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Health

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

‘Children spending more time in digital worlds than the real one’

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CHILDREN are spending more time in digital worlds than the real one, the Senedd has heard, with excessive screen use shaping behaviour and health in ways society cannot ignore.

Labour’s John Griffiths expressed concerns about the impact of smartphones and online gaming on young people amid an “epidemic of screen use” in Wales.

Mr Griffiths titled the debate “Locked in, Bruh!” – “the state of playing a video game while oblivious to anything else” – on the suggestion of Tom, a teenager from Newport.

He raised research from the Centre for Social Justice, a thinktank, which estimates that up to 814,000 UK children aged three to five are already engaging with social media.

The Newport East Senedd Member told the chamber two-thirds of primary school pupils in Wales have their own smartphone by the age of 11.

Mr Griffiths said boys spend two hours more a day on online gaming while girls spend more time on social media and “reel scrolling” which has been linked to damaging self-esteem.

He told Senedd Members: “Boys are becoming more short-tempered and violent when exposed to violent video games and there is, rightly, much concern that children in more deprived families are particularly vulnerable.”

Mr Griffiths, who was first elected in 1999 and will stand down in 2026, said children aged five to 16 spend at least six hours a day looking at a screen. He added that for children, aged 11 to 14, that figure rises to nine hours a day.

He pointed to research showing more than 70% of young people in the UK do not undertake an hour of physical activity a day yet have at least six hours to spend looking at a screen.

He said: “Children are sat inside with a screen at the end of their nose and are not spending time outside enjoying their local communities or playing and interacting with friends.”

Mr Griffiths warned of increasing levels of obesity and rising numbers of young people reporting vision problems, with one in three children globally now short-sighted.

He told the Senedd: “As for the mental health and wider social impacts, anxiety and depression are increasingly linked to excessive screen use as is sleep disruption – with social media interfering with rest and emotional development.”

He raised a New Zealand study of more than 6,000 children that found a correlation between excessive screen time and below-average performance in literacy and numeracy. He warned children have increasingly shortened attention spans and an inability to concentrate.

Mr Griffiths shared the case of his constituent, Danielle, who said her son becomes more aggressive and snappier after a significant time gaming. Lucy, another constituent, explained how her children find the endless reels on social media addictive.

“Once they start scrolling, it’s hard to break that cycle,” the Senedd Member said. “And when she and her husband take the devices away, it often results in tantrums and tears.”

Mr Griffiths raised the example of countries such as Australia, France and Italy which have introduced strict age checks and bans on social media for under 16s.

He acknowledged such a policy would need to come from the UK Government because powers over internet services are not devolved. But he said Wales has the authority to introduce measures through education policy on, for example, smartphones in schools.

The Tories’ Sam Rowlands warned algorithms are having a “sickening” effect on teenagers who are eight times more likely to act on self-harm urges when exposed to such content. “TikTok users with eating disorders receive over 4,000% more toxic content,” he warned.

Responding to Wednesday’s (December 17) debate, Jane Hutt recognised how so-called doom scrolling can have a detrimental impact on young people.

Wales’ social justice secretary said: “We are living through profound change. Childhood today is shaped by technology in ways that were unimaginable a generation ago… For many young people, screens, smartphones and online gaming are part of everyday life.”

Jane Hutt, secretary for social justice, trefnydd and chief whip
Jane Hutt, secretary for social justice, trefnydd and chief whip
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Health

New research centre launched to tackle historic gender health gap in Wales

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A NEW £3m research centre has been launched to tackle long-standing health inequalities faced by women in Wales.

The Women’s Health Research Centre – the first of its kind in Wales – aims to close the historic gender health gap by strengthening investment in women’s health research and improving representation in clinical trials.

The centre was launched to mark the first anniversary of the Women’s Health Plan for Wales, with First Minister Eluned Morgan and Minister for Mental Health and Wellbeing Sarah Murphy visiting staff, researchers and community partners involved in the project.

Led by Women’s Health Research Wales, the centre brings together researchers, NHS organisations, industry, policymakers and communities to develop more effective treatments and ensure health services meet women’s needs throughout their lives.

Its work will cover prevention, early-onset conditions, rare diseases and care for under-served communities.

Projects currently in development include research into symptom-reporting tools to improve the management of conditions such as diabetes, heart failure and chronic obstructive pulmonary disease – areas where the specific impact on women has historically been under-researched.

Researchers are also examining the potential health effects of chemicals used in menstrual products, how best to support young people to stay active during periods, and improved care pathways for people with polycystic ovary syndrome to reduce the risk of developing diabetes and heart disease later in life.

Other projects focus on fertility, including a decision-making tool for women with kidney disease who are considering having children.

One study is working directly with women undergoing fertility treatment to understand why the process can lead to mental health conditions such as post-traumatic stress disorder, with the aim of producing guidance to support trauma-informed fertility care.

First Minister Eluned Morgan said: “I am passionate about improving women’s healthcare. To do that, we must invest in research to gather the evidence we need.

“I am delighted to see how the Welsh Government’s £3m investment, through Health and Care Research Wales, is supporting research based on the experiences of women. This will result in better care and better health outcomes for women.

“This innovative new research centre is a key part of the Women’s Health Plan and will help us better understand women’s experiences. It will lead to more effective treatments and ensure our health service delivers improved outcomes for women in Wales.”

Sarah Murphy, Minister for Mental Health and Wellbeing, said the early progress had been encouraging.

