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Politics

Tory NHS funding pledge ‘a stunt’

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Tory claim 'a cheap stunt': Eluned Morgan dismisses spin machine

THE ANNOUNCEMENT by the UK Government that it is to release funding for the NHS, claimed hilariously as a ‘Brexit Windfall’, will result in funding being cut in other spending departments and is – as yet – wholly unfunded.

The 3.4% rise is funding over each of the next four years from 2019 is less than the 3.7% average annual rise the NHS budget has received since 1948 and is likely to come with significant strings attached before any of the claimed increase reaches frontline services.

In addition, a disingenuous claim by the UK Government that £1.2bn of the new funding is set aside for NHS services in Wales is nonsense as the UK Government cannot hypothecate money out of the financial settlement it provides to the Welsh Government to fulfil its own UK-wide party-political objectives.

Indeed, the pressing social care disaster in England will not even be addressed by the increased spending, leading to criticism that the announced notional ‘increase’ will do little more than entrench continuing failure in that field.

The Welsh Conservatives have not hesitated to jump all over the opportunistic announcement, made in a speech by Theresa May to healthcare leaders in London, usefully made to coincide with the UK Government’s ongoing humiliation over Brexit, and which has not even been subject to parliamentary scrutiny or approval.

Details of the funding have not even been released to the Welsh Government which Theresa May is seeking to bind to a spending commitment which might never happen.

Angela Burns AM, said: “This is a hugely welcome announcement by the Prime Minister, one which will help secure the future of our most treasured public service for generations to come.

“Conservatives in Government have increased the NHS budget every year, whilst Labour in Wales remain the only party across the UK to have cut an NHS budget, which has put the Welsh NHS under ever-increasing pressure.

“This long-term funding boost must now be invested wisely by the Labour Government in Wales – ensuring the challenges in health and social care can be planned for with confidence, clarity and competence.”

However, the Conservatives’ claims have been dismissed as a ‘stunt’ by Assembly Member Eluned Morgan.

Ms Morgan has pointed out that independent experts – including the Institute for Fiscal Studies and Channel 4’s FactCheck – called out the so-called ‘Brexit Dividend’ funding commitment which will ultimately have to be paid through higher taxes as any savings from leaving the EU will have to meet our ‘divorce bill’ and other costs.

Eluned Morgan AM said: “In reality, Theresa May has announced that we’ll all be paying more to fund our NHS through increased taxes and additional borrowing. There is no Brexit dividend, just a Tory spin machine on overdrive attempting to hide the divisions in her own party. The Institute of Fiscal Studies have been brutal in their assessment of this announcement, it is a shame that the Prime Minister and her colleagues in the Assembly haven’t been clear with the public about the detail.

“Any extra spending in England will mean more money for Wales, but when you put the £1.2billion into context, this announcement only goes to replace what Wales has lost over the last 8 years of crippling Tory austerity. Pembrokeshire, like every other county in Wales has seen the impact of Tory austerity resulting in job losses, public services under pressure and increasing poverty for those in and out of work. I know the people of Pembrokeshire will see through this cheap stunt for what it is.”

A Welsh Government spokesperson said: “We welcome the UK Government’s belated decision to mitigate their austerity policies on our NHS, which we have long been calling for.

“While we welcome any additional funding, we await details of what that additional funding for Wales will be. However, it cannot be forgotten that had the Welsh Budget seen real terms growth between 2010-11 and 2019-20, the budget would be some £4bn higher than it is today.

“Decisions on the allocation of additional funding will be made by the Welsh cabinet in the usual way.”

Politics

Significant concerns for EU citizens in Wales

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THE UK Government’s EU Settlement Scheme (EUSS) is causing significant problems for EU citizens currently living and working in Wales.

LOW REGISTRATION IN WALES
Wales has the lowest rates of registration in the UK.
Only 41% of those eligible to apply for EUSS to stay in Wales after Brexit have done so.
The rhetoric surrounding EU migration since the referendum has taken its toll on people’s emotional wellbeing, meaning they no longer feel welcome to live here.
The UK Government has proposed a £30,000 salary threshold for EU residents to qualify for a work visa after Brexit. This could damage the Welsh economy and leave Wales short of key health professionals, say Welsh employers.
The National Assembly for Wales’ External Affairs and Additional Legislation Committee, which focuses on the implications of Brexit for Wales, is today publishing a report looking at the impact of changes to ‘freedom of movement’ after Brexit. As well as the impact on services and employers, the Committee has looked at the effect on individual EU citizens currently living and working in Wales – there are currently an estimated 80,000.
The Committee heard evidence from a range of health professionals, employers and individuals who would be affected by the proposals to change the immigration system after Brexit.
Organisations representing employers and key workers including the Welsh NHS Confederation, the Royal College of Nursing Wales, Airbus, Universities Wales, Wales TUC and the Arts Council for Wales have voiced serious concerns to the Committee. The UK Government’s proposals for EU citizens after Brexit cause concern to health services and businesses. Under the UK Government’s proposals almost two-thirds of EU workers currently in Wales would not be eligible under the proposed system with the £30,000 salary threshold, and the threshold would lead to a 57% reduction in EU immigration to Wales over 10 years.

