Health
GP patient lists ‘generally sound’, audit finds
Controls against list inflation appear effective, but some duplicates and deceased records remained
GP practice patient lists in Wales are in “good health overall”, with no immediate evidence of fraud found in a new data-matching exercise carried out with NHS Wales Shared Services Partnership (NWSSP), according to Audit Wales.
The pilot focused on two areas that can affect the accuracy of practice lists and, by extension, the way practices are funded: duplicate patient registrations and deceased individuals not being removed in a timely manner.
Audit Wales said the payment system for GP practices is complex, but patient numbers sit at the heart of it — creating an inherent risk that inflated lists could lead to incorrect payments. Accurate lists also support wider primary care management, including ensuring patients receive timely invitations for services such as screening and preventing people who should not be registered from blocking appointment invitations.
While auditors found no immediate evidence of fraud in the areas examined, a small number of errors were identified.
The exercise found 140 duplicate registrations to date, with a further 395 potential matches still under investigation. It also identified 15 cases where deceased individuals remained on GP patient lists, with some left on the lists for a significant period.
Audit Wales said these issues meant some GP funding had been allocated inaccurately, but the amount involved was low.
The findings suggest patient list inflation controls are generally sound in the areas covered by the pilot, though NWSSP is working to strengthen its central controls. Audit Wales also noted recent wider IT system changes affecting England, Wales and the Isle of Man.
Auditor General for Wales Adrian Crompton said data matching and other analytic techniques are becoming increasingly important as public bodies tackle risks around fraud and error.
He said: “The results from this exercise have not identified significant concerns about the accuracy of GP patient lists and that is a good thing. But there is no room for complacency. I therefore welcome the way in which NWSSP has taken forward learning from this exercise as part of wider improvements it has already made.”
The pilot compared certain personal details for permanently registered adult patients across GP lists in Wales and against UK Government death registration records. It identified just over 7,000 potential matches from around 2.7 million records processed, with most of the matches investigated by NWSSP found to be explainable false positives.
Audit Wales said the Auditor General is the independent statutory external auditor of the devolved Welsh public sector, responsible for the annual audit of the majority of public money spent in Wales.
Health
Davies and Kurtz attack ‘fantasy hospital’ pledge for west Wales
Senedd Members demand immediate investment in Withybush and Bronglais as election campaign intensifies
SENEDD Members Paul Davies and Samuel Kurtz have launched a fresh attack on Welsh Labour’s renewed pledge to deliver a new regional hospital for west Wales, branding the proposal a “desperate pre-election distraction” from mounting pressures on frontline services.
The intervention follows comments from First Minister Eluned Morgan, who indicated that plans for a new hospital serving west Wales would be progressed ahead of the Senedd election in May.
The concept of a new regional hospital has circulated for decades. Potential sites have previously been explored, but the project was effectively paused by Hywel Dda University Health Board, with delivery widely understood to be many years away due to financial and economic constraints.

Davies and Kurtz argue that communities in Pembrokeshire and Ceredigion cannot afford to wait while uncertainty continues over services at Withybush Hospital and Bronglais Hospital.
Paul Davies MS said: “People in Pembrokeshire and Ceredigion do not need vague long-term aspirations. They need certainty and investment now. Services are being centralised and downgraded while we are told to wait for something that is neither fully planned nor properly funded.

“Instead of chasing headlines, the Welsh Government should focus on safeguarding and strengthening services at Withybush Hospital and Bronglais Hospital. The message from our communities is clear: invest in the hospitals we have so people can access the care they need closer to home.”
The two MSs contend that immediate capital and workforce investment in existing facilities is the only credible way to guarantee patient safety, reduce excessive travel times for rural residents, and provide sustainable healthcare across west Wales.
They are calling on the Welsh Government to publish a fully costed and deliverable plan to protect core services at Withybush and Bronglais, rather than relying on what they describe as “recycled promises that never materialise.”
Samuel Kurtz MS added: “Just ahead of a Senedd election, the First Minister dusts off a decades-old plan and tries to sell it to local voters who can see straight through this empty promise.
“When 10,000 local people sign a petition demanding the Welsh Government intervene on Withybush, and all they can do is issue a press release about a plan that may not happen for another decade, it shows Labour are not serious about supporting the communities of west Wales.”
Government response
The Welsh Government maintains that long-term transformation of NHS services is necessary to secure sustainable healthcare provision across rural Wales. Ministers have argued that ageing hospital estates, recruitment pressures and increasing demand require modern infrastructure and strategic planning.
Labour has pledged significant capital investment in NHS facilities as part of its wider health strategy and says any future regional hospital would form part of a long-term programme designed to improve clinical resilience and patient outcomes.
The debate over the future configuration of hospital services in west Wales has intensified in recent years, particularly around emergency and specialist provision, with campaigners arguing that protecting local access must remain the priority.
Davies and Kurtz said confidence in local healthcare will continue to erode unless immediate, visible investment is made in frontline services at Withybush and Bronglais.
