Health
NHS facing unprecedented winter pressures amid record demand
THE NHS in Wales has been facing significant challenges this winter, with an exceptionally high number of emergency calls and delays that have put immense pressure on its staff and resources, according to the latest activity and performance statistics.
In January, the ambulance service received 5,009 red (life-threatening) calls, accounting for 13.9% of all calls. Despite a slight decrease from December, with an average of 162 life-threatening calls per day, this figure remains the third highest on record. The response times for these urgent calls have also been under scrutiny, with 48.8% of red calls receiving an emergency response within eight minutes, marking the second highest achievement for this metric. The average response time for these calls was 8 minutes and 11 seconds.
The performance data also revealed that approximately 27,000 hours were lost due to handover delays at hospitals, highlighting the systemic pressures faced by the health service. Despite these challenges, nearly all health boards came close to meeting the target for 97% of patient pathways waiting less than two years by 2024, missing it by a mere 0.03%.
Nesta Lloyd-Jones, Assistant Director of the Welsh NHS Confederation, commented on the impact of the winter pressures and the exceptional demand on NHS services. “The monumental efforts of our staff have led to some improvements, such as a decrease in the number of people waiting the longest for treatment in December. However, the progress is threatened by the junior doctor strike action in January and February, which has led to a significant number of planned care procedures being postponed.”
Lloyd-Jones stressed the need for comprehensive planning and significant investment in NHS infrastructure and social care to ensure the health service can continue to improve and meet the demands placed upon it. “Good planning alone is not enough. Without significant capital investment and a whole-nation approach to health and wellbeing, alongside substantial changes to social care funding and provision, the progress of NHS leaders will be limited.”
The Welsh NHS Confederation, which represents the seven local health boards, three NHS trusts, and other health organisations in Wales, has been vocal about the challenges faced by the NHS and the need for strategic investment and support to navigate through these difficult times.
Health
Welsh Government ‘utterly failing’ on waiting lists
PLAID CYMRU has called for action to tackle the NHS backlog, accusing Labour of “utterly failing” and leaving more than 620,000 people languishing on long waiting lists.
Mabon ap Gwynfor, the party’s shadow health secretary, warned waiting lists have hit record highs in every month since March, including each month of the First Minister’s time in office.
He said: “And what’s been the response of this [Welsh] Government? Firstly, to blame everybody else: blame the patients, blame health managers, blame royal colleges, blame everybody and deny responsibility.
“After 25 years of governing, they decided to go on a listening exercise and hear people telling them what they should have known years ago.
“Then, each month leading up to Christmas, a new strategy was put in place, and each month, the numbers on waiting lists were increasing.”
Leading a Plaid Cymru debate, Mr ap Gwynfor pointed to his party’s five-point plan to tackle NHS waiting lists which was unveiled this week.
His colleague Sioned Williams raised the “alarming” rise of the use of private health care, warning deep-rooted inequalities are becoming increasingly stark.
Accusing Labour of eroding Aneurin Bevan’s vision for the NHS, she said statistics show a 77% rise in admissions to private hospitals in Wales over five years.
Ms Williams added: “58% of Welsh people have either accessed private health care or know friends or family who have done so, which is higher than the UK average.”
Llŷr Gruffydd, a fellow Plaid Cymru Senedd Member, said: “Now, the situation in north Wales, in my region, is frightening, if I’m honest…. There is a whole generation of children and young people with conditions such as ADHD and autism being let down.”
James Evans, the Conservatives’ shadow health secretary, warned the NHS is in crisis, with more than 23,000 people waiting at least two years for treatment.
“This isn’t just inefficiency,” he said. “It’s a symptom of a deeper problem and the chronic underfunding and neglect of our social care system.”
Mr Evans called for an independent review of NHS Wales to “fix a system that has been broken by years of Labour mismanagement”.
Russell George, who chairs the Senedd’s health committee, raised concerns about Powys health board’s “ridiculous” proposals to balance its books.
The Tory said: “In Shrewsbury or Telford hospital, a Welsh patient could be sitting talking to a consultant and the consultant tells them, ‘We’ve got capacity to see you. We would see you if you were an English patient but we’re not able to because Powys is not able to pay.’”
Labour’s Buffy Williams said years of chronic underfunding from successive Conservative UK Governments has been catastrophic for the Welsh NHS.
Jeremy Miles, who was appointed health secretary in September, pointed to signs of progress on the Welsh Government’s priority of reducing the longest waiting times.
He told the Senedd the number of people waiting more than two years has reduced by two thirds since 2022, with 3% waiting at least two years compared with 10% at the peak.
Mr Miles said: “The health service is making progress despite the increasing demands upon it but there is much more to be done in order to ensure that people are treated sooner.”
Following the debate on January 15, Senedd Members voted 39-11 against the Plaid Cymru motion before the Welsh Government’s amended version was agreed, 26-24.
Health
Senedd Members criticise ‘appalling’ cancer delays
SENEDD Members quizzed Wales’ health secretary after a damning report revealed “alarming” shortcomings in cancer services, including a lack of leadership.
