Health
Two-year NHS waits in Wales labelled ‘completely unacceptable’ during FMQs
LONG NHS waiting times in Wales came under scrutiny at the Senedd on Tuesday (Nov 4) as Welsh Conservative leader Darren Millar MS criticised the government over unfulfilled promises to eliminate two-year treatment waits.
During First Minister’s Questions, Mr Millar challenged the Deputy First Minister over a pledge made by the former Health Minister, now First Minister, to end such long waits by March 2023. According to the latest figures, 8,703 patients in Wales have been waiting more than two years for treatment.
By comparison, NHS England’s most recent data shows just 168 people waiting more than two years, despite England having a population around 18 times larger than Wales.
Mr Millar said the situation was “completely unacceptable” and repeated calls for the Welsh Government to declare a health emergency to focus resources on tackling long treatment delays.
He said: “The First Minister has broken her promises to patients and the people of Wales time and again. It is completely unacceptable that patients in Wales are still nearly 500 times more likely to wait for two years or more for treatment than patients over the border in England.”
The Welsh Government has previously acknowledged the scale of post-pandemic pressures on the NHS, citing increased demand, staffing shortages and the impact of delayed operations during COVID-19 as key factors behind the long waits. Efforts have been made to reduce waiting lists through targeted recovery funding, weekend clinics, and extra capacity in diagnostics and planned care.
According to official Welsh Government data, the overall waiting list for treatment in Wales stood at more than 760,000 pathways in late 2025—roughly one in four people in the country. Of those, around 250,000 have been waiting over a year.
Ministers have said that significant progress has been made in reducing the longest waits for urgent cancer treatments and outpatient procedures, but pressures remain in areas such as orthopaedics, ophthalmology and general surgery.
The latest NHS Wales performance summary for August and September 2025 is expected to provide further detail on progress across health boards as the government continues to work towards its backlog recovery targets.
Health
Welsh Ambulance Service invites public to AGM and Board meeting
Annual report, finances and patient experiences will be discussed during online meetings on July 30
THE WELSH AMBULANCE SERVICE is inviting members of the public to attend its Annual General Meeting and bi-monthly Board meeting later this month.
The AGM will be held online via Microsoft Teams on Thursday, July 30, from 9.30am until 10.45am.
Members of the Board will provide updates on the Trust’s performance and financial position, as well as discussing its annual report and accounts for 2025/26.
There will also be an opportunity for stakeholders and members of the public to submit questions.
Colin Dennis, Chair of the Welsh Ambulance Service, said: “Our AGM is an important opportunity to reflect on the achievements and progress of the past year and the impact these have had on our services.
“This includes transforming the way we deliver services to provide patients with the right advice and care, in the right place, every time.
“It also gives us the chance to look ahead, share our vision for the future and explain the actions we are taking to achieve it.”
Questions can be submitted during the AGM using the Microsoft Teams Q&A function.
Alternatively, questions can be sent in advance by emailing [email protected] before Wednesday, July 29.
The Trust’s bi-monthly Board meeting will take place immediately after the AGM, beginning at 11am.
During the meeting, Board members will hear the findings of the Good Governance Institute’s recent external review of the Trust Board’s effectiveness.
They will also hear from Lucy Burrows, whose young son lives with a range of physical and neurodiverse conditions.
Ms Burrows will speak about her family’s experience of the patient-centred care provided by an attending Emergency Medical Service crew.
An agenda for the Board meeting is expected to be published on the Welsh Ambulance Service’s website shortly.
Questions for the Board can also be submitted in advance by emailing [email protected] by Wednesday, July 29.
The Microsoft Teams links for both meetings will become active around ten minutes before each meeting begins.
Health
Two new surgeons appointed as Hywel Dda admits orthopaedic waits remain too long
Health board says it is increasing capacity after figures revealed hip replacement patients waited an average of 64 weeks
HYWEL DDA UNIVERSITY HEALTH BOARD has appointed two additional surgeons as part of efforts to reduce lengthy waits for orthopaedic treatment across west Wales.
