Health
Emergency departments in Wales record worst November waits on record
ONE in seven patients waited more than twelve hours as doctors warn system is beyond breaking point
Emergency departments across Wales experienced their worst November on record for four-, eight- and twelve-hour waiting times, according to new figures released by the Welsh Government.
Data published on Thursday (Dec 18) show that 10,107 patients — around one in seven people attending major emergency departments — waited twelve hours or more in November 2025 to be admitted, discharged or transferred.
The Royal College of Emergency Medicine (RCEM) said the figures underline a deepening crisis in hospital care, warning that extreme delays are placing vulnerable patients at serious risk of harm.
The statistics also reveal a sharp deterioration compared with previous years. The number of patients waiting more than four hours has almost doubled since November 2018, while those waiting eight hours or more have more than doubled. Twelve-hour waits have doubled again over the same period.
Doctors say the figures reflect pressures already evident before winter took hold — and warn conditions have worsened further in recent weeks.
RCEM vice president for Wales, Dr Rob Perry, said the latest data had set “yet another unwanted record”.
He said: “These figures reflect what we experienced on the brink of winter. Fast forward to today and the situation in our emergency departments has only deteriorated.
“As you read this, sick and vulnerable patients are on trolleys parked side by side to maximise space, both in emergency departments and in corridors, enduring these conditions for hours and hours.”
Dr Perry said delays are being driven by a lack of available hospital beds, with patients unable to move on to wards even when emergency clinicians have completed their assessments.
“And the wait will only continue for those needing further care on a ward, as staff search for an elusive bed,” he said.
The figures also show that 1,455 patients were stuck in hospital despite being medically fit for discharge. While this represents a slight improvement of 1.2% compared with November 2024, doctors say the number remains unacceptably high.
The RCEM said blocked hospital beds are a symptom of wider problems beyond emergency departments, particularly in social care.
Dr Perry added: “The solutions lie outside the walls of emergency departments. Social care must be a priority for investment next year, so patients who are well enough can leave hospital, freeing up beds for those who desperately need them.”
The warning comes weeks after the RCEM published its political manifesto ahead of the 2026 Senedd elections, calling on all parties to commit to ending overcrowding in emergency departments, improving staffing levels, investing in digital systems and increasing transparency around performance data.
Dr Perry said the past year had taken a heavy toll on staff working in emergency medicine.
“It’s been an incredibly tough year for those trying to care for patients in beyond challenging conditions,” he said. “But the worst is yet to come as we head deeper into winter.
“We will get through this, as we always do. And to our patients — we will continue to be there for you when you need us most.”
The Welsh Government has previously acknowledged ongoing pressures in emergency care and said work is continuing to improve patient flow through hospitals, including efforts to strengthen community and social care services.
Health
The growing popularity of overseas medical care
With waiting lists ever increasing and appointments seemingly booked up forever, more and more people are seeking alternative methods to get the medical care they need. While going private is an option for some, for others, the costs are simply too high, treatments are not specialised enough, or waiting lists remain lengthy. This is why many people are starting to go abroad for their treatment needs. So, with that in mind, let’s explore why overseas medical care has grown in popularity.
Shorter wait times
In 2024, more than 500,000 Britons chose to get treated abroad to avoid lengthy wait times on the NHS, more than double compared to numbers reported in 2021. With waiting lists continuously on the rise, it’s becoming increasingly difficult for people to get the treatment they need when they need it. The result is more and more people heading overseas to receive the right medical care.
Lower costs
The expense of going private in the UK versus going private abroad is significant. For example a hip replacement in the UK costs around £12,000 to £18,000 privately, but will cost around £1,600 to £5,000 in India. These reduced expenses make medical care more accessible to those on lower incomes, increasing the appeal of overseas medical care.
Specialised treatments or experimental therapies
Some countries have dedicated more time and effort into certain health conditions than others. For example many people seek epilepsy treatment in Germany, thanks to the country’s reputation for advanced investment into the condition.
Some tests, treatments, and experimental therapies aren’t available in the UK, causing people to venture further afield to make progress with their health.
Easier access to information
Thanks to technology like the internet and social media, it’s now easier than ever to research practices, facilities, and treatment options in different countries. Those who are dubious about going abroad for medical treatment, can now get the reassurance they need to go ahead.
And it’s not just the treatment itself, but the travel and accommodation, too. It’s never been easier to compare prices for airplane tickets, hotels, and transfers, making the entire process straightforward.
What does the future of medical care look like?
