Health
Millions with arthritis ‘left waiting and left behind’ in Wales
MILLIONS of people across the UK — including thousands in Wales — are being left to cope in constant pain, unable to work, and without timely treatment or support, according to a major new report from Arthritis UK.
The charity’s study, Left Waiting, Left Behind: The Reality of Living with Arthritis, reveals the scale of suffering faced by the one in six people in the UK living with arthritis, and warns that lives and livelihoods are being destroyed by long NHS delays, poor understanding, and a lack of investment in musculoskeletal (MSK) care.
The report, which surveyed 8,000 people across the UK — including 644 from Wales — found that nearly seven in ten (69%) live in pain most or all of the time, while 43% say their condition is not well managed.
More than half (51%) of Welsh respondents said their symptoms were not taken seriously or were underplayed by frontline healthcare staff.
Over half (55%) said their arthritis has severely or very severely affected their ability to exercise — even though physical activity is known to be crucial in preventing other long-term conditions.
Mental health and work at breaking point
The report found that 69% of respondents said waiting for treatment had harmed their mental health, with anxiety, low mood and isolation all common.
More than half (57%) said arthritis had impacted their ability to work, while 45% said they had stopped work completely because of the condition. A further 41% said arthritis played a part in their decision to retire.
For many, daily life has become a battle with chronic pain and exhaustion.
Tina Gough, from Ferryside, who has osteoarthritis and psoriatic arthritis, has been waiting for surgery for three years.
“I’ve been waiting for a double shoulder replacement and surgery on my wrist for three years,” she said. “My husband has to cut up my food and brush my hair because I can’t lift my shoulders.
I know I’m not the only one on a waiting list, but people don’t see what happens behind closed doors — when you try to get on with life despite being in constant pain.”
A ‘ticking timebomb’ for Wales
Arthritis UK Chief Executive Deborah Alsina MBE said the condition remains “grossly misunderstood”, and called for urgent action from governments and health services.
“Too many people with arthritis in Wales and across the UK are being left unsupported and left to face daily pain, without timely diagnosis and adequate treatment,” she said.
“Arthritis is not an inevitable part of ageing. We are sitting on a ticking timebomb of costs that the country will struggle with if it is not properly recognised as a major risk to public health.”
The charity says early diagnosis and better management of arthritis could reduce NHS pressures, improve mental wellbeing, and keep more people in work. But many patients are waiting years for orthopaedic surgery or specialist appointments — particularly in Wales, where waiting times for joint replacements remain among the longest in the UK.
Welsh Government urged to act
Mary Cowern, Head of Nation at Arthritis UK Cymru, said Wales urgently needs to deliver on its commitment to improve musculoskeletal care.
“Arthritis UK has called for improved training for frontline healthcare professionals to enable earlier diagnosis and better support,” she said.
“The Welsh Government has developed an All-Wales Multi-Professional Musculoskeletal Capability Framework to improve skills and knowledge of NHS staff in primary and community care. But it’s vital that this plan is implemented quickly — and that long waiting times for surgery are reduced as soon as possible.”
Unequal and unfair
The report found that the impact of arthritis is not evenly spread. Younger adults, people from lower-income backgrounds, and those with autoimmune inflammatory conditions — such as rheumatoid or psoriatic arthritis — experience worse outcomes, longer waits, and greater mental health impacts.
People from lower social grades were more likely to report unmanaged pain and less likely to find self-management techniques useful, while younger adults faced stigma and disbelief from healthcare professionals who often dismissed them as “too young” to have arthritis.
The survey found that 40% of all respondents said arthritis had negatively affected their personal relationships, while 30% said their sleep was severely affected by their symptoms.
A hidden crisis in Wales
The findings come amid record NHS waiting lists, with more than 60,000 people in Wales currently waiting for orthopaedic treatment. In Pembrokeshire, residents continue to face delays at Withybush Hospital and other regional centres, leaving many unable to work, exercise, or live independently.
Arthritis UK says the situation is “not inevitable” and can be changed through investment, training, and recognition of arthritis as a national health priority.
The charity has also announced a rebrand from Versus Arthritis to Arthritis UK, following consultation with people living with the condition. It hopes the change will make its services easier to find and raise awareness of the support available.
Arthritis UK provides support, training, and research funding, and is calling for arthritis and other MSK conditions to be recognised as a major public health issue. It says people with arthritis must have equal access to personalised treatment and care, regardless of where they live, and should be empowered to take an active role in decisions about their health.
The full report, Left Waiting, Left Behind: The Reality of Living with Arthritis, is available at www.arthritis-uk.org
Health
Labour and Plaid Cymru strike £300m budget deal
THE LABOUR Welsh Government has struck a £300m deal with Plaid Cymru to pass its £27bn spending plans for next year, with additional money for the NHS and councils.
The budget agreement will allow the Welsh Government’s final budget for 2026/27 to pass through the Senedd in January, averting a potential crisis for public finances.
Labour cannot pass a budget on its own because the party is two votes short of a majority after Plaid Cymru won the Caerphilly by-election.
Since the draft budget was published, councils have warned of a £400m funding gap and experts suggested the NHS faced a “historically low” funding settlement.
Without a deal, the picture would have been far worse – with the Welsh budget automatically reverting to 75% of last year’s, rising to 95%, costing public services billions of pounds.
The deal, which was announced in a written statement from First Minister Eluned Morgan, includes an extra £112m for councils, so all local authorities will receive at least 4% more.
