Health
Highest waiting lists on record in: NHS performance under scrutiny
THE latest NHS performance figures for Wales reveal the highest waiting lists on record, sparking a wave of criticism and concern from various stakeholders. The data, which covers March and April 2024, underscores the immense pressure faced by the Welsh health service, particularly in comparison to other parts of the UK.
Conservative Criticism of Labour Government
Sam Rowlands, the Welsh Conservative Shadow Health Minister, has sharply criticised the Labour-run Welsh Government, attributing the record-high waiting lists to their management. “These atrocious statistics stand as a stark warning as to what a Labour Government looks like and why Labour cannot be trusted to run the health service,” Rowlands remarked. He highlighted the contrast with England, where he claims progress is being made to cut waiting lists. Rowlands also accused the Welsh Government of misallocating funds received from the UK Conservative Government, spending them on initiatives like 20mph speed limits and expanding the Senedd, instead of bolstering NHS resources.
The statistics are indeed sobering: the number of patient pathways increased from over 762,500 to just under 768,900 in March, the highest figure on record, equating to 1-in-4 of the Welsh population. Additionally, 599,100 individual patients were waiting for treatment in March, marking an increase of nearly 8,000 compared to February. Despite promises from the Labour Health Minister to eliminate two-year waits by March 2023, over 20,000 patients are still waiting this long.
Macmillan Cancer Support’s Concerns
Macmillan Cancer Support has also weighed in on the troubling figures, particularly focusing on cancer treatment delays. Glenn Page, Policy and Public Affairs Manager at Macmillan Cancer Support, acknowledged some improvements in cancer waiting times but stressed that many people are still being let down. “Healthcare professionals are working around the clock, but these treatment delays are having a devastating impact on people living with cancer and throwing lives into chaos,” Page said.
In March 2024, more than 600 cancer patients in Wales waited over 62 days to start treatment from first being suspected of having cancer. This figure, representing 40% of those who started treatment that month, highlights the ongoing struggles within the NHS. While there was an improvement from the previous month, the national cancer waiting times target was still missed. Particularly concerning are the delays faced by patients with gynaecological cancers, with only 31.8% starting treatment on time.
NHS Confederation’s Response
The Welsh NHS Confederation has provided a more nuanced perspective, acknowledging the high demand but also highlighting areas of progress. Darren Hughes, Director of the Welsh NHS Confederation, noted that emergency departments experienced their busiest April on record. Despite this, there were improvements in performance against four and twelve-hour targets, and the average time spent in emergency departments decreased.
Hughes pointed out that the number of pathways waiting over two years has fallen for the twenty-fourth consecutive month, showing a 71% drop since its peak post-pandemic. However, he emphasised the need for greater investment in prevention, primary, community, and social care to manage demand sustainably. “If governments do not act now, the situation will only deteriorate as demand continues to rise,” he warned.
Welsh Government’s Stand
In response, a Welsh Government spokesperson acknowledged the challenges but also highlighted the strides being made in reducing waiting times and improving access to care. “Long waiting times are continuing to come down – these figures show they have fallen every month for two years and there has been a 71% reduction in long waits since their peak post-pandemic,” the spokesperson said. They also pointed to improvements in diagnostic waiting times and cancer treatment performance.
However, they admitted that ambulance performance remains suboptimal, despite improvements in response times for the most critical calls. The Welsh Government reiterated their commitment to supporting NHS staff and focusing on further reducing waiting times.
Conclusion
The latest NHS Wales performance figures have sparked a heated debate about the effectiveness of the current management under the Labour-run Welsh Government. While some progress has been acknowledged, the record-high waiting lists and persistent treatment delays underscore the urgent need for comprehensive reforms and increased investment in healthcare resources. The coming months will be critical in determining whether these issues can be effectively addressed to meet the growing demands on the Welsh NHS.
Health
RCN Wales appoints Nicola Williams as Executive Director
NICOLA WILLIAMS will take up the role in April, bringing more than three decades of experience in nursing and senior leadership.
The Royal College of Nursing (RCN) has announced the appointment of Nicola Williams as its new Executive Director for Wales.
She joins the organisation from Velindre University NHS Trust, where she currently serves as Executive Director for Nursing, Allied Health Professionals and Health Care Scientists. With 38 years of experience in nursing and more than six years at executive board level, she is widely recognised across NHS Wales for her work in improving patient outcomes.
A highly experienced strategic leader, Williams has worked across a wide range of clinical and organisational settings. She has led major transformation programmes, strengthened national clinical leadership networks and championed innovation and evidence-based improvements in care. Her work has contributed to changes adopted across Wales and has been recognised with national awards.
Speaking about her appointment, Nicola Williams said: “I feel privileged to be appointed as Executive Director of RCN Wales. I’m a proud nurse, passionate about patient safety and improving care standards.
“Delivering the best care is only possible when nursing staff are supported to work in safe, inclusive environments. I will stand alongside members and their patients.
“Nursing staff are the backbone of health and care. I am determined to support our members across Wales, wherever they work, to meet the challenges ahead and shape the future of our profession.
“I look forward to meeting members across Wales and ensuring our work is informed by their experiences and expertise.”
In her new role, Williams will lead the RCN’s work in Wales and provide strategic leadership across key priority areas spanning the UK.
