Health
Record A&E waits spark fresh alarm over Welsh emergency care
MORE than 10,000 patients spent over 12 hours in major Welsh A&Es in October, as doctors warn system is “in a spiral” and Pembrokeshire families feel the impact
WALES has recorded its worst October on record for A&E waits, with new figures showing 10,493 people waited more than 12 hours in major emergency departments before being admitted, discharged or transferred.
The Royal College of Emergency Medicine (RCEM) described the latest StatsWales data as “dismaying” and said the figures show politicians are still not listening to “alarm bells ringing from every ED in the country”.
For patients in Pembrokeshire, the numbers sit against a backdrop of continuing pressure at Withybush Hospital and across Hywel Dda University Health Board, which remains under enhanced Welsh Government “targeted intervention” and level-4 escalation for urgent and emergency care – one step below special measures.
Worst October on record
StatsWales’ October 2025 data for major Welsh emergency departments show:
- 10,493 patients waited 12 hours or more – roughly one in seven people attending a major ED.
- Around one in four (24.8%) waited at least 8 hours.
- Only 53.9% were admitted, discharged or transferred within four hours – far short of the 95% target.
- 1,493 bed days were lost because medically fit patients could not be discharged, only a small improvement on last year.
RCEM Wales vice-president Dr Rob Perry said another worst-ever month heading into winter was “dismaying” and warned that thousands of patients were left on trolleys or chairs “for hours on end in conditions we know put them at risk of further harm”.
He said emergency staff were “working themselves to the bone” to keep people safe, but minor improvements since September were just “a drop in the ocean” compared to what is needed to escape the “spiral” of crowding and delay.
Hywel Dda still under targeted intervention
Hywel Dda University Health Board – which runs Withybush, Glangwili, Prince Philip and Bronglais hospitals – is one of several Welsh boards in escalation for urgent and emergency care performance. It is currently at level 4 for finance, strategy and planning, urgent and emergency care outcomes, and a number of “fragile” services.
Board papers going to Hywel Dda’s November 2025 meeting show:
- Twelve-hour A&E waits across the health board in October stood at 8.5% of attendances – slightly better than the board’s own plan trajectory of 9.2%, but still above the 7% level required for de-escalation.
- Ambulance handovers taking more than an hour fell to 528 in October, better than the internal plan (803) and below the external de-escalation threshold (680) – but discharge delays remain “materially above trajectory”, continuing to block beds and choke the system.
The board’s Annual Plan for 2025-26 commits to reducing long waits and ambulance delays as part of a wider push to “shift left” – moving more care into community and primary-care settings and away from full-blown hospital admission wherever safe.
In its escalation documents with Welsh Government, Hywel Dda has also been told to improve how it directs people to the right service, with a specific requirement to “ensure that patients are clear where they can and should access support, signposting away from emergency services.”
Pembrokeshire families already seeing the impact
The latest national A&E figures land in the same week that a Pembrokeshire inquest again highlighted the human cost of delays and mis-triaged emergency calls.
As The Herald reported, Pembrokeshire coroner Mark Layton has now heard final evidence in the death of 40-year-old Llanteg mother-of-two, Charlotte Burston, who fell ill with chest pain on Christmas Day 2023. Her teenage daughter called 999 twice but was told an ambulance could take more than an hour; a relative set off to drive her towards Withybush instead.
Charlotte suffered a heart attack at Robeston Wathen and later died at Morriston Hospital on New Year’s Eve. The inquest heard that an Advanced Paramedic Practitioner based in Haverfordwest, around half an hour away, was on duty and clinically appropriate for the symptoms, but was not dispatched.
Mr Layton was told that Charlotte “may have survived” if the Welsh Ambulance Service had allocated the correct clinical resource.
For families in Pembrokeshire, that finding, alongside Wales-wide A&E data showing record 12-hour waits, will fuel ongoing questions about whether Hywel Dda and national leaders are moving fast enough to fix the front door of the NHS before this winter bites.
What patients are being told to do instead of A&E
Part of Hywel Dda’s escalation action plan is about changing how people access help in the first place, and making clearer when A&E is – and isn’t – the right option.
Current advice from the health board and local partners in Pembrokeshire is:
- For life-threatening emergencies – such as loss of consciousness, suspected stroke, severe breathing difficulties, chest pain that could be a heart attack, severe bleeding, or serious injuries and fractures – dial 999 or go to the Emergency Department at Withybush General Hospital.
- For urgent problems that cannot wait for a routine GP appointment but are not 999 emergencies, residents are told to phone NHS 111 Wales. This includes Hywel Dda’s GP out-of-hours service and, via option 2, a 24/7 mental-health line staffed by specialist professionals.
