News
Shocking waiting times for ambulances and at A&E
ONLY 56% of October’s most urgent “red calls” for ambulances in the Hywel Dda health board area failed to reach patients within the target time of eight minutes.
The startling figure, inevitably showing that patient safety at risk, emerged last week in the latest monthly performance data for the Welsh NHS.
Patients waiting for “red calls” include those with suspected strokes, cardiac arrest, or assessed with immediately life-threatening injuries or illness.
Almost two-thirds of amber call patients waited more than an hour for ambulances to attend.
Only 15% of patients on amber calls were attended to within half an hour.
Amber calls include serious but not immediately life-threatening conditions. These calls will include most medical and trauma cases, such as chest pain and fractures.
The target for ambulance performance has never been met since its introduction, and the Hywel Dda LHB area is consistently among the worst for emergency call responses.
PATIENTS CONTINUE TO WAIT
More than 2,850 patient pathways remain open in the Hywel Dda area after two years. While open pathways are not the same as the number of patients waiting, the number of patients waiting shows little sign of falling in time for the Board to meet the Welsh Government’s target of eliminating all waits for treatment exceeding two years by next Spring.
Furthermore, although the number of patients waiting more than two years for a follow-up appointment has slightly fallen in the Hywel Dda area, underlying data show an increase in the number of patients waiting between one and two years for a follow-up appointment.
A&E DEPARTMENTS STRUGGLE
Just over 3,500 patients attended Withybush A&E in the period the statistics cover.
The target performance time is for 95% of all patients attending A&E to be seen within four hours.
At Withybush, 54% received treatment in the target time.
Performance was not much better at Glangwili, where around 57.5% were dealt with on target. Over 15% of patients attending Withybush A&E were still in the department waiting for treatment after more than 12 hours. Again, Glangwili’s performance was only a little better.
THE NATIONAL PICTURE
Nationally, there were 761,111 patient pathways, with 594,000 individual patients waiting for treatment, the highest on record.
For diagnostic services, patient pathways waiting increased to around 120,400 in September, the highest on record.
Two-year waits remain at 26,439 despite the Welsh Labour Government’s commitment to eliminate these waits in March of this year.
Hitting the target to eliminate them by next Spring will take a revolution in patient care or creative manipulation of the figures. Without those, there is no hope of eliminating two-year waits.
The actual picture is far worse than those dismal figures suggest. To try and ensure it reached the target it failed to hit in March, the Welsh Government rigged the figures to exclude waiting times for major clinical specialisms like orthopaedics.
“SHAMEFUL AND UNACCEPTABLE”
Welsh Conservative Shadow Health Minister Russell George MS said: “Waits for treatment and diagnostic services are the worst on record. Cancer waits are the second worst on record. These shameful statistics from our Labour-run Welsh NHS are completely unacceptable. These are real people languishing on these lists, often in pain. Wales deserves better.”
A Welsh Government spokesperson responded: “The pressure on our NHS services has continued to grow as we enter the toughest time of the year. “Although waiting lists have grown overall, it is encouraging that the longest waits continue to fall. Most people waiting on an individual waiting list (patient pathway) are waiting less than 26 weeks.
“We are pleased that patients waiting longer than one year for their first outpatient appointment also decreased. This was despite more than 4,000 referrals for first outpatient appointments made per day on average in September.
“The number of people being informed they do not have cancer also increased, but it is concerning that so many are missing the target date for treatment. The Welsh Government is exerting significant pressure on health boards to improve performance.
“It is also positive that the number of people calling the NHS 111 Wales service continues to rise. In October, the highest number of callers on record had their calls answered within 60 seconds. This helps patients’ experiences and supports people in accessing the right treatment at the right time and place.
“Although the increase in the total waiting list this month is very small, it is disappointing to see them at their highest levels on record – that is due to the continued number of people joining the waiting lists, with the highest annual number of new referrals on record in the latest 12 months.
“Health boards are working hard to tackle the longest waits, but the most urgent cases must always be seen first.”
Crime
Man charged with attempted murder after child found in critical condition
A MAN has been charged after an incident in Cardigan on Wednesday, January 15.
Police were called to an address in Y Ferwig, Cardigan, shortly before 10:15pm following a report of concerns for the welfare of an infant.
A young child was immediately taken to hospital, where they remain in a critical condition.