The health board confirmed the appointments after figures revealed that patients undergoing elective hip replacement surgery waited an average of 450 days during the 2025/26 financial year.
That is equivalent to more than 64 weeks from referral to treatment.
As of May 28, 2026, a total of 1,608 patients were on Hywel Dda’s waiting list for hip replacement surgery.
Sixteen patients were also removed from the list during the financial year after deciding to undergo private treatment.
Responding to questions from The Herald, Gareth Cottrell, Deputy Chief Operating Officer at Hywel Dda University Health Board, acknowledged the effect prolonged waits were having on patients.
He said: “The current national delivery expectation for health boards in Wales is to treat orthopaedic patients within a maximum of 104 weeks from the point of referral to treatment.
“In recent years, waiting times for orthopaedic treatment in Hywel Dda have been among the lowest of any health board in Wales, but we recognise that waiting times remain too long and the impact these have on our patients while awaiting the treatment they need.”
The health board said it continued to maintain dedicated ward and theatre capacity for elective orthopaedic procedures at Prince Philip Hospital in Llanelli and Bronglais Hospital in Aberystwyth.
Day-case surgery is also being carried out at units across Hywel Dda’s hospital sites.
Mr Cottrell said: “We remain committed to improving waiting times and are working closely with our regional health board partners to maximise the treatment capacity we can offer patients across the wider South West Wales area.
“During the past year, we have appointed two additional surgeons to support our continuing efforts to reduce waiting times.”
The health board did not provide details of where the new surgeons would be based, how many additional operations they were expected to carry out or when patients would begin to see a significant reduction in waiting times.
Plans to expand orthopaedic capacity also formed part of Hywel Dda’s Clinical Services Plan consultation.
Mr Cottrell added: “Improving our orthopaedic services has also been a key part of our Clinical Services Plan that we consulted upon last year, with plans being developed to increase capacity and help more patients access the care they need.”
Hip replacements are commonly offered to patients suffering severe pain, stiffness and loss of mobility after other treatments, including physiotherapy, medication and injections, have failed to provide sufficient relief.
Lengthy waits can leave patients struggling with worsening pain, disturbed sleep and a loss of independence, while some may be forced to reduce their working hours or leave employment.
The waiting-time figures were obtained through a Freedom of Information request submitted by healthcare marketplace My Medical Gateway.
The company said the health board returned its response on June 8, 2026.
Health
MSs clash over funding formula as Reform call for government to abandon plans
SENEDD Members clashed over plans to review Wales’ funding formula, following the Welsh Government’s defeat in its pursuit of change.
Constitution minister Dafydd Trystan Davies defended the Welsh Government’s stance amid Reform calls for the plans to be abandoned.
On Tuesday July 14, Reform’s Cai Parry-Jones said Plaid Cymru had experienced a “crushing defeat” last week when they were “refused” permission from the Senedd to argue for a different funding model for Wales.
He said: “Reform, with the support of Labour and the Conservatives, potentially saved £1.5 billion annually for the Welsh Government’s budget. You’re welcome.
“Now that the Senedd has spoken, will you abandon your plans to argue for a change for the funding model for Wales?”
Responding with a simple “no”, Dr Trystan Davies said: “What has become very clear in assessing the financial situation facing Wales is that we need fair funding for Wales and funding that reflects the needs of the population. Wales has nothing to fear from a review of that kind.”
Reform’s shadow finance and government efficiency minister pointed to Plaid’s manifesto promises – much of which Mr Parry-Jones described having “hinged on an optimistic change of the funding model”.
He said: “Now that the Senedd has rejected your calls to change the funding model, what changes have you made to your programme for government?”

Dr Trystan Davies responded: “I hope that colleagues across this Senedd will work to ensure that the Welsh Government and the public sector in Wales work at their most effective and that we, over the next four years, can identify more funding that can be invested in the priorities of the people, to support childcare, to support the economy, to support the health service.”
Huw Thomas – Labour’s spokesperson for finance and democracy – questioned the minister on Plaid’s funding formula review.