- For minor injuries – such as sprains, cuts, minor burns, simple fractures and some minor illnesses – patients can use nurse-led Minor Injury Units. In Pembrokeshire that includes services linked to Withybush and Tenby, usually open 8am to 8pm, with minor-injury care overnight provided through the main Emergency Department at Withybush.
- For routine issues like repeat prescriptions, ongoing illnesses or contraception, people are expected to see their GP or practice nurse.
- For self-care and common conditions like coughs, colds and sore throats, pharmacies and community support are promoted as the first port of call.
Pembrokeshire County Council echoes the “choose well” message, warning that using A&E for non-emergencies can delay treatment for those in genuine life-threatening situations and leave other patients waiting longer on trolleys and in corridors.
Winter fears
RCEM Wales has welcomed recent Welsh Government funding for social care but says it will take “sustained support” to fix hospital flow and delayed discharges – the back-door pressures that sit behind front-door A&E queues.
Dr Perry said emergency medicine staff would “step up” again this winter, but warned that without stronger action on bed capacity, social care and realistic targets, the system will keep relying on extraordinary efforts from exhausted staff – and patients will continue to bear the risk.
For Pembrokeshire, where families like Charlotte Burston’s are still living with the consequences of delayed emergency care, today’s record October figures will only intensify scrutiny of Hywel Dda’s performance – and whether its plans to reduce 12-hour waits at Withybush and other sites are being delivered fast enough.
Health
NHS Trust CEO ‘forced out’ after raising concerns — Welsh Govt denies wrongdoing
A CONSERVATIVE MS has pressed the Welsh Government for answers after the sudden departure of the Velindre University NHS Trust’s chief executive, amid media reports that he raised concerns about alleged governance failures within NHS Wales Shared Services.
During Health Questions in the Senedd today, James Evans MS asked Health Secretary Jeremy Miles to explain why former CEO David Donegan left his post after just a year. Reports circulating in recent weeks suggest Mr Donegan had raised issues relating to governance, and in some accounts, possible criminality. These claims have not been substantiated publicly.
Velindre’s own 2024/25 annual report notes that the Trust “escalated concerns to Audit Wales and Welsh Government about the current governance of Shared Services, which hadn’t been reviewed since 2012.” No details of the concerns have been published.
Welsh Government response
Jeremy Miles MS confirmed in the chamber that correspondence relating to the issues does exist, but said it would not be appropriate to release sensitive material while internal processes are ongoing. He did not comment on the circumstances of Mr Donegan’s departure, citing employment confidentiality rules which are standard across the NHS and public sector.
A Welsh Government spokesperson has previously said that they expect all NHS bodies to follow “proper governance and HR procedures,” and that they “do not comment on individual employment matters.”
Velindre NHS Trust position
Velindre has not publicly stated that Mr Donegan was removed because of whistleblowing activity. The Trust has described his departure simply as a “change in leadership” and says it continues to engage with Audit Wales and the Welsh Government on governance matters.
Opposition criticism
After the exchange, James Evans MS — the Welsh Conservative Shadow Cabinet Secretary for Health — criticised the Health Secretary’s “lack of transparency”.
He said:
“I am extremely disappointed with the Health Secretary’s refusal to provide clarity on the circumstances surrounding Mr Donegan’s departure, or to release the correspondence relating to governance concerns within Shared Services. The public must be able to trust that millions of pounds of NHS funds are being managed properly.”
Mr Evans said he will write to the First Minister and Cabinet Secretary formally requesting the publication of correspondence “in the interests of full accountability.”
Context: What is NHS Shared Services?
The NHS Wales Shared Services Partnership (NWSSP) manages national procurement, payroll, recruitment, estates services and other core functions for health boards and trusts. It sits within Velindre University NHS Trust but operates independently of its operational healthcare work. Governance arrangements for NWSSP were originally set a decade ago and are subject to periodic review by Audit Wales.
There is no evidence at present of wrongdoing by the Welsh Government or NWSSP, beyond the concerns referenced in Velindre’s annual report.
Health
Wales’ biggest hospital overrun by pigeons – even in operating theatres
Patients wheeled through tunnels “carpeted in bird faeces” as ministers accused of abandoning the NHS
CARDIFF’S University Hospital of Wales – the largest hospital serving South and West Wales – has been branded a national disgrace after whistle-blowers revealed a chronic pigeon infestation, including birds nesting inside areas used to prepare sterile operating theatres.

Tunnels ‘carpeted in droppings’
Patients, including those critically ill, are being pushed along underground corridors described as “ankle-deep in water and carpeted with bird faeces”, with buckets placed along walkways to catch rain leaking through failing roofs. Staff say the stench is overwhelming and that vulnerable patients are being traumatised by the conditions.
