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The number of people waiting for NHS treatment in Wales ‘just keeps growing’

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HUNDREDS of thousands of patients across Wales are waiting to start NHS treatment.

New figures released today show that in August there was more than 750,000 patient pathways waiting to start treatment with around 589,000 individual patients on treatment waiting lists in Wales.

This is an increase of almost 3,500 patients from the previous month.

Figures released this week continue to show the pressure facing the Welsh Ambulance Service and emergency departments across Wales.

Throughout September the ambulance service 3,553 red (life threatening) calls – which is 10.2 per cent of all calls made.

This is an increase on the immediately life-threatening calls on the previous month.

50% of red calls received an emergency response within 8 minutes, 0.7 percentage points lower than the previous month and the joint lowest on record.

Commenting on today’s figures, Welsh Conservative and Shadow Health Minister Russell George MS said: “The failure of the Labour Government to prepare for pandemic recovery continues to be felt by the people of Wales as they experience the longest treatment waiting lists, ambulance delays, and A&E waits in Britain.

“This failure to plan for the re-opening of hospitals has meant the delivery of healthcare is out of control – staff are doing their best to cope with demand but a lack of leadership from the centre has meant minister leaving the NHS totally adrift.

Welsh Liberal Democrat Leader Jane Dodds MS said: “Behind these figures are countless human tragedies. In every corner of the country people are frightened, suffering and waiting in pain because our NHS can no longer cope.

“Labour is letting the NHS fall to its knees and patients are paying the price. Wales routinely has the worse health figures in Britain despite all nations facing similar challenges. This cannot go on.

“The Government must come forward with a proper plan to bring down waiting times and recruit and retain more NHS staff. The Welsh Liberal Democrats will continue to call for greater investment in primary healthcare facilities, GPs and social care.

“We must prevent people from getting so ill they require either treatment in A&E or complex treatment paths if we are to reduce pressures on the system, this starts at ensuring people can access their GP easily. We also need to ensure patients can be discharged safely once their treatment is finished.”

A Welsh Government spokesperson said: “Progress continues to be made on the longest waits and we have seen a reduction in the number of patient pathways* waiting more than two years for treatment for the fifth month in a row. This is a fall of 16 per cent since the peak in March.

“Thousands of people are still being seen and treated by NHS Wales and there were more than 338,000 consultations carried out in August. We will continue to work with health boards on how we can best support them to meet our planned care targets.

“We saw slightly more people start their cancer treatment in August (1,691) than in the previous month. A total of 13,534 pathways were closed following the patient being informed they did not have cancer, an increase of more than 12% on the previous month and the highest level on record. A huge amount of work, focus, investment and service change is under way in reducing the number of people waiting for cancer treatment and the Health Minister recently met with health boards and trusts to hear their plans about how they are working to bring the waiting lists down.

“August also saw just over 93,000 patient pathways closed, a significant increase from the early stages of the pandemic and 27 per cent higher than for the same month in 2021.

“For diagnostic services, the number of patient pathways waiting decreased to just over 107,000 in August from 110,000 in July. For therapies, the number of patient pathways waiting decreased to just over 67,500 in August.

“Urgent and emergency care staff remain under intense pressure, and we are working with health and social care service leaders to support improvements. We acknowledge ambulance performance is not where we, NHS Wales nor the public expect it to be and we are driving a whole system response to support improvement. We expect health boards to take ownership and immediately reduce ambulance patient handover delays while working with social care services to improve timeliness of patient transfers home from hospital.

“Performance improved against the four-hour and twelve-hour standards and the average (median) time spent in emergency departments shortened slightly. September saw the best performance against the four-hour standard since January 2022 and this is testament to hard working emergency department staff given the ongoing system pressures.”

Health

Resident doctors in Wales vote to accept new contract

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RESIDENT doctors across Wales have voted to accept a new contract, with 83% of those who took part in a referendum backing the agreement, according to BMA Cymru Wales.

The contract includes a four per cent additional investment in the resident doctor workforce and introduces a range of reforms aimed at improving training conditions, wellbeing and long-term workforce sustainability within NHS Wales. The BMA says the deal also supports progress towards pay restoration, which remains a central issue for doctors.

Key changes include new safeguards to limit the most fatiguing working patterns, measures intended to address medical unemployment and career progression concerns, and reforms to study budgets and study leave to improve access to training opportunities.

Negotiations between the BMA’s Welsh Resident Doctors Committee, NHS Wales Employers and the Welsh Government concluded earlier this year. Following a consultation period, a referendum of resident doctors and final-year medical students in Wales was held, resulting in a clear majority in favour of the proposals.

Welsh Resident Doctors Committee chair Dr Oba Babs Osibodu said the agreement marked a significant step forward for doctors working in Wales.

He said: “We’re proud to have negotiated this contract, which offers our colleagues and the future generation of doctors safer terms of service, fairer pay, and better prospects so that they can grow and develop their careers in Wales.

