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Health

NHS waiting list in Wales stays above 800,000 as concerns grow

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THE LATEST figures for NHS Wales show that waiting lists remain stubbornly high, with 800,395 patient pathways still awaiting treatment. Despite a small decrease from November’s figures, concerns persist over the length of delays and the impact on patients across the country.

Long waits and emergency response failures

The statistics reveal that fewer than half (48.3%) of the most serious emergency calls—classified as ‘red’—received a response within the eight-minute target time. Additionally, median waits for treatment have increased by 0.6 weeks to 23.6 weeks, a stark contrast to the 14.2-week median wait in England.

A&E Department at Withybush General Hospital in Haverfordwest (Image: Herald)

In December, 10,387 patients waited over 12 hours in Welsh emergency departments, despite a target of zero patients exceeding this timeframe. The proportion of patients seen within four hours in A&E also fell to 67.6%, well below the 95% target.

Experts warn that delays in emergency response times and long A&E waiting periods put patient safety at risk, increasing the likelihood of deteriorating conditions before treatment is received. Patients suffering from strokes, heart attacks, and other critical conditions are especially vulnerable to these delays.

Tory response: ‘Labour distracted by pet projects’

Welsh Conservative MS Andrew RT Davies, Senedd Member for South Wales Central

Andrew RT Davies, former party leader, criticised the Labour-led Welsh Government for failing to tackle the crisis effectively.

“People in Wales will take little solace in this downturn in patient pathways,” said Mr. Davies. “After months and months of Labour’s NHS waiting lists reaching record highs, a small decrease is the first step in an incredibly long journey, and I have serious doubts that Labour have the focus to keep us on this path.”

He added: “If Labour could only drop their pet projects and distractions, Wales might have a Welsh Government fully and unshakably committed to working with staff to turn our NHS around.”

The Conservatives argue that funding has been misallocated to non-essential projects rather than front-line services. They claim that additional resources should be directed toward increasing NHS capacity, improving recruitment, and cutting bureaucracy to allow medical staff to focus on patient care.

Two-year waits still high

A major point of contention remains the lengthy two-year waits for treatment, which stand at 23,621 in Wales. In England, only 155 patients remain on similar extended waiting lists. Welsh Labour’s First Minister Eluned Morgan, who previously served as Health Minister, had pledged to eliminate these long waits by March 2023 and then again by March 2024—but both targets have been missed.

For thousands of Welsh patients, these long delays mean living in pain and uncertainty, often forced to give up work while waiting for essential procedures. Patient advocacy groups have called for immediate action, urging the government to accelerate treatment pathways and explore innovative solutions, such as expanding the role of community hospitals and increasing specialist workforce recruitment.

Cancer treatment sees best performance since 2021

Performance against the 62-day cancer treatment target improved in December, rising to 61.9% from 60.2% in November. While this represents the best performance since August 2021, it remains well below the 75% target. Campaigners argue that more must be done to ensure cancer patients are diagnosed and treated as early as possible, particularly as delays can significantly impact survival rates.

Waiting lists show first signs of decline

A key development in the latest figures is a slight reduction in the overall number of patient pathways, which fell from just under 802,300 in November to just under 800,400 in December. While this marks the first decrease in several months, waiting lists remain at crisis levels, with over 600,000 patients still waiting for treatment.

Health leaders warn that the downward trend could be temporary, particularly as winter pressures continue to take a toll on hospital capacity and workforce shortages persist.

NHS leaders urge long-term investment

Wait times: Improvements were made in several areas but wait times remain high

Darren Hughes, Director of the Welsh NHS Confederation, acknowledged the dedication of NHS staff in delivering improvements despite unprecedented challenges but stressed that urgent action is still needed.

“The latest figures show a mixed picture of performance in the face of relentless demand and pressure on NHS services,” Mr. Hughes said.

“The fact that improvements were made in several areas is testament to the dedication of staff who labour night and day to provide treatment for patients—thank you for your determination, commitment, care, and hard work. These improvements include performance in emergency departments in January, the overall number of people waiting for treatment coming down for the first time in months, and the best performance against the 62-day cancer target since 2021. Given these statistics are based on December and January, the most difficult months of the year for the health service and a particularly difficult flu season, these green shoots are not to be dismissed.”

