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Emergency care failing in Wales, warns damming report

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EMERGENCY healthcare in Wales is failing too many people, according to a stark new report by Llais, the statutory body representing the public’s voice in Welsh health and social care. The report, based on feedback from over 700 people, calls for urgent action, warning that the state of emergency services has reached a crisis point.

Llais’ study, conducted over a five-week period, included visits to 42 emergency departments, minor injury units, and medical assessment units across Wales. The findings highlight severe delays, overcrowding, and a system struggling to meet even basic expectations.

Patients forced to find their own way to hospital

One of the most alarming takeaways from the report is the frequency of ambulance delays. Many patients reported waiting for up to 12 hours for emergency transport, forcing them to either drive themselves or rely on friends and family, despite being seriously unwell. Some even risked worsening their condition by taking taxis or public transport.

A patient at Morriston Hospital’s emergency department described the situation as dire: “I drove because the ambulance ETA was 7-8 hours, but I had severe chest pain and couldn’t wait that long.”

Others recounted horror stories of being sent to the wrong hospitals due to poor communication, leaving them stranded and paying exorbitant taxi fares to correct the mistake. One patient, initially taken to Glangwili Hospital despite their complex spinal history, had to pay £130 for a taxi back to Swansea, where they should have been taken in the first place.

Unbearable waiting times and overcrowding

The report details widespread reports of excessive waiting times, with many patients enduring 8 to 24 hours before receiving care. In some cases, waits exceeded 26 hours. Overcrowding is commonplace, with many patients left waiting in corridors, unable to access beds or even chairs.

One individual at Royal Glamorgan Hospital A&E said: “I’ve been waiting 12 hours and only had triage and a water sample. I’m in a corridor that’s meant to be for paediatrics – it’s uncomfortable and degrading.”

Families of vulnerable patients described feeling abandoned, with little communication from staff about their loved ones’ condition. One woman at Bronglais General Hospital recounted her frustration: “We are not too sure what is going on. We spoke to a nurse just over an hour ago. We are still waiting. We’ve been given no explanation of what the treatment is to be.”

Critical incidents declared

The Llais report warns that the pressures on Welsh emergency services are not temporary, but systemic. Since the study was conducted, ‘business critical incidents’ have been declared by both the Welsh Ambulance Service NHS Trust and Aneurin Bevan University Health Board. Other health boards, including Swansea Bay and Cwm Taf Morgannwg, have issued urgent warnings about overwhelming demand.

Calls for immediate action

Llais Chief Executive Alyson Thomas has called for immediate action, stating: “The voices we’ve heard paint a stark picture of a system under immense pressure. While we commend the dedication of healthcare staff, they are working in a system that is not giving them or the people they care for the support they need.”

The report calls for urgent measures, including:

  • Faster ambulance response times
  • Better coordination between emergency services and primary care
  • Increased staffing and resource allocation
  • Improved dignity and care for patients waiting in corridors
  • Greater transparency and accountability from NHS Wales and the Welsh Government

Welsh Conservative response: “Labour’s mismanagement to blame”

James Evans MS, Welsh Conservative Shadow Cabinet Secretary for Health and Social Care, has sharply criticised the Welsh Labour Government’s handling of emergency care.

“Emergency care is losing the very essence of its definition. Responses are too slow, and far too many people are suffering as a result of Labour’s mismanagement,” Evans stated.

He dismissed the idea that ‘winter pressures’ could explain the ongoing crisis, arguing that the current state of emergency care has become an unacceptable ‘new normal.’

“No one should be waiting over 12 hours in A&E, certainly not the many thousands we are seeing every month. The Welsh Labour Government seems completely unwilling to get to grips with this situation. Only the Welsh Conservatives stand ready to replace them so that we can fix Wales.”

Calls for reform

Keir Starmer, Prime Minister, acknowledged the crisis, stating: “The NHS in Wales is in urgent need of reform. Investment and reform need to go together… On occasions, using the private sector to get down waiting lists? Yes, that’s been going on a long time. We will do that to get waiting lists down.”

