Health

Record NHS Wales waiting lists worsen, with one in five waiting for treatment

Published

4 months ago

August 23, 2024

HOSPITAL waiting lists in Wales hit another record high, with nearly one in five people waiting for treatment, according to latest statistics.

Official figures for June show 615,341 patients were waiting for 791,511 treatments to take place – both the highest numbers on record.

The estimated number of people waiting for treatment is up by 12% since March 2022.

So-called patient pathways – which account for patients waiting for more than one treatment – have risen by more than 80% since the outbreak of the Covid-19 pandemic.

The number of waits of more than a year was about 160,000 in July and at least two years was 23,400 – 3.5% and 4.3% increases on the previous month, respectively.

Performance in A&E fared a little better but waits remain relatively long historically and services are still some way short of the target of seeing 95% of patients in four hours.

In July, 69.3% of patients in A&Es spent less than four hours in emergency departments from arrival to admission, transfer or discharge – a 0.4% improvement over the month.

Swansea Bay health board saw the biggest proportion spending less than four hours in A&E at 79.1%, with Cardiff and Vale the lowest at 61.7%.

In the latest data, the median average waiting time was two hours, 39 minutes – a six-minute improvement on the previous month.

The Welsh Government also has a target of no patient waiting more than 12 hours but over 10,100 patients waited at least 12 hours, according to the July figures.

Betsi Cadwaldr (3,506) topped the table for 12-hour waits, while Cardiff and Vale was the best performing on this benchmark as well (895).

In July, 48% of life-threatening red calls received a response within eight minutes against a target of 65% – representing a 1.7% increase on the previous month.

Red-call response times have fallen from a peak of 80% in 2017.

However, in that time, there has been a substantial increase in calls, with about 58,000 in the past 12 months – more than twice the number in 2017 (22,000).

In recent years, there has also been a significant problem with handover delays at hospitals, with 20,000 hours lost in July alone.

In total, nearly 35,800 red, amber and green calls were made to the ambulance service in July, an average of 1,154 calls a day.

Response times for red calls ranged between four minutes, 30 seconds and six minutes for red calls in the four years before the pandemic.

But the median average response time in July was eight minutes, 18 seconds.

The Welsh Government has a target of 75% of patient pathways starting treatment within 62 days of cancer first being suspected, with a new aim of 80% by 2026.

But, in June, only 56.7% of patient pathways started their first definitive treatment within 62 days though this was an increase of 1.3% on May and 1.9% annually.

Cardiff and Vale health board had the best performance at 64% while the lowest was Cwm Taf Morgannwg’s 52%.

Pre-pandemic in December 2020, nearly 67% of patients in Wales were seen within 62 days but no health board has hit the 75% target since July 2020.

Judi Rhys, chief executive of Tenovus Cancer Care, said: “The cancer waiting times figures for June show that we are still not seeing the progress that is so desperately needed.

“As we reach the halfway point of the reporting year, it’s clear that despite limited improvement, we remain far from achieving the suspected cancer pathway target.

“Alarmingly, our current position is no better than this time last year or even the year before.”

Mark Drakeford, who served as health minister between 2013 and 2016, returned to the role on an interim basis this month, succeeding Wales’ new First Minister Eluned Morgan.

In a press statement responding to the statistics, Mr Drakeford said: “The number of immediately life-threatening red 999 calls to the ambulance service made each day was the fourth highest on record in July.

“And attendances at emergency departments continue to be above the long-term average.

“Performance against the four-hour A&E target improved, and the average time people spent in departments before being discharged, admitted to hospital or transferred also fell in July.

“There was an improvement in ambulance response times and we have also seen an improvement in hospital discharge delay figures in July compared to June.

“However, it is disappointing that the number of people waiting more than two years for treatment has increased and there’s been further growth in the overall waiting list – just as there has been in other parts of the UK.”

Sam Rowlands, the Conservatives’ shadow health secretary, said: “These woeful statistics show the NHS is in crisis as waits have increased to new records for five months in a row.

“The Labour Welsh Government has failed yet again to bear down on these excessive lists.

“Since Eluned Morgan was Labour’s health minister, how can she be trusted to turn this situation around as First Minister?

“The Conservatives believe it is past due for Labour to spend every penny they receive for health on the Welsh NHS, as opposed to prioritising the creation of 36 more politicians.”

