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
NHS Trust CEO ‘forced out’ after raising concerns — Welsh Govt denies wrongdoing
A CONSERVATIVE MS has pressed the Welsh Government for answers after the sudden departure of the Velindre University NHS Trust’s chief executive, amid media reports that he raised concerns about alleged governance failures within NHS Wales Shared Services.
During Health Questions in the Senedd today, James Evans MS asked Health Secretary Jeremy Miles to explain why former CEO David Donegan left his post after just a year. Reports circulating in recent weeks suggest Mr Donegan had raised issues relating to governance, and in some accounts, possible criminality. These claims have not been substantiated publicly.
Velindre’s own 2024/25 annual report notes that the Trust “escalated concerns to Audit Wales and Welsh Government about the current governance of Shared Services, which hadn’t been reviewed since 2012.” No details of the concerns have been published.
Welsh Government response
Jeremy Miles MS confirmed in the chamber that correspondence relating to the issues does exist, but said it would not be appropriate to release sensitive material while internal processes are ongoing. He did not comment on the circumstances of Mr Donegan’s departure, citing employment confidentiality rules which are standard across the NHS and public sector.
A Welsh Government spokesperson has previously said that they expect all NHS bodies to follow “proper governance and HR procedures,” and that they “do not comment on individual employment matters.”
Velindre NHS Trust position
Velindre has not publicly stated that Mr Donegan was removed because of whistleblowing activity. The Trust has described his departure simply as a “change in leadership” and says it continues to engage with Audit Wales and the Welsh Government on governance matters.
Opposition criticism
After the exchange, James Evans MS — the Welsh Conservative Shadow Cabinet Secretary for Health — criticised the Health Secretary’s “lack of transparency”.
He said:
“I am extremely disappointed with the Health Secretary’s refusal to provide clarity on the circumstances surrounding Mr Donegan’s departure, or to release the correspondence relating to governance concerns within Shared Services. The public must be able to trust that millions of pounds of NHS funds are being managed properly.”
Mr Evans said he will write to the First Minister and Cabinet Secretary formally requesting the publication of correspondence “in the interests of full accountability.”
Context: What is NHS Shared Services?
The NHS Wales Shared Services Partnership (NWSSP) manages national procurement, payroll, recruitment, estates services and other core functions for health boards and trusts. It sits within Velindre University NHS Trust but operates independently of its operational healthcare work. Governance arrangements for NWSSP were originally set a decade ago and are subject to periodic review by Audit Wales.
There is no evidence at present of wrongdoing by the Welsh Government or NWSSP, beyond the concerns referenced in Velindre’s annual report.
Health
Wales’ biggest hospital overrun by pigeons – even in operating theatres
Patients wheeled through tunnels “carpeted in bird faeces” as ministers accused of abandoning the NHS
CARDIFF’S University Hospital of Wales – the largest hospital serving South and West Wales – has been branded a national disgrace after whistle-blowers revealed a chronic pigeon infestation, including birds nesting inside areas used to prepare sterile operating theatres.

Tunnels ‘carpeted in droppings’
Patients, including those critically ill, are being pushed along underground corridors described as “ankle-deep in water and carpeted with bird faeces”, with buckets placed along walkways to catch rain leaking through failing roofs. Staff say the stench is overwhelming and that vulnerable patients are being traumatised by the conditions.
One frontline worker, speaking anonymously to The Pembrokeshire Herald, said the situation had become intolerable: “The place is full of pigeons. You see them flapping around in trauma theatres while surgeons are trying to save lives. The smell is vile.”
Photographs passed to this newspaper show floor surfaces coated in pigeon droppings and staff weaving around flocks of birds to reach wards.

Consultants warn hospital is now a risk
The revelations come just weeks after nearly three hundred senior consultants at the Heath signed an unprecedented letter warning morale was “at an all-time low” and stating the physical condition of the hospital now poses a serious infection risk. Pigeon droppings can carry cryptococcus, a fungus potentially fatal to those with weakened immune systems.
Despite this, ministers in Cardiff Bay have pressed ahead with hundreds of millions of pounds for expanding the Senedd by thirty-six new politicians and for major expenditure on the Welsh Government’s “Nation of Sanctuary” asylum policies.

