Health
Pembrokeshire patients removed from NHS waiting lists without warning
117 people came forward in just one day after Herald appeal, but Hywel Dda unable to confirm total numbers affected
A GROWING number of Pembrokeshire residents say they have been removed from NHS waiting lists without warning, following missed appointments they claim were never communicated to them.
After a call for information published by The Pembrokeshire Herald, more than two dozen patients and family members came forward to describe problems receiving appointment letters, cancelled bookings without notification, and difficulty contacting hospital departments to reschedule or explain absences.
One mother said her eight-year-old daughter, who has a rare genetic condition, was removed from dermatology follow-up after a letter claimed she had missed an appointment.
“We never got that appointment,” she said. “Then the one they did book was cancelled without telling us. We’ve heard nothing since.”
Another parent said her young son, who urgently needs surgery, was removed from a waiting list at Glangwili Hospital after allegedly missing several appointments — none of which the family received.
“We only found out when we turned up for one, and were told it had been cancelled. Now we’re back at square one, needing a fresh referral through the GP.”
In one case, a woman attending a six-week physio course said she called the hospital three times to explain she was unwell and unable to attend one session — but only reached an answering machine. “A few days later, I got a letter saying I’d been removed from the course for not attending. I never spoke to anyone.”

No figures available
Following a press enquiry from the Herald, Hywel Dda University Health Board confirmed that it follows national guidelines around waiting list management and promised to reinstate any patient wrongly removed — but was unable to say how many patients had been taken off waiting lists in recent years.
The health board said it had received similar feedback from other patients and had now launched a review into the “factors which may lead to late receipt of appointment letters.”
A Freedom of Information request has now been submitted by the Herald to obtain data on the number of patients removed from waiting lists between January 2020 and June 2025.
Phone calls, answerphones and confusion
One of the most common complaints among those who contacted the paper was the difficulty reaching hospital departments by phone — with patients frequently leaving voicemails that were never returned.
A woman from Milford Haven described how her adult daughter, who has a long-term condition, went without dermatology follow-up for over a year. “We rang the secretary, rang Glangwili, left messages — no one ever rang us back. We only got it sorted because a nurse friend gave us a back-door number.”
Another man said he was moved to the back of the list after missing a telephone consultation — even though the call came an hour before the appointment time and went unanswered. “I later got an apology, but I still lost my place.”
A patient with heart failure said he was told in 2023 he needed an urgent heart scan. “It’s been nearly two years and we still haven’t had that appointment,” his wife told us.
Health board response
In a statement to the Herald, Keith Jones, Hywel Dda University Health Board’s Director of Operational Planning and Performance, said: “We are always sorry to hear when our patients feel that we have not communicated in a timely manner.
“At Hywel Dda we follow strict national guidelines around the management of waiting lists and there are strict protocols in place which relate to the circumstances when patients should be removed from waiting lists.
“We wish to reassure all patients that in circumstances where any patient is inadvertently removed from a waiting list in error, they will be re-instated at the point they were removed and their waiting time will not be compromised.
“We make every effort to send appointment letters in a timely manner and it is part of our procedure to phone a patient should we need to see them at short notice or to cancel appointments.
“We have received feedback from some patients of incidences where appointment letters have not been received in a timely manner. We are reviewing the factors which may lead to late receipt of appointment letters and will implement any necessary improvements.
“We do offer a digital service called Hywel Dda Post which is a secure online website where patients can access appointment information using a smartphone, tablet, or computer.
“However, we realise this service will not be suitable for everyone and there is no obligation on our patients to take up this service if they prefer to be contacted by letter or phone.
“We have recently set up a Regional Digital Inclusion Group and we work collaboratively with other organisations in the area to support patients with digital inclusion.
“We would welcome feedback from patients who have any queries about their appointments. Patients can contact our Patient Support Service by visiting our website, emailing [email protected] or calling 0300 0200 159.”
Get in touch