In a Senedd debate in January 2025, concerns were raised that waiting lists have hit record highs after nine months of continuous increases, forcing many patients to pay for private healthcare after years of waiting.

First Minister of Wales, Eluned Morgan, stated: “Reducing waiting times must be our key objective… It’s about rolling up our sleeves and collaborating to deliver the investment and reform desperately needed for healthcare in Wales.”

A Welsh Labour Government statement reaffirmed their commitment to the NHS: “Your Welsh Labour Government will always support the NHS – and will always support the NHS to change and modernise. That means continuing to invest in the NHS… Reforms have also focused on providing more care and NHS services out of hospital and in local communities.”

A system at breaking point

With emergency care in Wales under “extreme and unsustainable pressure,” as described by Llais Chair Professor Medwin Hughes, many patients and staff feel abandoned in a system that is failing them.

“The dignity of patients is not even being considered anymore. The system is chaotically inefficient and in desperate need of a review,” one patient at Glan Clwyd Hospital remarked.

Llais has vowed to keep pushing for reform, but with patient experiences growing increasingly dire, the question remains: how much longer can Wales’ emergency healthcare system hold on before it completely collapses?

 

Health

Wales most aware of alcohol addiction, but experts warn summer habits carry danger

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MORE people in Wales recognise alcohol as addictive than anywhere else in Britain, new research has found, but health experts are warning that awareness alone may not be enough to prevent harmful drinking habits.

The findings come ahead of the busy summer period, when pubs, beer gardens, festivals, barbecues and outdoor events often lead to increased alcohol consumption.

According to YouGov data, 86% of people in Wales describe alcohol as addictive — the highest figure recorded across Britain and above the national average of 78%.

Only 14% of Welsh respondents said alcohol was either “not very addictive” or “not addictive at all”.

By comparison, London recorded the lowest level of awareness, with 69% of respondents recognising alcohol as addictive.

Health professionals say the results show that while many people understand the risks, regular drinking can still become habitual, particularly during periods of increased socialising.

Official figures suggest adults consume an average of 10.7 litres of pure alcohol per person each year, equivalent to around 21 UK units per week. That is around nine pints of beer or seven large glasses of wine, and is significantly above the recommended maximum of 14 units a week.

Nearly one in five adults are also said to drink at hazardous levels or above, with men more than twice as likely as women to fall into that category.

Dr Karen Faulkner, Associate Medical Director at Panthera Clinic, said alcohol occupied a “unique place” in British culture because it was both legal and socially encouraged.

She said: “What’s particularly interesting is that most people understand alcohol can be addictive, yet many still underestimate how easily regular drinking can become habitual. Dependence often develops gradually and doesn’t always fit the stereotypes people associate with addiction.

“During the summer months, drinking can become even more normalised through holidays, beer gardens, barbecues, festivals and sporting events.

“The challenge isn’t necessarily a lack of awareness about alcohol’s risks. It’s recognising when a socially accepted habit has crossed the line into something that’s beginning to have a negative impact on your health, wellbeing or daily life.”

Dr Faulkner said people wanting to cut back should consider planning alcohol-free days, alternating alcoholic drinks with water or soft drinks, setting limits before social events, and keeping track of their weekly intake.

She also urged people to watch for signs that alcohol may be becoming more important than intended, including finding it difficult to relax, socialise or enjoy an event without drinking.

Panthera Clinic has launched a free online Alcohol Health Calculator to help people assess how their drinking habits may be affecting their health and wellbeing.

Dr Faulkner added that low and no-alcohol alternatives had become more widely available, making it easier for people to reduce their intake while still taking part in social occasions.

 

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Health

Welsh Government refuses to halt Withybush and Bronglais service review

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Health Minister tells Paul Davies MS that decisions remain a matter for Hywel Dda University Health Board

THE WELSH GOVERNMENT has declined to intervene in controversial plans affecting services at Withybush and Bronglais hospitals, prompting fresh criticism from local Senedd Member Paul Davies.