One frontline worker, speaking anonymously to The Pembrokeshire Herald, said the situation had become intolerable: “The place is full of pigeons. You see them flapping around in trauma theatres while surgeons are trying to save lives. The smell is vile.”
Photographs passed to this newspaper show floor surfaces coated in pigeon droppings and staff weaving around flocks of birds to reach wards.

Consultants warn hospital is now a risk
The revelations come just weeks after nearly three hundred senior consultants at the Heath signed an unprecedented letter warning morale was “at an all-time low” and stating the physical condition of the hospital now poses a serious infection risk. Pigeon droppings can carry cryptococcus, a fungus potentially fatal to those with weakened immune systems.
Despite this, ministers in Cardiff Bay have pressed ahead with hundreds of millions of pounds for expanding the Senedd by thirty-six new politicians and for major expenditure on the Welsh Government’s “Nation of Sanctuary” asylum policies.

Political row deepens
Welsh Conservative Senedd leader Andrew RT Davies said the state of the Heath symbolised years of neglect.
“Senedd ministers must take responsibility for the appalling condition of our hospitals. While Labour and Plaid spent money on vanity projects, they ignored the NHS. Patients in Pembrokeshire, Ceredigion and Swansea are paying the price.”
Built in the early 1970s, the Heath now requires more than £100 million in urgent repairs. Last winter entire wards were left freezing when heating systems failed, while engineers are said to be so overstretched that routine maintenance can take weeks.
In one instance, a seventy-seven-year-old emphysema patient from West Wales spent four days under blankets because radiators in his bay would not work. Another elderly man spent his final hours being wheeled through pigeon-infested tunnels because the lifts had broken again.

Health board ‘accepts’ poor conditions
Cardiff and Vale University Health Board acknowledged the conditions were “unacceptable” and said additional pest-control measures would be introduced, insisting patient safety had not been compromised. However, the hospital was placed at the highest level of Welsh Government intervention last month, and staff say the situation on the ground has barely changed.
A Welsh Government spokesperson said it was providing “targeted support” to address long-standing problems with the estate.
‘Ashamed to bring patients through’
For families in Pembrokeshire who rely on the Heath for major trauma, neurosurgery and cancer services, confidence in the system continues to erode.
A nurse from Tenby who trained at the hospital told The Herald: “We used to be proud to work there. Now we’re ashamed to bring patients through corridors that look like something from a horror film.”
The pigeons may be the most visible sign of decline – but staff say the deeper crisis begins in Cardiff Bay, where the decisions that shape Wales’s health service are made.
The people of Wales, they insist, deserve far better.
Health
Wales on brink of wiping out new HIV cases as infections plunge 20 percent
WALES is charging toward its ambitious 2030 target of zero new HIV transmissions after recording a dramatic 20 per cent drop in new cases during 2024, the Welsh Government revealed on World AIDS Day.
Cabinet Secretary for Health Jeremy Miles hailed the fall as proof that the HIV Action Plan for Wales 2023–26 is “delivering results at lightning speed”, with record numbers of tests, expanding PrEP access and every health board now signed up to the international Fast Track Cities initiative.
More than 33,000 free postal HIV test kits have been snapped up since the service launched, while a new long-acting injectable form of PrEP – given once every two months – is rolling out across every corner of the country for the first time.
Mr Miles said: “Thanks to highly-effective treatments, people with HIV in Wales are living long, healthy lives. Our focus now is stopping the virus in its tracks and stamping out the stigma that still lingers.”
The annual update, published this afternoon, shows testing and prevention efforts have never been higher, yet almost half of people newly diagnosed in 2024 were still identified at a late stage – prompting clinicians to scrutinise every case for missed opportunities.
A nationally funded peer-support programme, run by people living with HIV, is being commissioned to ensure no one faces the virus alone, while anti-stigma training reaches NHS staff, social care workers and secondary-school pupils.
Wales has also become one of the first nations in the world to have 100 per cent health-board commitment to the Fast Track Paris Declaration, with a new all-Wales coalition to be funded from January.
Work is also under way on a single sexual-health case-management IT system to give clinicians real-time data and allow ministers to track progress toward the 2030 goal.
Mr Miles warned, however, that global cuts in HIV funding could reverse hard-won gains in poorer countries.
“I will keep banging the drum internationally,” he pledged. “No one, anywhere, should be left behind.”
Campaigners welcomed the progress but urged the government to redouble efforts on late diagnosis and PrEP uptake among under-served groups.
Terrence Higgins Trust Cymru said: “These figures are genuinely exciting, but we can’t take our foot off the pedal. Zero transmissions by 2030 is within touching distance – let’s grab it.”
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