Calls grow for diagnosis, care and support to become national priority

NEW figures reveal overwhelming public demand for dementia to be placed at the top of Wales’ political agenda, with voters urging action on diagnosis, treatment and support ahead of the Senedd elections.

Research by Alzheimer’s Society Cymru shows that 83% of people in Wales want dementia made a healthcare priority, while 69% believe it is currently overlooked and underfunded.

More than a thousand adults were surveyed, with the findings highlighting growing concern over diagnosis rates and access to care. Wales continues to record some of the lowest dementia diagnosis rates in the UK, leaving thousands of families without clarity or support.

Around 51,000 people are currently living with dementia in Wales, a figure expected to rise to 70,000 by 2040. Despite this, only 57% of people have received a formal diagnosis, with rates falling as low as 48% in rural areas such as Powys.

Improving diagnosis remains a key concern, with 91% of those surveyed saying access to timely diagnosis must improve, and 87% backing increased investment in diagnostic services. However, respondents also stressed that diagnosis alone is not enough, with 91% saying people with dementia must receive better support, including help for unpaid carers.

Ceri Parry, from Cardiff, said she was forced to retire early from her role as a headteacher at the age of 55 due to a lack of support for her mother, who was diagnosed with Alzheimer’s disease in 2020.

She said: “I fully support improving early and accurate diagnosis, but this must also come with improved support and care for families afterwards. There’s five years between my relatives’ diagnoses and nothing changed. On both occasions we left with a leaflet and the unknown.

“The wait for improved diagnosis, treatment and support needs to end. Dementia must be a top priority for the next Welsh Government, for families living with it now and for those who will face it in the future.

“We also found there was no diagnosis assessment available in the Welsh language. That’s a fundamental issue if a diagnosis is to be accurate and safe for people who speak Welsh as their first language. Ignoring someone’s identity is ignoring the person.”

The survey also found that visible action would be key to restoring public confidence, with 72% calling for improved dementia services, 64% backing more funding for research, and 63% wanting better access to treatments.

Gemma Roberts, National Influencing Manager at Alzheimer’s Society Cymru, said: “Dementia is Wales’s biggest killer and one of the greatest health and social care challenges we face.

“Hope is on the horizon with new treatments and faster, more accurate diagnosis, but the system is not keeping pace. Without urgent transformation, people in Wales risk missing out.

“We are at a turning point. The next Welsh Government must deliver a bold new dementia strategy that transforms diagnosis and ensures access to quality care, treatments and support.”

DENTISTS have warned that NHS dentistry in Wales is at a “make or break” point, with access to treatment now ranking as one of the biggest local concerns for voters ahead of the Senedd election.

The British Dental Association said new polling by YouGov showed local dentistry services were now a top doorstep issue in Wales, with 30% of adults naming it as one of the most important issues in their local area.

That places dentistry ahead of crime and education, both on 14%, and above job opportunities, which were cited by 27% of respondents.

The poll also found that 79% of people in Wales believe the Welsh Government should be doing more to improve NHS dentistry, while only 11% think ministers are doing all they reasonably can.

According to the BDA, unmet need for NHS dentistry now stands at around a third of the adult population in Wales. One in five people said they had tried but failed to get an NHS dental appointment in the past two years, while a further 13% said they had not tried because they assumed they would be unable to secure one.

The professional body said the figures suggest Wales may now be the worst place in Britain to be an NHS dental patient.

The warning comes after controversial dental reforms were introduced in Wales on April 1. The BDA says the changes were forced through without proper testing and have already led some practices to return NHS contracts or reduce their NHS commitment.

It is calling for a “safety net” for struggling practices, including a pause on implementation until 2027 while further improvements are worked up.

The association is also calling for a break from what it describes as chronic underfunding, better protection for vulnerable patients, and a change of tone from the next Welsh Government.

Russell Gidney, Chair of the BDA’s Welsh General Dental Practice Committee, said: “NHS dentistry in Wales was already in crisis, and without decisive action things are set to go from bad to worse.

“Untested reforms have already seen many dentists walk away from the NHS. Whoever forms the next government will need a plan to guarantee the future of this service.

