Health
Cancer patients face long waits for diagnosis and treatment in Wales
A REPORT released by Audit Wales has revealed that cancer care in Wales continues to struggle with significant delays in diagnosis and treatment, highlighting the need for urgent improvements. Despite increased investment in recent years, no health board has met the national target that 75% of cancer patients should begin their first treatment within 62 days since August 2020.
The report, embargoed until January 14, 2025, stresses that stronger national leadership and a sharper focus on preventative measures are critical to addressing these persistent challenges.

National targets missed
Audit Wales noted that while survival rates for cancer patients in Wales have improved, they remain poor compared to other countries. Wales has the second-highest cancer mortality rate in the UK, behind Scotland. The disparity is especially evident for individuals living in deprived areas, where outcomes are significantly worse.
Since the COVID-19 pandemic, performance has stabilized between 52% and 61% of patients starting treatment within the target timeframe. For some cancers, such as lower gastrointestinal, gynaecological, and urological cancers, waiting times exceed 100 days for certain patients, underlining the urgency of the problem.
Screening and early detection
Early detection is key to improving survival rates, with screening playing a vital role. The report praised the expansion of the national bowel screening programme, which now reaches more people using a more sensitive test. However, it pointed to opportunities to increase uptake for breast and cervical cancer screenings and urged a decision on introducing a national lung screening programme.
Rising demand and staffing challenges
The demand for cancer diagnosis and treatment in Wales is growing. Between 2002 and 2021, the number of newly diagnosed cancers rose by 22%. Suspected cancer referrals have also increased, creating additional strain on the NHS. Notably, more than 84% of these referrals ultimately determine that the patients do not have cancer.
Staffing gaps and capacity limitations further compound the issue, with waiting lists for cancer services continuing to grow. Despite Welsh Government ambitions to return waiting lists to pre-pandemic levels, the report suggests this goal is unlikely without significant increases in diagnostic and treatment capacity.
Leadership and prevention
The report emphasizes the importance of clear national leadership in addressing the challenges facing cancer services in Wales. It noted weaknesses in current oversight arrangements, particularly concerning the status of the NHS Wales Cancer Improvement Plan, launched in 2023. Clarity is needed on how this plan integrates with other initiatives to drive the required improvements.
Preventative measures were also highlighted as critical. Approximately 40% of cancers in Wales are preventable, with lifestyle factors like smoking, diet, and physical inactivity contributing to risk. Tackling these factors could save lives and reduce pressure on the NHS, as these same risks also contribute to other major health conditions.
A call to action
Auditor General Adrian Crompton stressed the importance of addressing these challenges, stating:
“Despite increased investment, too many people are experiencing unacceptably long waits for cancer diagnosis and treatment. Variations in performance persist, and insufficient attention is being placed on prevention of lifestyle factors that cause cancer. National leadership and oversight must be clarified and strengthened as a matter of urgency.”
Moving forward
The Welsh Government is responsible for setting the strategic direction and holding health boards accountable for their performance. Health boards and trusts are tasked with planning and delivering services to meet national targets.
The report is a stark reminder of the work needed to ensure timely cancer care for all. The publication serves as a rallying call for coordinated action across government, health boards, and communities.
For anyone affected by the report’s findings, details of support services can be found through the Wales Cancer Alliance.
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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