Health
Scale of ‘devastating ambulance waits’ across Wales revealed in latest figures
OVER 10,000 people with serious conditions are waiting over an hour for an ambulance in Wales.
In figures obtained by the Welsh Conservatives, it was found 3,351 people that rang an ambulance and were designated amber in April had to wait over four hours for it to arrive.
According to monthly Welsh Government statistics, a staggering two-thirds (67.1% or 10,157) of amber ambulances took over an hour to reach their patient, but it took a written question from the Leader of the Opposition to find out exactly how long people had to wait.

The information uncovered that 344 people waited over 12 hours. 14 waited over a day for an amber call to be reached, half of which were in North Wales.
Calls for ambulances are triaged into red, amber, and green calls. Red calls are life-threatening but serious conditions like strokes are classified as amber by the Labour Government in Cardiff Bay.
Three red-calls also took over an hour to reach their patient in April, two in Dyfed and one in the Swansea Bay health board area.
Only 51% of responses to immediately life-threatening calls arrived within eight minutes, down from 61% in April 2021. The target of 65% of red-calls reaching their patient within eight minutes has not been reached in over 18 months.
It follows news of dozens of incidents when police cars had to be deployed as ambulances.
Commenting, Welsh Conservative and Shadow Health Minister Russell George MS said: “It is scandalous how long people have to wait for ambulance in Wales, no matter how serious the emergency – if you’re in need of one, your problem needs urgent attention.
“I cannot imagine the anguish people feel as they or a loved one are left languishing in pain because Labour’s mismanagement of the NHS has turned ambulance provision into a postcode lottery.
“We know that ambulance delays are down to them getting stuck at A&E departments, full and slow-moving because of issues in accessing other parts of the NHS.
“That’s why Labour need a plan to ensure people come to hospital as a last resort, not because they have no confidence in or access to other parts of the health service.”

Andrew RT Davies MS, the Welsh Conservative leader who submitted the question, added: “These waits are very concerning, more so because we had to dig them up because ministers do not routinely publish them.
“We know the pandemic has hit all aspects of the NHS hard, but we know that the NHS under Labour has been in dire straits for a long time and ambulance waits have been going downhill for a while.
“As I told the First Minister back in March, he has failed to plan for the end of Army assistance in the ambulance service and now patients and paramedics are paying the price.”
Responding to the publication of Healthcare Safety Investigation Branch’s Interim Bulletin Harm caused by delays in transferring patients to the right place of care, Dr Henderson said: “It is well-known among health care professionals, especially the Paramedicine and Emergency Medicine workforce, that ambulance handover delays cause serious harm to patients. Instances of ambulance handover delays became a frequent and serious threat in late 2020 and early 2021 and in response to this rising threat The College published Ambulance Handover Delays: Options Appraisal. In November 2021, The Association of Ambulance Chief Executives published their report Delayed hospital handovers: Impact assessment of patient harm which found that these delays were leading to an unacceptable level of patient harm and presented a serious risk.
“We welcome the HSIB interim bulletin and its safety recommendations, we urge the Department of Health and Social Care to prioritise and urgently act on these recommendations. The situation continues to worsen, and it is highly detrimental to patient safety, to paramedic and EM staff, and public confidence in the emergency care services. Critically, the Urgent and Emergency Care system is failing to function as it should, we must do all we can to change that.”
Figures released recenerly show that in last month only half (51.2%) of red ambulance calls were met within the target time across Wales. In some areas such as Hywel Dda Health Board it is as low as 39%.
The Welsh Liberal Democrats are calling on the Welsh Government to address waiting times for primary care services to relieve the pressure on A&E.
Commenting Jane Dodds MS said: “This simply cannot go on. Our NHS staff and ambulance are doing everything they can, but people’s lives are at risk when ambulance response times are so poor.
“Week after week I hear stories of people waiting hours for an ambulance, hours for treatment in A&E and even being treated in the back of ambulances sat outside our hospitals.
“The Welsh Labour Government is failing time and again to address the crisis in our NHS.”
A Welsh Government spokesperson said: “As the health service continues to recover from the pandemic, and more people are coming forward with health concerns, we have seen the highest number of referrals for a first outpatient appointment since January 2020, with just over 115,000 referrals made in March. This increase in referrals helps to explain why the total waiting lists size increased by 1.4% on the previous month. It should be noted that activity levels for treatment and outpatients are at their highest level since the start of the pandemic.
