Unions warn award amounts to real-terms cut as inflation remains above headline figure

NHS staff across Wales will receive a 3.3% consolidated pay increase from April 1, 2026, after the Welsh Government accepted recommendations from the 39th NHS Pay Review Body.

The uplift applies to all staff employed under Agenda for Change terms and conditions, including nurses, healthcare assistants, porters, cleaners and other frontline health workers.

Health and Social Care Secretary Jeremy Miles said the award followed independent economic advice and was above current inflation forecasts issued by the Bank of England and the Office for Budget Responsibility.

He said inflation was expected to fall progressively towards the two percent target by early 2027 and described the settlement as fair and responsible within the current financial climate.

Lowest-paid staff

The Welsh Government confirmed that its commitment to pay the Real Living Wage from April 2026 means the lowest-paid NHS staff will see increases ranging from 3.8% to 5.9%.

However, it was also noted that Bands 1 and 2 and the entry point of Band 3 will remain on the same pay rate from April because the previously announced living wage uplift already exceeds the Pay Review Body recommendation.

Ministers said discussions will continue alongside England and Northern Ireland on structural reforms to the Agenda for Change framework, with any agreed changes backdated to April 2026.

Union anger

The announcement prompted sharp criticism from health unions, who argue that with inflation currently at 4.2%, many staff will still see a reduction in real-terms pay.

The Royal College of Nursing described the award as “very disappointing” and said it falls short of commitments to restore nursing pay to 2008 levels.

RCN Wales Executive Director Helen Whyley said: “At a time when the cost of living remains high another real term pay cut is being imposed again on a workforce already stretched to its limits.”

She also criticised the continued use of the Pay Review Body process after unions had raised expectations of direct negotiations.

Meanwhile, UNISON Cymru said health workers are likely to be angry at what it called “another below inflation pay award”.

UNISON Cymru health committee chair Dawn Ward said some NHS staff were struggling with rising household bills and felt undervalued.

The union has called for Wales to move towards a Scottish-style model of direct pay negotiations between government, employers and unions.

Political pressure

The pay announcement is likely to intensify debate about NHS funding, recruitment and retention across Wales.

While ministers argue the settlement reflects economic forecasts and financial constraints, unions maintain that headline percentages do not reflect the pressures facing frontline staff.

With morale described as fragile and vacancies continuing across Welsh health boards, the dispute is expected to remain politically sensitive in the months ahead.

A SCHEME to convert the basement of a Grade-II-listed former pub in a Pembrokeshire town’s conservation area to a flat has been refused by planners who said it would create an “oppressive living environment”.

In the application to Pembrokeshire County Council, Toyeb Ali Rahman, through agent Hayston Developments & Planning Ltd, sought permission to convert the basement of the former Kings Arms Hotel, Dew Street, Haverfordwest, the building most recently used as an Indian takeaway, to a residential flat.

A supporting statement said: “The Kings Arms Public House was a public house and was formerly a coaching house with a range of former stables to the rear which have been converted to dwellings. It is a mid-terrace property fronting the western side of Dew Street close to the town centre of Haverfordwest,” adding: “Since closure the public house has been used as a takeaway restaurant and is a mixture of flats and offices.”

It went on to say: “The application proposal only involves a small-scale conversion of a basement storage area associated with the former Kings Arms Hotel to a one bedroom residential flat. There would be no extensions with the only external alteration to the building being the replacement of a poorly detailed metal roller shutter door with conventional domestic entrance door with sidelight.

“As such, there would be no change to the impact of the building or proposal on the locality. In fact, basement area is not at all visible from the street scene along Dew Street.”

However, the scheme was refused by county planners on three points.

“The proposed change of use would result in a self-contained residential unit that fails to provide an acceptable standard of residential amenity for future occupiers. The habitable accommodation would be served by no external windows, resulting in inadequate levels of natural daylight and outlook and creating a poor-quality and oppressive living environment.

“Furthermore, insufficient information has been submitted to demonstrate that adequate ventilation, air quality, and moisture control could be achieved without harm to the character and appearance of the listed building.”

Planners also said the proposals would, through its design and use of materials, “fail to respect the special architectural and historic interest of the listed building”.

The final reason for refusal was the scheme would “result in an increase in nitrogen discharges draining into the Milford Haven Inner waterbody of the Pembrokeshire Marine Special Area of Conservation (SAC) where features are known to be in unfavourable condition due to current evidence of both chemical and biological failure,” with insufficient information to demonstrate mitigation measures which would allow the proposed development to achieve nutrient neutrality.

Cardiff under pressure from industry and environmental groups as new restrictions loom

THE WELSH GOVERNMENT has confirmed that further bans on single-use plastic products will not be enacted before the end of the current Senedd term — but reiterated its commitment to phasing out what it calls “unnecessary” plastics to protect the environment.

In a written statement on Wednesday (Feb 11), Deputy First Minister and Cabinet Secretary for Climate Change and Rural Affairs Huw Irranca-Davies said planned “Phase 2” restrictions under the Environmental Protection (Single-use Plastic Products) (Wales) Act 2023 will be delayed as officials work with UK governments to secure an exemption from the United Kingdom Internal Market Act 2020 (UKIMA). 

Phase 1 of the act, which came into force in October 2023, already bans a range of commonly littered items such as plastic cutlery, drinks stirrers, polystyrene cups and takeaway containers. 

Under Phase 2, ministers had intended to restrict polystyrene lids, single-use plastic carrier bags and products made of oxo-degradable plastic by spring 2026 — but Mr Irranca-Davies said that timetable is no longer feasible this term due to the ongoing negotiations over internal market arrangements. 

“We are committed to seeing polystyrene lids … plastic single-use carrier bags or products made of oxo-degradable plastic banned and are working to achieve that as soon as possible,” he said in the statement. 

Environmental groups and campaigners have welcomed the Government’s overall ambition but stressed the urgency of moving from pledges to action.

A spokesperson for Keep Wales Tidy said the original legislation was a crucial step in tackling plastic waste, noting that plastics remain one of the most common forms of litter found on beaches and in waterways. “This move shows intent, but communities are looking for swift implementation,” the group added in a recent comment on social media about Wales’s ongoing efforts to reduce single-use plastics. 

Wales was one of the first parts of the UK to target carrier bags, introducing a 5p charge for single-use plastic bags in 2011, which saw usage drop dramatically — by over 90 per cent according to government data. 

Critics from parts of the business community, including hospitality and retail sectors, have previously expressed concerns over the practical impacts of rapidly changing plastic regulations, particularly where alternatives are not readily available or where internal market uncertainties create compliance challenges for firms operating across the UK.

Mr Irranca-Davies said the Welsh Government remains committed to the wider goals of its Beyond Recycling circular economy strategy — including a **zero-waste **ambition by 2050 — and to ending what he described as a “throw-away culture” that harms the environment and future generations. 

He also highlighted progress already made: Wales now ranks among the world’s highest for household recycling rates, a significant rise from less than five per cent at the point of devolution. 

The Government says wet wipes containing plastic will be restricted from 18 December 2026 and that it will continue working with UK partners to resolve internal market issues and push remaining bans forward.