Health
Welsh Ambulance Service issues ‘Black Alert’ as currently can’t keep up with demand
THE WELSH AMBULANCE SERVICE has declared a “business continuity incident” due to the extremely high demand on its services.
Also known as a “Black Alert,” the service has confirmed it’s currently unable to keep-up with demand for emergency medical care and support.
Despite extensive measures in place, medics have been “unable” to manage the demand for services – with more than 2,000 emergency 999 calls made yesterday ( Dec 10), including 200 “immediately life-threatening red calls”.
In addition, NHS 111 Wales received more than 10,000 calls yesterday, in what was the “busiest day ever” for the service.
Icy weather conditions across West Wales, the M4 and the Valleys have further exacerbated issues, whilst lengthy delays at hospitals has meant demand on the Welsh Ambulance Service has “exceeded its capacity to respond”. As a result, some patients have had to wait hours and hours for an ambulance, a spokesperson for the Welsh Ambulance Service has confirmed.

Director of operations at Wales Ambulance Service, Lee Brooks said declaring a business continuity incident is “rare” and said management “do not take the decision lightly”. Whilst the Wales Ambulance Service Trust is in the process of introducing “special arrangements” to help medics cope with demand, some patients are being asked to make alternative arrangements – such as making their own way to hospital, if possible.
In a statement released today, Sunday, December 11, a spokesperson for the Welsh Ambulance Service confirmed to Herald.Wales that the service has declared a “business continuity incident” since last night (Dec 10) and recommends patients needing medical support “make their own way to hospital,” if they can.
The full statement reads: “The Welsh Ambulance Service has overnight declared a ‘business continuity incident’ due to demand across our 999 and 111 services. Demand on the service increased throughout Saturday and Sunday morning, and despite the measures we can take, we have been unable to stem this demand.
“More than 2,000 emergency 999 calls were presented to us yesterday, a 17% increase on last week, and we responded to more than 200 immediately life-threatening red calls, while NHS 111 Wales received over 10,000 calls, the busiest day ever for the service.
“Icy weather conditions affecting West Wales, Heads of the Valleys, and the M4, have not helped our ability to respond. This, coupled with lengthy delays at hospitals across Wales, meant that demand on the service exceeded its capacity to respond.
“As a result, some patients have waited, and regrettably continue to wait for many hours for an ambulance. The Trust has put special arrangements in place to manage demand, including asking some patients to make an alternative arrangement, such as making their own way to hospital.”
Executive director of operations, Lee Brooks added: “It’s rare that we declare a business continuity incident and we do not take the decision lightly. Extreme weather, coupled with a high call volume focused on falls and breathing issues overnight, has limited our capacity to respond safely and timely.
“We are sorry to everyone who has had to wait longer for their calls to be answered, and subsequently wait longer for an ambulance to arrive. I can’t thank our staff and volunteers enough for doing all they can in challenging times.”
Mr Brooks also offered medical advice to parents whose children are showing possible symptoms of Strep A, a potentially-dangerous bacterial infection that’s been identified as affecting some children in Wales.
“It is understandable that parents are cautious when children show possible symptoms of Strep A.
The best place to start if you are concerned is our website (111.wales.nhs.uk) where information about symptoms and what to do can be found,” Me Brooks said. “[NHS helpline] 111 is very busy and demand for those aged under 12 is very high. Please bear with us as we will get to these calls as quickly as we can. Only call 999 or go to A&E if:
Your child is having difficulty breathing – you may notice grunting noises or their Tummy sucking under their ribs
- There are pauses when your child breathes
- Your child’s skin, tongue or lips are blue
- Your child is floppy and will not wake up or stay awake
“For anything else, please only call 999 in a life-threatening emergency – that’s a cardiac arrest, chest pain or breathing difficulties, loss of consciousness, choking, or catastrophic bleeding.
“If the situation is not a life-threatening emergency, then it’s important that you use one of the many alternatives to 999, starting with the symptom checkers on our NHS 111 Wales website as well as your GP, pharmacist and Minor Injuries Unit.”
Charity
Local St John Ambulance cadets confirmed national first aid champions
ST JOHN AMBULANCE is proud to share that three local St John Ambulance cadets have been crowned National First Aid champions after competing against eight other cadet teams representing counties across Wales.
The team, comprising Emily Williams (Yr 10, Ysgol Bro Gwaun), Ruby Collins (Yr 10, Ysgol Henri Tudor), and Gemma Tilbury (Yr 11, Ysgol Henri Tudor) represented the whole of Dyfed, and demonstrated exceptional skill, teamwork, and composure throughout three demanding rounds.
The competition consisted of a first aid knowledge quiz and exam, followed by a practical skills challenge assessing communication, teamwork, and the ability to perform under pressure—an area in which they excelled. The final round featured a complex, theatrically produced first aid scenario. Here, the team showed remarkable calm and professionalism as they stabilised a casualty with a severe compound bleed involving a large object lodged in the wound. They also managed distressed and aggressive members of the public, and successfully resuscitated an unresponsive, non-breathing casualty using CPR and a defibrillator—all completed in record time.
In Pembrokeshire, cadets train every Monday evening during term time from 5:45–7:15pm, with sessions focussing on practical, hands-on learning of real-life first aid skills, including CPR, defibrillator use, treatment of severe wounds, allergic reactions, choking, strains and sprains, head injuries, heart attacks, hypothermia, and much more. Training is engaging and interactive, often involving active, game-based learning, ensuring there is rarely a dull moment.
