Health
NHS waiting list falls — but cancer delays and diagnostic backlog worsen
Record progress claimed by Welsh Government as critics warn key targets are still being missed
THE NHS in Wales has recorded its biggest-ever monthly drop in waiting lists, according to new figures released on Thursday (Mar 19), but worsening cancer treatment times and a growing diagnostic backlog highlight ongoing pressure on services.
The latest data shows the waiting list fell by 27,900 in January — the largest monthly reduction on record — marking eight consecutive months of decline.
Average waiting times have now dropped to around 18 weeks, the lowest level since before the pandemic.

Cancer target slips further
Despite the overall progress, performance in cancer care has deteriorated.
Just 57% of patients began treatment within the 62-day target in January — down from 60.7% in December and well below the 75% target.
Diagnostic delays at highest level in two years

The figures also show growing pressure in diagnostic services.
Around 135,300 patient pathways were waiting for diagnostic tests in January, with more than 48,300 waiting longer than the eight-week target — the highest level recorded since January 2024.
These delays can have a knock-on effect on treatment, as patients often cannot begin care until tests and scans are completed.
Despite the overall reduction in waiting lists, progress in key areas appears to be slowing. The number of patients waiting more than two years for treatment fell by just 44 compared with the previous month, suggesting momentum has stalled. At the same time, the diagnostic backlog has reached its highest level in over two years, with more than 48,000 people waiting beyond the eight-week target — raising concerns that delays in testing are continuing to hold up treatment across the NHS.
Emergency care targets still missed
Performance in emergency departments remains well below national targets.
Only 63.7% of patients spent less than four hours in A&E, against a target of 95%.
Nearly 10,000 patients (9,817) waited more than 12 hours in January, despite a target of zero.
Ambulance response times for life-threatening “red” calls averaged 8 minutes 54 seconds.
However, separate February data shows some improvement, with faster response times and reduced handover delays at hospitals.
Ambulance performance also remains under pressure, with response times for the most serious “red” calls averaging 8 minutes 54 seconds — above the target range.
At the same time, waiting times for amber calls, which include serious conditions such as strokes and chest pain, have increased, adding further strain to urgent care services and raising concerns about delays for patients in need of rapid treatment.

Long waits remain far higher than England
While long waits have reduced overall, they remain significantly higher than in England.
More than 5,200 patients in Wales are still waiting over two years for treatment, compared with around 200 in England.
The Welsh Government had previously pledged to eliminate these waits by March 2023 and again by March 2024.
West Wales focus: Hywel Dda sees progress — but pressure remains
In west Wales, Hywel Dda University Health Board is increasing activity to tackle waiting times, supported by additional Welsh Government funding.
Health Secretary Jeremy Miles is visiting Prince Philip Hospital in Llanelli as part of efforts to highlight improvements, including increased outpatient appointments and record levels of operations.
Across Wales, health boards have delivered an additional 187,000 outpatient appointments and 37,000 cataract operations.
However, hospitals serving Pembrokeshire, Carmarthenshire and Ceredigion continue to face sustained demand.
Emergency departments across the Hywel Dda area have been operating under “extreme pressure” in recent months, with winter demand, staffing challenges and delays in patient discharge continuing to impact performance.

Political row over NHS performance
Welsh Government ministers say the figures show “real, tangible progress” in reducing waiting times.
Health Secretary Jeremy Miles said: “The waiting list has fallen for the eighth month in a row, a new record reduction, and the longest waits are down yet again.”
However, opposition parties say the improvements are not being felt where it matters most.
Peter Fox MS, Chair of the Senedd’s Health and Social Care Committee, said: “Cancer waiting times are worsening, with fewer patients starting treatment on time and no sign of sustained improvement.”
Reform UK Senedd Member James Evans MS added: “The waiting list for diagnosis is the highest we’ve seen for over two years, with no credible plan to fix the NHS.”
Welsh NHS Confederation
Responding to the NHS Wales activity and performance statistics for December and January, director of the Welsh NHS Confederation, Darren Hughes, said: “It’s encouraging to see continued month-on-month improvements in NHS waiting times, now for the eighth consecutive month. We commend the hard work of NHS staff and leaders who are driving this noteworthy progress.

