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Health

Waiting lists fall for seventh month — but thousands in Wales still face long delays

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Health leaders welcome progress but warn NHS remains under severe pressure

THE NUMBER of people waiting for NHS treatment in Wales has fallen for the seventh consecutive month, according to the latest performance data — but health leaders have warned that services remain under significant strain and many patients are still waiting too long for care.

Figures for December show there were just under 741,000 referral-to-treatment patient pathways waiting to start treatment across Wales, a reduction of around 16,900 compared with November. The figure is the lowest recorded since March 2023.

Management information suggests there were approximately 580,300 individual patients waiting for treatment in December, down from 591,700 the previous month and 616,500 in December 2024.

The number of patients waiting more than two years has also fallen sharply. Just under 5,300 pathways were waiting longer than two years in December — a drop of 92.5% from the pandemic-era peak, and around 1,600 fewer than in November.

Average waiting times have also improved slightly, with patients waiting around 19 weeks on average — 0.2 weeks shorter than the previous month and 4.6 weeks shorter than the same period last year.

Meanwhile, the number of people waiting more than a year for a first outpatient appointment fell to just over 32,700, the lowest level since September 2020 and more than two-thirds lower than the peak recorded in 2022.

Pressure still high

Despite the improvements, NHS leaders say services remain under intense pressure, particularly during the winter period.

Darren Hughes, director of the Welsh NHS Confederation, said the progress showed the “relentless focus” on reducing waiting times was beginning to deliver results.

He said: “It is reassuring to see the continued focus on driving down waiting lists is paying off, especially for those waiting the longest for treatment.

“The overall waiting list fell for the seventh month in a row in December, which is not something we would usually see given the heightened pressures on the NHS in the winter months and an early flu season hitting the UK.”

However, he warned that the health service was still far from where it needed to be.

“NHS leaders are fully aware that we are still not where we need to be — too many people are still waiting a long time for treatment — but we must capitalise on this momentum and make sure best practice is shared across Wales,” he added.

Emergency demand rising

The figures also come against a backdrop of rising demand for urgent and emergency care.

Some health boards declared critical incidents in January as services struggled to cope with pressure, while emergency department attendances were roughly 1,000 per day higher on average compared with January 2025.

However, performance against the newer ambulance measure for the most serious “purple” emergency calls met targets in January despite the increased demand.

Calls for long-term strategy

Health leaders say sustained improvement will require action beyond the NHS itself, including better prevention, stronger social care services, and investment in infrastructure.

Mr Hughes said: “To continue to tackle high demand and drive down waits for the people of Wales, the next Welsh Government must implement a cross-government strategy for prevention, stabilise social care and enable the NHS to invest in its estates and infrastructure.”

Political context

Waiting times remain one of the most politically sensitive issues in Welsh public services, with opposition parties regularly criticising the Welsh Government over performance compared with England.

Ministers have previously argued that the Welsh system treats patients based on clinical need rather than targets alone, and that recovery from the pandemic backlog is progressing.

For patients across West Wales — including those served by Hywel Dda University Health Board — the figures offer cautious optimism, but also underline the scale of the challenge still facing the health service.

Health experts say sustained reductions over coming months will be critical in determining whether the NHS in Wales is genuinely turning a corner or simply experiencing temporary improvement.

 

Health

“For too long, women’s health has been treated as an afterthought”

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WALES’ first-ever dedicated women’s health minister has promised a major overhaul of endometriosis and abortion services. 

Addressing Senedd colleagues on July 7, Blaenau Gwent Caerffili Rhymni MS Delyth Jewell vowed to tackle the “invisibility” of women’s pain in the healthcare system

Ms Jewell, who was appointed deputy minister for social care, mental health, and women’s health in May, said these areas have lacked “sufficient attention” for too long.

The Plaid Cymru MS said she would champion carers, and said she would work to ensure more carers receive the real living wage and “parity of esteem”,

She said: “Why is it that social care receives less prominence in debate than the NHS? Why shouldn’t care workers hold the same space in our psyche as nurses and doctors?”

Speaking on the importance of mental health care, Ms Jewell highlighted the need for “a fundamental change” in how services are delivered, moving towards “open-access, same-day mental health support”.

The deputy minister revealed she had met with Professor Ann John, national adviser for suicide prevention and self-harm, and pledged to provide a written statement setting out the government’s priorities – with a focus on male suicide.

Ms Jewell also said: “For too long, women’s health has been treated as an afterthought” – and pledged to tackle women’s pain in healthcare.

“How many women have been told, ‘this might hurt’, and have been afraid to speak up and say that they are in pain?” Ms Jewell asked.

“Women’s voices should be heard. Their pain should not simply be endured. I am determined to change this.”

Ms Jewell continued: “We will be refreshing elements of the NHS Wales women’s health plan, with action this year focused on improving endometriosis and abortion services.

“I will want to hear from women directly. We’ll be commissioning work to gather women’s feedback, and we’re also carefully considering the women’s health hub model to improve consistency.”