It’s evident that for Brits, going overseas is becoming increasingly popular. As NHS wait times and private costs increase, the appeal of treatment overbroad will likely continue to rise.
Health
£2m hospital upgrade to ease A&E pressure at Carmarthen site
MAJOR refurbishment work has begun at Hywel Dda University Health Board’s Glangwili Hospital after more than £2 million in funding was secured from the Welsh Government.
The £2.096m investment will be used to overhaul the hospital’s Same Day Emergency Care (SDEC) unit, creating extra consultation rooms, a redesigned reception, and a more comfortable environment for both patients and staff.
Health chiefs say the expanded unit will help reduce pressure on the hospital’s busy Emergency Department by allowing more people to be treated quickly without needing an overnight stay.
The project forms part of wider efforts to improve urgent and emergency care across the health board’s sites, including the Minor Injury Unit at Prince Philip Hospital.
Keith Jones, Director of Operational Planning and Performance for the health board, said the funding would increase capacity and speed up patient flow.
He said: “This investment will help us reduce pressure on the Emergency Department and provide a smoother, swifter experience for patients. We’re grateful to Welsh Government for the support.”
Services temporarily relocated
While the work takes place, several services have moved elsewhere on the hospital site.
The SDEC unit, Discharge Lounge and Medical Day Unit have relocated to Y Lolfa, formerly Padarn Ward.
The Cancer Information and Support Service and Cancer Psychological Support Service have also moved, although contact details remain unchanged.
Some clinics, including podiatry, neuro-rehabilitation and occupational therapy, will stay at the Priory Day Hospital, but patients may need to use different access routes.
Patients are being notified through appointment letters, and extra signage will be in place around the hospital. Staff are urging visitors to check their letters carefully or contact departments directly if unsure where to attend.
Cabinet Secretary for Health and Social Care Jeremy Miles said the upgrade would help tackle overcrowding and delays.
He said: “This investment will reduce waits, ease handover pressures and improve the overall experience for patients and staff when they need urgent or emergency care.”
Work is expected to continue over the coming months.
Community
Work on new 26-home Pembrokeshire development gets underway
CONSTRUCTION work has started on a Haverfordwest scheme to provide sheltered housing apartments for the over-55s.
The Tŷ Haverfordia affordable housing and reablement development of 26 sheltered housing apartments for the over-55s alongside a dedicated 12-bed reablement centre to support residents returning home from hospital at the former Haverfordia House site, delivered by Wynne Construction, forms part of Pembrokeshire County Council’s “continued commitment to increasing high‑quality, accessible housing and deliver effective modern health and social care support across Pembrokeshire”.
Initial works began on January 26 and include securing the site, setting up a small compound and contractor parking area, installing controlled access for site personnel, and positioning temporary office and welfare units.
To maintain safe access to nearby facilities, including the GP surgery and Haverfordwest Leisure Centre, pedestrian routes through the area will remain open.
In addition, a minimum number of public parking spaces, including disabled bays, have been kept with Pay & Display machines relocated to reduce inconvenience.
In keeping the minimum number of parking spaces as well as needing to accommodate essential contractor welfare facilities, a small section of Rifleman Field has had to be used during the duration of the development of the site.
This space will be securely fenced off, and the footprint minimised. Any areas of Rifleman Field affected by the works will be fully reinstated on completion and restored to a condition that is equal to or better than at present.
To ensure residents and stakeholders are kept informed and have the opportunity to engage with the development, Pembrokeshire Housing Services will be hosting a Community Engagement Drop-in Event on Thursday, February 19, 5-7pm, at The Green Room, Haverfordwest Leisure Centre.
Pembrokeshire County Council Cabinet Member for Housing, Cllr Michelle Bateman, said: “I am pleased that we have finally reached the stage of commencing on site and look forward to seeing the development progressing.
“We have been able to progress with the development after receiving much-needed Welsh Government grant assistance for both the reablement and housing parts of the development.”
Last year, Pembrokeshire County Council’s Cabinet, members approved awarding a fixed contract of £13,560,454.21 to C Wynne & Son for the Haverfordia House works.
In 2019, Cabinet backed the acquisition of the freehold of Haverfordia House, with the overall intention to deliver a new housing and wellbeing facility following its demolition.
A report for members at last year’s June meeting said: “As well as providing long-term residents with a sense of place and community, it will provide short-term reablement users with the facilities and in-house support which they need to relearn the skills required to keep them safe and independent when they return home.”
It said there was a need for one-bed properties, and a review of sheltered over 55 accommodation was undertaken in 2018-19 which identified that existing sheltered housing stock is “no longer fit for purpose”.
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