“The number of outpatients appointments in March, was the highest since January 2020 (255,384). On top of this the numbers of inpatient and day case treatments, were the highest since the start of the pandemic.
“The number of patient pathways closed in March, that is people who have started or no longer require treatment, was the highest since the start of the pandemic, 1.7% more per day on average than in February.
“While the total numbers waiting for diagnostic tests continues to increase, the numbers waiting over the 8 weeks target decreased for the second month in a row to their lowest level since April 2021 and by 4.9% compared to February 2022.
“March also saw the highest level of activity in cancer services since December 2020. There was a 12.4% increase in the number of people starting their first treatment following a new cancer diagnosis, compared to the previous month. 12,643 pathways were closed following patients being informed they did not have cancer, an increase of 11.1% on February 2022.
“The Planned Care Recovery Plan published last month set out a series of ambitions. The first ambition was to reduce the number of open pathways waiting over 52 weeks for a first outpatient appointment to zero by the end of 2022.
In In March 2022, the number of pathways waiting over 52 weeks for the first outpatient appointment decreased by 1% compared to February.
“In March 2022, the number of pathways waiting over 52 weeks decreased by 4.8% compared to March 2021.
“Despite the percentage of patient pathways waiting more than 36 weeks increasing in March, the average time waiting for treatment fell and the proportion waiting less than 26 weeks increased.”
“This month sees the first publication of 111 data since the service was rolled out across Wales. In April almost 86,000 calls were made to the 111 service, an average of 2,863 calls per day. The service is run by the Welsh Ambulance Services NHS Trust and can be accessed online at 111.wales.nhs.uk or by telephone by calling 111, will give people up-to-date health advice and guidance on which NHS service is right for them.
“999 emergency ambulance and emergency department staff and services remain under considerable pressure and performance is not where we want it to be. Our Six Goals for urgent and emergency care programme has been launched to support improvements in outcomes and experience by helping staff to deliver the right care, in the right place, first time whenever possible.
“There was a decrease in average daily attendances to emergency departments in April, and a slight improvement in performance against the targets. The number of life threating ‘red’ calls remains high, increasing by 36% when compared to the same month in 2021. There is a live national delivery plan in place to support continuous improvement, including in support of tackling ambulance patient handover delays.
“It is important to note that during March nearly 400,000 patient consultations were seen by the NHS in Wales for emergency or elective treatment.”
Health
‘Children spending more time in digital worlds than the real one’
CHILDREN are spending more time in digital worlds than the real one, the Senedd has heard, with excessive screen use shaping behaviour and health in ways society cannot ignore.
Labour’s John Griffiths expressed concerns about the impact of smartphones and online gaming on young people amid an “epidemic of screen use” in Wales.
Mr Griffiths titled the debate “Locked in, Bruh!” – “the state of playing a video game while oblivious to anything else” – on the suggestion of Tom, a teenager from Newport.
He raised research from the Centre for Social Justice, a thinktank, which estimates that up to 814,000 UK children aged three to five are already engaging with social media.
The Newport East Senedd Member told the chamber two-thirds of primary school pupils in Wales have their own smartphone by the age of 11.
Mr Griffiths said boys spend two hours more a day on online gaming while girls spend more time on social media and “reel scrolling” which has been linked to damaging self-esteem.
He told Senedd Members: “Boys are becoming more short-tempered and violent when exposed to violent video games and there is, rightly, much concern that children in more deprived families are particularly vulnerable.”
Mr Griffiths, who was first elected in 1999 and will stand down in 2026, said children aged five to 16 spend at least six hours a day looking at a screen. He added that for children, aged 11 to 14, that figure rises to nine hours a day.
He pointed to research showing more than 70% of young people in the UK do not undertake an hour of physical activity a day yet have at least six hours to spend looking at a screen.
He said: “Children are sat inside with a screen at the end of their nose and are not spending time outside enjoying their local communities or playing and interacting with friends.”
Mr Griffiths warned of increasing levels of obesity and rising numbers of young people reporting vision problems, with one in three children globally now short-sighted.
He told the Senedd: “As for the mental health and wider social impacts, anxiety and depression are increasingly linked to excessive screen use as is sleep disruption – with social media interfering with rest and emotional development.”
