Health
Health board U-turn gives pay justice to NHS staff
Over 1,000 Swansea Bay workers – including some from Pembrokeshire – to receive long-overdue back pay
HEALTHCARE support workers at Swansea Bay University Health Board – including several who live or commute from Pembrokeshire – will finally receive years of unpaid earnings after the board reversed its decision to delay compensation payments.
The move follows a long-running campaign led by UNISON Cymru/Wales, representing the mainly female, low-paid workforce. Around 1,000 Band 2 healthcare support workers will now be upgraded to Band 3, with each receiving a lump-sum “recognition payment” covering years of underpayment.
Deal back on after protest
Staff were left angry last month when the health board unexpectedly “paused” the deal despite promising that payments would be made before Christmas.
On Tuesday (Oct 21) more than thirty staff marched to the board’s headquarters to deliver a 2,000-signature petition demanding that Swansea Bay keep its word. Just forty-eight hours later, the board confirmed that payments would now go ahead in full.
The Herald understands that the turnaround followed direct intervention from the Welsh Government, which urged the health board to honour its earlier commitment.
“A victory for the low-paid”
Tanya Bull, UNISON Cymru head of health, said: “Healthcare support workers in Swansea Bay have fought hard to be recognised and rewarded properly. They should be proud of this win and of forcing their employer to change course.
“This outcome was only possible thanks to significant intervention from the Welsh Government, without which it’s unclear whether Swansea Bay would have done the right thing.”
Lianne Owen, UNISON Cymru regional organiser, added: “I am very pleased that Swansea Bay Health Board has finally honoured its commitment. These staff can now continue providing excellent service to patients with confidence, knowing they are being properly valued and paid for the tireless work they do every day.”
Voices from the front line
Hollie Arnold, a healthcare support worker at Neath Port Talbot Hospital, said: “This is an absolute win for the hard-working healthcare support workers who have for too long gone above and beyond delivering high-class care and being underpaid for it.”
Tony Roberts, of Cefn Coed Hospital, described it as “a victory for the low-paid workers of the NHS”, while Melissa Lewis and Spencer Gibbs from Morriston Hospital said the long-awaited payment would make for “a very happy Christmas”.
What the rebanding means
Under the NHS Agenda for Change pay structure, healthcare support workers are graded according to the complexity of their clinical duties.
Those on Band 2 typically earn around £22,400 a year, while Band 3 pays approximately £24,300 – a difference of nearly £2,000 annually, plus back pay dating back several years for those affected.
The affected workers had been performing clinical tasks such as patient observations, blood monitoring and ECG tests – duties normally associated with a higher grade.
UNISON argues that the successful rebanding at Swansea Bay sets a precedent for similar roles in other Welsh health boards, including Hywel Dda, which covers hospitals in Haverfordwest, Carmarthen and Aberystwyth.
Wider impact for west Wales
Healthcare assistants from Pembrokeshire often work shifts in Swansea Bay hospitals under flexible contracts, meaning a number of local families are also set to benefit from the back pay.
Union officials say the outcome sends a clear message that support staff across Wales must be fairly recognised for their skills and responsibilities.
Cover photo:
Swansea Bay healthcare support workers confronting the health board (Pic: Natasha Hirst/Herald)
Health
Average of 18 deaths a week in Wales linked to A&E delays, figures reveal
NEARLY 1,000 deaths in Wales have been linked to long waits in accident and emergency departments, according to new data.
Figures published by the Royal College of Emergency Medicine (RCEM) estimate that 965 deaths in 2025 were associated with patients waiting 12 hours or more for care. That equates to around 18 deaths a week and marks an increase of 29 compared to 2024.
The RCEM has described the situation as a “tragedy” that should send shockwaves through the political system.
Dr Rob Perry, Vice President of RCEM in Wales, said his thoughts were with the families affected.
He said: “My heart goes out to the loved ones of anyone who died following long waits in emergency departments.
“These are often some of the most vulnerable patients — those who are seriously ill or injured and in need of urgent admission. They should be receiving timely care, but too often they are left waiting the longest.”
