Health
Lib Dems press Welsh Government on ambulance waiting times
THE WELSH LIBERAL DEMOCRATS have intensified their criticism of the Labour Government over shockingly long ambulance waiting times in Wales. During Wales Questions in the House of Commons, Brecon, Radnor and Cwm Tawe MP David Chadwick highlighted a harrowing case from his constituency, underscoring the dire state of emergency healthcare in Wales.
An 82-year-old man was forced to drive his wife, who had suffered a stroke, from Rhayader to Hereford—over an hour and 15 minutes away on winding, poorly maintained country roads—while she was paralysed and vomiting, unable to receive any immediate medical assistance. The family was left with no choice after waiting two hours for an ambulance and being informed that the wait could extend another 4–7 hours.
Chadwick described the delays as “abysmal” but, unfortunately, not uncommon in border communities across Wales. He called on both the UK and Welsh governments to take urgent action to address ambulance delays, emphasizing that a crisis in social care was exacerbating the problem.
RECENT FIGURES HIGHLIGHT GROWING CHALLENGES
Recent NHS Wales data reveals that in 2024, response times for Category 1 (life-threatening) calls remain below the target of 65% being answered within eight minutes. In some areas, fewer than 50% of such calls are met within this critical window. Furthermore, figures show that average ambulance waiting times have reached nearly six hours in parts of rural Wales, leaving patients in vulnerable situations.

Hospital congestion is one of the primary causes of the delays. Ambulances are frequently left queuing for hours outside hospitals like Hereford and Glangwili, as wards remain full due to patients who cannot be discharged without adequate social care arrangements. Care Forum Wales has warned that the ongoing social care funding crisis could collapse the system entirely, leaving a £150 million shortfall after changes in funding announced by Labour in the UK Government Budget.
STRUCTURAL CHALLENGES IN WALES
The geography of Wales presents unique challenges for healthcare provision. Vast rural areas, coupled with poor road infrastructure, mean that emergency services often struggle to reach patients quickly. In 2024, Powys—one of the most rural counties in Wales—saw ambulance response times among the worst in the country.
Moreover, staff shortages across the NHS and social care sectors are contributing to the strain. Healthcare workers are reportedly leaving the industry due to burnout, low pay, and the increasing complexity of their roles. Many social care providers have also expressed concern that the Labour Government’s decision to increase national insurance for care providers risks making an already precarious situation worse, potentially leading to more closures of care homes and services.
CALLS FOR ACTION
David Chadwick reiterated his concerns, saying: “Residents across Powys and right across Wales are enduring unacceptably long waits for ambulances in moments of crisis. A 7-hour wait is no longer a rare occurrence—it’s a damning indictment of how stretched our emergency services have become.
“Our hardworking healthcare professionals are doing everything they can under incredibly tough circumstances, but they need support. Labour’s policy of increasing national insurance for social care providers risks making the situation at A&Es worse by leading to more blocked hospital beds and further delays in ambulances being able to respond to emergencies.
“Social care is a critical part of the solution to easing pressures on hospitals and ambulance services. Without urgent action to address these systemic issues, residents will continue to face unacceptable risks. I will keep fighting for my constituents to ensure that no one is left without care during their time of need.”
The Welsh Liberal Democrats are calling for a reversal of the national insurance rise for social care providers, increased investment in both NHS Wales and the social care system, and improved road infrastructure in rural communities to ensure emergency services can reach patients more efficiently.
A SYSTEM UNDER STRAIN
The challenges facing Wales’s healthcare system are deeply rooted and multifaceted. While ambulance waiting times are a visible symptom of the crisis, addressing the underlying causes—such as social care shortages, funding deficits, and rural infrastructure—will require coordinated action between the Welsh and UK governments. Without such efforts, the risks to patients across Wales will continue to grow.
Health
Welsh Ambulance Service invites public to AGM and Board meeting
Annual report, finances and patient experiences will be discussed during online meetings on July 30
THE WELSH AMBULANCE SERVICE is inviting members of the public to attend its Annual General Meeting and bi-monthly Board meeting later this month.
The AGM will be held online via Microsoft Teams on Thursday, July 30, from 9.30am until 10.45am.
Members of the Board will provide updates on the Trust’s performance and financial position, as well as discussing its annual report and accounts for 2025/26.
There will also be an opportunity for stakeholders and members of the public to submit questions.
Colin Dennis, Chair of the Welsh Ambulance Service, said: “Our AGM is an important opportunity to reflect on the achievements and progress of the past year and the impact these have had on our services.
“This includes transforming the way we deliver services to provide patients with the right advice and care, in the right place, every time.
“It also gives us the chance to look ahead, share our vision for the future and explain the actions we are taking to achieve it.”