Ms Jewell confirmed plans to host a ministerial summit on the matter on July 16, and pledged to help those struggling to get appointments, families waiting too long for diagnoses, and women who have not been believed.

She said: “I want to bring hope, to bring change, and, most of all, to be a voice for those who have not been heard. I promise I am listening.”

Reform MS James Evans, shadow health and prevention minister
Reform MS James Evans, shadow health and prevention minister

James Evans, Reform’s shadow minister for health and prevention, congratulated Ms Jewell on her appointment but reminded her that “warm words […] need to be matched by delivery, deadlines and accountability”.

Mr Evans quizzed his opposite number on her plans for a national care service, something Ms Jewell pledged would be created this Senedd term alongside a new national care academy.

But Mr Evans said he has “long opposed” its creation, describing it as an “unnecessary additional level of bureaucracy and a drain on vital public money”.

He added: “A national care academy, fair pay and conditions, better support for unpaid carers – there’s something we all want – and those significant commitments that you’ve made also need to be matched by funding.”

Mr Evans called for a “practical timetable” on this, asking when the national care academy will be online, and how the Welsh Government will ensure the national care service does not become “another layer of bureaucracy”. 

In response, Ms Jewell said: “We want to make sure that what we have for people is greater than the sum of those parts, that actually there is parity of esteem for people in the workforce.

“[…] It’s bizarre, isn’t it, that there’s never been a founding moment for the care service in the way that we’ve had with the NHS. We celebrated the NHS’s birthday a few days ago; when I was talking about the same space in our psyche, we should be celebrating this work.

“Most people will come into contact with the NHS and with other areas of public service throughout the course of our lives.”

Ms Jewell spoke of the importance of increasing the status of the sector and said: “Most people only come into contact with the care service when something has either gone wrong with them or someone else they love.”

Answering Mr Evans’ questions on timescale, Ms Jewell admitted a lot of the work will take the course of the Senedd term but that some elements, such as the academy, she wants to bring forward “far earlier”.

Mr Evans also pressed Ms Jewell on her plans for suicide prevention, and welcomed the focus on male suicide.

He said: “One of the biggest groups that does suffer from suicide is young white men, and young men in general. They are the people who suffer the most and they do need to be supported.”

Mr Evans called for a dedicated men’s health plan, adding that it should not be limited solely to suicide prevention but also other issues such as cardiovascular disease and fathers struggling with newborns.

In response, Ms Jewell said: “I am prepared to engage with you and other members on this as a concept, because, of course, you’re right that certain health issues are either only apparent in men, or have a disproportionate effect on men.

“And there’s lots of work, including what I’ve said about male suicide. The upcoming cancer plan will look at improving rates of diagnosis in areas like prostate cancer. Whether we need to bring that together in one men’s health plan, I am open to the idea – let’s have further conversations.”

Casnewydd Islwyn's Labour MS Jayne Bryant
Casnewydd Islwyn’s Labour MS Jayne Bryant

Labour’s spokesperson for public and preventative health, Jayne Bryant, told the Siambr that “for far too long, women’s voices and experiences in the healthcare system have not been given their due weight.”

Ms Bryant, of Casnewydd Islwyn, drew attention to the work of the previous Labour government to support women’s health – from “free period products, to menopause support, to creating women’s health hubs in every health board.”

She told the Senedd it was “disappointing” to see “no dedicated action” for women’s health in Plaid Cymru’s pledges for the first 100 days in government. 

She called for the deputy minister to share the government’s plans to address endometriosis – a condition which affects one in ten women in Wales.

Ms Bryant told the Siambr that “advances are being made in diagnosis” and Wales must make sure it’s ready to adapt.

She said: “Rapid endometriosis tests have just been given the go-ahead by the National Institute for Health and Care Excellence, which will help to significantly reduce the time it takes for women to be told whether they have the condition.

“One test, I believe, provides that result in 45 minutes. Currently, getting a diagnosis can take years. So, when does the minister expect women in Wales to be able to access those new tests?”

Ms Jewell paid tribute to the work done by Labour’s Sarah Murphy and Eluned Morgan on women’s health in the last Senedd term.

She said: “It should not be normal for women to have to go for so many appointments before they get the symptom diagnosis that they deserve.

“So, I want to look at this in terms of how it is working in hubs, how it’s working in primary care, all the way through to tertiary services as well. It’s going to be a focus of the women’s health plan.”

Casnewydd Islwyn's Conservative MS Natasha Asghar
Casnewydd Islwyn’s Conservative MS Natasha Asghar

Conservative spokesperson for health and social care, Natasha Asghar, questioned the deputy minister on endometriosis and polyendocrine metabolic ovarian syndrome (PMOS), formerly known as polycystic ovary syndrome.

Ms Asghar told colleagues that NICE published draft guidelines on PMOS last week which recommended “faster diagnosis and an annual review of women and girls aged ten and over to include symptoms and signs of PMOS.”

She called on Ms Jewell to consider annual reviews of the condition alongside the training of doctors and health professionals across Wales to ensure they can spot the signs of PMOS. 

