First Minister accused of ‘passing buck’ on long NHS waits

Published

2 months ago

September 22, 2024

OPPOSITION Senedd members accused Wales’ new First Minister Eluned Morgan of passing the buck as latest statistics showed record-long waiting lists.

Mabon ap Gwynfor pointed out that six Labour frontbenchers have held the health portfolio over the past 25 years, including the current and two former First Ministers.

The Plaid Cymru shadow health secretary said: “Although we have seen different faces coming and going over the summer, it’s the same old story when it comes to the health service.

“Standards going down, waiting times getting longer, staff being pushed to the extreme, and from the government? – nothing but repeated empty promises.”

Mr ap Gwynfor, who represents Dwyfor Meironnydd, accused ministers of putting the horse before the cart by “fixating” on outcomes without first plotting a credible path.

Leading a Plaid Cymru debate, he criticised Eluned Morgan for pointing the finger at health board executives, saying it typifies a tendency to blame everyone else.

Sam Rowlands, the Conservatives’ shadow health secretary, similarly accused the First Minister of passing the buck to NHS executives.

He said: “Health boards have a big job to do to work through these waiting lists but a First Minister and a government must not abdicate its responsibility,”

Pointing out that the Welsh Government previously cut the health budget, he urged ministers to spend the full 20% uplift from spending in England on NHS Wales.

Mr Rowlands, who represents North Wales, warned the Welsh health service is worse on every major metric, with 23,000 people on waiting lists for more than two years.

The former council leader highlighted the Darzi review of the NHS in England as he called for a similar independent investigation in Wales.

Rhun ap Iorwerth also focused on the “damning” Darzi report.

He said: “Keir Starmer is right … the situation in England is disastrous … more than 10% of the population of England on waiting lists. But in Wales, of course, the figure is 20%.”

Mr ap Iorwerth reiterated his party’s calls for the Welsh Government to declare a health crisis but he accused ministers of being unwilling to recognise the gravity of the situation.

He asked: “If it’s not an emergency, then how can the situation be described?

“And how can Labour describe a situation in England as a crisis when the situation in Wales in so many ways is so much worse?”

The Ynys Môn MS said 316 people were waiting a year for their first appointment in 2012, with the corresponding figure now standing at more than 74,000.

Jenny Rathbone, a Labour backbencher, accused the Conservatives of being unfair to Baroness Morgan by failing to recognise the “heavy lifting” she did as health minister.

The Cardiff Central MS stressed the importance of community social care, saying hundreds of people medically do not need to be in the University Hospital of Wales in Heath, Cardiff.

Plaid Cymru’s Sioned Williams accused the UK Government of continuing to apply austerity. She said studies show poverty makes people ill, so austerity is damaging people’s health.

Her party colleague Cefin Campbell warned children and young people are suffering most as a result of the Welsh Government’s “persistent inability to reduce waiting lists”.

Mr Campbell told the chamber at least 8,200 children and young people have been waiting more than a year, with 1,200 waiting at least two years.

He said: “The situation is particularly severe in Betsi Cadwaladr, where 62% of people under the age of 18 are having to wait longer than two years. 62% – it’s shameful.”

Wales’ new health secretary Jeremy Miles told the debate on September 18 that cutting waiting times is at the top of his to-do list after his appointment a week earlier.

Mr Miles told the chamber long waiting times are a result of the pandemic and a decade of austerity which “cast a long shadow”.

The former Welsh Labour leadership contender claimed work to reduce waiting times is having an impact despite financial pressures and a significant increase in demand.

He said: “Long waits of over two years have reduced by 67% since its high point in March 2022, and long waits for diagnostic tests have reduced by almost a third.

“Now, around 3% of people on waiting lists are waiting longer than two years compared with almost 10% in March 2022.”

The health secretary said the Welsh Government’s recovery plan is driving waits down as he pointed to an extra £900m for the NHS this year and last.

Mr Miles, who previously held responsibility for education and the economy, recognised there is too much variation across Wales in terms of productivity and performance.

Highlighting a new waiting times bulletin, he said: “It will help us identify good performance and where health boards need to do more to learn from those making the best progress.”

The Neath MS said the NHS will introduce a “one-stop” approach to reduce the number of appointments needed and streamline pathways by removing unnecessary steps.

Mr ap Gwynfor was disappointed by the health secretary’s response, accusing Labour of continuing an austerity agenda and failing to provide a fair funding settlement for Wales.

Plaid Cymru’s motion was narrowly defeated, 23-24, with the Conservatives voting in favour and Labour against. The Welsh Government’s “delete-all” amendment was agreed.

Monthly NHS performance data, published this morning, shows some improvements but overall waiting lists continue to worsen.