However, he cautioned that major challenges remain, particularly in tackling waiting lists and ensuring sustainable improvements across the system.

“We cannot ignore that, ultimately, challenges remain across the breadth of health and social care services, and people are needing higher levels of care at an ever-increasing rate. Waiting lists are higher than any of us would like them to be. Health and care leaders know there is still a long way to go in what is a very difficult financial climate, and staff are committed to continuing to innovate and transform services in the face of increasing demand.”

Mr. Hughes warned that without long-term investment and strategic planning, the NHS would continue to struggle to cope with rising demand.

“The NHS is likely to face more difficult winters until we tackle the long-term challenges across the NHS and social care. Unless we make meaningful shifts towards prevention, longer-term planning and solutions, upgrading to fit-for-purpose physical and digital infrastructure, and creating a sustainable social care system, the NHS will continue to firefight day in, day out.”

Political pressure intensifies

With waiting lists still at record levels and emergency care targets continuing to fall short, political pressure is mounting on the Welsh Government to deliver meaningful reforms.

The Welsh Conservatives have criticised Labour’s handling of the NHS, arguing that funding has been misallocated to “pet projects” rather than front-line services. Meanwhile, patient advocacy groups are calling for increased investment in staffing, diagnostic equipment, and hospital infrastructure to address the deepening crisis.

As the Welsh NHS continues to grapple with growing demand, the question remains whether these modest improvements are the start of a sustained recovery or merely a brief respite in an ongoing healthcare crisis.

Health

Welsh Government announces additional funding for hospices

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HOSPICSE across Wales are set to receive a further £5.5 million in funding to help continue delivering essential palliative and end-of-life care services.

The cash boost is in addition to the £3 million uplift in recurrent funding confirmed in the Welsh Government’s 2025–26 budget. The new funding will support Wales’ twelve NHS-commissioned hospices — including the country’s two children’s hospices — in managing financial pressures and ensuring fair pay for staff.

Hospices in Wales play a vital role in supporting patients, families and carers during the most challenging times, and are committed to providing dignified and personalised care outside of hospital settings.

Health Secretary Jeremy Miles said: “Hospices play a vital role in supporting families at some of the most difficult times.
We are committed to strengthening and improving palliative and end-of-life care to ensure everyone who needs hospice support receives dignified and personalised care, outside of hospital.”

Liz Booyse, Chair of Hospices Cymru, welcomed the announcement: “We welcome the Welsh Government’s commitment of funding. It is a testament to the importance of the hospice sector within our healthcare system, and we are immensely grateful. Our services provide vital care and support to over 20,000 children and adults affected by terminal illnesses each year.
This funding is a significant step forward, and we will continue working in partnership with the Welsh Government to achieve a sustainable funding settlement that will bring greater stability to the Welsh hospice sector.”

Matthew Brindley, Policy and Advocacy Manager for Wales at Hospice UK, added: “Recent years have been very tough for Wales’s hospices, amid a combination of rapidly rising costs and ever-growing need for end-of-life care.
We’re grateful to the Welsh Government for recognising both the pressure hospices are under, and the immense value they bring to Wales’ health and social care system.
It’s vital we continue to work together toward a more sustainable approach to hospice funding in Wales. Our population is ageing, with increasingly complex health needs. We need a strong, robust palliative and end-of-life care system — and hospices in Wales are ready to play their part.”

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Health

Mind, Body and Spirit Awareness Day at North Pembrokeshire venue

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This Saturday, April 12, thoughts will be turning to the mind, body and spirit, thanks to the ever-popular Awareness Day that takes place at Canolfan Hermon in North Pembrokeshire.  

This is the fourth event of its kind  at the village hall and each year the event continues to grow from strength to strength.

This year, there will be a total of  eight therapists in attendance as well as  two mediums, a card reader and ten stall holders selling spiritual, mind and body items including crystals, jewellery, honey and cosmetics.  There will also be a stall from the Jig-So Children’s Centre in Cardigan while  hot food and refreshments will also be served throughout the day by Fusion Kitchen.