Dr Perry said the figures point to a wider failure across the healthcare system, highlighting a lack of hospital beds and what is known as “exit block” — where patients cannot be discharged due to delays elsewhere in the system.
He said improving patient flow through hospitals, rather than diverting people away from emergency departments, is key to tackling long waits.
With Senedd elections approaching, the RCEM is urging political parties to prioritise increasing hospital capacity and addressing overcrowding in emergency departments.
A Welsh Government spokesperson said too many people are still waiting too long for emergency care.
They said: “Long stays in emergency departments are distressing for patients and their families and can lead to poorer outcomes, particularly for older people and those with complex needs.
“We have made clear that health boards must improve patient flow, eliminate 12-hour waits and end care being delivered in temporary spaces.
“We are working with the NHS, local authorities and partners to reduce pressures by expanding community-based care and increasing social care capacity.
“We remain committed to improving outcomes for people who need emergency treatment.”
Sandy Harding, Associate Director of Nursing, Policy and Professional Practice, Royal College of Nursing Wales said: “These findings are deeply disturbing and reflect our members’ experience in our 2025 report On the frontline of the UK’s corridor care crisis.
“Every day, our members are witnessing the consequences of a system under extreme and sustained pressure, where patients are waiting far too long in environments that are not fit for safe, dignified care.
“Corridor care has become an all-too-common reality in our hospitals, with patients being treated in inappropriate spaces without the privacy, monitoring, or resources they need. This is not what patients deserve, and it is not what nursing staff are trained to deliver.
“Behind the figures are real people – patients whose conditions can deteriorate rapidly while waiting and nursing staff who are doing everything they can in increasingly difficult circumstances. The emotional and professional toll on the workforce cannot be overstated.
“We urgently need action to address the root causes of these delays, including improving patient flow, increasing capacity and investing in both health and social care services. Without meaningful intervention, we risk normalising a level of care that falls far below acceptable standards.
“Our Election Manifesto is clear that the next Welsh government must eradicate corridor care as a matter of urgency, and we expect that in the first 50 days of being in office that they:
- commit to publish Corridor Care data by Health Board monthly
- direct NHS Wales to pause the reduction in hospital beds and commission two national reviews, to examine A&E and hospital bed capacity at different levels of patient dependency
- establish care delivered to a patient in a chair for more than 24 hours as a “never event”.”
- Welsh Liberal Democrat Leader Jane Dodds MS said: “These figures are a national scandal. Nearly a thousand people dying after waiting over 12 hours in A&E reflects a system that is fundamentally broken and causing avoidable deaths.
- “For too long, the focus has been on the front door of hospitals, when the real crisis is at the back door. Patients cannot be discharged because social care is overstretched, beds remain blocked, and A&E departments become dangerously overcrowded.
- “The Welsh Liberal Democrats have been the only political party focusing on fixing social care. We secured an extra £30 million for social care last year, and in Powys, that investment has already helped cut delayed discharges by a third. But this is only a drop in the ocean; we need to go much further and faster.
- “If we are serious about ending these avoidable deaths, the next Welsh Government must properly fund social care and take a whole-system approach to fixing patient flow and funding social care properly will be a red line in any negotiations we hold with other parties.”
Community
Calls to block Withyhedge landfill expansion amid ‘worst in Wales’ claims
Campaigner and Senedd Member urge residents to respond as consultation deadline approaches
FRESH calls have been made to block the proposed expansion of Withyhedge Landfill, with residents warning that allowing further waste operations would be “outrageous” given the site’s recent track record.
Natural Resources Wales (NRW) is currently consulting on a permit variation application submitted by Resources Management UK Ltd (RML), which operates the Pembrokeshire site.
The consultation, which could allow the site to accept additional waste including up to 50,000 tonnes of “waste soils” per year, will remain open until Thursday (Mar 26).
The Herald has previously reported on ongoing issues at Withyhedge, including complaints of strong odours, gas emissions and concerns about potential health impacts in nearby communities.
In a formal objection submitted to NRW, long-time campaigner Colin Barnett said the regulator should not consider expanding the site while problems persist.