James Evans, the Conservatives’ shadow health secretary, said this week’s Audit Wales report laid bare chronic mismanagement of cancer services.
Questioning his opposite number Jeremy Miles, Mr Evans told the Senedd: “This failure has caused widespread confusion and inefficiencies in patient care.
“Despite a staggering 54% real-terms increase in spending on cancer services over the past 13 years, the NHS in Wales continues to miss the target for starting cancer treatment.
“Leadership failures have resulted in shocking delays for patients, with some waiting over 100 days to begin treatment. These delays exacerbate anxiety and lead to poorer survival rates, which are already worse in Wales than any other nation across the UK.”
He urged the Welsh Government to fix a leadership vacuum, dismantle bureaucratic silos and ensure patients no longer face appalling delays that cost lives.
Mr Miles welcomed the report, recognising the picture painted by the auditor general that too many people are waiting too long for treatments they should be getting faster.
The health secretary said: “It is true to say for a number of cancers in a number of parts of Wales those targets are being met and sometimes being exceeded quite significantly.
“But the overall picture, I accept, is that targets are not being met.”
Mr Evans, who represents Brecon and Radnorshire, warned of workforce planning failures, severe staff shortages, over-reliance on agencies, and recruitment and retention problems.
He said: “These staff shortages are directly delaying cancer diagnosis and treatment, worsening outcomes for patients.
“Despite repeated warnings from organisations like the Wales Cancer Alliance, the Welsh Government has failed to deliver a comprehensive workforce strategy.”
Mr Miles pointed to a 27% increase in workforce numbers, adding that Wales is not the only country to have difficulty recruiting to certain disciplines such as radiology.
The health secretary agreed about the “unsustainable” reliance on agency staff.
Mr Evans added: “There is becoming an outrage in the public about the ballooning number of managers across the NHS compared to frontline health care providers.”
He suggested overall increases in the workforce – from 72,000 to 91,000 between 2014 and 2023 – have not addressed frontline clinical shortages.
“Shockingly, administrative and estate staff have increased by 51% in that time,” he said.
Mr Evans asked: “After 26 years, how can the Labour Welsh Government justify the bloated expansion of administrative roles while patients face unacceptable delays for treatment due to a lack of frontline staff?”
Mr Miles replied: “The member makes an easy point, and a populist point, but the truth is a complex healthcare system requires people who are competent….
“There has been an increase in recruitment to the NHS across all disciplines and all important roles which enable the NHS to be effectively run.”
He added: “A world view which suggests that managers and those running the NHS simply should be taken out of the system, I think, is a very naive perspective.”
Mabon ap Gwynfor, Plaid Cymru’s shadow health secretary, also led on the scathing Audit Wales report during health questions on January 15.
He urged the minister to back his party’s proposed reforms of NHS governance.
Mr Miles said November’s report “echoed” a statement he gave in the Senedd and a speech he made two weeks earlier.
He told the chamber: “I was very pleased to see the kind of fresh thinking I was seeking to bring to the challenges which we face was agreed to by Plaid Cymru.
“And I see the same thing in the plan that was published … yesterday in relation to tackling waiting lists.”
Mr ap Gwynfor hit back: “That’s a disappointing response because you seem to be in complete denial about the problems in the health service.”
The Dwyfor Meirionnydd Senedd Member called for a guarantee that a target for 80% of all cancer patients to receive treatment within 62 days by March 2026 will be met.
He warned that the quality and accessibility of health data is “not up to scratch”, with Public Health Wales “fundamentally hamstrung” in its ability to project future demand for services.
He said: “The Wales cancer registry is meant to provide timely data on cancer incidence … but it hasn’t published validated cancer data since 2021, shamefully this means Wales can’t fully take part in essential national cancer audits … nor global studies.”
Mr Miles replied: “We have actually improved the publicly available data and we publish on a monthly basis about 18 pages of cancer treatment statistics, so that they can be scrutinised.
“We do want to improve transparency further.”
Health
Wales to take part in largest ever UK wide pandemic response exercise
Wales will take part in the largest ever UK wide pandemic response exercise this Autumn.
The commitment is part of the Welsh Government’s comprehensive response to the UK Covid-19 Inquiry’s first module published today, which examined the nation’s preparedness and resilience prior to the pandemic.
The response outlines the significant steps already taken to strengthen Wales’ emergency preparedness.
First Minister Eluned Morgan said: “Our priority is to keep the people of Wales safe. We are committed to learning lessons from the pandemic and building on the existing foundations to ensure Wales is prepared for future emergencies.
“Over the past six months, we have worked with other devolved governments and the UK Government to carefully consider and begin the progress of implementing these important recommendations from the inquiry.
“We have taken action to improve our emergency response capabilities and will continue to build on this.
“This will include Wales playing a full role in the major exercise this Autumn to test the UK’s capabilities, plans and procedures to prepare for possible future pandemics.”
A new group is being established – the Wales Coordination Group – to oversee the planning and participation of Wales in the exercise. It will have representation from all key organisations involved at the national and local level, in recognition of the broad scope of the exercise.
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