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.
Business
Specialist clinic launched in Haverfordwest to treat common eye condition
A HAVERFORDWEST opticians has launched a specialist clinic for dry eye disease, offering new support for people living with the common condition.
Specsavers Haverfordwest has introduced its Advanced Dry Eye Clinic to give customers access to in-depth diagnosis and targeted treatment for dry eye.
Dry eye is a common, but often misunderstood, condition where the eyes do not produce enough tears, or the tears evaporate too quickly, leading to discomfort, irritation and sometimes blurred vision.
It can be linked to a range of factors, including increased screen use, contact lens wear, ageing and environmental conditions. As many as one in three people suffer from dry eye and most causes can be treated.
Many people are surprised to learn that watery eyes can actually be a sign of dry eye, as the eyes produce poor-quality reflex tears in response to irritation. The new service provides an in-depth approach to diagnosing and managing the condition.
While many high street opticians now offer dry eye clinics, Specsavers Haverfordwest provides a wider range of specialist treatments and technology that are not commonly available.
Using advanced imaging to assess the eyes and tear glands, the team can identify the underlying cause of symptoms and create a personalised treatment plan for each customer.
Whilst there are a range of different treatments available, the major investment has been in the introduction of eye-light devices, bringing advanced IPL (Intense Pulsed Light) and LLLT (Low-Level Light Therapy) treatments to customers suffering from dry eye symptoms.
Designed to target the underlying causes of dry eye disease, the eye-light device combines clinically proven light-based therapies to help improve tear quality, reduce inflammation, and restore eye comfort. The treatment is safe, non-invasive, and suitable for many patients experiencing irritation, burning, watery eyes or discomfort linked to screen use and modern lifestyles.
The clinic also supports contact lens wearers experiencing discomfort, helping them return to comfortable, everyday use.
Some of the first customers to use the clinic have already noticed improvements in their symptoms.
Danielle Thomas says: ‘I honestly can’t believe the difference. I’d been struggling with sore, gritty eyes for years and had given up wearing my contact lenses altogether – they just became too uncomfortable. I was constantly using drops with very little relief.
‘From the moment I walked into the dry eye treatment room, it felt completely different to a normal appointment. The environment is calm, almost spa-like and the whole experience was surprisingly relaxing. The treatments were comfortable and the team explained everything so clearly. After just three sessions the improvement was notable – my eyes feel normal again.
‘The constant irritation and watering have gone and I’m now back in contact lenses comfortably, which I never thought would be possible. It’s genuinely been life changing. I wish I’d known about it sooner.’
Wayne Jones, optometrist and retail director at Specsavers Haverfordwest, adds: ‘Dry eye is something we see very frequently, yet it’s still widely dismissed as a minor irritation. In reality, it can have a real impact on comfort, vision and overall quality of life.
‘What many people don’t realise is that, in many cases, there is an underlying cause that can be identified and treated.
‘By launching this clinic, we’re able to offer a much more detailed and personalised level of care here in West Wales, helping us support more customers locally. We would encourage anyone experiencing persistent symptoms such as dryness, irritation or blurred vision to have their eyes checked, as there’s often a treatable cause.’
People interested in using the clinic should call Specsavers Haverfordwest on 01437 767788 to book an initial assessment and discuss treatment options.
Health
Wales has highest stillbirth rate in UK for third year running, charity says
Sands calls for urgent targets to reduce baby deaths and improve mental health support for bereaved parents
WALES has recorded the highest stillbirth rate in the UK for the third year in a row, according to baby loss charity Sands.
The charity has called for urgent action from the Welsh Government following the publication of the latest MBRRACE-UK perinatal mortality surveillance report, which tracks stillbirths and neonatal deaths across the UK.
Sands says there has been a lack of political focus on maternity safety and saving babies’ lives in Wales, despite repeated reviews.
The charity is calling for clear national targets to reduce stillbirths and neonatal deaths, as well as action to eliminate inequalities linked to ethnicity and deprivation.
Aidan Smith, Wales campaign lead for Sands, said: “There has been a lack of political focus and attention on maternity safety and saving babies’ lives in Wales in recent years.
“There has been review after review, but little change. At Sands, we are supporting bereaved parents across Wales to campaign for targets to reduce stillbirths and neonatal deaths and eliminate inequalities by ethnicity and deprivation.
