Health
Dental services ‘facing collapse’ in Wales
DENTAL services are at risk of catastrophic collapse, with people resorting to “DIY dentistry” and pulling their own teeth with pliers, the Senedd heard.
Peter Fox warned that NHS dental services are seeing rapid decline following the Welsh Government’s introduction of a new contract in 2022.
He told the Senedd: “These contracts don’t work for dentists, nor do they work for patients,” as he highlighted a 60% fall in the number of NHS dental posts compared with 2021.
Echoing concerns raised by the British Dental Association, the Conservative MS said dental services face potential catastrophic collapse due to the contract reforms.
Mr Fox, who represents Monmouth, cautioned that patients are being left with a choice between years’-long waiting lists or paying hundreds of pounds for private care.
He said: “This lack of accessibility has led people to drastic action – from harrowing stories of people pulling out their own teeth with pliers or people being forced to take 200-mile round trips to get dental appointments. Clearly, this is just simply unacceptable in the 21st century.”
Leading a debate about primary care on April 24, Mr Fox warned GPs are also struggling due to a lack of contract funding, which is not uplifted in line with rising costs and pay uplifts.
He told MSs some GPs are having to pay staff and utility bills out of their own pockets, with practices forced to withdraw more and more services.
The Conservative said some constituents face 50-mile round trips and 50-week waits for services in hospitals that were previously carried out routinely and timely in GP practices.
Mr Fox, who led Monmouthshire council for more than a decade before being elected to the Senedd in 2021, urged the Welsh Government to urgently review GP and dental contracts.
Eluned Morgan told the chamber the majority of contacts with the NHS are in primary care – with up to one-and-a-half million contacts a month in a population of three million people.
Wales’ health secretary recognised the extreme pressure on practices, saying the contract last year provided a 5% uplift not just to GPs but also staff who work in their surgeries.
She said: “We want to reform the dental contract on a preventative basis, responding to risk and need, and we have introduced up to 300,000 appointments to new dental patients.”
Baroness Morgan, who is married to a GP, stressed the importance of other professionals in the community, such as pharmacists and opticians, to the preventative agenda.
She said most pharmacies in Wales provide a free service for 27 common ailments, helping to reduce pressure on GPs and other parts of the healthcare system.
During first minister’s questions on April 23, Sian Gwenllian said many of her constituents are unable to access public dental services – “an entirely unacceptable situation”.
The Plaid Cymru MS for Arfon raised concerns a new dental academy in Bangor closed its books to NHS patients despite promises it would help tackle a lack of public services.
Sam Rowlands, the Conservatives’ new shadow health secretary, said far too many people across north Wales do not have access to an NHS dentist.
He raised comments from Russell Gidney, chair of the Welsh general dental practice committee, warning of a rise in “DIY dentistry” due to a lack of proper access.
Vaughan Gething said the Welsh Government is committed to reforming the dental contract to unlock capacity and access to NHS services is one of the health secretary’s top priorities.
Health
Paramedic recruitment freeze confirmed in internal email to students
‘No jobs in 2026–27’ as graduates told service has ‘more paramedics than required’
AN INTERNAL email sent to student paramedics has confirmed that no newly qualified paramedics will be recruited in Wales during the 2026–27 financial year, escalating concerns over workforce planning in the NHS.
The message, seen by The Herald, was sent to final-year students following a board meeting of the Welsh Ambulance Services NHS Trust on March 26.
It confirms that the trust “does not require any NQPs” this year, stating the decision is based on affordability and workforce restructuring.
The development follows reporting by BBC Wales that students had already been advised to seek work overseas.
‘Simply not affordable’
In the email, the ambulance service states:
“Employing NQPs in 2026 is simply not affordable… No extra funding has been made available by Welsh Government or our commissioners.”
It adds that a review of workforce needs concluded:
“We currently have more paramedics than required and enough lead practitioners to fill any short to medium term vacancies.”
Students say they have also been told the service is aiming to reduce paramedic numbers, despite ongoing delays in ambulance response times across Wales.
Graduates left without roles
Around 70 students are expected to graduate this year from Swansea University and Wrexham University.
Training is heavily subsidised by Healthcare Education and Improvement Wales, with costs estimated by students at around £50,000 per person.
Despite this investment, graduates have now been told to consider employment outside Wales—or even overseas—to begin their careers.
Patient care concerns raised
Students have warned the decision could impact patient care if fewer fully qualified paramedics are deployed on the frontline.
They say being redirected into lower-grade roles means their full clinical training will not be used.
One student told The Herald: “We are ready to go straight into frontline care. Instead, we’re being told to look abroad. It doesn’t make sense.”
Government under pressure
A Welsh Government response seen by The Herald acknowledges the issue and says ministers are working with the ambulance service and universities to support affected graduates.
