needing mental health support are often criminalised, and reform in needed, campaigners say (Pic: Herald/File)***

The protest brought together families, carers, disability rights groups and allies. Holding placards and banners, they demanded urgent reform and meaningful investment in community care to prevent people being “shut away” in hospitals for years at a time.

Many of those detained are sent far from their families, often to private facilities in England, due to a lack of appropriate housing and support in Wales.

“We’ve had endless promises, meetings, reports—but nothing changes,” said one protester. “We are tired of being told our case is unique. We’re not. This is a national scandal.”

Sophie Hinksman, 39, from Pembrokeshire, was sectioned in 2016 and says she still lives with the trauma.

“If I’d got the right support at home, everything would have been okay,” she said. “Instead I was taken away and left to deteriorate. I’m still trying to come back from that.”

The UK Government’s new Mental Health Bill—adopted in part by the Welsh Government—claims it will limit the ability to detain autistic and learning-disabled people under the Mental Health Act unless they have a co-occurring mental illness. But campaigners say this won’t stop detentions unless proper alternatives are funded.

“If community care isn’t there, they’ll still be detained—just under different legislation like the Mental Capacity Act,” said Dr. Cavanagh.

Data published by the Welsh Government shows 135 people with a learning disability are currently in specialist inpatient services in Wales. In England, over 2,000 people with learning disabilities or autism are detained, and around half have been held for more than two years.

Campaigners say many of those individuals were initially admitted due to crises brought on by poor housing, isolation, or lack of support staff. Once inside, people deteriorate further, delaying discharge indefinitely.

***A protest took place in Westminster on Tuesday (Image: BBC)***

‘Hospitals are not homes’

Joe Powell, Chief Executive of All Wales People First, told the crowd at the Senedd: “Wales led the way 41 years ago with the All Wales Strategy. It said hospitals are not homes and people should live in the community. Now we are going backwards.”

Despite claims of progress, families say that local Health Boards and councils face little accountability when placements fail.

The Welsh Government insists it is committed to reducing inpatient numbers and improving care. A spokesperson said: “We do not agree that people with learning disabilities are being systematically detained inappropriately. Where hospital care is used, a care plan must be in place and reviewed regularly.”

But campaigners are not reassured.

“It’s like the Post Office scandal,” said one mother at the protest. “They told each family their situation was unique—but the problem was the system all along.”

There is hope — but no time to waste

Elsewhere in Wales, community-based support is making a difference—when it’s available.

Sian McEvoy, 41, from Swansea, began volunteering at a local community farm after a long period of alcohol dependency and anxiety.

“When I was drinking, I didn’t leave the house for three years,” she said. “Now I’m out in the community, working with animals. It’s helped my mental health and given me the confidence to think about getting back into work.”

Steffan Thomas, 24, who is autistic, has volunteered at the same farm for four years.

“If I miss a week, I feel it,” he said. “This place keeps me grounded.”

Health experts say these are the kinds of solutions that need long-term investment—not short-term pilots.

Professor Kamila Hawthorne, a Bevan Commission member, said: “Social prescribing and early intervention can prevent crisis—but only if the infrastructure is there. Without it, the NHS will be overwhelmed, and vulnerable people will fall through the cracks.”

As protesters packed up their banners outside the Senedd, Dr. Cavanagh said: “We don’t want more empty promises. We want people to come home.”

Responding to the Welsh Government’s plan, Welsh NHS Confederation Nesta Lloyd-Jones said: “We welcome the shift in approach set out in the new Welsh Government’s 10 year mental health and wellbeing strategy, which is centred on early intervention, prevention and person-centred care.

“As the strategy acknowledges, the building blocks of mental wellbeing start long before healthcare intervention – whether that’s education, housing, employment, access to green spaces and leisure, the arts and so on. Building more resilient communities, addressing health inequalities and tackling loneliness are essential to this too. The Welsh Government’s promise to prioritise action on mental health across all Welsh Government departments is a positive start on the journey to a cross-government approach to mental health, including the deployment of Health Impact Assessments.