He raised a New Zealand study of more than 6,000 children that found a correlation between excessive screen time and below-average performance in literacy and numeracy. He warned children have increasingly shortened attention spans and an inability to concentrate.
Mr Griffiths shared the case of his constituent, Danielle, who said her son becomes more aggressive and snappier after a significant time gaming. Lucy, another constituent, explained how her children find the endless reels on social media addictive.
“Once they start scrolling, it’s hard to break that cycle,” the Senedd Member said. “And when she and her husband take the devices away, it often results in tantrums and tears.”
Mr Griffiths raised the example of countries such as Australia, France and Italy which have introduced strict age checks and bans on social media for under 16s.
He acknowledged such a policy would need to come from the UK Government because powers over internet services are not devolved. But he said Wales has the authority to introduce measures through education policy on, for example, smartphones in schools.
The Tories’ Sam Rowlands warned algorithms are having a “sickening” effect on teenagers who are eight times more likely to act on self-harm urges when exposed to such content. “TikTok users with eating disorders receive over 4,000% more toxic content,” he warned.
Responding to Wednesday’s (December 17) debate, Jane Hutt recognised how so-called doom scrolling can have a detrimental impact on young people.
Wales’ social justice secretary said: “We are living through profound change. Childhood today is shaped by technology in ways that were unimaginable a generation ago… For many young people, screens, smartphones and online gaming are part of everyday life.”

Health
New research centre launched to tackle historic gender health gap in Wales
A NEW £3m research centre has been launched to tackle long-standing health inequalities faced by women in Wales.
The Women’s Health Research Centre – the first of its kind in Wales – aims to close the historic gender health gap by strengthening investment in women’s health research and improving representation in clinical trials.
The centre was launched to mark the first anniversary of the Women’s Health Plan for Wales, with First Minister Eluned Morgan and Minister for Mental Health and Wellbeing Sarah Murphy visiting staff, researchers and community partners involved in the project.
Led by Women’s Health Research Wales, the centre brings together researchers, NHS organisations, industry, policymakers and communities to develop more effective treatments and ensure health services meet women’s needs throughout their lives.
Its work will cover prevention, early-onset conditions, rare diseases and care for under-served communities.
Projects currently in development include research into symptom-reporting tools to improve the management of conditions such as diabetes, heart failure and chronic obstructive pulmonary disease – areas where the specific impact on women has historically been under-researched.
Researchers are also examining the potential health effects of chemicals used in menstrual products, how best to support young people to stay active during periods, and improved care pathways for people with polycystic ovary syndrome to reduce the risk of developing diabetes and heart disease later in life.
Other projects focus on fertility, including a decision-making tool for women with kidney disease who are considering having children.
One study is working directly with women undergoing fertility treatment to understand why the process can lead to mental health conditions such as post-traumatic stress disorder, with the aim of producing guidance to support trauma-informed fertility care.
First Minister Eluned Morgan said: “I am passionate about improving women’s healthcare. To do that, we must invest in research to gather the evidence we need.
“I am delighted to see how the Welsh Government’s £3m investment, through Health and Care Research Wales, is supporting research based on the experiences of women. This will result in better care and better health outcomes for women.
“This innovative new research centre is a key part of the Women’s Health Plan and will help us better understand women’s experiences. It will lead to more effective treatments and ensure our health service delivers improved outcomes for women in Wales.”
Sarah Murphy, Minister for Mental Health and Wellbeing, said the early progress had been encouraging.
“I’m thrilled the investment we’ve made in this research centre is already delivering projects in such important and under-researched areas of women’s health,” she said.
“The pioneering work I’ve heard about today – including the impact of infertility on women’s mental health – is exactly what we want the Women’s Health Plan to influence and deliver.
“All of this has been achieved in the first 12 months, and I look forward to seeing what can be delivered over the next year.”
Debbie Shaffer, founder and director of Fair Treatment for the Women of Wales and chair of the Women’s Health Wales Coalition, said partnership working would be key to success.
“Research into health issues experienced by women throughout the life course is vital,” she said.
“By working co-productively, in partnership with women and communities, we have a real opportunity to reduce health inequalities and improve treatment options and support.
“We look forward to helping create more opportunities for people with lived experience – whose voices may not have been heard before – to get involved.”
