Health
Hidden waiting times conceal true NHS Wales crisis
OFFICIAL NHS figures suggest Wales is facing longer waiting times for treatment than England – but the reality for patients here is even worse than the statistics show.
In England, one in every 200 people was recorded last year as waiting more than a year for treatment. In Wales, the figure was nine in 200. Yet this stark comparison hides the full extent of delays faced by Welsh patients because of the way waiting lists are measured.
Different rules
In England, the “referral to treatment” (RTT) clock starts when a GP makes a hospital referral. In Wales, the clock only begins when the hospital receives the referral. That means any time spent in community services before a hospital referral is made is not recorded.
This difference creates what doctors call “hidden waiting times.” Patients and GPs report that waits for community assessments can stretch to eight months or more before the RTT clock even starts.
Example from orthopaedics
Orthopaedic patients in Wales often illustrate the problem. A GP concerned about a patient’s knee cannot usually refer straight to a surgeon. Instead, the patient must first go through a Clinical Musculoskeletal Assessment and Treatment Service (CMATS).
While the system was designed to give quick access to physiotherapists with extra training, in reality CMATS waiting times can be up to eight months. These months do not count towards the 26-week target for treatment. In practice, a patient’s entire “official” waiting period may not even begin until after they have already waited much longer in the community.
Invisible delays

Adding to the problem, a data standards change in 2022 removed public reporting of CMATS waiting lists. This means large sections of delay are invisible in the statistics.
The Herald reported last month that patients across Pembrokeshire have also been struck off waiting lists without explanation. Some only discovered they had been removed after chasing their appointments, and were told they would need to start the process all over again. For those affected, months or years of waiting were effectively wiped away.
Campaigners say this shows how the official figures fail to capture the real patient experience in Wales, where delays can be far longer than the statistics suggest.
Call for change
Earlier this summer, the British Medical Association (BMA) passed a new policy calling on NHS Wales to adopt the same definition of referral to treatment time as NHS England. They say the clock should start at the point of GP referral, and the 18-week target used in England should also apply here.
Until that change is made, health campaigners warn that comparisons between the two systems are meaningless, and patients in Wales will continue to suffer delays that go unrecorded and unacknowledged.
Health
Plaid Cymru to hold public meeting over Withybush hospital surgery cuts
Candidates say residents must be heard after emergency services decision
PLAID CYMRU candidates for the Ceredigion Penfro constituency will host a public meeting in Pembrokeshire to discuss concerns over the future of services at Withybush Hospital.
The event will take place at 6:30pm on Monday (Mar 31) at Letterston Village Hall, giving residents the opportunity to share their experiences and concerns following Hywel Dda University Health Board’s decision last month to remove emergency general surgery from the hospital.
Campaigners say the move will force many patients requiring urgent treatment to travel further for care, raising fears about the potential impact on patient safety in rural west Wales.
Elin Jones, Plaid Cymru lead candidate for Ceredigion Penfro, said: “Withybush is such an important hospital for the community and residents of Pembrokeshire. The decision to remove its emergency general surgery will severely weaken the life-saving capacity of this hospital.
“Plaid Cymru has long championed small rural hospitals such as Bronglais and Withybush. We need to ensure these hospitals remain strong local services within our communities. Withybush should have the basic life-saving and everyday treatment services it needs to function as a full general hospital.”
Kerry Ferguson, Plaid Cymru candidate for Pembrokeshire within the Ceredigion Penfro constituency, said the recent success of a public petition had demonstrated the strength of local feeling.
“It’s great to see that the online petition calling for Welsh Government intervention to restore emergency surgery and essential services at Withybush has reached its target, meaning it will now be debated in the Senedd,” she said.
“We are extremely disappointed by the Health Board’s decision to remove emergency general surgery at Withybush. Increased journey times for anyone in need of urgent medical treatment will put lives at risk. We need government intervention now to overturn this decision.”
Residents across Pembrokeshire have continued to raise concerns about the future of services at the hospital, which has long been a focal point in debates about healthcare provision in rural west Wales.
Health
Politicians seek legal advice over hospital decisions as petition passes 11,000 signatures
PEMBROKESHIRE’S two Members of the Senedd have written jointly to the Welsh Government’s Counsel General seeking legal advice on possible ways to challenge decisions made by Hywel Dda University Health Board affecting healthcare services in the county.
Paul Davies MS and Samuel Kurtz MS have asked the Counsel General, Julie James MS, to outline what legal mechanisms may exist to scrutinise or challenge the health board’s decision-making process, particularly in relation to changes impacting services at Withybush Hospital.

Their move comes amid growing concern from residents, clinicians and community groups about the impact of service changes on patient safety and access to care, especially in a rural county where travel times to alternative hospitals can be significant.
Public concern has also been reflected in a petition calling for intervention over the future of services at Withybush Hospital. The petition has now attracted more than 11,000 signatures and continues to gain support.
Having passed the required threshold, the petition can now be considered for debate in Senedd Cymru.
The two MSs say the level of public backing highlights the strength of feeling locally and the need for greater scrutiny of decisions being taken about healthcare provision.
Paul Davies MS said: “Residents across Pembrokeshire are deeply concerned about the cumulative impact that changes to healthcare services could have on patient safety and access to care in a rural area. The fact that more than 11,000 people have signed the petition highlights just how strongly people feel about this issue.”
Samuel Kurtz MS added: “People deserve confidence that decisions affecting vital healthcare services have been taken properly and with full consideration of the impact on local communities. We have therefore written to the Counsel General to seek advice on what legal avenues may exist to challenge these decisions and what powers the Welsh Government has to intervene where serious concerns have been raised.”
The MSs have also asked the Welsh Government to clarify what role it can play in reviewing or intervening where there are significant concerns about the governance and decision-making processes of a health board.
Health
Welsh Ambulance Service to host bi-monthly Board meeting
THE WELSH AMBULANCE SERVICE is preparing to host its bi-monthly Board meeting – and the public are invited.
Join the meeting on Thursday 26 March via Microsoft Teams to hear senior leaders cover a full agenda, including approval of the Integrated Medium-Term Plan for 2026-29, which outlines what the organisation will prioritise and deliver, how it will use its resources and how it will continue to improve care for the people of Wales over the next three years.
Board members will approve the initial revenue budget for the year ahead and receive an update on current financial performance.
The Board will also hear from Mr Clarke from Cwmbran, who describes an experience of trying to access help via 999 for his late father who was terminally ill.
There will also be an opportunity to pose a question to the Board.
Chair Colin Dennis said: “Board meetings give you the opportunity to really get to know our ambulance service, with a clear view of how important decisions are shaped and the processes behind them.
“They also create a forum to hear directly about ongoing work, explore how we can strengthen support for the Trust’s staff and patients, and connect with the people responsible for shaping those decisions.”
Click here to watch the Board meeting on Thursday 26 March 2026 from 9.30am.
This link will be active from 10 minutes before the meeting starts.
To pre-submit a question, please email [email protected] by no later than Wednesday 25 March 2026.An agenda will be available on the Trust’s website in the days prior to the meeting.
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