Ms Jewell acknowledged the draft guidance but noted the final recommendations won’t be available until December.

Ms Asghar, of Casnewydd Islwyn, also highlighted the importance of quality education on menstrual health and menopause.

She said: “All too often, women and girls cope with endometriosis and PMOS because they believe that heavy and painful periods are a normal part of their menstrual journey.”

Ms Asghar said she had asked the previous education minister about “ensuring universal menstrual health education within the curriculum”, and asked Ms Jewell how she will ensure “quality menstrual health education” is available Wales-wide.

She also said she has raised “consistent concerns” about the delivery of advice and support for menopause alongside menstrual health.

Ms Asghar noted that Cardiff and Vale University Health Board has launched a menopause hub in Ely, and asked about their Wales-wide rollout.

In response, Ms Jewell said she is “willing and eager” to work cross-party to ensure the message gets out to women and to “empower them to use their voice”.

 

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Charity

Charity donation transforms chemotherapy waiting room at Glangwili Hospital

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A £26,273 donation from the West Wales Prostate Cancer Support Group has helped create a calmer and more comfortable space for patients undergoing cancer treatment

A GENEROUS charitable donation has helped transform the patient waiting room at Glangwili Hospital’s Chemotherapy Day Unit.

Hywel Dda Health Charities, the official charity of Hywel Dda University Health Board, has used a £26,273 donation from the West Wales Prostate Cancer Support Group to fund a major refurbishment of the unit’s waiting room and adjacent kitchen.

The West Wales Prostate Cancer Support Group is a patient-led group of volunteers working across West and South West Wales, offering support to prostate cancer patients, as well as their families and friends.

The project has created a more welcoming, comfortable and calming environment for patients receiving treatment, along with relatives and carers who accompany them to appointments.

Before the refurbishment, the waiting area was described as dated, dark and uninviting, in contrast to the compassionate care provided by staff within the unit. Patients can often spend long periods in the space before treatment or clinic appointments.

The work included the removal of old fixtures, full redecoration, new flooring and ceiling, the purchase of more comfortable furniture, and the addition of artwork to help improve the atmosphere.

Gina Beard, Lead Cancer Nurse, said: “We are so grateful for the donation from the West Wales Prostate Cancer Support Group, which has enabled us to transform the space.

“This has made a real difference to our patients. We’ve been able to create a space that feels less clinical and more comforting. The calming colours and comfortable seating help ease anxiety and make a difficult time a little more bearable for patients and their loved ones.”

Nicola Llewelyn, Head of Hywel Dda Health Charities, added: “We are deeply grateful to the West Wales Prostate Cancer Support Group for their donation.

“Your generosity has enabled us to create a pleasant and relaxing space for patients and their families.”

Hywel Dda Health Charities supports NHS patients and staff across Carmarthenshire, Ceredigion and Pembrokeshire.

 

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Health

Deputy Minister sets out priorities for social care, mental and women’s health

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Plans include same-day mental health support, a National Care Service for Wales and action on women’s health

PLANS to improve access to social care, provide same-day mental health support and strengthen women’s health services have been outlined by the Welsh Government.

Deputy Minister for Social Care, Mental Health and Women’s Health Delyth Jewell said she wanted to give greater prominence to areas which she believes have not received the attention they deserve.

Her priorities include progressing plans for a National Care Service for Wales, with the ambition of delivering social care that is free at the point of need.

The Deputy Minister also said safeguarding arrangements would be strengthened to better protect children and adults at risk.

Mental health services are set to move towards a model of open-access, same-day support, with 21 demonstrator sites already underway and further rollout planned.

The Welsh Government said future action on dementia will also be set out in a new Dementia Strategy for Wales, focusing on brain health, earlier diagnosis and improved support.

A Women’s Health Summit will also be held later this month, bringing together women with lived experience and clinicians.

The summit will focus on tackling the normalisation of pain, with work already underway to improve endometriosis and abortion services, as well as maternity safety and support for families who experience the loss of a baby.

Delyth Jewell said: “I want to help shine a light onto areas that haven’t had the focus they are due.

“On mental health, women’s health, and yes, the social care system that for too long has been undervalued.

“These areas deserve more attention and prominence. They deserve a voice in the heart of government, and I promise I will give that to them.”

Alzheimer’s Society’s National Influencing Manager Gemma Roberts said: “We are delighted that the Welsh Government has reaffirmed its commitment to developing a new dementia strategy for Wales. We stand ready and eager to work with the Welsh Government to turn this ambition into a reality.  

“People with dementia in Wales routinely face prolonged delays to diagnosis followed by gaps and stark inequalities in treatment and support. Delays of this scale have quietly become routine for dementia, Wales’s biggest killer, but would not be accepted for cancer or heart disease. It’s vital that the Plaid Cymru manifesto commitment to a diagnosis target of 12 weeks is included in the new strategy.  

“The science is flying with faster, more accurate diagnosis and new treatments on the horizon. With the delivery of a bold dementia strategy for Wales that tackles diagnosis, care and support, delivering the transformation that people living with dementia need.” 

 

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