Questions can be submitted during the AGM using the Microsoft Teams Q&A function.
Alternatively, questions can be sent in advance by emailing [email protected] before Wednesday, July 29.
The Trust’s bi-monthly Board meeting will take place immediately after the AGM, beginning at 11am.
During the meeting, Board members will hear the findings of the Good Governance Institute’s recent external review of the Trust Board’s effectiveness.
They will also hear from Lucy Burrows, whose young son lives with a range of physical and neurodiverse conditions.
Ms Burrows will speak about her family’s experience of the patient-centred care provided by an attending Emergency Medical Service crew.
An agenda for the Board meeting is expected to be published on the Welsh Ambulance Service’s website shortly.
Questions for the Board can also be submitted in advance by emailing [email protected] by Wednesday, July 29.
The Microsoft Teams links for both meetings will become active around ten minutes before each meeting begins.
Health
Two new surgeons appointed as Hywel Dda admits orthopaedic waits remain too long
Health board says it is increasing capacity after figures revealed hip replacement patients waited an average of 64 weeks
HYWEL DDA UNIVERSITY HEALTH BOARD has appointed two additional surgeons as part of efforts to reduce lengthy waits for orthopaedic treatment across west Wales.
The health board confirmed the appointments after figures revealed that patients undergoing elective hip replacement surgery waited an average of 450 days during the 2025/26 financial year.
That is equivalent to more than 64 weeks from referral to treatment.
As of May 28, 2026, a total of 1,608 patients were on Hywel Dda’s waiting list for hip replacement surgery.
Sixteen patients were also removed from the list during the financial year after deciding to undergo private treatment.
Responding to questions from The Herald, Gareth Cottrell, Deputy Chief Operating Officer at Hywel Dda University Health Board, acknowledged the effect prolonged waits were having on patients.
He said: “The current national delivery expectation for health boards in Wales is to treat orthopaedic patients within a maximum of 104 weeks from the point of referral to treatment.
“In recent years, waiting times for orthopaedic treatment in Hywel Dda have been among the lowest of any health board in Wales, but we recognise that waiting times remain too long and the impact these have on our patients while awaiting the treatment they need.”
The health board said it continued to maintain dedicated ward and theatre capacity for elective orthopaedic procedures at Prince Philip Hospital in Llanelli and Bronglais Hospital in Aberystwyth.
Day-case surgery is also being carried out at units across Hywel Dda’s hospital sites.
Mr Cottrell said: “We remain committed to improving waiting times and are working closely with our regional health board partners to maximise the treatment capacity we can offer patients across the wider South West Wales area.
“During the past year, we have appointed two additional surgeons to support our continuing efforts to reduce waiting times.”
The health board did not provide details of where the new surgeons would be based, how many additional operations they were expected to carry out or when patients would begin to see a significant reduction in waiting times.
Plans to expand orthopaedic capacity also formed part of Hywel Dda’s Clinical Services Plan consultation.
Mr Cottrell added: “Improving our orthopaedic services has also been a key part of our Clinical Services Plan that we consulted upon last year, with plans being developed to increase capacity and help more patients access the care they need.”
Hip replacements are commonly offered to patients suffering severe pain, stiffness and loss of mobility after other treatments, including physiotherapy, medication and injections, have failed to provide sufficient relief.
Lengthy waits can leave patients struggling with worsening pain, disturbed sleep and a loss of independence, while some may be forced to reduce their working hours or leave employment.
The waiting-time figures were obtained through a Freedom of Information request submitted by healthcare marketplace My Medical Gateway.
The company said the health board returned its response on June 8, 2026.
Health
MSs clash over funding formula as Reform call for government to abandon plans
SENEDD Members clashed over plans to review Wales’ funding formula, following the Welsh Government’s defeat in its pursuit of change.
Constitution minister Dafydd Trystan Davies defended the Welsh Government’s stance amid Reform calls for the plans to be abandoned.
On Tuesday July 14, Reform’s Cai Parry-Jones said Plaid Cymru had experienced a “crushing defeat” last week when they were “refused” permission from the Senedd to argue for a different funding model for Wales.
He said: “Reform, with the support of Labour and the Conservatives, potentially saved £1.5 billion annually for the Welsh Government’s budget. You’re welcome.
“Now that the Senedd has spoken, will you abandon your plans to argue for a change for the funding model for Wales?”
Responding with a simple “no”, Dr Trystan Davies said: “What has become very clear in assessing the financial situation facing Wales is that we need fair funding for Wales and funding that reflects the needs of the population. Wales has nothing to fear from a review of that kind.”
