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Health

Concerns over standards at A&E following report highlighting ‘significant challenges’

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OVERCROWDING and patients sleeping on floor at a west Wales A&E were some of the issues raised by a report raising serious concerns, but also saying that there had been some improvements made to a hospital’s standards of care.

The health board involved, Hywel Dda, now says it has come up with a plan to address the issues raised by a report published by Healthcare Inspectorate Wales (HIW) who carried out an inspection of the emergency department at Glangwili Hospital, Carmarthen, in December.

Despite the best efforts of staff, the independent body said patients did not always receive consistently safe care.

Hywel Dda health board said it recognised “significant challenges” within the department.

Although patients and carers were said to be “generally satisfied with the service”, HIW identified several issues with the service provided at the department.

The report highlighting concerns at Glangwili came out at the same time that figures were released saying that waiting times at Welsh A&E departments had fallen slightly. Responding to those Emergency Department performance figures for February 2023 for Wales, Dr Suresh Pillai, Vice President of the Royal College of Emergency Medicine Wales, said: “We welcome the improvement in Emergency Department performance shown in February’s data. The reduction in patients facing four-, eight- and 12-hour waits is a testament to the hard and skilled work of Emergency Medicine staff who continue to tackle the crisis in Emergency Care.

“While we welcome this improvement, the situation remains serious. Exit block – where patients cannot be admitted from the Emergency Department to a bed because out of the limited bed base, many are taken up by patients who are unable to be discharged in a timely way causing a ‘traffic jam’ in the system – remains a significant issue in Emergency Departments in Wales. On the ground we continue to face severe problems around flow throughout our hospitals and delays to patient care.

“We must see faster and more tangible action around discharging patients and social care.

“We are pleased to have met with the Health Minister, Eluned Morgan MS. We recognise that there is the political will to engage with the issues facing Emergency Care. The Welsh Government is focused on delivering the six-goal programme.

“As part of this they are appointing Clinical Leads for each of the Six Goals with some overlap instead of the current model of one for all Unscheduled Care. We look forward to engaging with these Leads and would be pleased to continue engaging with the Health Minister and the Welsh Government and have further such meetings.

“There is an ongoing retention and recruitment crisis in Emergency Medicine in Wales. Our workforce census, published earlier this year, made this clear. Not only are junior doctors’ continuing to be stretched, but difficulties in recruiting persist. It is vital that both retention and recruitment in Emergency Medicine is recognised and made a priority by the Welsh government, otherwise Emergency Care will remain in crisis to the detriment of patients and existing staff.”

The report highlighted the following areas where the service is doing well or actions are already in place, including:

  • pressure damage care and prevention;
  • assessing and monitoring patients waiting in ambulances to maintain patient safety;
  • availability of food and fluids;
  • triage and supervision of areas by staff;
  • easy navigation of patient records, handwritten entries were legible and logically set out.

But the report, by Healthcare Inspectorate Wales (HIW), found that patients at an accident and emergency department in Wales were not consistently receiving safe care.

The HIW carried out three unannounced inspections at Glangwili General Hospital in Carmarthen in December 2022 and identified several areas requiring immediate action by the health board.

The report found that overcrowding, a lack of toilet and washing facilities, and patients waiting in non-designated areas of the unit were having a negative impact on patients’ privacy, dignity, and infection prevention and control procedures. Delays in children being seen were also identified in the Paediatric Care and Assessment Unit (PACU).

Although patients and carers were generally satisfied with the services they received, frustration was expressed around waiting times and the lack of updates on patients’ care and treatment.

The health board has produced a comprehensive plan to improve the emergency department.

Andrew Carruthers, of Hywel Dda health board, said: “While the report states that generally patients and carers were satisfied with the service they had received at the emergency department at Glangwili Hospital, we do, however, recognise that there are significant challenges within the department.

“We also recognise the regrettable impact these have on our patients and their experience of using our services.

“We wish to reassure people that we are focusing on our improvement plan to address the recommendations of the report, and to provide ongoing assurances for our communities of the quality of the services we have to offer and provide.”

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Health

One in three Welsh adults self-medicate for anxiety or stress, survey suggests

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WALES has recorded the highest rate of self-medication for anxiety and stress of any UK region, according to a new healthcare survey.

The STADA Health Report 2026 found that 31 per cent of adults surveyed in Wales said they self-medicated to manage anxiety or stress.

That was almost six percentage points above the UK average of 25.2 per cent.

The report also found comparatively low levels of trust in artificial intelligence for healthcare, alongside concerns about access to services, ageing and the amount of health information people are expected to navigate.

Just 38.5 per cent of Welsh respondents said they would trust AI to make a health diagnosis, the lowest rate recorded among the UK regions surveyed and well below the national average of 52.3 per cent.

Fewer than half, 42.4 per cent, said they would consider having a health consultation using AI, compared with 49.5 per cent across the UK.