“However, in these continuously financially challenging times, these sectors and services are among the first to be cut. We must think long-term and invest in these areas to make things better for individuals, healthcare services and the public purse.

“We know timely access to services play an important role in patient outcomes. NHS leaders support the concept of the no wrong door approach and the introduction of 111 press 2 is a good example of simplifying access for those reaching out for help.

“We know that societal inequalities put some groups at greater risk, underscoring the importance of providing these individuals with better resources and tackling barriers to accessing care. However, with rising demand for mental health services and the growing impact of climate change on mental wellbeing, a greater emphasis on primary, secondary and tertiary prevention is needed.

“Now this strategy has been published, the Welsh Government must ensure the resource and support is in place for sectors and organisations to deliver on the vision statements.”

Jemma Wray, Head of Wales at the Mental Health Foundation said: “We strongly welcome and support the new 10 year mental health strategy for Wales, and its vision to transform how the people of Wales are enabled and supported to live mentally healthy lives.

The strategy is grounded in an understanding that poor mental health can be prevented through ensuring that the building blocks of good mental health are in place, and that there is a system of connected community support available which enables people to connect with what they need, when they need it.

The delivery of this plan at a community level, ensuring the right infrastructure exists to support its implementation, will be vital in its success. It’s equally important that the Welsh Government continues to work alongside people with lived experience and that their improved outcomes are the measure of its impact.

We’re pleased to have been able to contribute to the development of this strategy during the consultation period, and look forward to supporting its implementation in collaboration with Welsh Government, NHS Executive, Public Health Wales, and the Wales Alliance for Mental Health among others to help improve the outcomes for those who are most at risk of developing poor mental health in Wales.”

Welsh Government says ‘a major shift’ is under way

The Welsh Government insists its new 10-year strategy marks a turning point for mental health care in Wales.

Minister for Mental Health and Wellbeing Sarah Murphy said: “This strategy represents a major shift in how we approach mental health and wellbeing. We are focusing on prevention, early intervention, and ensuring easy access to support when needed.”

The new strategy aims to expand open access and same-day support, building on the 111 “press 2” helpline and introducing a stepped care model, where people only move into more intensive treatment when truly necessary.

It also promotes person-centred care and social prescribing, such as linking people with community groups and activities instead of relying solely on clinical interventions.

“We’re working to address all the factors that affect wellbeing – from housing and employment to tackling loneliness,” Murphy added.

Initiatives already supported under the scheme include Walking Friends Wales, which helps older people reduce loneliness through group walks and social connection.

Campaigners, however, say that while the vision is welcome, the success of the strategy depends entirely on whether these services are funded and delivered at scale, and whether urgent cases of inappropriate detention are properly addressed.

As Dr. Cavanagh said at the Senedd protest:

“We don’t want more empty promises. We want people to come home.”

Business

BPCA calls for stronger action to protect Welsh homes from pests

Published

5 days ago

April 10, 2026

Richard Lewis

AHEAD of the Senedd elections in May, British Pest Control Association (BPCA) is calling on the next Welsh Government to do more to protect people in Wales from preventable pest problems in their homes.

In its new manifesto for public health pest management in Wales, the national trade body says no one should have to live with rats, cockroaches, flies or other pests because of poor housing conditions, slow repairs or inadequate waste management.

Housing, public health and environmental regulation are devolved to the Senedd.

BPCA is urging Welsh policymakers to make sure protections against pest problems apply to all renters, not just those in social housing.

The Association warned that pests in homes are not just a nuisance and can pose a risk to health.

Rodents can spread diseases, including leptospirosis, salmonella and listeria, while also causing damage by gnawing pipes and wiring. Cockroaches, flies, and other insects can spread pathogens, contaminate food and damage belongings.

Rosina Robson, Chief Exec of the British Pest Control Association (BPCA), said: “Too many people are still being left to deal with pest problems that could and should have been prevented.

“Where there are building defects, poor waste management or delays to repairs, infestations can quickly take hold. That has a real impact on people’s health, well-being, and quality of life.