The Herald is continuing to investigate this issue and will publish further findings once the FOI response is received.
you know has been removed from a hospital waiting list or has experienced communication problems with the NHS, contact the newsroom in confidence by emailing [email protected].
Health
NHS Trust CEO ‘forced out’ after raising concerns — Welsh Govt denies wrongdoing
A CONSERVATIVE MS has pressed the Welsh Government for answers after the sudden departure of the Velindre University NHS Trust’s chief executive, amid media reports that he raised concerns about alleged governance failures within NHS Wales Shared Services.
During Health Questions in the Senedd today, James Evans MS asked Health Secretary Jeremy Miles to explain why former CEO David Donegan left his post after just a year. Reports circulating in recent weeks suggest Mr Donegan had raised issues relating to governance, and in some accounts, possible criminality. These claims have not been substantiated publicly.
Velindre’s own 2024/25 annual report notes that the Trust “escalated concerns to Audit Wales and Welsh Government about the current governance of Shared Services, which hadn’t been reviewed since 2012.” No details of the concerns have been published.
Welsh Government response
Jeremy Miles MS confirmed in the chamber that correspondence relating to the issues does exist, but said it would not be appropriate to release sensitive material while internal processes are ongoing. He did not comment on the circumstances of Mr Donegan’s departure, citing employment confidentiality rules which are standard across the NHS and public sector.
A Welsh Government spokesperson has previously said that they expect all NHS bodies to follow “proper governance and HR procedures,” and that they “do not comment on individual employment matters.”
Velindre NHS Trust position
Velindre has not publicly stated that Mr Donegan was removed because of whistleblowing activity. The Trust has described his departure simply as a “change in leadership” and says it continues to engage with Audit Wales and the Welsh Government on governance matters.
Opposition criticism
After the exchange, James Evans MS — the Welsh Conservative Shadow Cabinet Secretary for Health — criticised the Health Secretary’s “lack of transparency”.
He said:
“I am extremely disappointed with the Health Secretary’s refusal to provide clarity on the circumstances surrounding Mr Donegan’s departure, or to release the correspondence relating to governance concerns within Shared Services. The public must be able to trust that millions of pounds of NHS funds are being managed properly.”
Mr Evans said he will write to the First Minister and Cabinet Secretary formally requesting the publication of correspondence “in the interests of full accountability.”
Context: What is NHS Shared Services?
The NHS Wales Shared Services Partnership (NWSSP) manages national procurement, payroll, recruitment, estates services and other core functions for health boards and trusts. It sits within Velindre University NHS Trust but operates independently of its operational healthcare work. Governance arrangements for NWSSP were originally set a decade ago and are subject to periodic review by Audit Wales.
There is no evidence at present of wrongdoing by the Welsh Government or NWSSP, beyond the concerns referenced in Velindre’s annual report.
Health
Wales’ biggest hospital overrun by pigeons – even in operating theatres
Patients wheeled through tunnels “carpeted in bird faeces” as ministers accused of abandoning the NHS
CARDIFF’S University Hospital of Wales – the largest hospital serving South and West Wales – has been branded a national disgrace after whistle-blowers revealed a chronic pigeon infestation, including birds nesting inside areas used to prepare sterile operating theatres.

Tunnels ‘carpeted in droppings’
Patients, including those critically ill, are being pushed along underground corridors described as “ankle-deep in water and carpeted with bird faeces”, with buckets placed along walkways to catch rain leaking through failing roofs. Staff say the stench is overwhelming and that vulnerable patients are being traumatised by the conditions.
One frontline worker, speaking anonymously to The Pembrokeshire Herald, said the situation had become intolerable: “The place is full of pigeons. You see them flapping around in trauma theatres while surgeons are trying to save lives. The smell is vile.”
Photographs passed to this newspaper show floor surfaces coated in pigeon droppings and staff weaving around flocks of birds to reach wards.

Consultants warn hospital is now a risk
The revelations come just weeks after nearly three hundred senior consultants at the Heath signed an unprecedented letter warning morale was “at an all-time low” and stating the physical condition of the hospital now poses a serious infection risk. Pigeon droppings can carry cryptococcus, a fungus potentially fatal to those with weakened immune systems.
Despite this, ministers in Cardiff Bay have pressed ahead with hundreds of millions of pounds for expanding the Senedd by thirty-six new politicians and for major expenditure on the Welsh Government’s “Nation of Sanctuary” asylum policies.