Satisfaction with the public healthcare system was also lower in Wales. Some 57.9 per cent of Welsh respondents said they were satisfied, compared with a UK average of 65.1 per cent.

The findings form part of an international study commissioned by pharmaceutical manufacturer STADA Thornton & Ross and carried out by market research company Human8 Consulting.

A total of 2,001 adults were surveyed in the UK during February and March 2026, as part of a wider study involving 19,514 respondents across 20 countries. The company has not stated in the press material how many of the UK participants were based in Wales.

Concerns about ageing and access to care

More than two-thirds of Welsh respondents, 66.8 per cent, said they feared becoming dependent on care as they grew older.

That compared with a UK average of 54.3 per cent.

More than half of those surveyed in Wales, 55.4 per cent, also said they felt overwhelmed by the amount of health information available, against 47.7 per cent nationally.

The report’s authors said the findings suggested that some people were increasingly relying on self-management when they felt unable to access timely professional support.

However, the term “self-medication” can cover a range of behaviours, including the use of non-prescription medicines, supplements or other substances without direct advice from a healthcare professional.

Craig Shaw, general manager for STADA UK, said: “When one in three adults say they are self-medicating for anxiety or stress, it suggests many people are looking for practical ways to manage their wellbeing, but may not always feel they have access to the support they need at the right time.

“While trust in AI health tools is lower in Wales than elsewhere in the UK, the data also reinforces the enduring importance of trusted, face-to-face healthcare.

“Community pharmacists are uniquely placed to provide accessible advice, reassurance and guidance, helping people make informed decisions about managing their health and knowing when additional support is needed.”

STADA Thornton & Ross manufactures healthcare products including Covonia, Cetraben, Hedrin, Savlon and Zoflora, as well as generic and specialist medicines.

Anyone experiencing anxiety or stress is advised to speak to a GP, pharmacist or another qualified healthcare professional before taking medication that has not been prescribed for them.

 

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Health

Hywel Dda patients waited average of 64 weeks for hip surgery

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Freedom of Information figures show more than 1,600 patients remained on the health board’s hip replacement waiting list in May

PATIENTS awaiting elective hip replacement surgery under Hywel Dda University Health Board waited an average of 450 days during the 2025/26 financial year, according to newly released figures.

The average wait was equivalent to just over 64 weeks, significantly longer than the treatment times set out under Welsh NHS targets.

The figures were obtained through a Freedom of Information request submitted to the health board by private healthcare marketplace My Medical Gateway.

In Wales, the stated aim is for 95% of patients to begin treatment within 26 weeks of referral, with no patient waiting longer than 36 weeks.

Hywel Dda confirmed that 1,608 patients were on its waiting list for hip replacement surgery as of May 28, 2026.

The health board also said 16 patients had been removed from the waiting list during the 2025/26 financial year after choosing to undergo treatment privately.

Hip replacement surgery is most commonly offered to people experiencing severe pain, stiffness and reduced mobility, often after other treatments such as physiotherapy, pain relief, injections and lifestyle changes have failed to provide sufficient relief.

Sara Gezdari, Head of Investor Relations at My Medical Gateway, said prolonged waits could have a serious effect on patients’ physical and emotional wellbeing.

She said: “Many people join NHS waiting lists after already spending months or years attempting to manage their condition through physiotherapy, pain relief medication, injections and lifestyle modifications.

“By the time surgery is recommended, they are often already struggling. The true impact of waiting is measured not in weeks but in declining quality of life.”

She said patients waiting for surgery could experience increasing pain, disrupted sleep, reduced mobility, loss of independence, social isolation and worsening mental health.

Long waits could also have financial consequences, particularly for people whose employment relies on physical mobility.

Ms Gezdari added: “Many patients continue working despite severe symptoms. As pain worsens, productivity often falls. Some reduce their hours. Others leave work entirely.

“The consequences can be particularly significant for self-employed individuals who depend upon physical mobility to earn a living.”

My Medical Gateway said private hip replacement surgery in the UK typically costs between £12,549 and £14,950.

The company, which connects UK patients with private hospitals in the European Union, said the average price offered by many European providers was approximately £9,088.

However, travelling abroad for medical treatment can involve additional considerations, including travel costs, insurance, post-operative care and arrangements if complications arise.

The Freedom of Information response was returned by Hywel Dda University Health Board on June 8, 2026.

 

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Health

Hospital ward closed after highly contagious scabies outbreak

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Hywel Dda confirms wider rise in cases across Carmarthenshire, Pembrokeshire and Ceredigion as patients and staff are offered treatment

A HOSPITAL ward in Carmarthen has been temporarily closed following an outbreak of crusted scabies, a rare and highly contagious form of the condition.

Hywel Dda University Health Board confirmed that Steffan Ward at Glangwili Hospital has been closed while the outbreak is managed under established infection prevention and control procedures.

All patients and members of staff identified as contacts have been informed and offered treatment, including those who are not currently showing symptoms.