“It should not matter whether someone lives in social housing, private rented housing or temporary accommodation. The risks posed by pests are the same, and the protections should be too.

“We want the next Welsh Government to recognise the danger pests pose in people’s homes and make sure everyone in Wales has the right to live in a decent home that is protected from avoidable infestations.”

BPCA’s manifesto calls on the next Welsh Government to:

Recognise the danger that pests pose to the health and well-being of tenants
Ensure protections for all renters, including people living in social rented, private rented and temporary accommodation
Back a stronger public health approach to pest management in Wales.

The manifesto also highlights the wider role of professional pest management in protecting public health, food supply chains and the built environment across Wales.

BPCA says tackling pests properly means more than responding once an infestation has taken hold. Landlords and property managers also need to act on the advice of pest professionals, including improving communal waste disposal, repairing defects in buildings and addressing the conditions that allow pests to thrive.

Niall Gallagher, BPCA’s Technical Manager, added: “We wouldn’t accept pest activity in places such as factories or restaurants where food is prepared, and people should not be expected to put up with the same risks in their own homes.

“This is about prevention, public health and basic standards. Wales has an opportunity to lead the way and make sure fewer people are left living in misery because of pests.”

BPCA’s full manifesto, A manifesto for public health pest management in Wales, is available from the Association’s website.

Health

Nursing graduate jobs crisis warning as NHS pressures deepen

Published

7 days ago

April 8, 2026

Tom Sinclair

THE ROYAL COLLEGE OF NURSING WALES has warned of a growing jobs crisis for newly qualified nurses, saying a shortage of Band 5 posts could leave up to half of this year’s nursing graduates without work when recruitment opens.

The union said the situation was particularly alarming given the severe pressures already facing NHS Wales, with staff continuing to report overcrowded wards, unsafe conditions and unmanageable workloads across multiple health boards.

RCN Wales said the lack of available jobs for newly trained nurses pointed to a serious failure in workforce planning. It warned that losing new entrants to the profession would place even more strain on already overstretched services and could further affect patient care.

The organisation said the situation also undermined the Welsh Government’s and NHS Wales’ duty to improve the quality and safety of care.

RCN Wales is calling on the Welsh Government to provide urgent clarity on the scale of the shortfall, set out credible long-term workforce planning, and introduce immediate system-wide measures to recruit, retain and deploy the nursing workforce Wales needs.

The union said it had received assurances that students would not be penalised if posts were unavailable. That includes being released from any obligation to work in Wales and not being required to repay tuition fee support where workforce shortages prevent them from securing employment.

Professor Sandy Harding, Associate Director of Nursing at RCN Wales, said: “The situation facing newly registered nurses is deeply concerning and exposes serious failures in workforce planning.

“It is becoming increasingly clear that this situation is being driven by financial constraints, including the freezing of vacant posts within local health boards. Our NHS is under intense pressure, yet hundreds of newly qualified nurses may have no posts to enter. This is simply unacceptable.

“These students stepped forward for Wales, trained through immense challenges, and now face uncertainty at the very moment the system needs them most. They deserve far better.

“Every newly qualified nurse will be vital to meeting Wales’s care needs. The RCN will continue to demand transparency, accountability and long-term planning from the system. We will not stop speaking up for students, for our safety-critical nursing workforce, and for the people who rely on safe, high-quality care.”

Health

Crumbling NHS faces £1bn repairs bill in Wales

Published

2 weeks ago

April 4, 2026

Tom Sinclair

Senedd election promises collide with the harsh reality of ageing hospitals, fire safety concerns and a maintenance crisis stretching across the country

WALES’ NHS is facing a repair and maintenance crisis of almost £1bn, with some of the country’s biggest hospitals burdened by ageing buildings, serious safety concerns and growing pressure on already stretched budgets.

New figures covering 210 NHS sites show that the backlog of work classed as high risk or significant risk has now reached £917m — up 71% in just four years.

The data, published for 2024-25 by NHS Wales Shared Services Partnership, shows more than £616m of the total relates to serious problems at 12 of Wales’ 13 main hospitals.