In a letter dated June 19, Health and Care Cabinet Secretary Mabon ap Gwynfor said responsibility for planning and delivering NHS services rests with local health boards and confirmed that Hywel Dda University Health Board should continue its consultation process on proposed service changes.

The response follows concerns raised by Mr Davies on behalf of constituents in Pembrokeshire and Ceredigion over the future configuration of clinical services, including stroke care.

While acknowledging strong public concern about access to healthcare in rural communities, the Minister stopped short of offering any commitment to block or reverse the Health Board’s proposals.

Instead, he stressed that any changes must be supported by robust evidence, maintain patient safety and demonstrate improved outcomes.

The Minister wrote: “Responsibility for planning and delivering health services rests with local health boards, including decisions about how services are organised.”

He added that proposals must improve outcomes for patients, maintain safe and equitable access to care and be supported by thorough impact assessments.

Paul Davies MS described the response as disappointing.

Posting the letter on social media, he said: “This letter tells me that the Welsh Government is not going to stand in the way of the Health Board’s plans.”

He added that he would raise the issue in the Senedd chamber next week and continue pressing ministers to intervene.

The exchange comes as Hywel Dda University Health Board continues a public consultation on proposed changes to stroke services across west Wales.

The consultation, which opened on May 28, is due to run until July 26.

In his response, the Minister stated that anyone suffering a stroke should receive treatment “as quickly as possible in the most appropriate setting” and said the current model of stroke care in Wales must evolve if national standards are to be achieved.

The comments are likely to fuel concern among campaigners opposed to the proposed changes, who fear services could become increasingly centralised and further away from rural communities in Pembrokeshire and Ceredigion.

 

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Medicine shortages now ‘most severe on record’, health leaders warn

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PATIENTS are facing some of the worst medicine shortages ever seen in the UK, with pharmacists warning the situation now poses a serious risk to safety.

The National Pharmacy Association said shortages affecting commonly used medicines are becoming more frequent, lasting longer, and causing increasing disruption for patients, GP surgeries and pharmacies.

The warning comes as Serious Shortage Protocols for Creon, used by people with pancreatic cancer and cystic fibrosis to help digest food, have been in place since May 2024 and have now been extended until July 10, 2026.

HRT treatment Estradot has also been under a Serious Shortage Protocol since December 2024, with the current extension also running until July 10.

Patients travelling between pharmacies

A survey by the National Pharmacy Association found that 98 per cent of pharmacies had encountered patients who had visited several pharmacies in one day to find a prescription.

It also found that 96 per cent of pharmacies believed the current situation posed a serious risk to patient safety, while 89 per cent said they had been unable to dispense a medicine at least once a day because of supply problems.

Some pharmacy teams have also faced anger and abuse from patients unable to obtain medication.

Olivier Picard, Chair of the National Pharmacy Association, said: “Medicine shortages are becoming more frequent, lasting longer and causing increasing disruption for patients.

“These shortages are some of most severe the UK has experienced.

“It is deeply distressing to find patients who have travelled from pharmacy to pharmacy to find the medicines they need without success.”

Calls for urgent taskforce

The NPA is calling on the government to convene an emergency taskforce involving manufacturers, wholesalers, clinicians and pharmacists.

It also wants changes to rules which currently stop pharmacists from making simple substitutions, such as changing a tablet to a capsule or a cream to an ointment, even where a safe alternative is available.

Professor Victoria Tzortziou Brown, President of the Royal College of GPs, said medicine shortages were frustrating for patients, GPs and pharmacists, and added pressure to already stretched services.

She said the College supported pharmacists being able to make limited changes to prescriptions where a medicine is unavailable and a safe alternative exists.

She added: “The most important thing is that patients are able to access the medication they need safely and without delay.”

The Cystic Fibrosis Trust and Pancreatic Cancer UK have also raised concerns about the impact of shortages of pancreatic enzyme replacement therapy, including Creon, on people who rely on the medication to digest food, maintain weight and stay well enough for treatment.

 

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