Health
Hywel Dda tops Wales for cancer treatment performance as waiting times improve
Health board reports progress across key services including diagnostics and A&E
HYWEL DDA UNIVERSITY HEALTH BOARD has emerged as the top-performing health board in Wales for cancer treatment waiting times, according to the latest figures, while also reporting wider improvements across several areas of patient care.
The organisation, which runs Withybush Hospital in Pembrokeshire as well as hospitals across Carmarthenshire and Ceredigion, said it was encouraged by the progress made in reducing delays for patients awaiting treatment and diagnostic tests.
Andrew Carruthers, the board’s chief operating officer, said there had been steady improvement over the past year.
He said: “We are pleased to see continued progress in overall waiting times across Hywel Dda. Significant improvements have been made, particularly in cancer services, alongside reductions in the number of patients waiting for diagnostic investigations such as scans and endoscopy procedures.”
Performance data for December 2025 shows that 66.5 per cent of patients in the Hywel Dda area began cancer treatment within the Welsh Government’s 62-day target. This represents a notable rise compared with January 2025, when the figure stood at 53.1 per cent.
The health board said improvements had been driven by efforts to expand clinical capacity, better prioritisation of cases, and new ways of working across services.
Mr Carruthers added that the impact of long waits on patients remained a key concern.
He said: “We recognise how difficult waiting for treatment can be for patients and their families, and we continue to focus on making the best use of our existing resources, supporting our workforce and improving how services operate.”
Figures also show that very long waits for a first outpatient appointment have almost disappeared, with only one patient pathway exceeding a year recorded in November 2025.
Diagnostic waiting times have improved significantly, with the proportion of patients waiting longer than the eight-week target falling to 13.4 per cent, compared with 43 per cent earlier in the year.
Emergency department performance has also seen gains. The percentage of patients treated within four hours rose to 71.2 per cent, up from 67.4 per cent, while the proportion waiting more than 12 hours dropped from 9.6 per cent to 8.6 per cent.
However, therapy services experienced some setbacks. The number of patients waiting longer than the 14-week target increased to 24.7 per cent, compared with 21.2 per cent at the start of the year.
Health board leaders say work is continuing to address remaining challenges while building on recent improvements across services.
Business
BPCA calls for stronger action to protect Welsh homes from pests
AHEAD of the Senedd elections in May, British Pest Control Association (BPCA) is calling on the next Welsh Government to do more to protect people in Wales from preventable pest problems in their homes.
In its new manifesto for public health pest management in Wales, the national trade body says no one should have to live with rats, cockroaches, flies or other pests because of poor housing conditions, slow repairs or inadequate waste management.
Housing, public health and environmental regulation are devolved to the Senedd.
BPCA is urging Welsh policymakers to make sure protections against pest problems apply to all renters, not just those in social housing.
The Association warned that pests in homes are not just a nuisance and can pose a risk to health.
Rodents can spread diseases, including leptospirosis, salmonella and listeria, while also causing damage by gnawing pipes and wiring. Cockroaches, flies, and other insects can spread pathogens, contaminate food and damage belongings.
Rosina Robson, Chief Exec of the British Pest Control Association (BPCA), said: “Too many people are still being left to deal with pest problems that could and should have been prevented.
“Where there are building defects, poor waste management or delays to repairs, infestations can quickly take hold. That has a real impact on people’s health, well-being, and quality of life.
“It should not matter whether someone lives in social housing, private rented housing or temporary accommodation. The risks posed by pests are the same, and the protections should be too.
“We want the next Welsh Government to recognise the danger pests pose in people’s homes and make sure everyone in Wales has the right to live in a decent home that is protected from avoidable infestations.”
BPCA’s manifesto calls on the next Welsh Government to:
- Recognise the danger that pests pose to the health and well-being of tenants
- Ensure protections for all renters, including people living in social rented, private rented and temporary accommodation
- Back a stronger public health approach to pest management in Wales.
The manifesto also highlights the wider role of professional pest management in protecting public health, food supply chains and the built environment across Wales.
BPCA says tackling pests properly means more than responding once an infestation has taken hold. Landlords and property managers also need to act on the advice of pest professionals, including improving communal waste disposal, repairing defects in buildings and addressing the conditions that allow pests to thrive.
Niall Gallagher, BPCA’s Technical Manager, added: “We wouldn’t accept pest activity in places such as factories or restaurants where food is prepared, and people should not be expected to put up with the same risks in their own homes.
“This is about prevention, public health and basic standards. Wales has an opportunity to lead the way and make sure fewer people are left living in misery because of pests.”
BPCA’s full manifesto, A manifesto for public health pest management in Wales, is available from the Association’s website.
Health
Nursing graduate jobs crisis warning as NHS pressures deepen
THE ROYAL COLLEGE OF NURSING WALES has warned of a growing jobs crisis for newly qualified nurses, saying a shortage of Band 5 posts could leave up to half of this year’s nursing graduates without work when recruitment opens.
The union said the situation was particularly alarming given the severe pressures already facing NHS Wales, with staff continuing to report overcrowded wards, unsafe conditions and unmanageable workloads across multiple health boards.
RCN Wales said the lack of available jobs for newly trained nurses pointed to a serious failure in workforce planning. It warned that losing new entrants to the profession would place even more strain on already overstretched services and could further affect patient care.
The organisation said the situation also undermined the Welsh Government’s and NHS Wales’ duty to improve the quality and safety of care.
RCN Wales is calling on the Welsh Government to provide urgent clarity on the scale of the shortfall, set out credible long-term workforce planning, and introduce immediate system-wide measures to recruit, retain and deploy the nursing workforce Wales needs.
