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Health

NHS performance: Ambulances tied up as hospitals burst at the seams

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  • A NEW set of Welsh NHS performance data was released today (Thursday, June 20), and it contains more bad news.

The Welsh Government described the data as “disappointing”.

WG “LACKS GRIP” ON FUNDAMENTALS

Sam Rowlands MS, the Conservatives’ Shadow Health Minister, said: “These atrocious statistics show that the NHS is going backwards under Labour.

“Two-year waiting lists have increased for the first time in two years.

“Keir Starmer has called Labour-run Wales his blueprint for what a UK Labour Government would look like: these figures are a stark warning for the whole UK.”

Mabon ap Gwynfor MS, Plaid Cymru’s health spokesperson, said: “Labour’s complete mismanagement of the NHS in Wales has left us with waiting lists at the highest on record, targets for diagnosis and treatment are being consistently missed, and people are getting stranded in A&E departments for hours on end.

“It’s no wonder that we have such astronomical waiting times when the government has failed to deal with problems in primary care and social care.

“Until the government gets to grip with these fundamental problems, then waiting lists will continue to climb.”

A Welsh Government spokesperson said: “We have made it a priority to reduce long waiting times, and today, the Cabinet Secretary for Health met with health board chairs to instruct them to redouble their efforts to tackle these.

“These figures show the NHS is continuing to manage incredible demand for urgent and emergency care – the number of immediately life-threatening 999 calls in May was 25% higher than the previous year, and demand is nearly two-and-a-half times higher than pre-pandemic levels.”

THE LOCAL PICTURE: HOSPITALS

Over 30% of patients waiting to start treatment in the Hywel Dda UHB area have been waiting for over 36 weeks.

The Health Board has the second-highest proportion of the population waiting to start therapy. In practical terms, that means that around 4,000 people are yet to get the therapy they need.

The number of patients told they did not have it fell. However, the number of patients starting treatment has remained stable for years.

With rising demand for cancer diagnosis and treatment and no improvement in the numbers starting treatment, performance against the target for treating cancer dropped.

At least 75% of patients should start treatment within 62 days of first being suspected of cancer.

Only 42% of cancer patients in the Hywel Dda UHB area started treatment within the target time. To meet a revised target of 80% by 2026, Hywel Dda UHB will have to increase its performance by almost 100%.

The Welsh Government’s performance target for patients waiting to start treatment for less than 26 weeks is 95%.

No Health Board is close to meeting that target, although Hywel Dda UHB is the second-best performer—just over 50% of patients start treatment within six months.

Despite a dramatic fall in the number of inpatient beds in Hywel Dda UHB’s hospitals over the last six years, the number of inpatient admissions rose sharply in April, placing even greater pressure on chronically overstretched staff and resources.

THE LOCAL PICTURE: AMBULANCES

The percentage of red emergency calls being met within eight minutes fell across Wales.

The ambulance performance target is for 65% of all red calls to be attended to within eight minutes.

Across Wales in May, there were 5,110 red (life-threatening) calls to the ambulance service, 13.9% of all calls.

45.8% of red calls received an emergency response within eight minutes, 2.2 percentage points lower than in April.

In the Hywel Dda UHB area, 47.6% of red calls received an emergency response within 8 minutes, compared to a sharply reduced number of calls in the red category.

Examining more detailed data for the Hywel Dda UHB area demonstrates the pressure on emergency hospital admissions and the knock-on effect on the ambulance service.

When an ambulance takes a patient to hospital, admission is supposed to take place within 15 minutes of arrival, with the ambulance returning to service 15 minutes after that.

In the Hywel Dda UHB area, ambulances were tied up beyond those markers for almost 4,000 hours beyond expected admission and return to on-call.

Fewer than 18% of patients conveyed to a Major Injury Department were admitted within 15 minutes. For Major Acute Units, that turnaround was even worse, at barely 15.5%.

Once cleared, however, well over 80% of ambulances were back out on call.

Diving deeper into the data, we see that just over 1,700 patients travelled by ambulance to major emergency, major acute, and maternity and mental health units.

By a very crude piece of arithmetic, we can calculate that if those 1700 patients accounted for the 4000 hours of “lost time”, the handover stats would be even more shocking, with an average turnover of over two hours.

Moreover, localised data shows that 35.6% of all people who are attended by an ambulance go to a hospital using other means of transport.

A CRISIS ACROSS THE BOARD

The issue could not be clearer: delays at hospitals are keeping ambulances off the road.

The upward pressure on A&E services caused by the collapse of out-of-hours primary care (GPs, etc) is driving up attendance at all hospital A&Es.

The lack of beds is driving up a backlog of treatment. The lack of clinical staff means more junior staff fulfil tasks -including initial diagnoses- formerly taken by clinicians and registered nurses. Consolidating rural services on an urban model is making things worse.

Whatever the cure for the disastrous condition of the Welsh NHS, money will not be enough to turn around decades of decline.

Health

Tufnell talks tough on health care following ‘in-depth survey’

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TOP Hywel Dda health board officials are turning a blind eye to its escalating health care failings despite pocketing six-figure salaries.

So says Mid and South Pembrokeshire MP Henry Tufnell who is calling for an urgent meeting with Hywel Dda’s chief executive, Phil Kloer.

“The Hywel Dda Health Board needs to recognise that there’s a problem with health care outcomes and care delivery, but what is it going to take for them to recognise that?” Henry Tufnell commented this week.

His comments followed an in-depth survey of 1,000 people living in Pembrokeshire which confirmed that a staggering 62% have to wait more than a week for a GP appointment.  43% have cited a lack of available appointments as their biggest challenge, while no fewer than 87% claim healthcare services have worsened in recent years.

“But it’s the real stories that show the scale of the crisis,” continued Henry Tufnell.

“I know of a cancer diagnosis that has been delayed by over a year, while ambulance waiting times can be more than 13 hours, even for urgent cases.  Critical care needs are going unmet and this is forcing patients to seek private treatment.”

Tufnell has now submitted a Freedom of Information (FOI) request to Hywel Dda University Health Board demanding greater transparency on waiting times, service provision and a plan strategy to fix the crisis.

“Despite all the latest evidence, in addition to everything we gathered during the election campaign, there’s still no acceptance by the Board that there’s a problem,” he said.

“But it’s their responsibility to deliver health care within this county, and they’re failing.  The management is failing us here in Pembrokeshire and there’s a complete lack of transparency and accountability.  All these people sitting in management roles are being paid huge amounts of money, some bringing in six figure salaries.  But they’re failing.”

Mr Tufnell has now requested an urgent meeting with Hywel Dda chief executive Phil Kloer which is expected to take place on February 14.

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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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