Students urged to seek work overseas despite millions spent on training

NEWLY qualified paramedics in Wales are being advised to apply for jobs overseas after a recruitment freeze left graduates with no roles in the Welsh NHS.

The Welsh Ambulance Services NHS Trust has confirmed it will not be hiring newly qualified paramedics this year, citing financial and operational pressures.

The development, first reported by BBC Wales, has sparked anger among students and political figures, with some branding the situation “short-sighted” and a waste of public money.

Students left in limbo

Final-year paramedic students say they have been encouraged to look for work in countries including Canada, Australia and New Zealand.

Around 70 students are expected to graduate this summer from courses at Swansea University and Wrexham University, having completed degree-level training heavily subsidised by Healthcare Education and Improvement Wales.

Some students have undertaken placements more than 100 miles from home, expecting to move into frontline NHS roles after graduation.

Traditionally, graduates would enter the service as Newly Qualified Paramedics on Band 5 salaries, progressing to Band 6 after a period of mentorship.

However, opportunities have been shrinking. In 2025, only around a third of graduates secured paramedic posts, with others offered lower-paid technician roles instead.

‘Deeply disappointing’ decision

A spokesperson for the ambulance service said the organisation was facing a “difficult financial and operational landscape”.

They added: “Regrettably, as things stand, we are not in a position to employ newly qualified paramedics this year.”

Graduates are now being encouraged to consider roles as emergency medical technicians or to seek work elsewhere in the UK—or abroad.

Despite bursary conditions that would normally tie students to Wales, HEIW has confirmed the current cohort are now free to pursue employment outside the country.

Political backlash grows

The decision has prompted sharp criticism from across the political spectrum.

Jane Dodds described the situation as “a staggering waste of both talent and taxpayers’ money”, warning it made little sense while ambulance response times remain under pressure.

Plaid Cymru figures estimate that training costs of up to £150,000 per student could mean nearly £10 million of public investment failing to benefit Welsh patients.

Welsh Conservatives said the situation reflected a failure of workforce planning, while Welsh Labour insisted it remained committed to ensuring the NHS has the staff it needs.

Government response

A Welsh Government spokesperson said ministers were working closely with the ambulance service, HEIW and universities to address the issue and support affected graduates.

But for many students, the immediate reality is stark—after years of training for frontline roles in Wales, their careers may now begin thousands of miles away.

PATIENTS across Wales are being warned to expect higher charges and longer waits for appointments as sweeping changes to NHS dentistry come into force today (Tuesday, Apr 1).

The reforms — described by the British Dental Association (BDA) as “untested” — are expected to reshape how dental care is delivered, but critics fear they could deepen the already serious access crisis.

Dentists say the changes will mean many patients are seen less often, while some treatments will become more expensive at a time when households are already under pressure from rising living costs.

Under the new system, routine check-ups for new patients will rise from £20 to £27.21 — an increase of more than a third — while urgent appointments will increase from £30 to £37.50.

At the same time, recall periods for patients considered to be in good oral health could stretch to 18 or even 24 months, raising concerns that problems may go undetected for longer.

The BDA has warned that the reforms could accelerate the loss of NHS dental services, with some practices already handing back their contracts. In certain areas, more than ten per cent of NHS dental capacity has reportedly been returned by practices unwilling or unable to continue under current conditions.

That loss of capacity is likely to put further strain on remaining services, making it even harder for patients to secure appointments.

Russell Gidney, Chair of the BDA’s Welsh General Dental Practice Committee, said: “From today, many patients across Wales will have to get used to more costly, less frequent dental care.

“But the risk all now face is that utterly untested reforms will push more practices out of the NHS, taking the access crisis from bad to worse.”

The changes come at a politically sensitive time, with the Senedd election scheduled for Thursday (May 7), and mounting pressure on ministers to address long-standing problems in NHS dentistry.

Access to NHS dental care has been a growing concern in recent years, with many patients across west Wales struggling to find a dentist taking on new NHS patients.

The BDA says the reforms have been introduced without sufficient consultation and has called for a pause on full implementation until 2027, alongside a wider rescue package to stabilise the service.

It is also urging the next Welsh Government to commit to increased funding, better protection for vulnerable patients, and a reset in relations with the profession.

The Herald understands that concerns are also being raised locally about whether practices in Pembrokeshire and Carmarthenshire will be able to maintain NHS provision under the new system.

With demand already outstripping supply, there are fears that more patients could be forced to turn to private care — or go without treatment altogether.

Concerns grow over Withybush services as ministers insist decisions rest with health board

THE WELSH GOVERNMENT has been accused of “ducking responsibility” and “hiding behind an unelected health board” amid growing concern over proposed NHS service changes in west Wales.

Samuel Kurtz MS and Paul Davies MS have criticised ministers following a formal response to their joint letter raising alarm about plans linked to Hywel Dda University Health Board’s Clinical Services Plan (CSP), which was approved at an extraordinary meeting in February.

The plan outlines significant changes to how services are delivered across the region, with implementation expected to begin in the next Senedd term and continue over several years.

In a reply dated March 26, Cabinet Secretary for Health and Social Care Jeremy Miles confirmed that responsibility for planning and delivering NHS services lies with local health boards, adding that decisions on the CSP “rest with the health board.”

He also sought to reassure concerns about Withybush Hospital, stating that emergency department services were not included in the CSP decision.

However, the response has drawn sharp criticism from local politicians, who argue that the Welsh Government cannot distance itself from decisions affecting frontline care.

Paul Davies said: “This response is deeply disappointing but sadly not surprising. The Welsh Government is once again trying to pass the buck and avoid accountability by hiding behind an unelected health board.

“Let’s be absolutely clear – health boards are not independent actors. They are created, funded and directed by the Welsh Government. Ministers cannot wash their hands of decisions that will have such a profound impact on communities across west Wales.”

Samuel Kurtz echoed those concerns, warning that public confidence is being eroded.

“People in Pembrokeshire are rightly concerned about what these changes mean for local services, particularly at Withybush Hospital,” he said.

“Attempting to suggest that key services like the emergency department sit outside of these plans will do little to reassure the public, when we have seen services hollowed out and destabilised over the last decade.

“The Welsh Government must stop hiding behind process and start taking responsibility for the future of healthcare in our communities.”

The Herald understands that concerns remain widespread among residents and campaigners, particularly over the long-term future of hospital services in Pembrokeshire, with fears that centralisation could lead to longer travel times for urgent care.

Hywel Dda University Health Board has previously said the changes are designed to improve safety, sustainability and outcomes for patients, but the proposals continue to generate strong local opposition.