Political row deepens
Welsh Conservative Senedd leader Andrew RT Davies said the state of the Heath symbolised years of neglect.
“Senedd ministers must take responsibility for the appalling condition of our hospitals. While Labour and Plaid spent money on vanity projects, they ignored the NHS. Patients in Pembrokeshire, Ceredigion and Swansea are paying the price.”
Built in the early 1970s, the Heath now requires more than £100 million in urgent repairs. Last winter entire wards were left freezing when heating systems failed, while engineers are said to be so overstretched that routine maintenance can take weeks.
In one instance, a seventy-seven-year-old emphysema patient from West Wales spent four days under blankets because radiators in his bay would not work. Another elderly man spent his final hours being wheeled through pigeon-infested tunnels because the lifts had broken again.

Health board ‘accepts’ poor conditions
Cardiff and Vale University Health Board acknowledged the conditions were “unacceptable” and said additional pest-control measures would be introduced, insisting patient safety had not been compromised. However, the hospital was placed at the highest level of Welsh Government intervention last month, and staff say the situation on the ground has barely changed.
A Welsh Government spokesperson said it was providing “targeted support” to address long-standing problems with the estate.
‘Ashamed to bring patients through’
For families in Pembrokeshire who rely on the Heath for major trauma, neurosurgery and cancer services, confidence in the system continues to erode.
A nurse from Tenby who trained at the hospital told The Herald: “We used to be proud to work there. Now we’re ashamed to bring patients through corridors that look like something from a horror film.”
The pigeons may be the most visible sign of decline – but staff say the deeper crisis begins in Cardiff Bay, where the decisions that shape Wales’s health service are made.
The people of Wales, they insist, deserve far better.
Health
Wales on brink of wiping out new HIV cases as infections plunge 20 percent
WALES is charging toward its ambitious 2030 target of zero new HIV transmissions after recording a dramatic 20 per cent drop in new cases during 2024, the Welsh Government revealed on World AIDS Day.
Cabinet Secretary for Health Jeremy Miles hailed the fall as proof that the HIV Action Plan for Wales 2023–26 is “delivering results at lightning speed”, with record numbers of tests, expanding PrEP access and every health board now signed up to the international Fast Track Cities initiative.
More than 33,000 free postal HIV test kits have been snapped up since the service launched, while a new long-acting injectable form of PrEP – given once every two months – is rolling out across every corner of the country for the first time.
Mr Miles said: “Thanks to highly-effective treatments, people with HIV in Wales are living long, healthy lives. Our focus now is stopping the virus in its tracks and stamping out the stigma that still lingers.”
The annual update, published this afternoon, shows testing and prevention efforts have never been higher, yet almost half of people newly diagnosed in 2024 were still identified at a late stage – prompting clinicians to scrutinise every case for missed opportunities.
A nationally funded peer-support programme, run by people living with HIV, is being commissioned to ensure no one faces the virus alone, while anti-stigma training reaches NHS staff, social care workers and secondary-school pupils.
Wales has also become one of the first nations in the world to have 100 per cent health-board commitment to the Fast Track Paris Declaration, with a new all-Wales coalition to be funded from January.
Work is also under way on a single sexual-health case-management IT system to give clinicians real-time data and allow ministers to track progress toward the 2030 goal.
Mr Miles warned, however, that global cuts in HIV funding could reverse hard-won gains in poorer countries.
“I will keep banging the drum internationally,” he pledged. “No one, anywhere, should be left behind.”
Campaigners welcomed the progress but urged the government to redouble efforts on late diagnosis and PrEP uptake among under-served groups.
Terrence Higgins Trust Cymru said: “These figures are genuinely exciting, but we can’t take our foot off the pedal. Zero transmissions by 2030 is within touching distance – let’s grab it.”
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