The Women’s Health Plan for Wales was published in December 2024 and sets out a 10-year approach to improving health outcomes for women, ensuring they are listened to and their health needs properly understood.
Health
Welsh Government intervenes as Gwent health board’s finances ‘deteriorate rapidly’
THE WELSH Government has escalated intervention at Aneurin Bevan University Health Board to one step short of special measures, amid concerns about an £18m deficit and A&E failures.
Jeremy Miles, Wales’ health secretary, announced the Gwent health board will move to level four for finance and emergency care on the government’s five-point scale.
In an update on escalation at each NHS organisation in Wales, Mr Miles warned the health board’s financial position has “deteriorated rapidly” over the past year.
“It is forecasting an £18.3m deficit by the end of March. This is not acceptable,” he said, announcing he will revoke approval of the health board’s three-year plan.
Mr Miles said the health board had been at level three due to concerns about emergency care at the Grange hospital in Cwmbran but will move to level four.
He told the Senedd: “The health board has failed to deliver the required improvements… This will result in direct intervention by the Welsh Government… to improve the timeliness and quality of urgent and emergency care for people living in the Gwent region.”
Mr Miles announced Betsi Cadwaladr Health Board, in north Wales, would remain at level five or special measures. He pointed to interventions including a review of planned care, cancer and emergency services as well as an investigation into management of waiting times data.
But he raised “considerable” progress on governance and leadership at Hywel Dda Health Board following the appointment of a new chair and chief executive.
He announced Hywel Dda will be de-escalated to routine, level-one arrangements for governance and leadership. However, the west-Wales health board remains at level three for planned care and cancer as well as level four for finance and A&E performance.
He told Senedd members he was appointing a “senior turnaround director” to provide support to Cardiff and Vale Health Board, which was placed into level four in July.
Mr Miles said the escalation levels of Cwm Taf Morgannwg, Swansea Bay and Powys health boards, as well as other NHS bodies such as the ambulance services trust, will not change. All seven health boards in Wales remain in some form of escalated status.
In today’s (December 16) statement, Mr Miles said long waits are falling as he pointed to a 43% reduction in lost ambulance hours since the last six-monthly update in July.
But James Evans, the Conservatives’ shadow health secretary, questioned whether intervention is delivering meaningful improvements for patients and staff.

Pointing out that Betsi Cadwaladr Health Board has been “trapped” in special measures for most of the past decade, he told the Senedd: “It is deeply concerning that, once again, we see multiple health boards at levels four and five.”
Mr Evans urged ministers to publish performance metrics, risk assessments and evidence used to assign escalation levels to enable decisions to be properly scrutinised.
He warned focusing on local financial mismanagement of health boards risks ignoring wider, systemic challenges driven by the Welsh Government’s policy and funding decisions.
Plaid Cymru’s Mabon ap Gwynfor agreed with his Tory counterpart about “deeper and more systemic” failures becoming a “constant feature” of the government’s record.

“Measures that should be exceptional, temporary and used only as a last resort have instead become routine,” he said. “It is the people of Wales who are paying the price for that failure.”
The Plaid health spokesperson said Betsi Cadwaladr Health Board has come to “embody the Welsh Government’s failure to embed lasting performance improvement”.
Mr ap Gwynfor told the Senedd: “This situation suggests one of two things: either the special measures system itself is not working or there’s no ceiling to Labour’s mismanagement.”
Mr Miles emphasised that escalation is about supporting health boards, not punishing them. The health secretary also pointed to challenges in other parts of the UK, with 12 of the 14 health boards in Scotland also in escalation.

Speaking ahead of the Senedd debate, South Wales East MS Natasha Asghar said: “This serious intervention is a damning indictment of Labour’s track record when it comes to the health service here in Wales and it is my constituents who are paying the price.
The Conservative MS continued: “Our dedicated NHS staff go above and beyond day in, day out, often under unimaginable pressure, but they are being let down by the chaos and mismanagement from the Labour Welsh Government.
“The problems within our health service have been known for quite some time, yet it appears Labour politicians in the Senedd are either reluctant or totally incapable of doing anything to fix the system.
“The Welsh Government must now finally declare a health emergency and focus all efforts on improving outcomes for patients, driving down shamefully high waiting lists, and turning our health service around.”
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