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Highest waiting lists on record in: NHS performance under scrutiny

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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.

Charity

Women take on Three Peaks Challenge to support mental health services

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TEN inspirational women are set to tackle the iconic National Three Peaks Challenge on June 7, 2025, to raise vital funds for PATH – Pembrokeshire Action for the Homeless.

Motivated by the support they received through free counselling provided by Pathway Counselling, these women are embarking on this ambitious challenge to help fund mental health services offered by the charity.

The gruelling challenge, organised by Lucy Brazier with the support of Aspire Fitness and Charlotte Neill, will see the group climb the three highest peaks in the UK – Ben Nevis in Scotland (1,345m), Scafell Pike in England (978m), and Snowdon in Wales (1,085m) – all within a 24-hour timeframe. In total, the event involves 23 miles of walking and 450 miles of driving between the mountains.

Lucy Brazier, the organiser, expressed the group’s determination to succeed in this challenge, stating: “We are doing this to give back to the services that helped us through difficult times. Mental health support is crucial, and we hope our efforts will make a difference to others who need help.”

The challenge is not just a test of physical endurance but also a significant fundraising effort. Donations can be made through the group’s JustGiving page at www.justgiving.com/page/nationalthreepeaks.

PATH has been instrumental in supporting individuals struggling with homelessness and mental health issues across Pembrokeshire. The funds raised will ensure the continuation of essential services that positively impact lives.

The team is calling on the community to rally behind them and support their mission. Every donation, no matter how small, will help them reach their goal and make a difference.

For more updates on the challenge and to show your support, visit the JustGiving page and follow PATH’s social media channels.

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Health

Welsh Government ‘utterly failing’ on waiting lists

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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.”

Plaid Cymru MS Mabon ap Gwynfor
Mabon ap Gwynfor, Plaid Cymru’s health, social care and housing spokesperson

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”.

Conservative MS James Evans
Conservative shadow health secretary James Evans

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.

Health secretary Jeremy Miles
Health secretary Jeremy Miles

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.

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Health

Senedd Members criticise ‘appalling’ cancer delays

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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.”

Conservative MS James Evans
Conservative MS James Evans

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.”

Plaid Cymru MS Mabon ap Gwynfor
Plaid Cymru MS Mabon ap Gwynfor

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.”

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