With health and the NHS consistently ranking among the Welsh public’s highest priorities, NHS leaders across Wales are calling on all political parties to commit to five major reforms to protect the long‑term sustainability of health and social care.
The call comes with less than 100 days until the Senedd elections, as leaders warn that without decisive action, pressures on services will continue to intensify.
The recommendations are grounded in a survey of 95 NHS leaders across Wales, reflecting both the immediate pressures on frontline services and the deeper structural challenges facing the system.
NHS leaders are urging political parties to commit to:
- A Cross‑Government Prevention Strategy
- Strengthening the Health and Social Care Workforce
- Joint Performance and Financial Frameworks
- Stabilising Social Care
- A Long‑Term Strategy for NHS Estates and Infrastructure
The recommendations reflect widespread concern among health leaders about rising demand, workforce pressures, chronic underinvestment in estates, and the need for stronger integration with social care.
Darren Hughes, Director of the Welsh NHS Confederation, said:
“As we edge closer to polling day and await the publication of party manifestos, we urge all political parties to take these five priorities seriously. They are grounded in the experience and insight of those who understand the health and care system better than anyone.
“Unless there is a cross-government plan to reduce inequalities and preventable ill health, the NHS and care sectors will merely be working harder to stand still, consuming an ever-increasing slice of the new Welsh Government’s money.
“Our population is getting older, frailer, and sicker with ever-increasing demand for services, including more people with multiple long-term conditions needing more complex care. Data show demographic change and worsening population health will continue to drive demand upwards, even as NHS organisations are required to make significant efficiencies just to stand still.
“So often issues are looked at in isolation – for example, someone experiencing a long wait for an appointment or treatment. But these pressures are symptoms of wider, whole‑system challenges. Without bold, long‑term action across government, the NHS and social care will struggle to keep pace with the needs of the people of Wales.”
As Wales approaches the Senedd elections, leaders have stressed that bold political commitment will be crucial to securing a healthier future – and ensuring the NHS can continue to meet the needs of patients for decades to come.
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