She succeeds Helen Whyley, who has held the position since February 2019 and will move into a new role as Director of Service Innovation at the RCN.
Health
Decision pending on adult mental health referral pathway
HYWEL DDA University Health Board will decide next week whether to make changes to the GP referral pathway for routine adult mental health services permanent.
The decision will be taken at a public Board meeting on Thursday (Mar 26).
Board members will consider a proposal to formalise changes already introduced in Ceredigion and, if approved, roll out the revised pathway across Pembrokeshire and Carmarthenshire.
Since March 2025, adults in Ceredigion seeking routine mental health support have been advised by their GP to contact the NHS 111 Wales ‘Press 2’ service, rather than being referred directly to the county’s Community Mental Health Team.
The temporary change was introduced in response to ongoing staffing shortages. Health Board officials say the approach has helped maintain timely access to face-to-face assessments for those who need them, while directing initial contact through a single access point.
The 111 ‘Press 2’ service provides telephone assessments by local wellbeing practitioners, supervised by registered mental health nurses, offering advice, support and onward referrals where required.
At its November 2025 meeting, the Board agreed to extend the temporary pathway until the end of March 2026. A nine-week engagement exercise followed, running from December 8 to February 9, to gather feedback from patients, professionals and stakeholders on the potential long-term impact.
Andrew Carruthers, Chief Operating Officer at Hywel Dda University Health Board, said: “I would like to thank everyone who took the time to share their views and experiences.
“I would also like to thank West Wales Action for Mental Health for supporting engagement with patients, including those with lived experience, alongside GPs, primary care teams, mental health staff and third sector partners.
“Our priority is to ensure mental health services remain accessible, fair and sustainable. The temporary changes in Ceredigion have shown some positive benefits, and the feedback we have received from across the three counties will play an important role in shaping the Board’s decision.”
The Board will review all evidence and feedback before making a final decision on the future of the adult mental health referral pathway.
GPs will continue to refer patients with urgent or complex needs directly to community mental health teams where appropriate, and have access to a dedicated NHS 111 professional line for additional clinical advice.
Further details, including the full Board papers, are available here:
https://biphdd.gig.cymru/amdanom-ni/eich-bwrdd-iechyd/cyfarfodydd-y-bwrdd-2026/agenda-a-phapuraur-bwrdd-26-mawrth-2026/
The meeting will be streamed live from 9:30am on Thursday (Mar 26) via:
www.youtube.com/hywelddahealthboard1
Health
Parents urged to check children’s vaccinations after meningitis cases
Local pharmacy reports MenB vaccine shortage amid rising concern
PARENTS and carers across west Wales are being urged to check their children’s vaccination status following recent meningitis cases in the UK.
The warning comes as a local pharmacy has confirmed a shortage of the Meningitis B (MenB) vaccine, highlighting growing pressure on supplies.
Mendus Pharmacy said it currently has no availability of the vaccine due to what it described as a nationwide supply issue.

In a statement, the pharmacy said: “We would like to inform our patients that, due to ongoing supply issues, we currently have no availability of the Meningitis B vaccine.
“Unfortunately, this is a nationwide shortage and all stock is currently unavailable.
“We understand this may be particularly concerning given the recent outbreak reported in Kent, and we completely appreciate the importance of timely vaccination.”
The pharmacy confirmed it is operating a waiting list and will contact patients once supplies return.
Health officials say keeping vaccinations up to date remains one of the most effective ways to prevent serious illness and reduce pressure on NHS services.
Dr Ardiana Gjini, Executive Director of Public Health at Hywel Dda University Health Board, urged parents to act.
She said: “Vaccination is one of the most effective ways we can protect children and young people from serious illness.
“Ensuring your child is fully vaccinated not only safeguards their health but also helps prevent the spread of infections within our communities.
“I strongly encourage all parents and carers to check their child’s vaccination status. If you are concerned that your child may have missed routine vaccinations, please speak to your GP.”
Meningococcal disease is a serious and potentially life-threatening infection that can lead to meningitis or septicaemia. While many people recover, some are left with long-term physical, neurological or psychological complications. Around one in ten cases can be fatal.
Although the disease can affect anyone, babies, young children, teenagers and young adults are at greatest risk.
In Wales, vaccines protecting against meningococcal strains A, B, C, W and Y are offered as part of the NHS immunisation programme. Infants receive the MenB vaccine, while teenagers are offered the MenACWY vaccine.
Latest figures from the Health Board show that uptake among 16-year-olds for the MenACWY vaccine stands at 76.4%, meaning a significant number of young people remain unprotected as they approach adulthood.
For younger children, uptake of the MenB vaccine is higher but still below the recommended 95% target. Around 92.8% of infants are vaccinated by their first birthday, rising slightly to 91.8% by their second.
Health officials say these figures reflect strong engagement from families and primary care teams but stress that continued vigilance is needed.
Families are being advised to check their child’s vaccination record with their GP or by contacting the Health Board directly. Parents should also ensure babies receive their scheduled MenB doses and that teenagers receive their MenACWY and 3-in-1 booster vaccines, which are currently being delivered in schools.
Parents are also urged to remain alert to the symptoms of meningitis and septicaemia and to seek urgent medical advice if they have concerns.
Further information on symptoms is available via NHS 111 Wales.
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