The headline figure for patient pathways – which include people waiting for more than one treatment – was 796,600 waiting to start treatment – the highest on record.

This is estimated to equate to 616,700 people, another unwelcome record.

The number of immediately life-threatening “red” calls responded to within eight minutes was up 3.6% to 51.8% on the previous month. But this remains short of the 65% target.

In Wales’ emergency departments, the number of patients spending less than four hours in A&E remained flat at 69.3% against a target of 95%.

The health service also missed a target of no patient waiting more than 12 hours, with 9,489 waiting at least 12 hours, though this metric improved by 6.6% in August.

But the number of pathways waiting more than a year for a first outpatient appointment worsened, with a 2.6% increase to 76,132.

Performance against a target of 75% of cancer patients starting treatment within 62 days declined to 55% in July, down 1.7% on the previous month and 3.2% annually.

NHS staff at risk during pandemic due to PPE issues, Covid Inquiry hears

Published

6 hours ago

November 20, 2024

Tom Sinclair

NHS staff in Wales may have put their health at risk during the Covid-19 pandemic by treating patients without adequate personal protective equipment (PPE), former health minister Vaughan Gething has admitted.

Giving evidence to the Covid inquiry, Gething acknowledged significant challenges in distributing PPE despite assurances that national-level supplies were maintained. He revealed that stocks of key items ran out far quicker than anticipated, with some equipment deemed unfit for purpose and discarded.

“There were some very real challenges,” Gething said, noting that gloves, expected to last 15 weeks, were depleted within 11 days. Aprons and other essentials soon became critical concerns. He also condemned opportunistic profiteering during the crisis, calling some suppliers “shysters” who exploited global demand to sell inadequate equipment.

***Covid 19: Hospitals were under pressure during the pandemic (Image: Herald)***

The Welsh Conservatives described the revelations as “completely unacceptable” for NHS staff, while Plaid Cymru accused the Labour-led Welsh Government of “significantly letting down” frontline workers.

The inquiry also heard of chaotic conditions in some hospitals. An email from a consultant at Prince Charles Hospital in March 2020 described a dire situation, with staff lacking protection, low morale, and masks unavailable.

In some instances, healthcare workers resorted to makeshift solutions, including wearing bin bags or purchasing their own safety gear. Trade unions highlighted that schools even stepped in to produce masks and hand sanitiser for local health services.

When asked whether healthcare workers treated Covid-19 patients with inadequate PPE during the first wave, Gething replied, “I’m afraid that’s possible.”

Decisions under pressure

The session also addressed difficult decisions made during the pandemic. Evidence was presented that some patients with little chance of survival were not admitted to critical care due to limited space.

“It’s very upsetting to read,” Gething said, acknowledging the heartbreaking choices faced by medical teams, though he claimed to be unaware of specific instances.

Gething, who served as health minister until May 2021, conceded that delays in tackling hospital-acquired infections could have contributed to the challenges. He admitted he might have acted earlier in forming a task group to address the issue, which worsened during the second wave.

First Minister reflects on birthing partner rules

Current First Minister Eluned Morgan also testified, reflecting on delayed decisions to allow birthing partners in hospitals during the pandemic.

***First Minister Eluned Morgan at the hearing on Wednesday (Image: Youtube )***

Morgan, who succeeded Gething as health minister in May 2021, acknowledged that guidance was not updated until May 2022, more than a year after England implemented similar changes.

“If I had my time again, that’s one of the things I definitely would have changed,” Morgan said, calling the delay regrettable for new parents.

She also defended the decision not to launch a national investigation into hospital-acquired infections, citing extensive reviews conducted by health boards. However, Morgan acknowledged shortcomings in resuming routine surgery and criticised poor management at some facilities.

The inquiry continues to examine decisions made by Welsh ministers and NHS leaders during the pandemic, focusing on lessons learned to prevent similar issues in future crises.

Health

Concern over ‘green light’ for NHS privatisation

Published

15 hours ago

November 20, 2024

Chris Haines, ICNN Senedd reporter

SENEDD Members quizzed Wales’ health secretary about long NHS waits amid concerns about health boards getting the “green light” to commission private sector services.

Jeremy Miles, who was appointed health secretary in September, told the Senedd an extra £22m, on top of £28m announced last month, will go to tackling the longest NHS waits.

In a statement on November 19, Mr Miles said the £50m will be made available to health boards immediately and “where necessary” will be spent on private hospital capacity.

Mabon ap Gwynfor, his Plaid Cymru opposite number, raised concerns about privatisation.

He said: “We have yet another example of the government having to absorb added costs from their mismanagement of existing NHS capacity, something we’ve seen before with respect to the spiralling bills associated with agency staffing.

“From a broader perspective, this also speaks to the false economy on which the government’s funding of the health service has been based for some time, which is to throw money at the front line without dealing with the issues upstream.”