As with previous events, the Mind, Body and Spirit Awareness Day will be raising funds for Breast Cancer and Thrombosis UK.  As a result, there will be a £1 entry fee as well as optional raffle tickets and a Memory Tree for additional donations. A  light language healing demonstration will take place at 1 pm.

People near and far are invited to experience the different therapies, while  event organiser Lynda Barnes says there is guaranteed to be something here for everyone. The event starts at 11 am and will continue until 3 pm.

For further information, contact Lynda Barnes on 07920249194.

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Health

‘Nobody taking responsibility’ for paying care workers the real living wage

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CARE HOME providers urged the Welsh Government to follow through on a key commitment to ensure care workers are paid the real living wage.

Giving evidence in the Senedd, Care Forum Wales, which represents more than 450 care homes, warned funding did not reach all parts of the sector in 2024/25.

The non-profit organisation said funding for the real living wage (RLW) was not ringfenced, so some councils chose to spend the money on libraries and teachers’ salaries instead.

Care Forum Wales raised concerns about “nobody taking responsibility”, with the Welsh Government claiming to have provided the money and councils saying it was insufficient.

Labour’s manifesto for the 2021 election contained a pledge to “ensure care workers are paid the real living wage during the next Senedd term”.

But Sanjiv Joshi, Care Forum Wales’ treasurer, warned the Welsh Government’s push for care workers to receive the real living wage has become an aspiration rather than a reality.

He told the local government committee: “The first year when it was announced … providers had to give an undertaking to commissioners that we were paying the real living wage.

“Since then, that’s now become aspirational as commissioners have not had the funds – or so we are told – to follow through and maintain those real living wages.”

Giving evidence on April 3, Melanie Minty, policy adviser at Care Forum Wales, said: “The real living wage, as Sanjiv said, isn’t reaching the sector necessarily.”

But, describing the RLW as a drop in the ocean, she warned care homes cannot compete with councils and the NHS which pay a higher rate than used in costing commissioned care.

Under the Welsh Government’s 2025/26 budget, funding for the real living wage is allocated to councils within the revenue support grant, meaning it can be spent on other areas.

Ms Minty also voiced concerns about an increasing number of councils receiving grants to build care homes that “will never recover their costs”.

She pointed to the example of Carmarthenshire Council building a £19.5m residential home despite free capacity in the county’s independent sector.

Cautioning that commissioning too often focuses on cost over outcomes, she said: “I’ve heard of commissioners going into homes and saying ‘you’re spending too much on food’.

“Things like holidays have been drastically cut back for younger people.”

Mr Joshi, who runs the Caron group of care homes in mid and south Wales – which includes Valley View Care Home in Hengoed – warned of a £9,000-a-year difference in nursing fees between neighbouring councils.

He said: “We’re talking about Cardiff and RCT … imagine the pressure that puts on and it’s not driven by the needs, the needs would not be that different.”

Pressed about the minimum level of profits required to make services feasible, Mr Joshi replied that he targets an 11% return which is unachievable in parts of Wales.

Warning of an “irrational” policy direction, he said: “We have the private sector delivering incredible value for money [yet] being eroded by underfunding. Then we have the public sector spending four or five times that amount, it doesn’t make sense.”

Mr Joshi told the committee families are increasingly having to make up a difference in costs that should be provided by councils and health boards.

Warning charity providers are exiting the market, Ms Minty said: “Most of our third-sector members have sold their care homes because they are not viable.”

Ms Minty called for a fee methodology that can be applied consistently across Wales, with some councils far more transparent and understanding of the costs than others.

“Cardiff, while giving a really good increase this year, has been very honest in admitting they know it’s not going to meet all the changes,” she said. “Whereas other local authorities … have been known to make an offer and say this will cover all sorts of things.”

She said the sector has stabilised since the pandemic and Brexit but increasing employer national insurance contributions have added to the pressure.

She told the committee: “I think we’ll see an unintended consequence will be that employers are forced to suppress pay increases … and some will be forced to make redundancies.”

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