Cadets also have the opportunity to support a wide range of events delivered by St John Ambulance Cymru. Working alongside adult volunteers and healthcare professionals, they engage with the public at events of all sizes, applying their skills in real-world, and sometimes life-saving, situations.
Beyond events, cadets are encouraged to share their knowledge within the community, helping to lead first aid demonstrations and inspire others. Previous outreach has included sessions with Scouts, Cubs, Brownies, and Girlguiding groups, as well as senior community organisations such as the Pembroke Lions and specialist charities like Pembrokeshire People First. On a larger scale, cadets played a key role in organising and delivering “Defibruary,” where they helped lead a team of St John first aiders to train over 950 students at Henri Tudor in a single day in February 2026.
If you are interested in volunteering, opportunities are available for cadets aged 11–16 and adults aged 16+. We are always keen to welcome new members and are happy to discuss opportunities for adults to support the cadet programme as youth leaders.
To find out more visit https://www.sjacymru.org.uk/volunteer
Charity
Paul Sartori receives generous support from the James Tudor Foundation
Paul Sartori Hospice at Home is celebrating a major support package from The James Tudor Foundation thanks to an unrestricted grant to help fund the charity’s vital end-of-life care services throughout the county.
The £46,364 grant award ill be paid over three years.
Commenting on the windfall, the new Chief Executive Officer, Laura Hugman, said, “At a time where funding and funding partnerships are challenging, we’re very grateful to The James Tudor Foundation in helping us achieve our aims and passion for supporting and bringing reassurance to the local families who need us.”
Paul Sartori Hospice at Home provides an holistic approach to end-of-life care, which encompasses home nursing, equipment loan, complementary therapies, bereavement and counselling support, physiotherapy, future care planning, and training. The team provides thousands of hours of day and night respite care each year, ensuring that patients can receive the support they need, complementing the statutory provision within the comfort of their own homes.
Judith Williams, Grant Development Officer at Paul Sartori Hospice at Home, expressed the charity’s gratitude: “We’re incredibly thankful to The James Tudor Foundation for their continued generosity. Their support helps us maintain our nursing service, which is a lifeline for many families facing end-of-life care challenges.”
Paul Sartori Hospice at Home offers a comprehensive range of services to individuals with life-limiting illnesses, ensuring they can be cared for at home with dignity, independence, and comfort.
Health
FOI raises fresh questions over plan to close Pontyates GP surgery
Health board accused of misleading claims over recruitment as pressure mounts ahead of final decision
A FREEDOM of Information disclosure has raised serious questions over plans to close Meddygfa’r Sarn in Pontyates, with claims the health board failed to properly attempt to recruit permanent doctors before recommending its shutdown.
The row centres on Hywel Dda University Health Board, which is due to make a final decision on the surgery’s future later this month.
An FOI response reveals that while the board cited a “lack of recruitment interest” in its January report, there is limited evidence of any recent, targeted recruitment campaign specifically aimed at the Pontyates practice.
Instead, the board confirmed that salaried GP roles were advertised in 2020 across its wider portfolio of managed practices — rather than as a focused effort to fill posts at Meddygfa’r Sarn itself. Those vacancies did not result in successful appointments.
‘No real attempt’
Independent Senedd candidate Carl Peters-Bond, who is also a patient at the surgery, has strongly criticised the health board, accusing it of presenting a misleading picture to justify closure.
He said: “They cited a lack of recruitment interest as justification for closing this surgery — but they never actually ran a proper recruitment campaign for it.
“Sending out general adverts years ago is not the same as making a serious, targeted effort to keep a vital community service alive.”
He also raised concerns about the consultation process, claiming it focused on the impact of closure rather than asking whether closure should happen at all.
Fully reliant on locums
The FOI confirms that Meddygfa’r Sarn currently has no salaried GPs and is entirely dependent on locum doctors.
While the health board says this model is unsustainable in the long term, the same disclosure shows several other managed practices across the region also rely heavily on locum staff — some to a significant degree.
Cost data included in the response suggests Meddygfa’r Sarn is not the most expensive practice per patient within the health board’s area.
Alternative options unclear
Another key issue raised by campaigners is the apparent lack of explored alternatives.
The FOI response indicates that the health board does not hold information on alternative local solutions, including potential relocation or different service models within the Pontyates area.
Campaigners argue this suggests closure was considered before all options had been properly examined.
A 52-page independent report submitted as part of the consultation process states that dispersing patients to other surgeries should only be considered as a last resort, after full recruitment efforts and capacity assessments have been carried out.
Health board position
Hywel Dda University Health Board maintains that the surgery, which serves around 4,350 patients, has faced long-standing recruitment difficulties and increasing reliance on temporary staff.
It says a Vacant Practice Panel concluded that dispersing patients to neighbouring surgeries would provide a more sustainable long-term solution.
The board has also acknowledged that transport and access concerns are likely to be a major issue for patients if the closure goes ahead, with a full Equality Impact Assessment expected to be considered before a final decision.
Decision later this month
The future of Meddygfa’r Sarn will be decided at a meeting of Hywel Dda University Health Board on Wednesday (May 28) at Yr Egin in Carmarthen.
With local anger growing and new questions emerging from the FOI disclosure, pressure is mounting on board members to reconsider the proposal.
Campaigners say the case now hinges on a simple question: whether enough was done to save the surgery before moving to close it.
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