Ysbyty Gwynedd has the biggest backlog of high and significant risk repairs at £110.5m, followed closely by University Hospital of Wales in Cardiff, where the figure stands at £106.8m.

The scale of the problem is not just financial. Three hospitals — Bronglais, Prince Philip and Ysbyty Gwynedd — have 40% or more of their space rated as not fire safety compliant. At Ysbyty Gwynedd, 35% of space is also not regarded as health and safety compliant.

Aging estate

The figures highlight the deep-rooted problem of an ageing NHS estate across Wales.

More than 30 NHS sites have buildings where over half the estate predates the creation of the NHS in 1948. Another 17 sites, including University Hospital of Wales and Bronglais Hospital, are mainly made up of buildings between 50 and 60 years old.

Only one major hospital in Wales — the Grange Hospital near Cwmbran — is said to have no maintenance backlog. But even that project, which cost £350m, was first proposed in 2004 and only opened during the Covid pandemic, showing how long major hospital developments can take.

When the wider risk-adjusted backlog is considered across all NHS buildings in Wales, focusing on problems where safety may be at risk, the total cost rises to more than £1bn.

The largest overall figure is in the Betsi Cadwaladr health board area, where the backlog stands at nearly £278m.

Despite the Grange being one of the newest hospitals in Wales, Aneurin Bevan health board still faces a backlog of almost £233m, much of it linked to older sites including the Royal Gwent and Nevill Hall hospitals.

In Hywel Dda, where hopes of a new west Wales hospital remain some way off, the total backlog has reached £221m. Among the worst affected sites is Glangwili Hospital in Carmarthen, where high and significant risk repairs and maintenance amount to £82m.

West Wales pressure

FOR west Wales, the figures are especially troubling.

Hywel Dda residents have already faced years of uncertainty over the future of hospital services, and the scale of the maintenance bill raises fresh questions about how long ageing buildings can continue to serve local communities safely and effectively.

Bronglais Hospital is among the sites with major fire safety compliance concerns, while Glangwili carries one of the largest repair backlogs in the region.

The growing cost of patching up older hospitals will inevitably intensify the political argument over whether ministers should prioritise maintaining existing buildings or push ahead with long-promised new developments.

The chair of Cardiff and Vale health board recently acknowledged that the age and condition of University Hospital of Wales was affecting morale and efficiency, describing the quality and upkeep of buildings as an ongoing concern.

Expert warning

Mark Dayan, a policy analyst at the Nuffield Trust, said Wales had a worryingly large maintenance backlog by any standard.

He warned that poor infrastructure could directly affect the way care is delivered, making it harder for the NHS to reorganise services, improve patient flow or create safe, modern working environments.

The issue is not unique to Wales. NHS England is facing its own enormous repair backlog, estimated at £16bn. But in Wales, where budgets are tighter and hospital plans often move slowly, the pressure is especially acute.

Election battleground

WITH the Senedd election set for Thursday, May 7, parties are offering different solutions to the growing crisis.

Labour has pledged a £4bn Hospitals of the Future fund, promising new hospitals including replacements for Wrexham Maelor Hospital and University Hospital of Wales, as well as a major development in west Wales.

Plaid Cymru says Labour’s sums do not add up, and argues urgent high-risk repairs should come first.

Reform UK says the Welsh Government should concentrate its capital budget on clearing the maintenance backlog rather than making promises on multiple new hospitals.

The Conservatives say they would declare a health emergency and expand capacity through new community hospitals, diagnostic centres and surgical hubs.

The Liberal Democrats say they would upgrade the worst parts of the NHS estate while backing a replacement for University Hospital of Wales, linking investment to wider reform of social care and community services.

The Green Party has called the backlog a disgrace and says it would launch a multi-year programme to bring NHS facilities up to a safe and modern standard.

Whatever the result in May, the next Welsh Government will inherit a stark reality: before it can deliver a new generation of hospitals, it must first confront the spiralling cost of keeping the current estate from falling further into decline.