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NHS Waiting Lists

Owen Donovan by Owen Donovan
September 3, 2026
in Health & Social Care, Issues
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NHS Waiting Lists

Is this devolved to Wales?

Devolved

The necessary powers are not reserved to the UK Parliament in Schedule 7A of the Government of Wales Act 2006.

Shared Powers

Insert a specific explanation of the powers situation for this issue here.

Not Devolved

The powers over this are reserved to the UK Parliament in Schedule 7A of the Government of Wales Act 2006 (Specific Section/Number/Clause).

Where is this happening?
National
What's happening?
Why is this happening?
Who has been affected?
What's happening?

Long waits for NHS treatment are a chronic issue which has faced every single Welsh Government since devolution. Waiting times for NHS patients in Wales have been longer than in England, Scotland and Northern Ireland for several years1.

While there have been falls in waiting times over the last year or so, they remain stubbornly high overall and treatment time targets are routinely missed.

Why is this happening?

There’s no single reason why.

The Covid-19 pandemic increased waiting times everywhere because of in-person appointment restrictions and emergency measures to treat serious Covid cases in hospital. This backlog has carried over, but waiting times in Wales were already longer than elsewhere in the UK.

Wales has a small number of general hospitals, meaning fewer accident & emergency (A&E) departments and longer waits for diagnosis and treatment.

There are also long-standing issues with what are called “delayed transfers of care”. This involves patients who are medically fit to leave hospital but are unable to do so because their social care arrangements (usually arranged by local councils) are delayed. This situation hasn’t been helped by the loss of beds in local community hospitals, which have traditionally been used as a “step-down” from general hospitals.

Since 2019-20, Wales has lost the equivalent of 2,000 hospital beds, and of those which are available, up to 87% are used at any given time, giving little wriggle room for new admissions2.

Who has been affected?

As of May 2026 – the start of the current Senedd term – there were 542,600 patients on NHS waiting lists, with around 35% of these waiting longer than 26 weeks for treatment3.

There’s a target for 95% of A&E admissions to be seen within 4 hours. As of May 2025, this figure stood at 63%, and it’s been at around 60-70% since at least June 2021.

There’s a full summary of the available statistics in the charts below.

Note: A “pathway” means a course of treatment, not a patient. Each patient may be on several “treatment pathways” at the same time.

NHS waiting lists: pathways waiting 26 weeks, 36 weeks, one year and two years,September 2011 onwards (custom table; May- 2025-June 2026)

Emergency departments: performance against waiting times targets, May 2025-July 2026 (performance against 4 hour target, Percentage of patients who spend less than the target time in an emergency department)

Cancer waiting times: patients starting treatment and patients informed they do not have cancer, May 2025-June 2026 (percentage of patients starting their first treatment within 62 days of first being suspected of cancer)

Diagnostic services: pathway waiting times, August 2024 onwards (May 2025-June 2026), pathways with waits more than 8 weeks for diagnostic services

Costs & Economic Impact

NHS Waiting Times
£ 1 billion+ 2021-2026
  • 1 billion was committed during the Sixth Senedd to deal with post-pandemic waiting list backlogs.
  • 100 million committed to deal with the longest waits for 2026-27.
Who has raised this at the Senedd?

Mabon ap Gwynfor MS

Health & Care Minister

Rhun ap Iorwerth MS

First Minister

Beca Brown MS

Backbencher

Sara Crowley MS

Backbencher

Donna Cushing MS

Backbencher

James Evans MS

Chair: Environment & Rural Affairs

Ben McKenna MS

Shadow Health Minister

Dan Thomas MS

Backbencher

Nigel Williams MS

Backbencher

LlÅ·r Powell MS

Reform UK Whip

Ken Skates MS

Labour Group Leader

Natasha Asghar MS

Backbencher

Darren Millar MS

Conservative Group Leader

Sam Rowlands MS

Chair: Finance

Mabon ap Gwynfor MS

Health & Care Minister

Rhun ap Iorwerth MS

First Minister

Beca Brown MS

Backbencher

Sara Crowley MS

Backbencher

Donna Cushing MS

Backbencher

James Evans MS

Chair: Environment & Rural Affairs

Dan Thomas MS

Backbencher

Nigel Williams MS

Backbencher

LlÅ·r Powell MS

Reform UK Whip

Ben McKenna MS

Shadow Health Minister

Ken Skates MS

Labour Group Leader

Natasha Asghar MS

Backbencher

Darren Millar MS

Conservative Group Leader

Sam Rowlands MS

Chair: Finance

What are the party positions on this?
Plaid Cymru
  • Supportive of action
  • Opposed
  • Neutral/No Opinion

Plaid Cymru’s backbenchers are supportive of the Welsh Government’s proposals to cut waiting times, though they have specific concerns about the lagging performance of some Local Health Boards – particularly Betsi Cadwaladr Health Board.