“This contract will help to retain the doctors already in training, and also attract more doctors to work in Wales, where they can offer their expertise and benefit patients.”

Dr Osibodu added that the BMA remains committed to achieving full pay restoration and acknowledged that challenges remain for some doctors.

“Whilst this contract sets the foundations for a brighter future for resident doctors in Wales, we recognise that there are still doctors who are struggling to develop their careers and secure permanent work,” he said. “We need to work with the Welsh Government and NHS employers to address training bottlenecks and underemployment.”

The Welsh Government has previously said it recognises the pressures facing resident doctors and the importance of improving recruitment and retention across NHS Wales, while also highlighting the need to balance pay agreements with wider NHS funding pressures and patient demand.

The new contract is expected to be phased in from August 2026. It will initially apply to doctors in foundation programmes, those in specialty training with unbanded rotas, and new starters, before being rolled out to all resident doctors across Wales.

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Crime

Swansea man jailed for online child sex offence dies in prison

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A SWANSEA man who was jailed earlier this year for attempting to engage in sexual communication with a child has died while in custody.

Gareth Davies, aged 59, of the Maritime Quarter, was serving an 18-month prison sentence after being convicted in May of sending sexually explicit messages to what he believed was a 14-year-old girl. The account was in fact a decoy used as part of an online safeguarding operation.

The court heard that Davies began communicating with the decoy between November and December 2024 and persistently pursued the individual, later attempting to arrange a face-to-face meeting. He was arrested after being confronted by the decoy operators.

Davies had pleaded not guilty but was convicted following a trial. At the time of sentencing, police described the messages as extremely concerning and said his imprisonment was necessary to protect children.

It has now been confirmed that Davies died at HMP Parc on Wednesday (Nov 27) while serving his sentence.

The Prisons and Probation Ombudsman has launched an independent investigation into the death, which is standard procedure in all cases where someone dies in custody. No cause of death has been released at this stage.

A coroner will determine the circumstances in due course.

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Farming

Welsh Conservatives warn climate plans could mean fewer livestock on Welsh farms

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THE WELSH CONSERVATIVES have challenged the Welsh Government over climate change policies they say could lead to reductions in livestock numbers across Wales, raising concerns about the future of Welsh farming.

The row follows the Welsh Government’s decision, alongside Plaid Cymru and the Welsh Liberal Democrats, to support the UK Climate Change Committee’s Fourth Carbon Budget, which sets out the pathway towards Net Zero greenhouse gas emissions by 2050.

The Carbon Budget, produced by the independent Climate Change Committee (CCC), states that meeting Net Zero targets will require a reduction in agricultural emissions, including changes to land use and, in some scenarios, a reduction in livestock numbers.

During questioning in the Senedd, the Welsh Conservatives pressed the Deputy First Minister and Cabinet Secretary for Climate Change and Rural Affairs on whether the Welsh Government supports reducing livestock numbers as part of its climate strategy.

Speaking after the exchange, Welsh Conservative Shadow Cabinet Secretary for Rural Affairs, Samuel Kurtz MS, said the Welsh Government could not distance itself from the implications of the policy it had backed.

Mr Kurtz said: “By voting in favour of these climate change regulations, Labour, Plaid Cymru and the Liberal Democrats have signed up to the UK Climate Change Committee’s call to cut livestock numbers in Wales, and they cannot dodge that reality.

“The Deputy First Minister’s smoke-and-mirrors answers only confirm what farmers already fear: that Labour, along with their budget bedfellows in Plaid and the Lib Dems, are prepared to sacrifice Welsh agriculture in pursuit of climate targets.”

He added that the issue came at a time of growing pressure on the farming sector, pointing to uncertainty over the proposed Sustainable Farming Scheme, the ongoing failure to eradicate bovine TB, nitrogen pollution regulations under the Nitrate Vulnerable Zones (NVZs), and proposed changes to inheritance tax rules affecting family farms.

The Welsh Government has repeatedly said it does not have a target to forcibly reduce livestock numbers and has argued that future emissions reductions will come through a combination of improved farming practices, environmental land management, and changes in land use agreed with farmers.

Ministers have also said the Sustainable Farming Scheme, which is due to replace the Basic Payment Scheme, is intended to reward farmers for food production alongside environmental outcomes, rather than remove land from agriculture.

The UK Climate Change Committee, which advises governments across the UK, has stressed that its pathways are based on modelling rather than fixed quotas, and that devolved governments have flexibility in how targets are met.

However, farming unions and rural groups in Wales have warned that policies focused on emissions reduction risk undermining the viability of livestock farming, particularly in upland and marginal areas where alternatives to grazing are limited.

The debate highlights the growing tension between climate targets and food production in Wales, with livestock farming remaining a central part of the rural economy and Welsh cultural identity.

As discussions continue over the final shape of the Sustainable Farming Scheme and Wales’ long-term climate plans, pressure is mounting on the Welsh Government to reassure farmers that climate policy will not come at the expense of the sector’s survival.

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