However, the internal email suggests the decision is already firm for the coming financial year.
The Herald has approached the Welsh Government and the Welsh Ambulance Service for further comment.
Health
Paramedic graduates told to look abroad as Wales freezes recruitment
Students urged to seek work overseas despite millions spent on training
NEWLY qualified paramedics in Wales are being advised to apply for jobs overseas after a recruitment freeze left graduates with no roles in the Welsh NHS.
The Welsh Ambulance Services NHS Trust has confirmed it will not be hiring newly qualified paramedics this year, citing financial and operational pressures.
The development, first reported by BBC Wales, has sparked anger among students and political figures, with some branding the situation “short-sighted” and a waste of public money.
Students left in limbo
Final-year paramedic students say they have been encouraged to look for work in countries including Canada, Australia and New Zealand.
Around 70 students are expected to graduate this summer from courses at Swansea University and Wrexham University, having completed degree-level training heavily subsidised by Healthcare Education and Improvement Wales.
Some students have undertaken placements more than 100 miles from home, expecting to move into frontline NHS roles after graduation.
Traditionally, graduates would enter the service as Newly Qualified Paramedics on Band 5 salaries, progressing to Band 6 after a period of mentorship.
However, opportunities have been shrinking. In 2025, only around a third of graduates secured paramedic posts, with others offered lower-paid technician roles instead.
‘Deeply disappointing’ decision
A spokesperson for the ambulance service said the organisation was facing a “difficult financial and operational landscape”.
They added: “Regrettably, as things stand, we are not in a position to employ newly qualified paramedics this year.”
Graduates are now being encouraged to consider roles as emergency medical technicians or to seek work elsewhere in the UK—or abroad.
Despite bursary conditions that would normally tie students to Wales, HEIW has confirmed the current cohort are now free to pursue employment outside the country.
Political backlash grows
The decision has prompted sharp criticism from across the political spectrum.
Jane Dodds described the situation as “a staggering waste of both talent and taxpayers’ money”, warning it made little sense while ambulance response times remain under pressure.
Plaid Cymru figures estimate that training costs of up to £150,000 per student could mean nearly £10 million of public investment failing to benefit Welsh patients.
Welsh Conservatives said the situation reflected a failure of workforce planning, while Welsh Labour insisted it remained committed to ensuring the NHS has the staff it needs.
Government response
A Welsh Government spokesperson said ministers were working closely with the ambulance service, HEIW and universities to address the issue and support affected graduates.
But for many students, the immediate reality is stark—after years of training for frontline roles in Wales, their careers may now begin thousands of miles away.
Health
Patients face higher costs and fewer appointments as NHS dental reforms begin
PATIENTS across Wales are being warned to expect higher charges and longer waits for appointments as sweeping changes to NHS dentistry come into force today (Tuesday, Apr 1).
The reforms — described by the British Dental Association (BDA) as “untested” — are expected to reshape how dental care is delivered, but critics fear they could deepen the already serious access crisis.
Dentists say the changes will mean many patients are seen less often, while some treatments will become more expensive at a time when households are already under pressure from rising living costs.
Under the new system, routine check-ups for new patients will rise from £20 to £27.21 — an increase of more than a third — while urgent appointments will increase from £30 to £37.50.
At the same time, recall periods for patients considered to be in good oral health could stretch to 18 or even 24 months, raising concerns that problems may go undetected for longer.
The BDA has warned that the reforms could accelerate the loss of NHS dental services, with some practices already handing back their contracts. In certain areas, more than ten per cent of NHS dental capacity has reportedly been returned by practices unwilling or unable to continue under current conditions.
That loss of capacity is likely to put further strain on remaining services, making it even harder for patients to secure appointments.
Russell Gidney, Chair of the BDA’s Welsh General Dental Practice Committee, said: “From today, many patients across Wales will have to get used to more costly, less frequent dental care.
“But the risk all now face is that utterly untested reforms will push more practices out of the NHS, taking the access crisis from bad to worse.”
The changes come at a politically sensitive time, with the Senedd election scheduled for Thursday (May 7), and mounting pressure on ministers to address long-standing problems in NHS dentistry.
Access to NHS dental care has been a growing concern in recent years, with many patients across west Wales struggling to find a dentist taking on new NHS patients.
The BDA says the reforms have been introduced without sufficient consultation and has called for a pause on full implementation until 2027, alongside a wider rescue package to stabilise the service.
It is also urging the next Welsh Government to commit to increased funding, better protection for vulnerable patients, and a reset in relations with the profession.
The Herald understands that concerns are also being raised locally about whether practices in Pembrokeshire and Carmarthenshire will be able to maintain NHS provision under the new system.
With demand already outstripping supply, there are fears that more patients could be forced to turn to private care — or go without treatment altogether.
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