The former Cardiff Council leader revealed he had received a written response from local government minister Sian Gwenllian, who said that as part of the government’s funding formula review it is “reviewing the data on primary indicators” such as “those relating to deprivation and sparsity of population”.

Mr Thomas said there are “huge concerns” in parts of Wales that Plaid will “copy what Rishi Sunak did in England and redistribute funding via the funding formula away from poorer urban areas towards relatively wealthier rural ones.”
The Caerdydd Penarth MS asked the minister what issues he has identified in the “underlying data and indicators” that have prompted this review.
In response, Dr Trystan Davies said: “As with all official statistics, the government keeps a close eye on the accuracy and effectiveness of that data to ensure that they are clearly and accurately reflected in the formulas.
“The spokesperson himself [Mr Thomas] comes from Aberystwyth and he knows full well that there are areas of significant poverty in rural Wales as well as industrial Wales.”
He continued: “Setting those communities against each other is a disappointing approach from the spokesperson, I would suggest.”
Mr Thomas noted in response that he “didn’t hear” the minister share “what figures had pushed [him] to hold that review.”
Calls for a Welsh Covid inquiry came from both the Reform and Conservative benches in Tuesday’s plenary.
Following his questions on Plaid Cymru’s plans to argue for a change to the funding model for Wales, Mr Parry-Jones pressed the minister to confirm what actions his government will take to bring about a Welsh Covid review.
He said: “Responding to the Covid inquiry’s fifth report today, the First Minister rather vaguely said that Plaid remains committed to reviewing the Wales Covid response.
“In March, Plaid said it would hold a short, sharp and focused review of the Welsh Government’s Covid response, a far cry from the full-fat all-Wales inquiry Plaid previously called for for years, including during your 2024 manifesto.
“Now, following that u-turn, nobody knows what your review actually is – not when it’s happening, not for how long, not even what elements of the Covid response it would focus on.
“Surely, Minister, now is the time to make it clear to bereaved families what actions exactly your government is going to take.”
Dr Trystan Davies said the government is committed to conducting a Covid review. He said: “That’s what we said in our manifesto and that’s what we intend to do.
“I’m pleased to say that I have already been in correspondence with the Covid Bereaved Families on our intentions and hope to arrange a meeting with them soon, because it’s important that the voices of those who have suffered are part of that discussion and feed in to the work of government.”
Andrew RT Davies, Welsh Conservative MS for Pen-y-Bont Bro Morgannwg, also pressed the minister on his inquiry plans.

Mr Davies said it was “vital” the government “sticks to their commitment” and “enacts a Covid inquiry – not a review”.
He called on the minister to confirm that “the government’s thinking, whatever emerges, will be set up under the Inquiries Act 2005, which would compel witnesses to come before that inquiry and give evidence”.
Dr Trystan Davies reiterated that work is “progressing” on the government’s Covid review and noted he will be “liaising closely” with the bereaved families.
The Conservative MS thanked the minister for his “warm words” but described the response as of “little substance”.
Mr Davies said: “The reality is that we found out, with the Covid committee that was set up in the previous Senedd term, that unless witnesses were compelled to give evidence, that committee was thwarted in its endeavours to get to the truth.
“Today, for example, the Covid inquiry reports that, on the FFP3 respirator masks that we were told Wales was well stocked with prior to the Covid pandemic in its emergency allocation, there wasn’t a single mask in Wales available for the health service to use.
“These are the things we need to get to the core of as to what was not provided, what was mislaid, what was deliberately not ordered to save money, and what was not acted on on the emergency planning trials that were held prior to the Covid pandemic.”
He called on the Welsh Government to “stick to your guns, stick to your morals, stick to the votes that you made prior to the Senedd election and have a full-blown inquiry that gets to the truth and, ultimately, prepares Wales for any future pandemic.”
Responding, Dr Trystan Davies said: “Reading the most recent module report on Covid brings home the sobering impact of Covid right across this country.
“Those lessons must be learnt, and the review that we are committed to undertaking must have the ability to address those precise issues that you have set out and that is what we will seek to do.”
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