I would like to emphasise from the outset that this is not a criticism of NHS staff; they work extremely hard under extremely challenging circumstances. Rather, the problem lies in a system that, over a long period, has been overly focused on responding to failure rather than preventing it, accompanied by a lack of clarity in terms of accountability and cohesion in leadership.
Beca Brown MS
Beca Brown MSGwynedd Maldwyn
Previous Labour Governments' record left too many people across Wales waiting too long for treatment, and, in Cwm Taf Morgannwg, too many patients continue to face lengthy delays for appointments and care….I know that (my constituents) will welcome the Government's commitment to reforming how elective care is delivered and improving cancer outcomes across Wales.
Sara Crowley MS
Sara Crowley MSPontypridd Cynon Merthyr
I've heard from my constituents in Sir Fynwy Torfaen of an average wait time of 73 weeks for routine appointments with the head or consultant of orthopaedics, and a 50-week wait for an out-patient appointment for standard dermatology referrals. So much of the pressure on the NHS waiting list comes from these routine procedures, so anything we can do to help with this can only be a good thing, making people's quality of life better, reducing the stress of long-term uncertainty for patients waiting for treatments and appointments, and improving the overall standard of the health service. 
Donna Cushing MS
Donna Cushing MSSir Fynwy Torfaen
Reform UK
  • Supportive of action
  • Opposed
  • Neutral/No Opinion

While supporting the principle of cutting waiting times, Reform members are critical of mixed/confusing messages on how long the Welsh Government expects it to take to cut waiting times to a more manageable level.

During the election campaign, the First Minister said that two-year waits would be eradicated within a matter of months, and then his new health Minister said that they would be eradicated by the end of the four-year term. I then asked the First Minister who was right and….he said that he was. But then, just a couple of weeks ago, his Finance Minister….said two-year waits would be gone in 12 months, so, in other words, a year.
Dan Thomas MS
Dan Thomas MSCasnewydd Islwyn
Can you tell us what month these are going to be eliminated, because the Government in Wales are very good at doing slick social media clips, but they're not very good on the detail, are they? ….You say it's going to be months. People waiting in pain across Wales aren't going to be very happy about that. They want to know an absolute timeline of when….they can expect their letters to come through for operations, and you should be able to provide that detail today.
James Evans MS
James Evans MSBrycheiniog Tawe Nedd
Labour
  • Supportive of action
  • Opposed
  • Neutral/No Opinion

Labour has welcomed falls in waiting times during the 2025-26 period, which they tie to measures they took whilst in government. They expect this trend to continue.

NHS waiting lists have now fallen for 10 consecutive months, thanks to the incredible work of NHS staff and the previous Welsh Labour Government's £120 million of investment. There is still more to do, and it is now for Plaid Cymru to ensure that progress doesn't falter.
Ken Skates MS
Ken Skates MSFflint Wrecsam
Conservatives
  • Supportive of action
  • Opposed
  • Neutral/No Opinion

The Conservatives back the principle of cutting waiting times. They are sceptical that spending more money on cutting lists – without detail on how this would work – is any different from the approach previous (Labour-led) Welsh governments took.

Can you honestly look those….patients in the eye today and really guarantee that this allocation will permanently reduce waiting times in Wales, or are you really adopting—and this is what I think is taking place—the same sticking-plaster approach of the previous Welsh Labour Government that failed to invest in the infrastructure to keep waiting times permanently down?
Darren Millar MS
Darren Millar MSClwyd
Turning to the management of NHS finances, this supplementary budget includes a £100 million allocation to tackle NHS waiting lists….However, what we (Finance Committee) did not hear in sufficient detail is how the approach of this Government differs from previous approaches that have also relied on significant in-year NHS allocation.
Sam Rowlands MS
Sam Rowlands MSFflint Wrecsam
NHS waiting lists remain shamefully high….yet detail on how to tackle it remains very vague. Cabinet Minister, you have vowed to eliminate two-year waits within a matter of months—and I hope for the sake of residents that you are indeed successful—but how exactly are you going to achieve this, because we cannot afford for this to be another broken promise?
Natasha Asghar MS
Natasha Asghar MSCasnewydd Islwyn
Green Party
  • Supportive of action
  • Opposed
  • Neutral/No Opinion

The Greens haven’t said anything on waiting lists in general yet, but have raised concerns about related issues, such as staff shortages.

