Ministers say unsuitable homes are worsening health and contributing to delayed hospital discharges across Wales

POOR or unsuitable housing is directly affecting people’s health and placing additional strain on NHS services in Wales, the Welsh Government has admitted, following the publication of a major new report warning of the growing health impacts of inadequate homes.

The warning comes in a new report by the Royal College of Occupational Therapists (RCOT), which argues that poor housing is worsening physical and mental health, increasing hospital readmissions and adding avoidable pressure to health and social care services.

The report says millions of people across the UK are living in homes that fail to meet their needs, with problems ranging from damp and poor accessibility to unsuitable living environments for older people and those with disabilities or long-term health conditions.

The Welsh Government acknowledged the issue when asked for comment by The Pembrokeshire Herald.

A Welsh Government spokesperson said: “Poor or unsuitable housing directly impacts people’s health and places additional pressure on NHS services.

“Delayed discharges linked to unsuitable housing are a serious concern and we are taking steps to improve patient flow and reduce delays, strengthening joint working between health, social care and housing services so people can leave hospital safely.

“This Welsh Government has been clear that housing is a public health issue, which is why we are aligning action across government, including through dedicated ministerial oversight, to create a healthier population.

“We are also strengthening adaptation services to support independent living and prevent avoidable admissions and are establishing a new national development body to speed up delivery of accessible social homes.”

The RCOT report argues there is little point discharging patients from hospital if they are returning to homes that worsen their condition or fail to meet their needs. It also highlights growing concerns around delayed hospital discharges, accessibility and an ageing population.

In west Wales, Hywel Dda University Health Board said housing and wider living conditions have a significant effect on health outcomes.

James Severs, Executive Director of Allied Health Professions and Health Science at Hywel Dda University Health Board, said: “Most of what determines our health and well-being sits beyond the NHS. While healthcare is vital, it is the conditions in which people live, learn, work and age that have the greatest impact on health outcomes. As a Health Board, we recognise that the NHS contributes only a proportion of overall population health, with wider factors such as housing, education, employment and the environment playing a much larger role.

“This is why our strategy for ‘A Healthier Mid and West Wales’ is focused on moving beyond an illness-centred model of care to one that prioritises prevention, early intervention and support in communities. We are committed to working in partnership with local authorities, the third sector and our communities to address these wider determinants of health, reduce inequalities and enable people to live healthier lives, well lived.”

The report states that almost half of adults in Wales are already living with long-term health conditions and warns that failing to address poor housing could place increasing pressure on already stretched services.

The Pembrokeshire Herald has approached Pembrokeshire County Council for comment.

THE ROYAL COLLEGE OF NURSING WALES has warned that Wales “cannot afford” to lose newly qualified nurses after the First Minister refused to give a direct guarantee that student nurses would be given jobs in NHS Wales.

The row followed First Minister’s Questions on Tuesday (Jun 9), when Reform Wales leader Dan Thomas MS asked Rhun ap Iorwerth whether he would guarantee jobs for student nurses when they graduate.

Mr Thomas said it was unacceptable for newly qualified nurses, doctors and paramedics to struggle to find work while the NHS remained under pressure.

The First Minister did not give a direct yes or no answer, but said workforce planning was a “core part” of the Welsh Government’s health strategy.

He told the Senedd: “Putting a robust plan in place to make sure that people who have decided to devote themselves to careers in nursing or medicine or the allied health professions is a core part of our delivery of a workforce strategy.

“That is why my Cabinet Minister for Health and Care has already begun the work of ensuring that we are able to support students to have careers within the NHS.”

Following the exchange, RCN Wales Executive Director Nicola Williams said the union welcomed the First Minister’s recognition of the importance of helping nurses build their futures in Wales.

But she said nursing students had invested years of hard work, commitment and personal sacrifice to qualify.

She said: “At a time when Wales continues to face nursing workforce shortages and increasing demand on health services, it is essential that newly registered nurses are able to secure employment and put their skills into practice.

“RCN Wales has consistently raised concerns about reports of graduate nurses struggling to find substantive posts following qualification. This is not only deeply worrying for those individuals, but also represents a missed opportunity for the NHS to retain talented professionals at the beginning of their careers.”

Ms Williams said RCN Wales would seek assurances at a forthcoming workforce summit that a clear and sustainable plan would be developed to support newly registered nurses into employment.

She added: “Wales cannot afford to lose skilled, motivated nurses at the point they enter the profession.”

Mr Thomas said after FMQs: “Our health service is in desperate need of qualified staff. It is unacceptable that newly qualified nurses, doctors and paramedics are being told to find work outside of Wales.

“I was disappointed that the First Minister could not commit to ensuring these hardworking, qualified professionals can move into the frontline roles our NHS so desperately needs to fill.”

The issue comes amid wider concerns about NHS workforce planning in Wales, with unions warning that a failure to create enough entry-level posts risks losing newly trained staff just as services face growing pressure.

NEW figures suggest people in Wales are more likely than anywhere else in Britain to recognise that alcohol can be addictive.

A YouGov survey found that 86% of respondents in Wales described alcohol as addictive, compared with 78% across Britain.

The figure was higher than Scotland at 83%, the North and Midlands at 81%, the South at 77%, and London at 69%.

Health experts said the findings showed strong public awareness in Wales, but warned that knowledge alone may not prevent risky drinking, particularly during the summer months.

Dr Karen Faulkner, Associate Medical Director at Panthera Clinic, said alcohol remained deeply embedded in British social life.

She said: “Alcohol occupies a unique place in British culture because it is both legal and socially encouraged, which can make it difficult for people to recognise when their relationship with drinking is beginning to change.

“What’s particularly interesting is that most people understand alcohol can be addictive, yet many still underestimate how easily regular drinking can become habitual.”

The NHS advises adults not to drink more than 14 units of alcohol a week on a regular basis, spread over three or more days, with alcohol-free days included.

Dr Faulkner said summer events, holidays, festivals, barbecues, pub gardens and sporting occasions could make drinking feel more routine.

She added: “Dependence often develops gradually and doesn’t always fit the stereotypes people associate with addiction.

“The challenge isn’t necessarily a lack of awareness about alcohol’s risks. It’s recognising when a socially accepted habit has crossed the line into something that’s beginning to have a negative impact on your health, wellbeing or daily life.”

People trying to cut back are advised to plan alcohol-free days, alternate alcoholic drinks with water or soft drinks, set limits before social events, try low or no-alcohol alternatives, and keep track of weekly intake.

Support is available in Wales through DAN 24/7, the Wales Drug and Alcohol Helpline, on 0808 808 2234.