“However, urgent and emergency care pressures remain. So, while targeted funding to boost progress in scheduled care is welcome, to achieve sustainable, long-term improvements across the breadth of health and social care, we need a more robust, whole-system approach that tackles the root causes of challenges.
“So far, what we’ve seen in party manifestos do not go anywhere near far enough to deliver the transformation needed to ensure the sustainability of our health and care services so they deliver for the people of Wales. It is not simply about having more beds, more diagnostic centres or more surgical hubs, we need a long-term commitment to deliver for the people of Wales.
“We need a long-term capital investment strategy to modernise NHS estates and infrastructure (including digital), an achievable plan to stabilise social care, an all-Wales long-term workforce plan for the NHS and social care workforce, joint performance and financial frameworks, and a cross-governmental shift towards prevention to drive down demand on health and care services.”
“It’s not easy but we need bravery and longer-term commitments from political parties – in line with the Well-being of Future Generations Act – so the people of Wales can live healthier, longer lives.”
Secretary of State for Wales Jo Stevens said: “The sustained fall in waiting list numbers and in average wait times is great news for patients across Wales.
“The UK Government has supported the Welsh Government with record funding to allow it to invest in improving public services like the NHS and progress continues to be made.”
Mixed picture across Wales
The latest figures present a mixed picture.
While waiting lists are falling and average waits are improving, performance in cancer care, diagnostics and emergency services continues to lag behind targets.
For patients across west Wales, the data reflects both progress and ongoing pressure as the NHS continues to recover while demand for services remains high.
Health
Wales most aware of alcohol addiction, but experts warn summer habits carry danger
MORE people in Wales recognise alcohol as addictive than anywhere else in Britain, new research has found, but health experts are warning that awareness alone may not be enough to prevent harmful drinking habits.
The findings come ahead of the busy summer period, when pubs, beer gardens, festivals, barbecues and outdoor events often lead to increased alcohol consumption.
According to YouGov data, 86% of people in Wales describe alcohol as addictive — the highest figure recorded across Britain and above the national average of 78%.
Only 14% of Welsh respondents said alcohol was either “not very addictive” or “not addictive at all”.
By comparison, London recorded the lowest level of awareness, with 69% of respondents recognising alcohol as addictive.
Health professionals say the results show that while many people understand the risks, regular drinking can still become habitual, particularly during periods of increased socialising.
Official figures suggest adults consume an average of 10.7 litres of pure alcohol per person each year, equivalent to around 21 UK units per week. That is around nine pints of beer or seven large glasses of wine, and is significantly above the recommended maximum of 14 units a week.
Nearly one in five adults are also said to drink at hazardous levels or above, with men more than twice as likely as women to fall into that category.
Dr Karen Faulkner, Associate Medical Director at Panthera Clinic, said alcohol occupied a “unique place” in British culture because it was both legal and socially encouraged.
She said: “What’s particularly interesting is that most people understand alcohol can be addictive, yet many still underestimate how easily regular drinking can become habitual. Dependence often develops gradually and doesn’t always fit the stereotypes people associate with addiction.
“During the summer months, drinking can become even more normalised through holidays, beer gardens, barbecues, festivals and sporting events.
“The challenge isn’t necessarily a lack of awareness about alcohol’s risks. It’s recognising when a socially accepted habit has crossed the line into something that’s beginning to have a negative impact on your health, wellbeing or daily life.”
Dr Faulkner said people wanting to cut back should consider planning alcohol-free days, alternating alcoholic drinks with water or soft drinks, setting limits before social events, and keeping track of their weekly intake.
She also urged people to watch for signs that alcohol may be becoming more important than intended, including finding it difficult to relax, socialise or enjoy an event without drinking.
Panthera Clinic has launched a free online Alcohol Health Calculator to help people assess how their drinking habits may be affecting their health and wellbeing.
Dr Faulkner added that low and no-alcohol alternatives had become more widely available, making it easier for people to reduce their intake while still taking part in social occasions.
Health
Welsh Government refuses to halt Withybush and Bronglais service review
Health Minister tells Paul Davies MS that decisions remain a matter for Hywel Dda University Health Board
THE WELSH GOVERNMENT has declined to intervene in controversial plans affecting services at Withybush and Bronglais hospitals, prompting fresh criticism from local Senedd Member Paul Davies.
In a letter dated June 19, Health and Care Cabinet Secretary Mabon ap Gwynfor said responsibility for planning and delivering NHS services rests with local health boards and confirmed that Hywel Dda University Health Board should continue its consultation process on proposed service changes.
The response follows concerns raised by Mr Davies on behalf of constituents in Pembrokeshire and Ceredigion over the future configuration of clinical services, including stroke care.
While acknowledging strong public concern about access to healthcare in rural communities, the Minister stopped short of offering any commitment to block or reverse the Health Board’s proposals.
Instead, he stressed that any changes must be supported by robust evidence, maintain patient safety and demonstrate improved outcomes.
The Minister wrote: “Responsibility for planning and delivering health services rests with local health boards, including decisions about how services are organised.”
He added that proposals must improve outcomes for patients, maintain safe and equitable access to care and be supported by thorough impact assessments.
Paul Davies MS described the response as disappointing.
Posting the letter on social media, he said: “This letter tells me that the Welsh Government is not going to stand in the way of the Health Board’s plans.”
He added that he would raise the issue in the Senedd chamber next week and continue pressing ministers to intervene.
The exchange comes as Hywel Dda University Health Board continues a public consultation on proposed changes to stroke services across west Wales.
The consultation, which opened on May 28, is due to run until July 26.
In his response, the Minister stated that anyone suffering a stroke should receive treatment “as quickly as possible in the most appropriate setting” and said the current model of stroke care in Wales must evolve if national standards are to be achieved.
The comments are likely to fuel concern among campaigners opposed to the proposed changes, who fear services could become increasingly centralised and further away from rural communities in Pembrokeshire and Ceredigion.