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John DoeCEO
Liberal Democrats
  • Supportive of action
  • Opposed
  • Neutral/No Opinion

Jane Dodds hasn’t said anything on waiting lists in general yet, but has raised concerns about related issues, such as the loss of community hospital beds.

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Who is responsible?

Mabon ap Gwynfor MS

Health & Care Minister

What have ministers said?
Cutting waiting times, treating those who have waited the longest and putting the system on a sustainable footing for the future is my immediate priority. ….Emphasis must shift away from hospital first to more care in the community that supports people to stay well at home for longer. But this must necessarily go hand in hand with immediate action to address the significant waiting list backlog we inherited from the previous administration.
Mabon ap Gwynfor MS
Mabon ap Gwynfor MSGwynedd Maldwyn
We all agree that we need to bring down waiting lists and the plan that we've put together for those waiting lists are clinically led. I'm sure you don't want a politician just to put an arbitrary date or target on some of these issues; we want them to be the best clinical outcomes led by clinicians.
Mabon ap Gwynfor MS
Mabon ap Gwynfor MSGwynedd Maldwyn
....on the points raised about the elective care hubs and the waiting lists plan, this isn’t a plan put together by me as a politician, by us as politicians. The Member will know, Llywydd, that Professor Jon Barry of the Royal College of Surgeons argued for this many years ago. Clinicians have argued for this plan for many years. We are putting in practice and in place plans put forward by clinicians. This is clinically led.
Mabon ap Gwynfor MS
Mabon ap Gwynfor MSGwynedd Maldwyn
I have said about the most extreme over-two-year waits that they have to go. They have to be eliminated. I said they'll go in months. That goes, a year from coming into Government they are gone (May 2027). That's months. Well, months is not more than a year. So, a year after we come into Government, I expect them to have gone.
Rhun ap Iorwerth MS
Rhun ap Iorwerth MSBangor Conwy Môn
I've made it very, very clear that there are two elements to what we're trying to do. We want to cut waiting lists in the short term, and we want to build a sustainable health and care service for the long term. I reiterate that a priority for us now is to tackle, in the coming months, those issues of the longest two-year waits. In fact, I'm not waiting for the next months; work has already begun to put in practice the changes that are necessary to tackle that very issue.
Rhun ap Iorwerth MS
Rhun ap Iorwerth MSBangor Conwy Môn
What's being done about this?
Promises & Pledge Tracker
What do the Welsh Government want to do?
Does this need a new law or regulations?
How long will this take?
What do the Welsh Government want to do?

Plaid Cymru included several policy promises relating to NHS waiting times in its 2026 manifesto.

This includes establishing 10 surgical and diagnostic centres around Wales, a general commitment to increase the number of available hospital beds and more local interventions such as a Rapid Diagnostic Centre for cancer in Powys.

An expert group was set up in June 2026 to flesh out detailed plans for the regional hubs5.

The Health Minister and First Minister have also made commitments to end the longest waits for treatment (2 years+) “within months” of coming into office. In September 2026, this was confirmed as meaning by May 2027. Also, they have committed to reducing waiting lists to pre-Covid pandemic levels before the end of the term (April 2030).

On 2nd September 2026, the Health Minister announced a new round of measures to reduce waiting times6. These include earlier clinical reviews, faster scanning and testing (through increased spending on diagnostic services), and routine follow-up appointments only being booked if doctors believe they are clinically necessary.

Does this need a new law or regulations?

No, though it will rely on opposition support to get any budget changes through and release extra funding.

The first in-year (supplementary) budget for the 2026-27 financial year included £100 million towards measures to cut waiting lists, but the Senedd voted to reject it in July 2026.

How long will this take?

As noted, there’s a government commitment to cut waiting times to pre-pandemic levels by 2030. 

The First Minister has made a commitment, on record, to eliminating 2-year waiting times by May 2027.

What have the Senedd's Committees said?

Nothing has been discussed yet.

Committee Name

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Relevant Votes

Nothing to see yet.

Further Reading
  1. Full Fact (19th July 2024). “NHS performance: how do the four nations compare?“
  2. Digital Health & Care Wales. “Hospital Data: NHS Beds dashboard“. 
  3. Welsh Government (23rd July 2026). “NHS Activity & Performance (May & June 2026)“.
  4. Senedd Research (12th September 2025). “NHS Waiting Times in Wales: Promises Made, Targets Missed?”
  5. Welsh Government (29th June 2026). “Expert group to plan new surgery hubs to cut NHS waiting times“
  6. Welsh Government (2nd September 2026). “Patients to benefit from faster diagnosis and treatment under NHS Wales reforms“

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