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Health

Winter pressure may overwhelm West Wales services despite handover ‘improvement’

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Coroner’s verdict, six-hour rugby injury wait and rising delays deepen concern in Pembrokeshire

AMBULANCE handover delays in Wales have improved, but health leaders warn the NHS remains under severe strain as winter begins — with Pembrokeshire among the hardest hit. The warning from the Welsh NHS Confederation follows a difficult week for local health services marked by a coroner’s ruling on a Christmas Day death and public anger over extreme ambulance waits.

Christmas Day inquest renews scrutiny

Charlotte Burston died in 2023 when an ambulance was not dispatched

A coroner concluded this week that Charlotte Burston, 40, from Llanteg, would probably have survived had an advanced paramedic been dispatched on Christmas Day 2023. Despite one being available, the specialist crew was not sent. The case has intensified concerns around the Welsh Ambulance Service, particularly in rural areas where long travel times amplify the impact of any dispatch delay.

Rugby player left for more than six hours

Upset with ambulance waiting times: Sam Kurtz MS

In September, a local rugby player with a suspected neck and back injury waited more than six hours for an ambulance. The emergency call was made at 8:00pm and teammates were told not to move him due to the risk of spinal injury. Help finally arrived at 2:20am.

The incident was highlighted in the Senedd by Sam Kurtz, whose video explaining the delay received 664 reactions and over 200 comments on Facebook, reflecting widespread frustration. Kurtz linked the incident to a second case involving an elderly man who also waited over six hours for an ambulance, calling the situation “dangerous and unacceptable”.

A system under strain: Welsh NHS Confederation has said investment is needed

NHS Wales “running hot” before winter peak

The Confederation said the NHS is already “running hot”, driven by an early flu season, rising diagnostic delays and an increase in delayed discharges. The number of patients medically fit to leave hospital but unable to do so because no social care package is available rose again in September.

Pembrokeshire is particularly affected. Shortages in the social care workforce frequently leave patients stranded in hospital for days, backing up beds at Withybush Hospital and creating knock-on delays in emergency departments and ambulance bays.

Darren Hughes, director of the Welsh NHS Confederation, said long-term improvement will not be possible without strengthening social care staffing and investing in modern NHS buildings and digital systems.

Future of local services under debate

The pressures come as Hywel Dda University Health Board carries out a major consultation on the long-term shape of urgent and emergency care across West Wales, including the future role of Withybush Hospital. Residents have raised concerns that any reduction in local emergency capability would further increase response times.

A system under strain

Health leaders are urging residents to use community pharmacies for minor ailments, check the NHS 111 website before attending A&E, and take up flu and Covid vaccinations.

But after a Christmas Day death that a coroner said was avoidable, a rugby player left on a pitch for six hours, and persistent delays linked to social care shortages, confidence in the resilience of local emergency care remains fragile as winter pressures build.

Cabinet Secretary for Health and Social Care, Jeremy Miles, said: “I am pleased the £120m investment I announced in June to support the NHS is making a positive difference.

“In October, there were 43% fewer hours lost in ambulance patient handover times and 42% fewer delays of more than an hour outside emergency departments, compared to last year.

“This means ambulance crews are able to respond to people experiencing cardiac arrests within the response time, and response times for ‘amber’ category patients improved by 23 minutes compared to October 2024.

“I know there is more to be done.

“On Wednesday, I announced further measures to help Betsi Cadwaladr University Health Board improve emergency and planned care performance.

“Despite some signs of improvements since it was placed in special measures in February 2023, significant and persistent challenges remain.

“The steps being taken are necessary to ensure people receive the care they deserve. Yesterday, I held a public accountability meeting with the health board in North Wales – where we held them to account, including on waiting times targets; the health board’s financial position and outlook; and quality and safety.

“I also know there is a lot of great work happening across Wales and I want to thank our NHS staff for their continued dedication and efforts.”

 

Health

Ambulance called after ‘drop of mouthwash’ swallowed as 999 abuse highlighted

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THE WELSH AMBULANCE SERVICE has revealed a series of inappropriate 999 calls made last year — including one from a person who rang emergency services after accidentally swallowing a small amount of mouthwash.

The call was among dozens of examples released by the trust to underline the growing pressure on emergency services caused by non-urgent use of the 999 system.

Figures show that of the 414,118 incidents recorded by the Welsh Ambulance Service in 2025, around 15 per cent — 62,454 calls — were deemed not suitable for an emergency ambulance response. That equates to roughly one in every seven calls.

Other examples included callers reporting a sore throat, a loose tooth, ointment in an eye, and minor ear and finger injuries — conditions that could have been treated through alternative NHS services.

Senior ambulance leaders warned that such calls divert vital resources away from genuine emergencies, including heart attacks, strokes, serious injuries and life-threatening incidents.

Andy Swinburn, executive director of paramedicine, said staff are trained to respond rapidly to severe and urgent medical situations, but misuse of the emergency line slows response times for those in real danger.

“When people call 999 for minor ailments, it takes valuable time away from call handlers and clinicians who may be trying to help someone in cardiac arrest or with catastrophic bleeding,” he said.

“Our message is simple — use common sense and help us protect emergency services for those who need them most.”

Lee Brooks, executive director of operations, added that none of the highlighted calls required an ambulance and that many would now be dealt with by telephone advice only under the service’s updated clinical model.

“This is not about blaming people,” he said. “We understand that worry and anxiety can cloud judgement. But the ambulance service exists for urgent and life-threatening situations — not routine illnesses or minor injuries.”

He warned that calling 999 does not guarantee an ambulance will be dispatched, nor does arriving at hospital by ambulance mean a patient will be treated more quickly.

