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Health

Welsh A&E four-hour performance falls to three-year low

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Only 64.3% of patients were seen within four hours in December, as Conservatives accuse Welsh Government of failing to end long waits

PERFORMANCE in Welsh emergency departments has slipped further from the four-hour target, with new NHS figures showing the lowest level for three years.

The latest statistics show that in December, only 64.3% of patients spent less than four hours in emergency departments from arrival to admission, transfer or discharge — far below the 95% target.

The figures also show 10,193 patients waited 12 hours or more in December, despite the target being that no patients should face waits of that length.

The Welsh Conservatives said the overall NHS waiting list remains at 757,866 patient pathways (November), which they described as the equivalent of nearly one in four people in Wales. They also highlighted what they claim is a continuing gap with England, stating that Wales had 6,883 two-year waits for treatment compared with 177 in England.

In a statement, Peter Fox MS, Chair of the Senedd’s Health and Social Care Committee and the Welsh Conservatives’ Shadow Cabinet Secretary for Health and Social Care, said: “It is clear that after 27 years of Plaid-backed Labour Governments, our NHS is broken. In some areas, the situation is even deteriorating.”

He claimed ambulance response times, cancer performance and emergency department waits had all worsened, and said the Welsh Conservatives would declare a “health emergency”, increase hospital bed capacity, and roll out rapid diagnostic centres and surgical hubs to improve patient flow and cut waits.

The Welsh Government has previously pointed to recent reductions in the overall waiting list and the longest waits for planned treatment, alongside investment aimed at increasing appointment capacity, including through weekend clinics.

 

Health

Dentists warn next Welsh Government must act to save NHS dentistry

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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.

 

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Health

St John Ambulance Cymru sets sights on a more ‘mentally healthy Wales’

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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 

 

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Charity

Charity campaign showcases powerful bereavement support for local families

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HYWEL DDA Health Charities, the official charity of Hywel Dda University Health Board, is calling on local communities to help them provide comfort and support to families who have lost a child.

The charity is running a campaign this spring to highlight its Wish Fund which provides support to families during times of bereavement.

The Wish Fund supports Hywel Dda’s Paediatric Palliative Care team to provide personalised support to families of children and young people receiving palliative care, and helps them create treasured memories when their child sadly passes away. From hand moulds and fingerprint jewellery to memory boxes and specialist sibling support, the fund ensures bereaved families are not alone during the most devastating moments of their lives.

Frankie’s parents Phil and Veronica shared how the Wish Fund helped them during their darkest days:

“We had the absolute pleasure of looking after the most beautiful, awesome, wonderful, loving and brave little lad who was very poorly in the last years of his life.

Frankie

“We met his Paediatric Palliative Care team two years before his passing and boy what an awesome team they are.

“We will never be able to thank the Wish Fund enough. Thanks to the Wish Fund, we had the most amazing mementos, a Christmas bauble, a necklace with Frankie’s fingerprint on it and a mould of his hand. Those simple objects are our most treasured possessions along with a lock of his beautiful hair.”

The Wish Fund relies on charitable donations, and every contribution can have a lasting impact:

  • £15 provides a teddy for a bereaved sibling
  • £30 funds a sibling support session
  • £50 creates a hand mould keepsake
  • £70 provides a Memory Box
  • £85 funds bespoke hand‑printed jewellery

These meaningful items offer comfort to parents, carers and siblings who are navigating unimaginable loss.

Rebecca McDonald, Clinical Nurse Specialist – Paediatric Palliative Care, said: “I want to extend my heartfelt thanks to everyone who has donated and continues to donate to the Wish Fund.

“Thanks to your kindness and generosity, we have been able to provide meaningful memory-making items and bereavement materials. These resources make an immeasurable difference in helping us support our families through the most difficult time.

“Your compassion and support truly help us bring comfort, dignity, and lasting memories to the families we care for. Thank you for your support in helping us make a big difference to families we support across our health board.”

To find out more or to donate to the Wish Fund, please visit: https://hywelddahealthcharities.nhs.wales/campaigns/the-wish-fund/ 

 

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