Rhydian Jamieson, 27, from Cwm Cou, Newcastle Emlyn, has been charged with attempted murder.
Jamieson has been remanded into custody and is set to appear at Haverfordwest Magistrates Court on Monday (Jan 20).
Investigators have expressed gratitude for the support of the community while enquiries continue.
Crime
Air ambulance called to Parc Prison as inmate suffers ‘severe medical episode’
THE TROUBLED HMP Parc prison in Bridgend faced yet another incident today (January 18), with an air ambulance called to respond to a medical emergency involving an inmate suffering from psychosis.
According to the HMP Prisons Justice Group UK, the incident unfolded during a visitation session when the inmate, reportedly diagnosed with psychosis, experienced a severe panic attack that left him struggling to breathe. Despite prior warnings from medical professionals about his condition, it is alleged that neither G4S, the private firm managing Parc, nor Cwm Taf Morgannwg University Health Board, acted to ensure the prisoner received the treatment he urgently needed.
Eyewitnesses described the scene as chaotic and distressing, with children and visitors visibly upset. Reports suggest healthcare staff on-site intervened by administering a “salt shot” to alleviate the inmate’s breathing difficulties, but the situation escalated, leading to the inmate collapsing and requiring emergency evacuation to the University Hospital of Wales in Cardiff for further assessment.
The inmate’s history reveals a troubling pattern of neglect. After a psychiatric assessment on December 13, 2024, he was diagnosed with psychosis and deemed unfit to plead during a court hearing on December 20. The court ordered his transfer to a mental health facility for treatment and anti-psychotic medication. However, as of today, the transfer had not been carried out, leaving the individual untreated for over three months while on remand.
The HMP Prisons Justice Group claims that G4S initially attempted to attribute today’s episode to drug use, a claim that has since been refuted. “When the salt shot was administered, his breathing improved, which wouldn’t have happened if it was drug-related,” the group stated. They accused G4S of using this defense to divert attention from what they describe as systemic neglect.
Campaigners are now calling for urgent reforms to prevent further incidents at Parc Prison. The facility has been plagued by controversy, with ongoing allegations of corruption, inadequate healthcare, and rising violence. Last year alone, assaults on staff increased by 109%, and the prison recorded 17 deaths within 11 months.
The inmate involved in today’s incident is reportedly undergoing psychological assessment at the Heath Hospital, with calls for his immediate sectioning to secure the treatment he needs. Critics argue that the prison’s failure to act on prior court orders highlights the ongoing crisis at Parc.
Campaigners insist that the incident underscores the urgent need for systemic reform at the privately-run facility.
This latest incident raises questions about the prison’s capacity to manage vulnerable inmates and provides further evidence of the deteriorating conditions at Parc Prison, which continues to make headlines for all the wrong reasons.
The Wales Air Ambulance has confirmed attendance.
Both Cwm Taf Morgannwg University Health Board and G4S has been asked to comment.
Community
Fire crews join St Davids Cathedral on collaborative training day
CREWS from the Mid and West Wales Fire and Rescue Service joined staff at St Davids Cathedral on Thursday for a collaborative training day, blending skills and expertise in a unique historic setting.
The fire service conducted a series of exercises, including a dramatic rescue simulation, where they practiced retrieving a ‘body’ from the cathedral tower. The exercise demonstrated the precision and teamwork required for emergency scenarios, particularly in complex environments like heritage buildings.
Such training is essential due to the unique challenges posed by historic landmarks. St Davids Cathedral, with its ancient architecture and narrow stairways, presents potential obstacles in emergency situations. Fire crews must be prepared to navigate these complexities to ensure the safety of visitors, staff, and the preservation of the structure itself.
Additionally, the presence of large numbers of visitors during peak periods increases the need for effective response strategies. Collaboration between the cathedral’s staff and emergency services ensures everyone is prepared to act swiftly and efficiently in the event of a fire or medical emergency.
A spokesperson for St Davids Cathedral said: “It was great to have the fire crews join us – their training exercises added an exciting and valuable dimension to our day. Their work highlights the importance of being prepared for any eventuality.”
The fire service also benefited from the day, as training in real-world settings like St Davids Cathedral helps refine their approach to tackling emergencies in historic and culturally significant buildings.
Photo caption: Rescue simulation: Fire crews conducted a ‘body’ rescue from the tower during a joint training day (Pic: St Davids Cathedral).
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