“I’m thrilled the investment we’ve made in this research centre is already delivering projects in such important and under-researched areas of women’s health,” she said.

“The pioneering work I’ve heard about today – including the impact of infertility on women’s mental health – is exactly what we want the Women’s Health Plan to influence and deliver.

“All of this has been achieved in the first 12 months, and I look forward to seeing what can be delivered over the next year.”

Debbie Shaffer, founder and director of Fair Treatment for the Women of Wales and chair of the Women’s Health Wales Coalition, said partnership working would be key to success.

“Research into health issues experienced by women throughout the life course is vital,” she said.

“By working co-productively, in partnership with women and communities, we have a real opportunity to reduce health inequalities and improve treatment options and support.

“We look forward to helping create more opportunities for people with lived experience – whose voices may not have been heard before – to get involved.”

The Women’s Health Plan for Wales was published in December 2024 and sets out a 10-year approach to improving health outcomes for women, ensuring they are listened to and their health needs properly understood.

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Health

Welsh Government intervenes as Gwent health board’s finances ‘deteriorate rapidly’

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THE WELSH Government has escalated intervention at Aneurin Bevan University Health Board to one step short of special measures, amid concerns about an £18m deficit and A&E failures.

Jeremy Miles, Wales’ health secretary, announced the Gwent health board will move to level four for finance and emergency care on the government’s five-point scale.

In an update on escalation at each NHS organisation in Wales, Mr Miles warned the health board’s financial position has “deteriorated rapidly” over the past year.

“It is forecasting an £18.3m deficit by the end of March. This is not acceptable,” he said, announcing he will revoke approval of the health board’s three-year plan.

Mr Miles said the health board had been at level three due to concerns about emergency care at the Grange hospital in Cwmbran but will move to level four.

He told the Senedd: “The health board has failed to deliver the required improvements… This will result in direct intervention by the Welsh Government… to improve the timeliness and quality of urgent and emergency care for people living in the Gwent region.”

Mr Miles announced Betsi Cadwaladr Health Board, in north Wales, would remain at level five or special measures. He pointed to interventions including a review of planned care, cancer and emergency services as well as an investigation into management of waiting times data.

But he raised “considerable” progress on governance and leadership at Hywel Dda Health Board following the appointment of a new chair and chief executive.

He announced Hywel Dda will be de-escalated to routine, level-one arrangements for governance and leadership. However, the west-Wales health board remains at level three for planned care and cancer as well as level four for finance and A&E performance.

He told Senedd members he was appointing a “senior turnaround director” to provide support to Cardiff and Vale Health Board, which was placed into level four in July.

Mr Miles said the escalation levels of Cwm Taf Morgannwg, Swansea Bay and Powys health boards, as well as other NHS bodies such as the ambulance services trust, will not change. All seven health boards in Wales remain in some form of escalated status.

In today’s (December 16) statement, Mr Miles said long waits are falling as he pointed to a 43% reduction in lost ambulance hours since the last six-monthly update in July.

But James Evans, the Conservatives’ shadow health secretary, questioned whether intervention is delivering meaningful improvements for patients and staff.

Conservative MS James Evans
Conservative MS James Evans

Pointing out that Betsi Cadwaladr Health Board has been “trapped” in special measures for most of the past decade, he told the Senedd: “It is deeply concerning that, once again, we see multiple health boards at levels four and five.”

Mr Evans urged ministers to publish performance metrics, risk assessments and evidence used to assign escalation levels to enable decisions to be properly scrutinised.

He warned focusing on local financial mismanagement of health boards risks ignoring wider, systemic challenges driven by the Welsh Government’s policy and funding decisions.

Plaid Cymru’s Mabon ap Gwynfor agreed with his Tory counterpart about “deeper and more systemic” failures becoming a “constant feature” of the government’s record.

Plaid Cymru MS Mabon ap Gwynfor
Plaid Cymru MS Mabon ap Gwynfor

“Measures that should be exceptional, temporary and used only as a last resort have instead become routine,” he said. “It is the people of Wales who are paying the price for that failure.”

The Plaid health spokesperson said Betsi Cadwaladr Health Board has come to “embody the Welsh Government’s failure to embed lasting performance improvement”.

Mr ap Gwynfor told the Senedd: “This situation suggests one of two things: either the special measures system itself is not working or there’s no ceiling to Labour’s mismanagement.”

Mr Miles emphasised that escalation is about supporting health boards, not punishing them. The health secretary also pointed to challenges in other parts of the UK, with 12 of the 14 health boards in Scotland also in escalation.

South Wales East MS Natasha Asghar outside the Grange University Hospital
South Wales East MS Natasha Asghar outside the Grange University Hospital

Speaking ahead of the Senedd debate, South Wales East MS Natasha Asghar said: “This serious intervention is a damning indictment of Labour’s track record when it comes to the health service here in Wales and it is my constituents who are paying the price.

The Conservative MS continued: “Our dedicated NHS staff go above and beyond day in, day out, often under unimaginable pressure, but they are being let down by the chaos and mismanagement from the Labour Welsh Government.

“The problems within our health service have been known for quite some time, yet it appears Labour politicians in the Senedd are either reluctant or totally incapable of doing anything to fix the system.

“The Welsh Government must now finally declare a health emergency and focus all efforts on improving outcomes for patients, driving down shamefully high waiting lists, and turning our health service around.”

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