“For voters facing access and cost of living crises dentistry matters. Political choices mean it is now a real concern on the doorstep – polling ahead of crime, education and even jobs as a top-flight issue facing Wales.

“Our message to all candidates and all parties is very clear: dentistry is on the ballot paper in this election. And the public will measure how you choose to respond.

“This is a service millions of voters depend on. Meaningful action will be rewarded. Complacency will be punished.”

The Welsh Government has defended its reforms, saying the new contract is designed to “make NHS dentistry more accessible, fairer and sustainable,” with a stronger focus on prevention and prioritising patients based on clinical need.

The YouGov survey of 1,092 Welsh adults was carried out between February 2 and February 9, 2026.

ST JOHN AMBULANCE CYMRU has unveiled a range of new courses to help transform the nation’s wellbeing and create a ‘mentally healthy Wales,’ to combat a crisis that currently costs the UK economy millions of lost workdays.

The first aid charity for Wales, which trains hundreds of people in Mental Health First Aid each year, is calling on businesses to integrate it into the core of their operations, treating it with the same lifesaving urgency as physical first aid.

In a recent interview for the St John Ambulance Cymru podcast, Just in Case: Stories from St John, the charity’s Lead Trainer, Belinda James, highlighted the staggering economic and human cost of the current mental health crisis and noted that approximately 17 to 18 million workdays are lost annually due to mental health struggles.

James said the statistics, published by the Health and Safety Executive, were “surprising and upsetting.”

She added: “You think for all of those statistics, for all of those numbers, there’s a person, there are people at the heart of that, who are at home not able to work because they are struggling.”

While physical injuries are often visible, mental health challenges frequently manifest in subtle behavioural shifts. James emphasised that “knowing your colleagues well” is the first line of defence in identifying when someone is in distress.

“If it’s normal for me to be quite chirpy, to be early, to be on the ball first thing in the morning… and then I come in, and I look bedraggled, and I look stressed, and I’m snappy… that would be a good time to just say, is everything all right?”

She noted that other “hidden signs” include withdrawal, changes in eating or sleeping habits, and increased substance use, such as stepping out for more frequent cigarette breaks.

The push for better training comes as society navigates a generational divide in how mental health is discussed. James noted that workplaces are currently “caught in the mix” of the “make do and mend” generation and the younger “snowflake” generation.

“We live in a society that’s like, ‘Oh God, no, don’t address that. Don’t talk about the hard stuff. Chin up,” James observed.

However, she argued that directness is often what saves lives. “It is so much more validating to hear somebody say to you, ‘You are going through a really tough time at the moment. I’m so sorry. That must be very difficult to handle.”

As the UK faces gaps in mental health service provision, many individuals are turning to Artificial Intelligence for support – a trend James views with caution. While AI can be a “fantastic tool for signposting,” she warns that it lacks the essential component of empathy.

“It cannot understand human emotion. It won’t pick up on a human emotion,” she said. “The last thing that we want is for them to be led astray by an AI language program that cannot understand the depths of human emotion”.

St John Ambulance Cymru provides Mental Health First Aid Wales-certified training designed to give people the skills to recognise signs of mental ill-health and provide initial support until professional help is received.

These courses are evidence-based and cover critical topics, including depression, anxiety, psychosis, and crises such as suicidal thoughts and panic attacks.

The curriculum includes:

• Mental Health First Aid (2 Days): The flagship 12-hour course teaching adults how to support friends, family, and co-workers. Participants learn the “Mental Health Action Plan” and gain the confidence to intervene in crises like non-suicidal self-injury or traumatic events.
• Mental Health Advocate (1 Day): A course for those looking to proactively champion wellbeing and reduce stigma in their organization.
• Mental Health Awareness (1/2 Day): A foundational session to build empathy and understanding of what mental health is.
• Mental Health for Managers: Specifically designed to help leadership recognise indicators of stress and manage the unique pressures of supporting a team.

For more information on Mental Health First Aid training or to book a course, visit www.sjacymru.org.uk/en/courses/MHFA