Mabon ap Gwynfor, his Plaid Cymru counterpart, said: “There is a disappointing inevitability of failing to get to grips with NHS waiting times month after month, and this set of results published today is no different, with waiting times at their highest ever.

“While Labour in Wales has been too focused on internal fighting, the new First Minister has left a legacy of at least 615,300 individual patients on treatment waiting lists. She promised to eliminate waiting lists but failed. A damning record for the new First Minister of Wales.

“A radical rethink in approach is needed.”

Health

Hywel Dda urges responsible use of ‘under pressure’ A&E service

Published

2 days ago

December 20, 2024

Tom Sinclair

HYWEL DDA University Health Board is appealing to the public to carefully consider how they access healthcare services as local A&E units, including Withybush Hospital in Haverfordwest, face increasing pressure.

A spokesperson said: “Our services are under pressure. Please help us to help you by choosing how you access our services carefully, ensuring that emergency departments (A&E) are reserved for urgent or life-threatening care needs.”

Unwell and unsure what to do?

If you’re unwell and uncertain about the best course of action, the Health Board recommends visiting the online symptom checker or calling NHS 111 Wales for advice.

When to attend A&E

Emergency Departments should only be used for life-threatening illnesses or serious injuries, such as:

Severe breathing difficulties
Severe pain or bleeding
Chest pain or suspected stroke
Serious trauma injuries (e.g., from a car crash)

Minor Injuries Units (MIUs)

For less serious injuries, MIUs offer treatment for:

Minor wounds, burns, or scalds
Insect bites
Minor limb, head, or face injuries
Foreign bodies in the nose or ear

MIUs are available at Cardigan Integrated Care Centre, Tenby Hospital, and main acute hospitals. Visit the Minor Injuries Unit page for opening hours and directions.

Urgent care, not an emergency

For urgent health needs that cannot wait but are not emergencies, call NHS 111 Wales for advice or access to out-of-hours GP services. This free service is available 24/7.

Mental health support

If you need urgent mental health support, call NHS 111 Wales and select option 2 to speak with a mental health professional. The number is free to call, even from a mobile with no credit.

Community care options

Community pharmacies offer walk-in services for common ailments such as sore throats, hay fever, and conjunctivitis. A full list of ailments and participating pharmacies can be found on the Common Ailments Service pages.

Helping reduce hospital stays

The Health Board emphasizes the importance of reducing hospital stays to ensure acute care is available for those who need it most. If a loved one is ready to be discharged, families are urged to collect them promptly to free up beds for other patients.

For more information on the inpatient experience, visit the Inpatient Information pages.

A thank you from the NHS

The Health Board expressed gratitude for the public’s cooperation: “Your support not only helps you and your loved ones but also eases the strain on NHS and social care services.”

For further updates, contact:
Hywel Dda University Health Board Media Office
Email: [email protected]

Health

More than 300 healthcare workers from Kerala take up NHS jobs in Wales

Published

3 days ago

December 20, 2024

Tom Sinclair

AN EMPLOYMENT agreement has exceeded its target for recruiting healthcare workers from India.

The Welsh Government outlined a commitment to recruit 250 qualified healthcare workers from India as part of a Memorandum of Understanding with the Kerala Government earlier this year.

The recruitment drive has outperformed that goal, with just over 300 healthcare workers taking up positions across all of Wales’ health boards and the Velindre University NHS Trust. Further recruitment is due to take place next year.

The commitment was made as part of Wales in India, a year-long series of events to improve economic, educational, artistic and sporting ties between the two nations.

Sharoon Kolickatharayil Nowshad, 24, had long held ambitions to move to Wales and work as a nurse, inspired by his uncle Siji Salimkutty who began working in the Welsh NHS in 2004.

Since arriving in Wales and beginning his job with Aneurin Bevan University Health Board, Sharoon said he has reunited with his family and appreciated the kindness shown by his new colleagues.

“I was really excited to work in the NHS” Sharoon said. “It’s always been my ambition to contribute to society, and now I get to do that here in Wales.

“Everything moved quickly once I saw the opportunity to apply, and I’m proud to work for the NHS. I tell my family and friends that it feels great to help people when they need it the most.

“When you work for the NHS, it’s not just a job or salary. It’s a great life. You feel proud knowing you’ve supported and helped others.

“The NHS has given us a great opportunity and we should always work sincerely because we love our jobs. There are lots of opportunities to advance your career, your colleagues always support you and there’s a great support network.”

