Falling GP numbers and funding gaps blamed for worsening hospital delays

THE NHS crisis highlighted earlier this week is being driven in part by a deepening shortage of GP services, a new Senedd report has revealed.

As previously reported by The Herald, politicians have raised serious concerns about mounting pressure on hospitals, long waits in A&E, and the growing strain on frontline services. Now, a report published on Friday (Mar 27) by the Senedd’s Health and Social Care Committee points to the root of the problem — a weakening primary care system.

The Committee warns that without urgent investment in GP services and preventative care, demand across the NHS will continue to rise beyond capacity.

Sharp decline in GP practices

The report highlights a long-term fall in the number of GP practices across Wales.

In 2002, there were 516 practices operating nationwide. By the start of the pandemic in 2020, that number had dropped to 404. Today, just 374 remain.

The decline has been felt most acutely in rural areas, including west Wales, where fewer practices are now expected to serve growing populations with increasingly complex health needs.

The result, the report suggests, is more patients turning to already overstretched hospital services.

Funding model under pressure

Despite Welsh Government commitments to prioritise community healthcare, the Committee heard evidence that funding has not kept pace with demand.

Concerns were also raised about the current funding formula used for GP practices, which critics say fails to properly reflect deprivation, illness levels and the challenges of delivering care in rural areas.

Without reform, the Committee warns that general practice risks becoming unsustainable, with inequalities in access likely to widen.

Access frustration growing

Patients across Wales continue to face difficulties accessing GP appointments, with the so-called “8:00am scramble” remaining a major source of frustration.

Older patients, those in work, and people with caring responsibilities are among those most affected.

The report also points to concerns about reduced continuity of care and shorter appointment times, contributing to declining public confidence in GP services.

Hospitals feeling the strain

The findings reinforce concerns raised earlier this week about pressure on emergency departments and delays in care.

By failing to invest sufficiently in primary and preventative services, the report suggests more patients are reaching crisis point — increasing demand for hospital treatment that could otherwise have been avoided.

Call for urgent action

The Committee is calling on the Welsh Government to shift more healthcare services into the community, backed by sustained investment and reform of the funding system.

Committee chair Peter Fox said: “General practice and primary care are the cornerstone of our NHS.

“If we are to ease the growing pressures across the whole health system, we must ensure people can access services closer to home and receive treatment earlier.”

Healthcare leaders, including the British Medical Association and the Royal College of General Practitioners, have also warned that without decisive action, GP services will continue to deteriorate.

The report concludes that unless primary care is strengthened, pressure on hospitals will continue to grow — leaving patients facing longer waits and reduced access to treatment.

Monkton councillor tops Pembrokeshire list as party confirms Carmarthenshire names and includes Haverfordwest councillor in unwinnable Swansea spot

REFORM UK has unveiled its full list of candidates for the 2026 Senedd election, setting out its challenge across west Wales including Pembrokeshire and Carmarthenshire.

The party has named Susan Claire Archibald, a sitting councillor for Monkton on Pembroke Town Council, as its lead candidate for the Ceredigion Preseli, Mid and South Pembrokeshire regional list.

Speaking to The Herald, Archibald said: “I am honoured to represent Reform UK and Wales.” She added that a fuller statement outlining her priorities would be released in due course.

The remaining candidates on the Pembrokeshire regional list are Paul Marr, a former prison officer, Michael Allen, Elisa Randall, Peter John and Bernard Holton.

Carmarthenshire candidates named

Reform has also confirmed its list for the Caerfyrddin and Llanelli region, with Gareth Beer placed first, followed by Carmelo Colasanto, Sarah Edwards, Christopher Brooke, Alan Cole and Michelle Beer.

The announcement forms part of a nationwide rollout of candidates as the party seeks to establish itself as a credible electoral force ahead of the 2026 vote.

Thorley listed in Swansea region

Among the names included elsewhere is Scott Thorley, a Haverfordwest-based councillor and the first Reform representative elected to Pembrokeshire County Council.

Thorley appears on the party’s list for the Gower and Swansea West region, where he is placed sixth.

Under the Senedd’s proportional representation system, candidates placed lower on regional lists are significantly less likely to be elected, meaning his position is widely viewed as a paper candidacy to complete the slate.

Election framing

Reform Wales leader Dan Thomas said the party was offering voters a stark political choice.

He said: “After a hundred years of failure, Labour are finished in Wales. The choice at this election is what comes next — common sense and a fresh start with Reform, or independence by stealth with Plaid Cymru.”

The Herald understands that further announcements, including candidate profiles and policy details, are expected in the coming weeks as the campaign begins to take shape.

POLICE are appealing for witnesses following a serious assault in Fishguard that has left a man in hospital.

The incident happened on Main Street at around 11:00pm on Saturday (Mar 21), when the victim was reportedly punched, sustaining head injuries. He remains in hospital receiving treatment.

A 24-year-old man was arrested on suspicion of grievous bodily harm (GBH) and has since been released on bail while enquiries continue.

Dyfed-Powys Police are urging anyone who witnessed the incident, or who may have information that could assist the investigation, to come forward.

Anyone with information is asked to contact police quoting reference: 26*227686.

Information can be provided online via the Dyfed-Powys Police website, by emailing [email protected], by calling 101, or by sending a direct message on social media.

Alternatively, information can be given anonymously to Crimestoppers on 0800 555111 or via crimestoppers-uk.org.