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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

Half of adults unaware of key dementia symptom, warns Alzheimer’s Society Cymru

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Charity urges early diagnosis in Wales during Dementia Action Week

ALMOST half of adults in Wales are unaware that problems with vision can be a common symptom of dementia, according to new research released by Alzheimer’s Society Cymru.

The figures come as Dementia Action Week (May 19–24) begins, with the charity aiming to raise awareness of the condition and encourage earlier diagnosis. An estimated 50,000 people are currently living with dementia in Wales — but nearly half of them do not have a formal diagnosis.

The new data reveals that 50 per cent of Welsh adults did not recognise changes in vision as a symptom of dementia. One in ten people surveyed could not identify a single common symptom.

Vision-related symptoms can include difficulty judging distances, trouble recognising objects, and misinterpreting patterns or reflections. Larger print may also become harder to read.

Other commonly overlooked signs include changes in mood or communication difficulties. Across the UK, only 61 per cent of adults recognised problems with communication as a symptom, and 64 per cent identified mood changes.

Rachel Nelson, Country Manager for Alzheimer’s Society Cymru, said: “At Alzheimer’s Society, we see too many people delaying seeking a diagnosis because they’re scared or unsure what it will mean.

“A diagnosis is not the end. It’s the beginning of getting the right support, making informed choices and living well.

“That’s why this Dementia Action Week, we’re encouraging everyone to learn more about the symptoms of dementia and to seek help if they notice changes in themselves or someone close to them.”

Alzheimer’s Society Cymru is promoting a free online symptom checklist to help people better understand the warning signs and take action.

Corinne Mills, Interim CEO of Alzheimer’s Society, added: “More than a third of people with dementia don’t have a diagnosis, meaning they’re missing out on the vital care, support, and treatment they need.

“Our research shows that 97 per cent of people affected by dementia saw a benefit in getting a diagnosis.”

The six most common symptoms of dementia include:

  • Memory loss – especially of recent events
  • Difficulty organising thoughts – trouble making decisions or solving problems
  • Problems with communication – struggling to find the right words or follow conversations
  • Problems with vision – difficulty judging distances or seeing edges of objects
  • Confusion about time or place – losing track of the day or forgetting where they are
  • Changes in mood or personality – becoming unusually anxious, irritable, or withdrawn

The charity emphasises that dementia is not a normal part of ageing, and early diagnosis allows access to treatments, care options, and the ability to plan ahead — including appointing a power of attorney and managing finances.

To check symptoms or get support, visit alzheimers.org.uk/checklist or call the Dementia Support Line on 0333 150 3456. Welsh language support is available on 03300 947 400.

Photo caption: Supporting early diagnosis: Alzheimer’s Society Cymru urges people to check symptoms and seek help during Dementia Action Week (Pic: Alzheimer’s Society).

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Health

Welsh Ambulance Service invites public to next Board meeting

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THE WELSH AMBULANCE SERVICE will hold its next bi-monthly Board meeting on Thursday 29 May 2025, and members of the public are invited to attend virtually via Microsoft Teams.

A moving contribution will come from Corinne and Laurence Cope, the parents of nine-year-old Dylan Cope, who tragically died of sepsis in December 2022. They will speak about their experience contacting NHS 111 Wales and raise awareness of the signs and symptoms of sepsis.

Senior leaders at the Trust will also present updates on a new ambulance performance framework, due to be introduced in July. The revised approach will move away from traditional response time targets and focus instead on patient outcomes. There will also be discussion on the evolution of the Trust’s clinical model to improve patient safety and preserve ambulance capacity for the most urgent cases.

The meeting will include a live Q&A session, offering members of the public the opportunity to pose questions directly to Board members.

Colin Dennis, Chair of the Welsh Ambulance Service, said: “Our Board meetings are an important part of how we operate openly and transparently, and I encourage anyone with an interest in our work to join us virtually.

“They’re a chance to stay informed about the progress we’re making and the challenges we face as we continue to evolve ambulance services for people in Wales, as well as an opportunity to put questions to our decision-makers.”

The meeting begins at 9:30am, and the link to join will be available 10 minutes before the start time. Questions for the Board can be submitted in advance by emailing [email protected] no later than Wednesday 28 May 2025.

The meeting agenda will be published on the Welsh Ambulance Service website in the days leading up to the event.

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Health

Award-winning Arts Boost returns to support young people’s mental health

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THE INNOVATIVE Arts Boost programme is returning in 2025 to support children and young people across Carmarthenshire, Ceredigion and Pembrokeshire who are receiving help from the Specialist Child and Adolescent Mental Health Service (S-CAMHS).

Launched in 2022 by Hywel Dda University Health Board (UHB), Arts Boost was developed in response to a sharp rise in the number of young people seeking mental health support. Now in its fourth year, the award-winning initiative continues to use the arts to reduce emotional distress and promote better mental health.

The programme is delivered in partnership with Span Arts (Pembrokeshire), People Speak Up (Carmarthenshire), and Small World Theatre (Ceredigion). Together, they provide a variety of creative sessions for 12- to 18-year-olds known to S-CAMHS and experiencing mild to moderate mental health challenges.

Through a flexible model called Creative Freestyling, participants can choose from a wide range of expressive art forms, including animation, aerial performance, journaling, clay modelling, painting, drawing, and DJ’ing.

The programme has already received national recognition. In October 2023, Arts Boost was named runner-up in the Commissioning for Patient Experience category at the Patient Experience Network National Awards, held at the University of Birmingham. These prestigious awards are the only UK accolades dedicated to recognising best practice in patient experience across health and social care.

Katie O’Shea, Psychological Therapies Lead Specialist at S-CAMHS, said at the time:
“We are thrilled that this innovative project has been awarded for excellence in care for patient experience. Our success is down to the exceptional collaboration with our arts in health partners and the skill of the commissioned artists in creating safe, nurturing spaces for our young people.”

Angela Lodwick, Assistant Director of Mental Health and Learning Disabilities at Hywel Dda UHB, said: “It is wonderful to see Arts Boost return for a fourth year. Over the past three years, we’ve seen how creative engagement helps improve young people’s wellbeing, reduce their distress, and build life-long coping skills.”

The programme is open to anyone aged 12–18 currently under the care of S-CAMHS in the Hywel Dda area. Families are encouraged to speak to their Primary Mental Health Clinician for more details or contact Katie O’Shea, Lead for Psychological Therapies at S-CAMHS, on 01267 674450.

Arts Boost is underpinned by a growing body of research that highlights the positive impact of the arts on wellbeing, self-confidence, self-esteem, and emotional expression. Hywel Dda UHB continues to contribute its findings from Arts Boost to the national Arts and Minds programme, funded by the Baring Foundation and the Arts Council of Wales.

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