“While crews are tied up with non-urgent calls, someone else’s parent, child or friend could be lying unconscious after a serious collision or suffering a cardiac arrest,” he said.

The trust is urging the public to familiarise themselves with alternatives to 999, including NHS 111 Wales for urgent health advice, pharmacists for common conditions, and minor injury units for less serious injuries.

A spokesperson added that keeping basic medicines at home and staying on top of prescriptions can also reduce unnecessary pressure on emergency services.

The Welsh Ambulance Service said the real-life examples were shared to encourage responsible use of 999 and ensure help reaches those who need it most — when seconds truly matter.

 

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Business

Optical roles show weekend jobs still thrive for young people in Pembrokeshire

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AN OPTICIANS in Haverfordwest is proving that the traditional Saturday job is far from dead, offering young people practical experience, transferable skills and a genuine pathway into long-term careers.

With figures suggesting almost one in eight people aged 16–24 are not in education, employment or training, the decline of weekend work has increasingly been cited as a barrier to young people becoming workplace-ready. But the locally owned and run Specsavers Haverfordwest is bucking that trend by actively recruiting and supporting young staff.

The store currently employs Kyle Ashbourne, 16, who has worked weekends as a trainee optical assistant since November while studying at college. The role provides hands-on experience in customer service and retail, alongside an introduction to the technology and processes involved in eye examinations and the wider optical profession.

Speaking about his experience, Mr Ashbourne said: “Working at Specsavers alongside my studies has been a great experience. I’ve developed my confidence and communication skills and learnt a lot about customer care and the optical industry. The flexibility of weekend work really helps me balance my job with college, and I feel supported to develop my skills for the future.”

Weekend roles at the store typically involve welcoming customers, supporting appointments and learning how the practice operates day to day. For many young people, it is their first experience of the workplace, helping them build confidence and develop skills that extend well beyond retail.

Specsavers Haverfordwest store director Andy Britton said weekend positions can play a crucial role in opening doors. He said: “A Saturday role is an ideal way for young people to gain early insight into the profession while picking up valuable, real-world experience in a supportive environment.

“It’s not just about earning money. It’s about building confidence, learning how to work as part of a team and developing strong communication and customer service skills that will serve them well throughout their lives. Many of our colleagues started in weekend roles and have gone on to enjoy long and rewarding careers with us, which we’re proud to support.”

Specsavers offers a range of career routes, from retail and customer service to clinical roles in optics, with ongoing training and development opportunities designed to help staff progress.

For more information, or to book an eye examination or hearing check, call Specsavers Haverfordwest on 01437 767788 or visit the store’s website.

 

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Health

Senedd election 100 days away as NHS leaders warn health must be top priority

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Concerns over workforce pressures, social care and long waits resonate strongly in Pembrokeshire

The health of the nation must be placed at the heart of the next Welsh Government’s agenda, NHS leaders have warned, as the countdown to the Senedd election reaches 100 days.

With health and the NHS consistently ranked among the public’s top priorities, NHS leaders across Wales are urging all political parties to commit to five major changes aimed at improving population health and securing the long-term sustainability of health and social care services.

The call comes from the Welsh NHS Confederation, which represents senior NHS leaders across the country. It is urging parties to set out clear and credible plans in their election manifestos, warning that without decisive action, existing pressures will continue to intensify.

The issues highlighted are already familiar to many communities in Pembrokeshire, where residents regularly raise concerns about access to GP appointments, pressure on hospital services at Withybush, delayed discharges linked to social care shortages, and workforce recruitment challenges across health and care settings.

At the top of NHS leaders’ priorities is the creation of a cross-government strategy on prevention, aimed at tackling health inequalities and reducing avoidable ill health. They argue that without joined-up action across areas such as housing, education, transport and social services, the NHS will remain locked into responding to crisis rather than preventing it.

Other priorities include strengthening the health and social care workforce, creating joint financial and performance frameworks to support better integration between services, stabilising the social care sector, and developing a long-term strategy for NHS estates and infrastructure — including digital transformation.

The recommendations follow a survey of 95 NHS leaders from across Wales, reflecting both the immediate pressures facing frontline services and the longer-term challenges expected to worsen over the coming years.

Darren Hughes, director of the Welsh NHS Confederation, said the organisation was urging all political parties to take the five priorities seriously as polling day approaches.

He said the proposals were grounded in the lived experience of those working at the heart of the health and care system.

“Unless there is a cross-government plan to reduce inequalities and preventable ill health, the NHS and care sectors will merely be working harder to stand still, consuming an ever-increasing slice of the new Welsh Government’s money,” he said.

Mr Hughes warned that demographic change was already driving demand sharply upwards, with Wales’ population becoming older, frailer and living with more complex long-term conditions — trends that are particularly evident in rural and coastal counties such as Pembrokeshire.

“Our population is getting older, frailer and sicker with ever increasing demand for services, including more people with multiple long-term conditions needing more complex care,” he said.

He added that data showed worsening population health and demographic change would continue to push demand higher, even as NHS organisations are required to deliver significant efficiencies simply to maintain current service levels.

The Confederation also cautioned against viewing NHS pressures in isolation, such as long waits for appointments or treatment, noting that these are symptoms of wider, whole-system challenges spanning health and social care.

“So often issues are looked at in isolation,” Mr Hughes said. “But these pressures are symptoms of wider, whole-system challenges. Without bold, long-term action across government, the NHS and social care will struggle to keep pace with the needs of the people of Wales.”

With just over three months until voters go to the polls, NHS leaders say the decisions taken by the next Welsh Government will be critical — not only for the future of the NHS, but for communities like Pembrokeshire where health, social care and local services are deeply interconnected.

 

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