He said: “The public have had enough of ineffective regulation of Withyhedge Landfill by NRW’s hands-off minimal inspection process.
“We don’t want to breathe toxic gases from this landfill. We don’t want to be woken up in the night by poisonous gases trapped in our house and we don’t want to step out into our gardens to be chased inside from the insidious stink still being emitted from the pit of corruption.”
The objection raises concerns about the operator’s compliance record, claiming the site has been among the worst-performing permitted installations in Wales in recent years, with further issues identified following its reopening in 2025.
It also points to reported hydrogen sulphide emissions, which residents say have at times exceeded recognised odour guidelines and caused distress to those living nearby.
Barnett added: “RML, the waste company, will say they spent £10 million on resolving this problem. We would advise them to ask for their money back as we still get horrendous spikes of gas drifting into our communities.”
The proposed variation would also include revised restoration levels and changes to monitoring of groundwater, surface water and leachate.
However, objectors argue that the term “waste soils” is too vague and could include contaminated materials. Particular concern has also been raised about the site’s existing licence to accept asbestos and the potential risks of handling multiple hazardous waste streams.
Barnett said: “Of specific public concern is their request to tip asbestos on this site. Beggars belief.”
The objection also questions whether the permit process is being advanced ahead of any decision by Pembrokeshire County Council on increasing the site’s capacity.
Concerns have further been raised about what has been described as a “daisy chain” of companies linked to the site’s ownership, which objectors claim allows waste to be transported with limited oversight.
Barnett said: “The documents identify our concern with the ‘daisy chain’ of companies owned by David Neal that allow him to transport waste into our county with minimal inspection.”
Preseli Pembrokeshire MS Paul Davies has also urged residents to take part in the consultation, warning that local voices must be heard before any decision is made.
Mr Davies said: “This consultation is an important opportunity for residents to make their views known about the future of the Withyhedge landfill site.
“There have been ongoing concerns about the site’s environmental performance and its impact on local communities, and it’s vital that Natural Resources Wales hears directly from the people who live in the area.
“I have made clear to the Welsh Government that I believe the site should be looking towards closure rather than expansion, and that Pembrokeshire must not become a dumping ground for waste.
“I would strongly encourage residents to take part in the consultation and submit their views before the deadline.”
NRW’s consultation process is ongoing, and no final decision has yet been made.
The proposed changes are likely to intensify an already heated debate around Withyhedge, which has become one of the most contentious environmental issues in Pembrokeshire in recent years.
Health
Calls for urgent action as ‘corridor care’ concerns grow in Welsh hospitals
CONCERNS over patients being treated in hospital corridors have intensified after a new report highlighted the scale of pressures facing emergency departments across Wales.
The Royal College of Emergency Medicine has published findings describing the increasing use of so-called “corridor care”, where patients receive treatment in non-clinical areas due to overcrowding.
Responding to the report, Rhian Bowen-Davies warned that the situation risks becoming normalised unless urgent action is taken.
She said: “The findings offer further important insight into the scale and impact of care delivery in non-clinical environments and demonstrate why far more needs to be done.
“Words like ‘frightening’ and ‘warzone’ should never be used to describe aspects of our health service, yet this kind of language is increasingly common in reports from patients and staff, as well as in conversations I’ve had with older people and their loved ones across Wales.”
The Commissioner said there is growing evidence that corridor care is now an “everyday reality” within the NHS, driven by sustained pressures on services.
She added that the practice puts both the safety and dignity of patients at risk, particularly older people, who are more vulnerable when treated outside appropriate clinical settings.
Call for coordinated response
The Commissioner is now urging health boards and the next Welsh Government to take coordinated action to ensure patients are treated in suitable environments at all times.
She said improving conditions would not only help deliver safe and dignified care, but also rebuild public confidence in the health service.
“Restoring trust is crucial,” she added. “Many older people feel that confidence in the system has been lost.”
The report adds to mounting pressure on NHS services in Wales, where emergency departments have faced ongoing challenges with demand, staffing and patient flow.
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