Political row deepens
Welsh Conservative Senedd leader Andrew RT Davies said the state of the Heath symbolised years of neglect.
“Senedd ministers must take responsibility for the appalling condition of our hospitals. While Labour and Plaid spent money on vanity projects, they ignored the NHS. Patients in Pembrokeshire, Ceredigion and Swansea are paying the price.”
Built in the early 1970s, the Heath now requires more than £100 million in urgent repairs. Last winter entire wards were left freezing when heating systems failed, while engineers are said to be so overstretched that routine maintenance can take weeks.
In one instance, a seventy-seven-year-old emphysema patient from West Wales spent four days under blankets because radiators in his bay would not work. Another elderly man spent his final hours being wheeled through pigeon-infested tunnels because the lifts had broken again.

Health board ‘accepts’ poor conditions
Cardiff and Vale University Health Board acknowledged the conditions were “unacceptable” and said additional pest-control measures would be introduced, insisting patient safety had not been compromised. However, the hospital was placed at the highest level of Welsh Government intervention last month, and staff say the situation on the ground has barely changed.
A Welsh Government spokesperson said it was providing “targeted support” to address long-standing problems with the estate.
‘Ashamed to bring patients through’
For families in Pembrokeshire who rely on the Heath for major trauma, neurosurgery and cancer services, confidence in the system continues to erode.
A nurse from Tenby who trained at the hospital told The Herald: “We used to be proud to work there. Now we’re ashamed to bring patients through corridors that look like something from a horror film.”
The pigeons may be the most visible sign of decline – but staff say the deeper crisis begins in Cardiff Bay, where the decisions that shape Wales’s health service are made.
The people of Wales, they insist, deserve far better.
Health
Wales on brink of wiping out new HIV cases as infections plunge 20 percent
WALES is charging toward its ambitious 2030 target of zero new HIV transmissions after recording a dramatic 20 per cent drop in new cases during 2024, the Welsh Government revealed on World AIDS Day.
Cabinet Secretary for Health Jeremy Miles hailed the fall as proof that the HIV Action Plan for Wales 2023–26 is “delivering results at lightning speed”, with record numbers of tests, expanding PrEP access and every health board now signed up to the international Fast Track Cities initiative.
More than 33,000 free postal HIV test kits have been snapped up since the service launched, while a new long-acting injectable form of PrEP – given once every two months – is rolling out across every corner of the country for the first time.
Mr Miles said: “Thanks to highly-effective treatments, people with HIV in Wales are living long, healthy lives. Our focus now is stopping the virus in its tracks and stamping out the stigma that still lingers.”
The annual update, published this afternoon, shows testing and prevention efforts have never been higher, yet almost half of people newly diagnosed in 2024 were still identified at a late stage – prompting clinicians to scrutinise every case for missed opportunities.
A nationally funded peer-support programme, run by people living with HIV, is being commissioned to ensure no one faces the virus alone, while anti-stigma training reaches NHS staff, social care workers and secondary-school pupils.
Wales has also become one of the first nations in the world to have 100 per cent health-board commitment to the Fast Track Paris Declaration, with a new all-Wales coalition to be funded from January.
Work is also under way on a single sexual-health case-management IT system to give clinicians real-time data and allow ministers to track progress toward the 2030 goal.
Mr Miles warned, however, that global cuts in HIV funding could reverse hard-won gains in poorer countries.
“I will keep banging the drum internationally,” he pledged. “No one, anywhere, should be left behind.”
Campaigners welcomed the progress but urged the government to redouble efforts on late diagnosis and PrEP uptake among under-served groups.
Terrence Higgins Trust Cymru said: “These figures are genuinely exciting, but we can’t take our foot off the pedal. Zero transmissions by 2030 is within touching distance – let’s grab it.”
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