Row intensifies over waiting times, A&E pressures and hospital service changes

THE WELSH CONSERVATIVES have brought forward a Senedd debate this week calling for a national health emergency to be declared, as concerns grow over waiting times and pressure on NHS services in Wales.

Latest figures show around 580,000 patient pathways are currently waiting for treatment — equivalent to almost one in four people in Wales. More than 5,200 pathways have been waiting over two years to start treatment, compared with 223 in England.

Data also indicates a rise in the number of patients waiting more than twelve hours in emergency departments, alongside worsening ambulance response times for the most serious “Red” calls.

The motion, due to be debated on Wednesday (Feb 25), argues that NHS performance in Wales remains among the worst in the UK for waiting times and access to treatment, and calls for urgent system-wide action to restore performance and public confidence.

Proposals include reopening closed community hospital wards to improve patient flow, increasing bed capacity, expanding surgical hubs and diagnostic services, improving GP access, and establishing a dedicated NHS Wales recovery team.

The Welsh Conservative Shadow Health Secretary, Peter Fox MS said: “Labour’s health strategy is failing in real time — waiting lists are growing, emergency care is deteriorating, and patients are paying the price.

“After 27 years of Labour running the Welsh NHS, excuses are no longer good enough. The Welsh Conservatives have a clear plan to restore performance, cut waiting times and deliver the timely care people across Wales deserve.”

The Conservatives are also calling for the Welsh Government to end the use of corridor care and designate twelve-hour waits in emergency departments as “never events”.

The debate comes amid fresh controversy in west Wales following a decision by Hywel Dda University Health Board to remove emergency general surgery from Withybush Hospital as part of wider service changes. The move has prompted strong political reaction and renewed concerns about travel times and access to care for rural communities, although the Health Board says the changes are intended to improve safety and sustainability.

The Welsh Government has previously said NHS Wales is facing significant pressures following the pandemic, including workforce shortages and rising demand linked to an ageing population. Ministers say record levels of funding are being invested in health services and that reducing the longest waits remains a priority, although they acknowledge performance is not yet where they want it to be.

Health is expected to remain one of the central political battlegrounds ahead of the next Senedd election, with opposition parties increasingly critical of performance while ministers point to wider pressures affecting health systems across the UK.

The debate is expected to begin at around 4:30pm on Wednesday.

Row deepens over emergency services wording as health board decision sparks political clash

A POLITICAL row has erupted over planned changes to services at Withybush Hospital after First Minister Eluned Morgan accused Preseli Pembrokeshire MS Paul Davies of “scaremongering” about the future of emergency care in the county.

The dispute centres on a decision by Hywel Dda University Health Board to remove general emergency surgery from the hospital — a move that has prompted strong criticism from local campaigners and politicians concerned about patient access and travel times.

In a social media post earlier this week, Mr Davies said he was “appalled” that the Health Board had voted to remove what he described as “general emergency services” from Withybush, warning that the decision would undermine the sustainability of the hospital’s A&E department and force patients to travel further for urgent treatment.

However, the First Minister rejected that characterisation, saying the decision relates specifically to emergency surgery rather than the closure of accident and emergency services.

She said: “There’s a big difference between emergency services and emergency surgery. One affects the entire population, one affects around five people a week. You can’t shout ‘crisis’ at the first draft and quietly edit it to something completely different once the facts catch up.”

Ms Morgan also pushed back against claims that services at Withybush have been systematically downgraded, adding: “It’s still there, it’s still providing services.”

Accountability and responsibility

Health is fully devolved to Wales, meaning the Welsh Government is responsible for NHS policy, funding and oversight. While health boards make operational decisions locally, they remain accountable to Welsh ministers.

The Welsh Conservatives have consistently argued that pressures within NHS Wales — including waiting times, workforce shortages and service centralisation — are the result of policy decisions made by successive Labour-led governments in Cardiff Bay.

Mr Davies has pledged to raise the issue directly with ministers and has called on the Welsh Government to intervene, describing the Health Board’s decision as “catastrophic”.

What is changing?

Hywel Dda University Health Board says centralising certain emergency surgical procedures is intended to address staffing pressures and improve patient safety, with some cases expected to be transferred to other hospitals within the health board area.

Accident and emergency services at Withybush are not being removed and will remain in place.

The debate has reignited long-standing concern in Pembrokeshire about the future of hospital services, with previous changes over the past two decades prompting repeated public campaigns and protests.

As political tensions escalate, attention is now turning to whether Welsh ministers will step in — or whether the Health Board’s decision will proceed as planned.

EMERGENCY general emergency surgery is to be removed from Pembrokeshire’s Withybush hospital as part of a wide range of changes backed following by Hywel Dda University Health Board.

Last year, the Health Board consulted with its communities on options for change in critical care, dermatology, emergency general surgery, endoscopy, ophthalmology, orthopaedics, stroke, radiology and urology.

It said its Clinical Services Plan focuses on nine healthcare services that are “fragile and in need of change”.

At the launch of the consultation it said the services, and potential changes at the four main hospitals of Haverfordwest’s Withybush, Carmarthen’s Glangwili, Llanelli’s Prince Philip and Aberystwyth’s Bronglais, would see no changes to how people access emergency care (A&E) or minor injury care as part of the consultation.

These nine clinical services were selected because of risks to them being able to continue to offer safe, high-quality services, or care in a timely manner, the board has previously said.

The proposed changes included an option for Withybush patients needing specialist critical care being transferred to Glangwili.

Another option, in Ceredigion, included the loss of Bronglais’s stroke service, becoming a ‘treat and transfer’ hospital, with patients transferred to other hospitals in the board area, including Withybush for their inpatient stroke care.

During the consultation, communities shared an additional 190 alternative ideas for the services, which have been narrowed down to 22 alternatives to the multiple options outlined in the consultation.

At a two-day meeting into the proposed changes, held on February 18 and 19, the board backed changes into emergency general surgery which will see no emergency general surgery operations taking place at Withybush, but a strengthening of the same-day emergency care (SDEC).

For the other three hospitals, there would be no change in emergency general surgery provision, other than a strengthening of SDEC at Glangwili.

Members stressed the changes would not happen overnight, with the board hearing from chief executive Phil Kloer the changes were about “improving the quality of service for the public,” adding a Pembrokeshire public-preferred option of emergency general surgery operations taking place on alternate weeks, with a similar arrangement at Glangwili, had raised concerns from clinicians and managers.

The Board also backed changes to the critical care service, which will see the current intensive care units situation remaining the same at all hospitals other than Prince Philip, which will see the Intensive care unit (with transfer of sickest patients) changed to an enhanced care unit.

Reacting to the change, local Senedd member Paul Davies MS: “I’m appalled that Hywel Dda University Health Board has voted to remove general emergency services from Withybush hospital – but I’m not surprised.

“The Health Board is obsessed with removing services from Pembrokeshire and has spent years downgrading and removing services from Withybush hospital. As one constituent has rightly said, the Board should be rebranded the Carmarthenshire Health Board, as it continues to strip assets from other hospitals in west Wales.”

He added: “Removing general emergency services critically undermines the sustainability of Withybush hospital’s A&E department and will result in patients having to be transported for urgent treatment.

“This is not acceptable – I will be taking this to the Welsh Government and urging Ministers to intervene and stop the Health Board from making this catastrophic decision.”