“Bereaved parents are calling for accountability. Targets to reduce stillbirths and neonatal deaths will help ensure that saving babies’ lives becomes the political priority it should be.”
Sands says England introduced targets to reduce baby deaths in 2015, helping focus political decision-making and transparency.
Mr Smith said analysis by the Sands and Tommy’s Joint Policy Unit suggested that more than 1,000 babies in Wales may have survived if stillbirth and neonatal mortality rates had matched the best performing countries in Europe between 2019 and 2023.
The charity wants the Welsh Government to introduce new targets running to 2035, including reducing the stillbirth rate to 2.0 stillbirths per 1,000 total births, and reducing neonatal mortality to 0.5 deaths per 1,000 live births for babies born at 24 weeks’ gestation and over.
It is also calling for inequalities in baby loss linked to ethnicity and deprivation to be eliminated.
Mr Smith said Wales also needed better monitoring of maternity outcomes, including a national data dashboard to track changes over time and identify differences between health boards and population groups.
He said more complete data was needed on ethnicity and social risk factors to understand which families were most at risk of pregnancy and baby loss.
Sands has also raised concern about a lack of specialist psychological support for bereaved parents in Wales.
Mr Smith said there was currently only one specialist NHS service providing mental health support to bereaved parents, the Onnen service in Cardiff and Vale.
He said: “The Welsh Government must evaluate the Onnen service in Cardiff and Vale and expand this to all health boards across Wales.
“All bereaved parents in Wales should have access to specialist psychological support regardless of where they live, the type of pregnancy or baby loss they experienced, or how long ago it was.”
The Welsh Government said support was available to families affected by pregnancy loss and pointed to work taking place across health boards.
A Welsh Government spokesperson said: “The loss of a baby at any stage of pregnancy is devastating. Families who experience pregnancy loss at maternity units in Wales are supported by bereavement midwives, in conjunction with Sands, and offered memory boxes, which include a certificate of birth.
“Since 2016, stillbirth rates in Wales have shown a downward trend. The latest Perinatal Mortality Surveillance report acknowledges that in Scotland, Wales, and Northern Ireland, year-to-year variation in rates is often more pronounced because of lower birth numbers.
“All health boards are committed to improving quality and safety in perinatal care – through enhanced clinical reviews, early warning surveillance, safer preterm birth care, and structured learning from incidents.”
Hywel Dda University Health Board said it recognised “how devastating the loss of a baby is for parents and their families” and said its maternity and neonatal teams worked to provide safe, compassionate and supportive care.
Dana Scott, Director of Midwifery and Professional Governance for Women and Children at Hywel Dda, said the health board had “robust safety measures and clear clinical processes” in place across its maternity services.
She said Hywel Dda’s review processes were aligned with MBRRACE-UK and the Perinatal Mortality Review Tool, ensuring the health board listened, learned and reflected on each baby loss.
Ms Scott added that every family affected by stillbirth or neonatal death had access to dedicated bereavement midwives and nurses, as well as psychological support, follow-up care and opportunities for memory-making.
She said the health board also worked closely with its local Sands group and remained committed to learning from national reports to improve maternity safety locally.
Sands said the new Welsh Government now had an opportunity to act.
Mr Smith added: “Bereaved parents across Wales are campaigning for accountability and change. The new Welsh Government has a chance to reset the narrative by implementing targets to save babies’ lives, eliminating inequalities in loss by ethnicity and deprivation, and rolling out specialist mental health support for bereaved parents across Wales.”
Sands provides support to anyone affected by pregnancy loss or the death of a baby, including a confidential helpline, email support, online groups and local peer-support networks.
Community
Transgender people “feel under siege” says Sioned Williams
TRANSGENDER people “feel under siege”, Wales’ Deputy First Minister has said.
Sioned Williams faced questions on gender identity guidance in schools, and the implementation of single-sex spaces, during her first appearance at Questions to the Deputy First Minister.
Serving as both Deputy First Minister and cabinet secretary for social justice and equality, Ms Williams was questioned by opposition politicians on Wednesday June 10, about the Welsh Government’s response to the Cass Review, and the implementation of the Supreme Court’s ruling on single-sex spaces.
The session opened with questions from Blaenau Gwent Caerffili Rhymni’s Reform MS Catherine Cullen, who asked how the Welsh Government would work with education ministers to prioritise “objective, evidence-based safeguarding standards” in schools.

