Health
Ambulance target under review after being missed for four years
A TARGET for ambulances to respond to the most urgent 999 calls in eight minutes could be changed after services missed the mark for more than four years.
Jeremy Miles, who was appointed Wales’ health secretary in September, announced a clinician-led review of the appropriateness of emergency ambulance response targets.
The target of responding to 65% of immediately life-threatening “red” calls within eight minutes has not been met since July 2020, with latest performance standing at 50%.
In a statement on November 26, Mr Miles raised concerns about “unstainable” levels of demand, with 36,700 emergency calls in October, an average of 1,183 a day.
He told the Senedd the proportion of red category calls has soared from 4% to 5% when the target was introduced in 2015, to nearer 15% today.
Mr Miles said the ambulance service received 177 “red” calls a day in October, warning: “This was the second highest number of daily red calls to the ambulance service on record – a level of demand that is, frankly, becoming unsustainable.”
The health secretary added: “Despite the fact that the category of red calls is now approximately three times the size since the target was set in 2015, in October just over half of red calls were responded to within the target time of eight minutes.
“The ambulance service is still off target but this equates to the highest number of red calls responded to within eight minutes on record.”
He announced an expert group will review the target in the context of the Welsh Ambulance Services University NHS Trust’s evolving model of rapid clinical screening for most 999 calls.
Mr Miles said the group will consider whether new measures are required, with no response time targets currently in place for the amber nor green categories.
Sam Rowlands, the Conservatives’ shadow health secretary, suggested any change to the target could be seen as the Welsh Government trying to move the goalposts.
Mr Rowlands expressed concerns about handover delays at emergency departments, recognising a big part of the challenge remains outside the ambulance service’s control.
Mr Miles stressed the review was launched on the back of a recommendation from the Senedd’s health committee, rejecting any suggestion of seeking to swerve accountability.
“That way lies madness,” he said. “The health service is hedged around with dozens of targets. There is not a shortage of targets in the system.
“But if we are to have an honest discussion about performance in the health and care systems, we have to apply that rigour to how we look at the priorities that we set and the targets against which we measure performance.”
Plaid Cymru’s Mabon ap Gwynfor warned of grave problems in Wales’ care service, with patients unable to leave hospital to return to the community.
He told the Senedd that response time delays are a symptom of a far wider problem and the entire machinery of the health care system is in fundamental gridlock.
Mr ap Gwynfor said: “These missed targets are of course a reflection of chronic handover delays; whereas the average handover period is supposed to be 15 minutes, the current average is in excess of two hours.
“The cumulative impact was 260,000 hours being lost to handover delays at emergency departments last year.”
Mr Miles accepted that patient handover times remain “far too long” as he stressed that reducing delays is a key priority for the health service.
Labour’s Lesley Griffiths welcomed more rapid clinical screening of 999 calls after meeting Jason Killens, the chief executive of the Welsh Ambulance Services NHS Trust, last week.
The Wrexham Senedd Member said: “Having clinicians inside control rooms I think is absolutely right to target reducing harm and make sure people who are genuinely a red call receive the correct service.”
Conservative Laura Anne Jones said: “This isn’t just about statistics, it’s about lives at stake – families left waiting in fear while precious seconds tick by.
“Instead of improvement, we’re witnessing decline.”
Plaid Cymru’s Peredur Owen Griffiths welcomed the statement but argued it “stops short of the major surgery and investment that’s needed within the ambulance service”.
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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