Health
Medicine shortages now ‘most severe on record’, health leaders warn
PATIENTS are facing some of the worst medicine shortages ever seen in the UK, with pharmacists warning the situation now poses a serious risk to safety.
The National Pharmacy Association said shortages affecting commonly used medicines are becoming more frequent, lasting longer, and causing increasing disruption for patients, GP surgeries and pharmacies.
The warning comes as Serious Shortage Protocols for Creon, used by people with pancreatic cancer and cystic fibrosis to help digest food, have been in place since May 2024 and have now been extended until July 10, 2026.
HRT treatment Estradot has also been under a Serious Shortage Protocol since December 2024, with the current extension also running until July 10.
Patients travelling between pharmacies
A survey by the National Pharmacy Association found that 98 per cent of pharmacies had encountered patients who had visited several pharmacies in one day to find a prescription.
It also found that 96 per cent of pharmacies believed the current situation posed a serious risk to patient safety, while 89 per cent said they had been unable to dispense a medicine at least once a day because of supply problems.
Some pharmacy teams have also faced anger and abuse from patients unable to obtain medication.
Olivier Picard, Chair of the National Pharmacy Association, said: “Medicine shortages are becoming more frequent, lasting longer and causing increasing disruption for patients.
“These shortages are some of most severe the UK has experienced.
“It is deeply distressing to find patients who have travelled from pharmacy to pharmacy to find the medicines they need without success.”
Calls for urgent taskforce
The NPA is calling on the government to convene an emergency taskforce involving manufacturers, wholesalers, clinicians and pharmacists.
It also wants changes to rules which currently stop pharmacists from making simple substitutions, such as changing a tablet to a capsule or a cream to an ointment, even where a safe alternative is available.
Professor Victoria Tzortziou Brown, President of the Royal College of GPs, said medicine shortages were frustrating for patients, GPs and pharmacists, and added pressure to already stretched services.
She said the College supported pharmacists being able to make limited changes to prescriptions where a medicine is unavailable and a safe alternative exists.
She added: “The most important thing is that patients are able to access the medication they need safely and without delay.”
The Cystic Fibrosis Trust and Pancreatic Cancer UK have also raised concerns about the impact of shortages of pancreatic enzyme replacement therapy, including Creon, on people who rely on the medication to digest food, maintain weight and stay well enough for treatment.
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