EU SETTLEMENT SCHEME – DIGITAL BY DEFAULT
As part of the Committee’s inquiry, it heard evidence from people directly affected by the changes to freedom of movement after Brexit.
The EU Settlement Scheme (EUSS) was established by the UK Government because, in most cases, EU citizens living in the UK will no longer have a legal right to reside in the UK once it leaves the EU and free movement ends.
EU citizens living in the UK must register for the EUSS.
The Committee heard many concerns about the system to register. The UK Government has adopted a ‘digital by default’ approach and there have been issues with the technology. The current system only allows the use of Android phones or tablets, not iPhones.

£30,000 THRESHOLD – TOO HIGH FOR WALES
The Welsh NHS Confederation, the membership body representing all NHS organisations in Wales, told the Committee that the proposals to include EU citizens in its £30,000 salary threshold for a visa would “exacerbate current staffing shortages”. It highlighted that 53% of EU NHS staff currently earn below that.
The Bevan Foundation highlighted that the average salary in Wales for full-time workers is £26,000, significantly below the proposed threshold. Airbus, a large employer in Wales, added that the threshold is “too high for key sectors” which could have implications for many services and industries. They argued that the proposals from the UK Government could “leave gaps in the requirements of Wales which can’t be filled in the short term.”
The Committee believes that a salary threshold set at this level will not meet the needs and requirements of the Welsh economy. It is calling on the UK Government to lower the salary threshold requirements and is recommending that the Welsh Government uses all the means at its disposal to ensure that the currently proposed salary threshold is reduced.

FEELING UNWELCOME
The Committee heard evidence from people affected directly and how many people felt that they were no longer welcome in the UK following the EU referendum.
Some argued that the policy pursued by the UK Government since the referendum has exacerbated this.
Several people said that some of the rhetoric relating to the issue of EU migration had hardened and described the toll that this had had on their emotional wellbeing, and that of friends and family members.
One participant emphasised that it is not simply an administrative process, but that real people are involved and that it was important to remember how the process affects them.
Michal Poreba from Swansea, an EU citizen originally from Poland, who gave evidence to the Committee’s inquiry, said: “The EU settlement scheme and the UK Government’s immigration proposals after Brexit are not simply about administrative processes, they are about people’s lives. Real people are involved and it is important to consider how the process affects them and their families. Yet the debate appears to be all about the practicalities of the implementation.
“Questions are asked why so few people have registered so far and how to increase the uptake. But what does it offer? Why would anybody apply? The facts are that the scheme significantly reduces the rights of the applicants. Going through the process, while technically quite easy and straightforward, feels debilitating and comes with no legal guarantees. It feels like an act of political self-harm. No wonder there are no queues to do it.
“The message repeated by politicians appears to be the same – You will be allowed to stay. We want you to stay. Of course, economically speaking they need us to stay, at least for the short term. But there is a big difference between being allowed to stay, and being welcomed. There is a big difference between a legal right and permission.”

SHORTAGE OCCUPATION LIST
Wales has specific needs. The Shortage Occupation List is an official list of occupations for which there are not enough resident workers (including EU nationals) to fill vacancies. The UK list is supplemented by a separate list for Scotland.
The majority of those who gave evidence to the Committee supported the creation of a Wales-specific Shortage Occupation List to meet the specific needs of Wales. The Committee is calling on the UK Government to establish this, which the Welsh Government would be able to amend according to Welsh needs.
David Rees AM, Chair of the External Affairs and Additional Legislation Committee said: “We have significant concerns about the implications of Brexit on our workforce in Wales. The ending of freedom of movement will have consequences for business and our economy if we lose vital workers. What’s more worrying is the impact that the loss of EU citizens could have on our NHS. We rely on EU citizens who work as nurses and carers.
“We heard some very concerning and emotional evidence from EU citizens and their families living and working in Wales. We must not forget the human impact that the ending of freedom of movement will have.
“We are calling on the Welsh Government to do all it can to get the UK Government to reduce its proposed salary threshold of £30,000 in order to better reflect average earnings here in Wales. Under these proposals, almost two-thirds of EU workers currently in Wales would not be eligible to live here. This could mean that we would not be able to recruit key workers such as nurses and carers from abroad.
“The EU Settlement Scheme for those who already live and work in Wales is full of problems, with an online-only application process and limited access on smartphones, these problems must be addressed urgently.
“Wales’ economy has specific needs and changing demographics within Wales, including an ageing population, are likely to pose new challenges in the future. These challenges within the economy of Wales are likely to be exacerbated by an overly restrictive immigration regime after Brexit.
“Today we’re calling on the Welsh Government to show real leadership and send out a strong message that EU citizens are welcome, valued, and needed in Wales and we’re calling on the UK Government to rethink its proposals and take into account the needs of the Welsh economy and public services.”

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Politics

Plans to improve patient access to health professionals

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HEALTH MINISTER, Vaughan Gething, has announced plans to improve access to health professionals through new ways of working.