Mr ap Gwynfor pointed to a backdrop of two-year waiting time targets being dropped by the Welsh Government, with one in five people now on a waiting list.

He said: “Back in September, the solution … was to offer treatments in England. By October, the solution was to pay £28m to tackle waiting lists. Now we’re in November, the solution is to increase that £28m to £50m. I wonder what the next statement will be next month.”

Mr ap Gwynfor said the £50m will not be used to address a recruitment and retention crisis, nor boost student placements on medical training courses following an “alarming” slump.

The Dwyfor Meirionnydd Senedd member, who published a report on NHS governance earlier the same day, asked how much will go to private providers.

But Sam Rowlands, the Tories’ shadow health secretary, welcomed ministers “encouraging” health boards to commission services from the private sector.

He said: “I’m not sure if some of your colleagues will approve of that but it’s something we’ve long called for: cross-sector collaboration to tackle waiting lists here in Wales.”

The North Wales representative raised concerns about a “staggering” 619,200 patients awaiting treatment, with 24,000 people waiting two years compared with 124 in England.

Warning of systemic failure, Mr Rowlands said: “The 95% target for patients spending less than four hours in A&E in Wales has never been met. The 95% target of patients waiting fewer than 26 weeks in Wales hasn’t been met in more than 10 years.

“The 75% target for cancer patients to start treatment within 62 days of cancer being suspected has never been met in Wales.”

Mr Miles cautioned against cross-border comparisons, saying waiting time measures in England are “very much narrower” than in Wales.

He said the £50m will see 16,000 more people treated, an extra 14,000 tests carried out and up to 20,000 more outpatient appointments by March 2025.

Mr Miles told the Senedd that £3m will go towards reducing the longest waits for autism and ADHD assessments amid exponential growth in demand.

He said: “In six months alone, waiting lists for neurodevelopmental assessments have increased by more than 2,000. Assessments can be complex and reductions to the waiting lists have been quickly subsumed by new referrals.”

The health secretary recognised that short-term measures will be insufficient on their own, stressing: “I have been clear with the NHS: we need to transform the way we deliver services while we focus on clearing the backlog. Our funding is intended to support this.”

Health

Eluned Morgan on NHS: ‘I’ve listened, I’ve heard, I’m making it happen’

Published

5 days ago

November 15, 2024

Tom Sinclair

FIRST Minister Eluned Morgan is set to announce an additional £22 million to tackle NHS waiting lists, bringing the total funding commitment to £50 million in a bid to address the longest delays in NHS Wales.

The announcement will form a key part of her speech at the Welsh Labour Conference on Saturday in Llandudno, marking her first as Welsh Labour Leader. Morgan will emphasise the strength of partnership between the Welsh and UK Labour Governments, showcasing their shared commitment to delivering for the people of Wales.

The funding pledge comes two weeks after Rachel Reeves unveiled a historic £21 billion funding settlement for the Welsh Government—the largest since devolution. Drawing on her summer listening tour, where she engaged with thousands across Wales, Morgan will declare: “I’ve listened, I’ve heard, I’m making it happen.”

Focus on NHS and Green Growth

During her tour, the First Minister heard the pride people feel for the Welsh NHS and its workforce, as well as the importance of safeguarding its future. Today’s funding boost underscores Welsh Labour’s commitment to addressing key issues, distinguishing it as the only party serious about governance and delivery.

In addition to NHS investment, Morgan will highlight her administration’s ambitions for green jobs and growth. Five new renewable energy projects are set to be unveiled, alongside plans to streamline infrastructure planning by 12 weeks—a move aimed at accelerating progress in Wales. These initiatives are expected to create hundreds of skilled jobs, reinforcing Labour’s commitment to a greener, more prosperous future.

Conservative Perspective on NHS Wales

The Welsh Conservatives have expressed concerns regarding the current state of NHS Wales. They have highlighted issues such as prolonged waiting lists and underfunding, attributing these challenges to longstanding Labour governance. In a recent statement, the Welsh Conservatives emphasized the need for increased investment and support for NHS staff, proposing the establishment of an NHS Covenant to guarantee such commitments.

Additionally, the Welsh Conservatives have criticized the Labour Government for not allocating the full Barnett consequential funding to the Welsh NHS, arguing that this shortfall has exacerbated existing challenges within the health service.

Delivering for Wales

The Conference will celebrate the achievements of the Welsh Labour Government while setting out its future priorities. From tackling NHS challenges to driving renewable energy development, the event will demonstrate Morgan’s focus on the issues that matter most to the people of Wales.

Eluned Morgan’s speech is expected to reaffirm Welsh Labour’s ambition to lead with purpose, listening to the public and working closely with the UK Labour Government to deliver tangible results.