Additional measures have been introduced on the ward, including enhanced monitoring, treatment of identified contacts and continued support from specialist infection control teams.

The health board said the situation would remain under review and that the ward would reopen when it was considered safe to do so.

Of wider concern is the health board’s confirmation that scabies cases are increasing across Carmarthenshire, Pembrokeshire and Ceredigion, with the regional rise contributing to outbreaks within hospitals.

The reference to hospital outbreaks in the plural has prompted questions about whether other wards or hospital sites are currently affected.

The Herald has asked Hywel Dda to confirm the number of patients and staff involved, when the first case was identified and whether any other wards, hospitals, care homes or community healthcare settings are dealing with linked cases.

We have also asked what effect the closure is having on admissions, patient transfers and bed availability at Glangwili.

Hywel Dda University Health Board said on Friday (Jul 10): “We can confirm that Steffan Ward at Glangwili Hospital has been temporarily closed to admissions following the identification of a case of crusted (Norwegian) scabies.

“As scabies is primarily a clinical diagnosis, there are limitations in confirming all cases through diagnostic testing. Due to the highly infectious nature of crusted scabies and in line with infection prevention and control guidance, a precautionary contact tracing and treatment programme has been implemented.

“Patients and staff who may have been exposed have been identified and are being offered treatment as a precaution.

“The decision to temporarily close Steffan Ward was taken as a precautionary measure to enable appropriate infection prevention and control measures, environmental cleaning, and treatment of contacts to be undertaken. Patient safety remains our priority and patients who have been recently discharged and are thought to have possibly been exposed will be contacted. 

“The reference to an increased prevalence of scabies across Carmarthenshire, Ceredigion and Pembrokeshire reflects observations from healthcare services across the region. Scabies is currently being seen more frequently in community and healthcare settings than in previous years. However, because most scabies cases are diagnosed clinically and managed in primary care or other community settings, comprehensive population-wide figures are not available.

“There are no other ward closures relating to scabies at Withybush Hospital, Prince Philip Hospital or Bronglais Hospital.

“Hywel Dda University Health Board’s Infection Prevention and Control Team is working closely with relevant partners, including Public Health Wales, to ensure appropriate management of the incident.

“The ward will re-open once infection prevention and control measures have been completed and it is considered safe to do so.

“For patients, visitors and members of the public, the risk remains low. Anyone who has concerns about symptoms of scabies should seek advice from their GP or community pharmacist.”

Previous outbreaks reported

This is not the first time scabies has caused disruption within the Hywel Dda area.

Health board papers considered in October 2025 referred to an earlier scabies outbreak on Steffan Ward which required a multidisciplinary response.

It is not currently known whether that incident and the latest outbreak are connected.

The closure also follows earlier reporting by The Herald about scabies circulating in Pembrokeshire care homes.

In November 2025, care providers said several residential settings were managing outbreaks with clinical support and guidance from Hywel Dda University Health Board.

Pharmacies in Milford Haven and Haverfordwest had also reported increased demand for scabies treatments.

The Herald has asked the health board whether the current regional increase is connected to the pattern of outbreaks reported last year and what action has since been taken to monitor and contain the spread.

UK outbreak caused months of disruption

A previous outbreak at a major UK hospital demonstrates how difficult scabies can be to control in a healthcare environment.

Raigmore Hospital in Inverness was affected by a series of scabies incidents during 2023.

One ward was closed in March and did not reopen until May, while another ward was closed to new admissions in July after further cases were identified.

The outbreak caused disruption over several months and showed that restrictions can return even after previously affected areas have reopened.

Raigmore is the largest hospital in the Scottish Highlands, meaning prolonged ward closures had consequences for capacity and the wider community it serves.

It is too early to say whether the disruption at Glangwili will reach a similar scale.

However, the situation carries an added concern because Hywel Dda has specifically identified the condition as crusted scabies.

What is crusted scabies?

Scabies is caused by tiny mites which burrow into the skin and is most commonly spread through prolonged, close skin-to-skin contact.

Symptoms can include intense itching, particularly at night, and a raised rash which often appears between the fingers, around the wrists, under the arms and near the waist or groin.

Crusted scabies is a rare and more severe form of the infestation in which exceptionally large numbers of mites can be present.

It is substantially more contagious than ordinary scabies and may spread through shorter periods of direct contact or through contaminated bedding, clothing, towels and furniture.

The condition can require more intensive treatment and extensive environmental cleaning, making outbreaks in hospitals and care settings particularly challenging to control.

Scabies is treatable, but symptoms can take several weeks to appear. Close contacts may therefore be offered treatment even when they have no symptoms, helping to reduce the risk of further transmission or reinfection.

Hywel Dda has not yet disclosed the number of confirmed cases, how many patients and staff have been treated or when Steffan Ward is expected to reopen.

The Herald will update this report when further information is received from the health board.

Additional reporting by James Sinclair

 

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