An additional £180m will be spent on health and social care, the equivalent of a 3.6% increase. Meanwhile, £120m of longer-term capital funding will be available for the next government following the Senedd election in May 2026.
Baroness Morgan said: “This agreement shows the strength of the Senedd parties working together on shared priorities to deliver for Wales. Through this agreement we have secured the passage of the budget and prevented potentially catastrophic cuts to funding next year.”
Plaid Cymru previously supported Welsh Government budgets under the cooperation agreement, which contained 46 commitments, between December 2021 and May 2024. The party was in the ‘One Wales’ coalition government with Labour from 2007 to 2011.
Heledd Fychan, Plaid Cymru’s shadow finance secretary, warned the Labour draft budget would have been “catastrophic” for public services. She said her party was not prepared to let that happen as she pointed to more funding for councils and the NHS under the deal.

Last year’s budget was voted through after ministers cut a £100m deal with Jane Dodds, the Liberal Democrats’ Welsh leader and the party’s sole Senedd Member.
Ministers had been in budget talks with Conservative and independent Senedd Members for weeks, with the Tories calling for land transaction tax on primary homes to be scrapped.
Darren Millar, the Conservatives’ leader in the Senedd, described the deal as “another Labour-Plaid Cymru stitch-up”, accusing the First Minister of “playing games”.

He said: “Labour and Plaid’s deal will mean yet more of the same wasteful spending on extra politicians, overseas embassies and trees, instead of focusing resources on the priorities of the people of Wales, and putting more cash into people’s pockets.”
A Reform UK Wales spokesperson said: “This is more evidence that a vote for Plaid next year is a vote for Labour. While Labour find themselves without a paddle, Plaid have stepped in yet again to save them.”
The government’s final budget for the 12 months from April will be published on January 20.
Health
Senedd backs bill to create smoke-free generation and curb youth vaping
A LANDMARK BILL aimed at creating Wales’ first smoke-free generation has been backed by Members of the Senedd on Tuesday (Dec 9).
The Tobacco and Vapes Bill — which applies across all four UK nations — will make it illegal for anyone born on or after 1 January 2009 to purchase tobacco products. The legislation has already passed the House of Commons and is currently being considered by the House of Lords.
Mental Health and Wellbeing Minister Sarah Murphy welcomed the Senedd’s vote on the legislative consent motion, describing the Bill as vital to protecting young people from a lifetime of nicotine addiction. Ahead of the debate, she met school children who shared a poem they had written about a smoke-free future, along with pledges of support gathered from their peers.
Wales has already led the UK in tightening smoking laws, introducing restrictions in outdoor public spaces — including hospital grounds, school grounds and playgrounds — to reduce exposure to second-hand smoke, particularly for children.
Sarah Murphy said: “This is a historic day for public health in Wales. Despite real progress in reducing smoking levels, tobacco remains one of the leading causes of preventable disease and premature death. The Tobacco and Vapes Bill gives us a unique opportunity to tackle smoking and the growing issue of youth vaping, and to significantly improve public health in Wales and the wider UK.”
Wales’ Chief Medical Officer, Professor Isabel Oliver, added: “Tobacco addiction kills thousands of people in Wales every year and continues to drive health inequalities. This Bill offers a once-in-a-generation chance to break that cycle and protect future generations from a product that has caused immeasurable harm.”
The Bill will introduce tougher rules around vapes, including stricter advertising controls to prevent products being marketed to children. It will also introduce a new licensing scheme for anyone wishing to sell tobacco or vaping products, giving enforcement officers stronger tools to tackle illegal sales.
Trading Standards Wales will receive more than £650,000 from the Welsh Government over the next three years to support implementation, including the recruitment and training of five apprentices to assist with enforcement operations.
Health
Learning disability packs rolled out across local emergency departments
FOLLOWING a successful pilot at Glangwili Hospital’s emergency department, Hywel Dda University Health Board (UHB) has rolled out Learning Disability Packs across Carmarthenshire, Ceredigion, and Pembrokeshire.
These packs are designed by the health board’s Learning Disabilities Team to make emergency hospital visits less stressful and more accessible for adults with learning disabilities. They provide clear, simple information and reassurance for patients and their families.
The pack is available at Bronglais, Glangwili, Withybush hospital’s emergency departments (A&E) and Prince Philip Hospital’s Acute Medical Assessment Unit (AMAU).
It is designed to provide clear, simple information and reassurance and includes:
- Easy Read information
- Pictures and symbols to aid understanding
- Details about what will happen during the visit
- Information about staff who can help
To ensure the packs are offered promptly, the Learning Disabilities Team is working closely with front-of-house staff and holding staff drop-in sessions. Posters will also promote their availability throughout departments and patients, or their carer can ask for a pack at the reception desk.
“These packs were developed to help make emergency care less stressful and more accessible for adults with learning disabilities. We’re delighted these packs are now available across our hospitals,” said Melissa Evans, Learning Disabilities Health Facilitation and Liaison Team Manager, at Hywel Dda UHB.
Anyone with a learning disability is also encouraged to complete a Health Profile and share it with health workers when visiting hospital. This profile includes essential information for health workers and can be used across all health and social care appointments.
Melissa added: “A Health Profile is an important communication tool for people with a learning disability. It can include information about how to communicate, their medication and allergies, and the reasonable adjustments they may need.
“Everyone is different, so we encourage anyone with a learning disability to fill in a Health Profile and take it with them when you need to go to hospital or see health and social care staff.”
Health Profiles are available to download at https://www.improvementcymru.net/health-profile along with advice on how to fill it in.
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