The union said it had received assurances that students would not be penalised if posts were unavailable. That includes being released from any obligation to work in Wales and not being required to repay tuition fee support where workforce shortages prevent them from securing employment.
Professor Sandy Harding, Associate Director of Nursing at RCN Wales, said: “The situation facing newly registered nurses is deeply concerning and exposes serious failures in workforce planning.
“It is becoming increasingly clear that this situation is being driven by financial constraints, including the freezing of vacant posts within local health boards. Our NHS is under intense pressure, yet hundreds of newly qualified nurses may have no posts to enter. This is simply unacceptable.
“These students stepped forward for Wales, trained through immense challenges, and now face uncertainty at the very moment the system needs them most. They deserve far better.
“Every newly qualified nurse will be vital to meeting Wales’s care needs. The RCN will continue to demand transparency, accountability and long-term planning from the system. We will not stop speaking up for students, for our safety-critical nursing workforce, and for the people who rely on safe, high-quality care.”
Health
Crumbling NHS faces £1bn repairs bill in Wales
Senedd election promises collide with the harsh reality of ageing hospitals, fire safety concerns and a maintenance crisis stretching across the country
WALES’ NHS is facing a repair and maintenance crisis of almost £1bn, with some of the country’s biggest hospitals burdened by ageing buildings, serious safety concerns and growing pressure on already stretched budgets.
New figures covering 210 NHS sites show that the backlog of work classed as high risk or significant risk has now reached £917m — up 71% in just four years.
The data, published for 2024-25 by NHS Wales Shared Services Partnership, shows more than £616m of the total relates to serious problems at 12 of Wales’ 13 main hospitals.
Ysbyty Gwynedd has the biggest backlog of high and significant risk repairs at £110.5m, followed closely by University Hospital of Wales in Cardiff, where the figure stands at £106.8m.
The scale of the problem is not just financial. Three hospitals — Bronglais, Prince Philip and Ysbyty Gwynedd — have 40% or more of their space rated as not fire safety compliant. At Ysbyty Gwynedd, 35% of space is also not regarded as health and safety compliant.
Aging estate
The figures highlight the deep-rooted problem of an ageing NHS estate across Wales.
More than 30 NHS sites have buildings where over half the estate predates the creation of the NHS in 1948. Another 17 sites, including University Hospital of Wales and Bronglais Hospital, are mainly made up of buildings between 50 and 60 years old.
Only one major hospital in Wales — the Grange Hospital near Cwmbran — is said to have no maintenance backlog. But even that project, which cost £350m, was first proposed in 2004 and only opened during the Covid pandemic, showing how long major hospital developments can take.
When the wider risk-adjusted backlog is considered across all NHS buildings in Wales, focusing on problems where safety may be at risk, the total cost rises to more than £1bn.
The largest overall figure is in the Betsi Cadwaladr health board area, where the backlog stands at nearly £278m.
Despite the Grange being one of the newest hospitals in Wales, Aneurin Bevan health board still faces a backlog of almost £233m, much of it linked to older sites including the Royal Gwent and Nevill Hall hospitals.
In Hywel Dda, where hopes of a new west Wales hospital remain some way off, the total backlog has reached £221m. Among the worst affected sites is Glangwili Hospital in Carmarthen, where high and significant risk repairs and maintenance amount to £82m.
West Wales pressure
FOR west Wales, the figures are especially troubling.
Hywel Dda residents have already faced years of uncertainty over the future of hospital services, and the scale of the maintenance bill raises fresh questions about how long ageing buildings can continue to serve local communities safely and effectively.
Bronglais Hospital is among the sites with major fire safety compliance concerns, while Glangwili carries one of the largest repair backlogs in the region.
The growing cost of patching up older hospitals will inevitably intensify the political argument over whether ministers should prioritise maintaining existing buildings or push ahead with long-promised new developments.
The chair of Cardiff and Vale health board recently acknowledged that the age and condition of University Hospital of Wales was affecting morale and efficiency, describing the quality and upkeep of buildings as an ongoing concern.
Expert warning
Mark Dayan, a policy analyst at the Nuffield Trust, said Wales had a worryingly large maintenance backlog by any standard.
He warned that poor infrastructure could directly affect the way care is delivered, making it harder for the NHS to reorganise services, improve patient flow or create safe, modern working environments.
The issue is not unique to Wales. NHS England is facing its own enormous repair backlog, estimated at £16bn. But in Wales, where budgets are tighter and hospital plans often move slowly, the pressure is especially acute.
Election battleground
WITH the Senedd election set for Thursday, May 7, parties are offering different solutions to the growing crisis.
Labour has pledged a £4bn Hospitals of the Future fund, promising new hospitals including replacements for Wrexham Maelor Hospital and University Hospital of Wales, as well as a major development in west Wales.
Plaid Cymru says Labour’s sums do not add up, and argues urgent high-risk repairs should come first.
Reform UK says the Welsh Government should concentrate its capital budget on clearing the maintenance backlog rather than making promises on multiple new hospitals.
The Conservatives say they would declare a health emergency and expand capacity through new community hospitals, diagnostic centres and surgical hubs.
The Liberal Democrats say they would upgrade the worst parts of the NHS estate while backing a replacement for University Hospital of Wales, linking investment to wider reform of social care and community services.
The Green Party has called the backlog a disgrace and says it would launch a multi-year programme to bring NHS facilities up to a safe and modern standard.
Whatever the result in May, the next Welsh Government will inherit a stark reality: before it can deliver a new generation of hospitals, it must first confront the spiralling cost of keeping the current estate from falling further into decline.
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