Students trained at public expense urged to take lower-grade jobs as anger grows over NHS workforce planning

NEWLY qualified paramedics in Wales have been told there are no jobs available for them this year, with the Welsh Ambulance Service instead urging graduates to consider applying for technician roles or seeking work elsewhere.

The development marks a major escalation in a row already exposed by The Herald, which revealed that final-year student paramedics had been told there would be no newly qualified paramedic posts available in Wales during the 2026-27 financial year. A second Herald report then disclosed an internal email sent after a board meeting on Wednesday, March 26, confirming that the trust “does not require any NQPs” this year.

That internal message, seen by The Herald, said employing newly qualified paramedics in 2026 was “simply not affordable” and stated that the service currently had “more paramedics than required” and enough lead practitioners to cover short and medium-term vacancies.

Now, in an on-the-record statement, Carl Kneeshaw, Director of People at the Welsh Ambulance Service, has publicly confirmed the same position.

He said the service was navigating a “difficult financial and operational landscape” and that recruitment decisions had to be based on current staffing levels, service demand, workforce skill mix and affordability.

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

He said graduates wanting to build a career with the Welsh Ambulance Service should explore other opportunities, including Emergency Medical Technician roles, and also consider positions with other ambulance services and organisations across health and social care.

For many students, that will be a bitter blow. They have spent three years training specifically to qualify as paramedics, often on publicly supported courses, only to now be told they may need to take lower-grade frontline roles or look beyond Wales for work.

The row has now triggered political backlash.

Welsh Conservative leader Darren Millar described the situation as “staggering and deeply frustrating”.

He said: “We are training paramedics at public expense, only to tell them there are no jobs for them in Wales and they should consider going abroad.

“At a time when ambulance response times are still far too long and patients are coming to harm and waiting in pain, this simply makes no sense.”

Mr Millar said the development showed a serious failure in NHS workforce planning and accused the Welsh Labour Government of mishandling the situation.

The controversy also revives wider questions about how NHS staffing is being planned in Wales.

The Herald previously reported that opportunities for newly qualified paramedics had already been shrinking, with only around a third of 2025 graduates initially securing paramedic posts, while others were instead offered technician roles.

For critics, the contradiction is obvious: Wales is helping fund the training of future paramedics, but the ambulance service is now telling at least some of those graduates to take lower-grade roles, apply elsewhere, or even seek work overseas.

The Welsh Ambulance Service, however, is likely to argue that the decision reflects financial pressures and the current make-up of its workforce, rather than any lack of respect for newly qualified staff.

With the Senedd election due on Thursday, May 7, the issue is fast becoming more than an employment dispute. It is shaping up as a test of whether ministers can justify spending public money training frontline NHS staff while the national ambulance service says it cannot afford to hire them.

ACCESS to GP services at Argyle Medical Group must become a top priority for the next Senedd, Samuel Kurtz MS has said, as concern continues to grow over pressures facing one of the largest surgeries in Wales.

The Pembroke Dock-based practice serves more than 22,000 patients with just nine GPs, a figure which has repeatedly been highlighted as showing the scale of pressure facing primary care in south Pembrokeshire.

Mr Kurtz said he had spent the past year engaging with patients, healthcare professionals and local residents through community pop-up advice surgeries, research and meetings with representatives from the Royal College of General Practitioners.

Residents, he said, had repeatedly raised concerns about long waits for appointments, limited availability and the difficulty of getting through to the surgery.

He said: “Access to a GP is one of the most basic services people rely on, yet far too many residents are struggling to be seen when they need care.

“Through my community advice surgeries and discussions with patients and Argyle Medical Group staff, I’ve heard first-hand just how difficult it has become to access care and the pressures the Argyle team is under. When a single surgery is responsible for more than 22,000 patients with just nine GPs, it’s clear the system is under enormous strain.”

The issue is not a new one.

Argyle Medical Group has faced pressure for years, with recruitment and retention problems in general practice long affecting services in the area. Concerns about access to appointments and the burden on staff have been raised repeatedly, both locally and nationally, as demand for primary care continues to rise.

The surgery has previously been at the centre of controversy over service changes, with patients in south Pembrokeshire voicing fears about access being stretched even further. The continuing pressure at Argyle reflects wider problems across Wales, where GP services have been struggling with rising patient demand, workforce shortages and increasing pressure on frontline teams.

Mr Kurtz said he had challenged both Hywel Dda University Health Board and the Welsh Government over the issue and would continue to press for action.

He said: “We need fair funding for GP services and urgent action to recruit more doctors and healthcare professionals into our community. Without that, pressures will only continue to grow.

“Staff are doing their absolute best, but they are being stretched too far. We need a clear plan to improve access, whether that means increasing staffing levels, improving appointment systems, and making better use of technology.”

With the Senedd election approaching in May, healthcare is expected to be one of the major battlegrounds across Wales, with GP access, hospital waiting lists and local NHS services likely to feature heavily in the campaign.

Mr Kurtz said access to GP services at Argyle and across the wider area would be one of his top priorities if elected to the next Senedd.

He is calling for fairer funding for GP services, urgent action to recruit and retain more GPs and healthcare staff, a clear plan to improve appointment availability, greater support for frontline teams and stronger local accountability.

He added: “Our community deserves better. People should not have to wait weeks to speak to a GP or struggle endlessly to get through on the phone. I will continue to hold decision-makers to account and fight for the fair funding and recruitment our area needs.”

“If elected, I will make improving access to GP services at Argyle and across the wider area one of my top priorities in the Senedd.”

‘No jobs in 2026–27’ as graduates told service has ‘more paramedics than required’

AN INTERNAL email sent to student paramedics has confirmed that no newly qualified paramedics will be recruited in Wales during the 2026–27 financial year, escalating concerns over workforce planning in the NHS.

The message, seen by The Herald, was sent to final-year students following a board meeting of the Welsh Ambulance Services NHS Trust on March 26.

It confirms that the trust “does not require any NQPs” this year, stating the decision is based on affordability and workforce restructuring.

The development follows reporting by BBC Wales that students had already been advised to seek work overseas.

‘Simply not affordable’

In the email, the ambulance service states:
“Employing NQPs in 2026 is simply not affordable… No extra funding has been made available by Welsh Government or our commissioners.”

It adds that a review of workforce needs concluded:
“We currently have more paramedics than required and enough lead practitioners to fill any short to medium term vacancies.”

Students say they have also been told the service is aiming to reduce paramedic numbers, despite ongoing delays in ambulance response times across Wales.

Graduates left without roles

Around 70 students are expected to graduate this year from Swansea University and Wrexham University.

Training is heavily subsidised by Healthcare Education and Improvement Wales, with costs estimated by students at around £50,000 per person.

Despite this investment, graduates have now been told to consider employment outside Wales—or even overseas—to begin their careers.

Patient care concerns raised

Students have warned the decision could impact patient care if fewer fully qualified paramedics are deployed on the frontline.

They say being redirected into lower-grade roles means their full clinical training will not be used.

One student told The Herald: “We are ready to go straight into frontline care. Instead, we’re being told to look abroad. It doesn’t make sense.”

Government under pressure

A Welsh Government response seen by The Herald acknowledges the issue and says ministers are working with the ambulance service and universities to support affected graduates.

However, the internal email suggests the decision is already firm for the coming financial year.

The Herald has approached the Welsh Government and the Welsh Ambulance Service for further comment.