Sharoon said he hopes to continue his career in the Welsh NHS by progressing to become an Advanced Nurse Practitioner.

He added: “People in Wales are so kind, they always make time for us, whether that’s at work or at home.

“I would encourage anyone thinking of coming to Wales not to hesitate and to apply, it’s the best decision I’ve made.”

Dr Devangana Bora has taken up a position as a Senior Clinical Fellow in Oncology at Velindre NHS Trust. Born in Guwahati, a large city in the Northeast Indian state of Assam, Dr Bora has worked as an Oncologist since 2019.

“I was really nervous for the interview. When I got there they told me it was in three stages and I became more nervous,” Dr Bora said.

“After the interview, I was offered the job and I was so happy. I thought they were joking. I was so excited to take this next step in my career and move to Wales.

“The weather is cold here but the people are so warm. I have received nothing but support from my colleagues and generally the people in Wales are so friendly and helpful.”

Dr Bora said her sister is currently studying Medicine at university and has been inspired to move to Wales once she completes her studies.

Jeremy Miles, Cabinet Secretary for Health and Social Care, said: “Alongside continued investment in training healthcare staff in Wales, international recruitment has always been one of the ways we can help address NHS workforce vacancies.

“India and Kerala in particular has a fantastic record in training doctors and nurses. We are grateful for the commitment to delivering high-quality care our new NHS recruits have shown.

“The contribution of these healthcare workers is already being felt across our NHS and it’s wonderful to see them settling into happy lives in Wales.”

Wales in India was launched on St David’s Day, March 1, by the then First Minister Mark Drakeford and Minister for Health and Social Services Eluned Morgan, beginning a year of events and cultural engagements to strengthen links between the two nations.

One of the biggest impacts on policymaking in India drew inspiration from Wales’ innovative Well-being of Future Generations Act. Through partnership working, the Maharashtra Legislative Assembly introduced its own draft law called the Maharashtra Future Generations Welfare Bill in July.

Welsh Government, the British Council and Wales Arts International also made commitments to further cultural collaborations between Wales and India by investing in arts projects through a dedicated culture fund. With the support of these organisations, as well as the Deputy High Commission in Kolkata, Wales was recently a partner country for Hornbill, one of India’s largest music festivals, which saw Mari Mathias and Gareth Bonello perform on the main stage with Indian musicians Seyievinuo Chuzho and Benedict Hynniewta.

In February 2025, 10 young women, chosen from 140 applicants, will travel to Kolkata to complete humanitarian work as part of a joint project with Urdd Gobaith Cymru and Her Future Coalition. The volunteers will provide support to vulnerable girls including survivors of trafficking and other forms of gender-based violence. Sport and art workshops for children will also be run by the group.

Health

Hoax calls reach three-year high, says Welsh Ambulance Service

Published

5 days ago

December 18, 2024

Tom Sinclair

THE WELSH AMBULANCE SERVICE has seen a staggering 37% rise in hoax calls over the past three years, wasting valuable time and resources, a new investigation reveals.

Data from Medical Negligence Assist highlights that over 700 hours—equivalent to nearly 29 full days—of ambulance crew time has been lost responding to malicious calls since 2021.

During this period, WAS crews attended 463 face-to-face incidents later identified as deliberate hoaxes, severely straining emergency services already under pressure.

Rise in hoax calls over three years

2021/22: 334 hoax calls; 84 face-to-face responses.
2022/23: 373 hoax calls; 85 face-to-face responses.
2023/24: 457 hoax calls; 163 face-to-face responses.

The upward trend continues, with provisional figures for 2024/25 (April 1 to October 31) already recording 345 hoax calls and 131 face-to-face responses.

Strain across Wales

The geographic impact is widespread, with hoax calls reported in all areas of Wales. WAS officials warn that such incidents divert resources from genuine emergencies, potentially putting lives at risk.

A call to action

The 701 hours spent on hoax calls between 2021 and 2024 represent a critical drain on ambulance availability. A WAS spokesperson said: “Every minute wasted on a hoax call is a minute lost to someone in real need. These actions have serious, life-threatening consequences.”

“The Welsh Ambulance Service is urging the public to recognize the harm caused by hoax calls and act responsibly.

“For information or to report suspicious activity, contact the Welsh Ambulance Service through their official channels.”