Reform’s shadow finance and government efficiency minister pointed to Plaid’s manifesto promises – much of which Mr Parry-Jones described having “hinged on an optimistic change of the funding model”.
He said: “Now that the Senedd has rejected your calls to change the funding model, what changes have you made to your programme for government?”

Dr Trystan Davies responded: “I hope that colleagues across this Senedd will work to ensure that the Welsh Government and the public sector in Wales work at their most effective and that we, over the next four years, can identify more funding that can be invested in the priorities of the people, to support childcare, to support the economy, to support the health service.”
Huw Thomas – Labour’s spokesperson for finance and democracy – questioned the minister on Plaid’s funding formula review.
The former Cardiff Council leader revealed he had received a written response from local government minister Sian Gwenllian, who said that as part of the government’s funding formula review it is “reviewing the data on primary indicators” such as “those relating to deprivation and sparsity of population”.

Mr Thomas said there are “huge concerns” in parts of Wales that Plaid will “copy what Rishi Sunak did in England and redistribute funding via the funding formula away from poorer urban areas towards relatively wealthier rural ones.”
The Caerdydd Penarth MS asked the minister what issues he has identified in the “underlying data and indicators” that have prompted this review.
In response, Dr Trystan Davies said: “As with all official statistics, the government keeps a close eye on the accuracy and effectiveness of that data to ensure that they are clearly and accurately reflected in the formulas.
“The spokesperson himself [Mr Thomas] comes from Aberystwyth and he knows full well that there are areas of significant poverty in rural Wales as well as industrial Wales.”
He continued: “Setting those communities against each other is a disappointing approach from the spokesperson, I would suggest.”
Mr Thomas noted in response that he “didn’t hear” the minister share “what figures had pushed [him] to hold that review.”
Calls for a Welsh Covid inquiry came from both the Reform and Conservative benches in Tuesday’s plenary.
Following his questions on Plaid Cymru’s plans to argue for a change to the funding model for Wales, Mr Parry-Jones pressed the minister to confirm what actions his government will take to bring about a Welsh Covid review.
He said: “Responding to the Covid inquiry’s fifth report today, the First Minister rather vaguely said that Plaid remains committed to reviewing the Wales Covid response.
“In March, Plaid said it would hold a short, sharp and focused review of the Welsh Government’s Covid response, a far cry from the full-fat all-Wales inquiry Plaid previously called for for years, including during your 2024 manifesto.
“Now, following that u-turn, nobody knows what your review actually is – not when it’s happening, not for how long, not even what elements of the Covid response it would focus on.
“Surely, Minister, now is the time to make it clear to bereaved families what actions exactly your government is going to take.”
Dr Trystan Davies said the government is committed to conducting a Covid review. He said: “That’s what we said in our manifesto and that’s what we intend to do.
“I’m pleased to say that I have already been in correspondence with the Covid Bereaved Families on our intentions and hope to arrange a meeting with them soon, because it’s important that the voices of those who have suffered are part of that discussion and feed in to the work of government.”
Andrew RT Davies, Welsh Conservative MS for Pen-y-Bont Bro Morgannwg, also pressed the minister on his inquiry plans.

Mr Davies said it was “vital” the government “sticks to their commitment” and “enacts a Covid inquiry – not a review”.
He called on the minister to confirm that “the government’s thinking, whatever emerges, will be set up under the Inquiries Act 2005, which would compel witnesses to come before that inquiry and give evidence”.
Dr Trystan Davies reiterated that work is “progressing” on the government’s Covid review and noted he will be “liaising closely” with the bereaved families.
The Conservative MS thanked the minister for his “warm words” but described the response as of “little substance”.
Mr Davies said: “The reality is that we found out, with the Covid committee that was set up in the previous Senedd term, that unless witnesses were compelled to give evidence, that committee was thwarted in its endeavours to get to the truth.
“Today, for example, the Covid inquiry reports that, on the FFP3 respirator masks that we were told Wales was well stocked with prior to the Covid pandemic in its emergency allocation, there wasn’t a single mask in Wales available for the health service to use.
“These are the things we need to get to the core of as to what was not provided, what was mislaid, what was deliberately not ordered to save money, and what was not acted on on the emergency planning trials that were held prior to the Covid pandemic.”
He called on the Welsh Government to “stick to your guns, stick to your morals, stick to the votes that you made prior to the Senedd election and have a full-blown inquiry that gets to the truth and, ultimately, prepares Wales for any future pandemic.”
Responding, Dr Trystan Davies said: “Reading the most recent module report on Covid brings home the sobering impact of Covid right across this country.
“Those lessons must be learnt, and the review that we are committed to undertaking must have the ability to address those precise issues that you have set out and that is what we will seek to do.”
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