She said: “We sit here today with one non-negotiable duty: the absolute safety of Welsh children in schools.
“When the Cass review explicitly warned that social transition – that is, changing a child’s name, pronouns or uniform at school – is not a neutral act and carries severe psychological risks, Plaid Cymru voted against these recommendations.”
She continued: “[Plaid’s] manifesto demands a demedicalised self-declaration system that actively pushes gender identity theories through the school system.”
In response, Ms Williams said the Welsh Government remained committed to improving literacy and numeracy standards, and stressed the importance of creating a supportive environment in which all children can fulfil their potential.
She told members that education officials had developed draft guidance for schools on supporting transgender, non-binary and gender-questioning learners, and said the education minister recognised the need to proceed with “leadership and sensitivity”.
Questions then turned to the implementation of single-sex spaces following the Supreme Court’s ruling on the definition of sex under the Equality Act.
Reform UK MS Art Wright, of Casnewydd Islwyn, asked about the Welsh Government’s plans to implement single-sex spaces across Wales, while Conservative MS Natasha Asghar, of the same constituency, accused the previous Labour administration of “dragging its heels” in responding to the judgment.

Ms Asghar said she had received correspondence from a Welsh Government employee claiming staff were still working under policies that allowed “men who identify as women to use women’s single-sex spaces from the first day of self-identification”.
Reading from the email that was sent to her, she said: “A government cannot pick and choose which laws it follows, yet that is exactly what seems to be happening within the Welsh Government itself.”

Responding, Ms Williams said the Welsh Government respected the Supreme Court ruling and was working to ensure devolved policies and practices complied with the law.
“This work has to be done carefully and consistently, and across a range of devolved areas,” she said.
However, the Deputy First Minister also emphasised that the Equality Act continues to protect people with the protected characteristic of gender reassignment from discrimination and harassment.
She added: “This is a community that feels under siege at the moment, and we must be sensitive to that.
“We need to look at the practical steps that we can take whilst complying with the Supreme Court ruling, and then, in seeing the code of practice that will come forward, if it is passed in Westminster, we will need to consider how we do that.”
Ms Williams said work was continuing across government departments to ensure Welsh Government policies comply with the law while maintaining protections for transgender people.
Ms Williams, who represents the Brycheiniog Tawe Nedd constituency, also reaffirmed her support for universal free school meals during the session, after Senedd Members raised concerns about food poverty and access to nutritious food for children.
Huw Thomas, Labour MS for Caerdydd Penarth, drew attention to the work of the previous Labour government in introducing universal free school meals for primary school children across Wales.
Mr Thomas said: “For too many of our pupils, this is the only proper meal of the day that they have every day – hugely important – and yet we know that food costs have risen dramatically in recent years.
“So, my question is: when councils tell Welsh Government what the cost of supplying these meals are, will you accept and respect their advice and fund it, or else risk affecting the quality and provenance of the food served to our young people?”
Ms Williams agreed that free school meals play a vital role in supporting children and families.
She said the scheme “really does help”, allowing children to receive the “nutritious hot meal that they so desperately need”.
While noting that responsibility for free school meals sits within the education portfolio, the Deputy First Minister said she would ensure the concerns raised within government.
The discussion also turned to nutrition during pregnancy and early childhood.
Welsh Liberal Democrat leader Jane Dodds said access to nutritious food in a child’s earliest years is critical to healthy development.

She said: “We know how important nutritious food is in brain development in babies, both in pregnancy and in those first 1,000 days.
“Key nutrients such as vitamin D are absolutely essential, and if you are poor and you are not able to afford a full range of nutritious food, then that hampers that child’s development from the very, very early point.”
Ms Dodds asked what steps the Welsh Government was taking to ensure babies and young children have access to healthy food during their first 1,000 days.
Responding, Ms Williams said she “wholeheartedly” agreed about the importance of nutrition in the early years.
She pointed to the Healthy Start scheme, which provides support for low-income pregnant women and families with young children, describing pregnancy as a “crucial part” of ensuring lifelong health.
The Deputy First Minister also highlighted the nursery milk scheme, which provides children under the age of five in approved childcare settings with a free daily portion of milk.
Ms Williams said ensuring children have access to nutritious food from pregnancy through early childhood remains an important part of tackling inequality and improving long-term health outcomes in Wales.
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