The Welsh Government and Hywel Dda University Health Board have been approached for further comment.
Health
Hywel Dda warns of ‘significant pressure’ as A&E departments remain packed
Patients urged to use NHS 111 as Withybush, Glangwili and Bronglais face continued strain
HYWEL DDA University Health Board has warned that its emergency departments remain under “significant pressure,” with particular concern at Withybush Hospital.
In a statement issued on Monday (Mar 2), the Health Board said A&E departments at Withybush, Glangwili and Bronglais hospitals were continuing to experience high demand.
Patients were urged to contact NHS 111 Wales for advice if they are unsure where to seek help, and to use community pharmacies and minor injury units for non life-threatening conditions.
The Health Board said: “Help us to help you get the right care in the right place.”
It added that those with serious or life-threatening emergencies should always call 999.
Delayed discharges impacting flow
The statement also highlighted pressures caused by delayed discharges, urging families to support relatives who are medically fit to leave hospital but are waiting for homecare or community health support.
Bed-blocking, often linked to shortages in social care packages, is widely acknowledged as a key factor in A&E overcrowding, as patients cannot be moved from emergency departments into inpatient wards.
When wards are full, ambulance handovers slow and patients can face long waits for assessment and treatment.
Withybush under particular strain
Withybush Hospital in Haverfordwest was singled out as being under “particular” pressure.
There were no signs yet that things were improving today (Tuesday).
The Health Board did not release figures for waiting times, ambulance delays, or bed occupancy rates in its statement.
However, it confirmed that demand remains high across west Wales.
Alternative services highlighted
The public were reminded that:
- NHS 111 Wales can provide 24-hour advice.
- Option 2 via 111 offers urgent mental health support.
- Community pharmacies can treat a range of common ailments without appointment.
- Minor injury units are available for non life-threatening issues.
The Health Board thanked residents for their support and cooperation during what it described as a challenging period.
Health
Welsh Labour launches Senedd campaign with £4bn hospital pledge
WELSH LABOUR leader Eluned Morgan has launched her party’s Senedd election campaign with a headline pledge to invest £4bn in new hospitals, as the party faces growing political competition ahead of the May vote.
Speaking to party members and candidates in Newport on Monday (Mar 2), Morgan set out five central pledges focused on the cost of living, jobs, the NHS, the environment, and social fairness, presenting what she described as a long-term plan for Wales.
The announcement comes at a politically sensitive time, with health services widely expected to be a defining issue in the election and opposition parties seeking to capitalise on public dissatisfaction with NHS waiting times and performance.
Major NHS investment promise
At the centre of Labour’s campaign is a proposed £4bn Hospitals for the Future Fund, which would modernise parts of Wales’ ageing NHS estate over the next decade.
The funding would include replacing the University Hospital of Wales in Cardiff, redeveloping Wrexham Maelor Hospital, and supporting a new hospital development in West Wales.
Eluned Morgan said: “The NHS is not just a service. It’s a promise. And we need to renew that promise. Not with slogans, but with the biggest investment programme in our history.”
She said the programme would ensure hospitals were “fit for modern medicine” while improving working conditions for staff and patient access.
Mental health and access reforms
Alongside capital investment, Labour also announced plans to expand same-day mental health services across Wales through an “open access” model, building on the NHS 111 press 2 system.
Demonstrator projects would be rolled out across all health boards, with the Welsh Government claiming Wales could become the first country to offer such a model nationwide.
Five campaign pledges
Morgan outlined five key priorities:
• Tackling the cost of living, including a £2 bus fare cap and expanded childcare
• Jobs for the future through renewable energy and retraining guarantees
• A new NHS deal including hospital investment and women’s health initiatives
• Environmental protection including river clean-ups and tackling fly-tipping
• A fairer society with homelessness action, pay rises for low-paid workers, and improved schools
Political dividing lines
The Labour leader used her speech to draw sharp contrasts with rival parties, criticising Reform UK as offering “rage” without solutions and accusing Plaid Cymru of lacking detail behind policy proposals.
“We are seeing a politics that is louder than it is wise,” she said. “Plaid always has a complaint. Welsh Labour has the plan.”
Welsh Liberal Democrat Leader Jane Dodds MS said: “After 27 years in power, Welsh Labour’s record speaks for itself. Wales sits at the bottom of too many league tables, whether it’s education, health or wages.
“Today we heard more promises. But many of these are targets Welsh Labour have already failed to meet in previous terms. The problem isn’t a lack of pledges; it’s a lack of delivery.
“The people of Wales are tired of excuses and recycled announcements. They want a fresh start, new energy and a different style of leadership. The Welsh Liberal Democrats are ready to offer that change, focused on delivery, accountability and putting communities first.”
Election context
Labour has governed Wales since devolution began in 1999, but the upcoming election is widely expected to be more competitive than previous contests, with polling suggesting a fragmented political landscape and growing support for challenger parties.
Health services, cost-of-living pressures and economic confidence are expected to dominate the campaign in the coming months.
Further policy announcements are expected in the weeks ahead.
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