The new plans aim to allow people to directly access health professionals such as physiotherapists, occupational therapists, podiatrists dietitians and others at primary care health centres. There will also be a greater emphasis on prevention to reduce reliance on medicines and improve quality of life.

Mr Gething said: “Our long term plan for health and social care, A Healthier Wales, sets out how we need to radically change the way services are delivered to meet future demand. We also need to move away from health and social care which focuses on treating people when they become unwell, to one that supports people to stay well, lead healthier lifestyles and live independently for as long as possible.

By accessing allied health professionals such as physiotherapy and dietitians directly at their local health centre, people can get the treatment they need more quickly. There are already good examples of this happening around Wales. I want to see that best practice become standard, which these plans will help us achieve.”

Examples of current best practice include a first contact physiotherapy service in Caerphilly, walk-in podiatry service in Port Talbot, Prestatyn Iach Health Centre and direct access occupational therapists in south Pembrokeshire helping people get back to work.

Mr Gething added: “As we move towards a system of integrated primary care centres across Wales, the framework I’m launching today aims to make it easier and quicker for people to access services.”

The Minister officially launched the Allied Health Professions Framework at the National Primary Care Conference at the International Conference Centre, Celtic Manor, Newport today (Thursday, 7 November).

A new Allied Health Professions lead for Primary Care will be appointed to lead the transformation of services in primary care.

The framework will also improve access to allied health professions in secondary care and improve access to rehabilitation to help people recover more quickly after a hospital admission and return home as independently as possible. The Welsh Government recently provided £1.4m to health boards to increase access to rehabilitation services.

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Politics

Snap election builds in unfairness

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A SNAP General Election is unlikely to break the break deadlock, the Electoral Reform Society has warned
The ERS says results are likely to be ‘clear as mud’ when it comes to translating voters’ preferences, with ‘vote-splitting, wasted votes and unfair results on an industrial scale’.
One in four (24%) voters are planning on voting ‘tactically’ – rather than for their first choice – increasing the likelihood of random results under Westminster’s winner-takes-all voting system, according to BMG polling for the Society.
When the same question was asked before the 2017 general election, 20% of people said they’d opt for someone who was not their first choice.
Westminster’s voting system rests on a handful of marginals changing hands: “Eleven seats were won by less than 100 votes in 2017. North East Fife was held by the SNP by just two votes. Such are the vagaries of the system that the Conservatives could have won an absolute majority based on just 533 extra votes in the nine most marginal constituencies.
“A working majority could have been achieved on just 75 additional votes in the right places. Two very different outcomes based on less than 0.0017 per cent of voters choosing differently,” the Society’s 2017 election report noted.
Darren Hughes, Chief Executive of the Electoral Reform Society, said: “Few believe a third General Election in the space of four years will ‘fix’ the current impasse: the only agreement seems to be that there is yet more volatility coming our way, with parties hoping to gain from the chaos.
“It’s amusing to remember that Westminster’s voting system is supposed to deliver ‘strong and stable’ government. It has totally failed to do what it says on the tin, and no wonder – people are rightly shopping around, but this two-party system is totally unable to cope.
“This election is likely to see ‘tactical’ voting on a scale never seen before, alongside widespread ‘vote-splitting’ and candidates getting in on fractions of the vote.
“First Past the Post voting is now an engine of volatility, which could make the current problems even worse. We could see a ‘wrong winner’ election – where the biggest party did not win the most votes – another hung parliament, and wasted votes in the millions. It’s time to join other advanced democracies in backing a fair voting system where seats match votes.
“This must be the last election conducted using Westminster’s scandalously unfair electoral system. It’s time for Westminster catch up with the rest of the world, with proportional representation and an end to the disaster of winner-takes-all voting.
“Whatever the case, this election will be a ‘hold your nose’ ballot, with one in four feeling forced to vote tactically for their second or third choice.
“A snap election guarantees nothing but an unfair lottery for voters. Let’s build a democracy fit for the 21st century, with an electoral system that encourages cooperation, not gridlock.”
ERS analysis of the 2017 election found that millions of people’s votes were thrown on the electoral scrapheap. 68% of votes had no impact on the result – representing 22 million votes going to waste.
Professor Sir John Curtice told LBC today that this election is likely to see a very high number of votes for parties other than the traditional ‘big two’.
In June, he told the ERS: “There is little doubt that Britain’s traditional two-party system is facing its biggest challenge yet in the wake of the Brexit impasse. If that challenge persists it would seem inevitable that there will renewed debate about the merits of the first-past-the-post electoral system.”
The latest YouGov poll puts Labour and the Conservatives on joint support of 59% – far below their 82% reached in 2017.
The ERS is calling for a proportional voting system for Westminster, the Single Transferable Vote system used for Scotland’s local elections and elections in Ireland.
The warped nature of the system is reflected by the fact that in 2017 it took 43,000 votes to elect a Conservative MP, 49,000 for Labour, nearly 200,000 per Lib Dem and over 500,000 votes for the Greens’ single MP. It took just 28,000 votes per SNP MP and 29,000 per DUP MP. The SNP, Greens, Plaid Cymru and Liberal Democrats support PR.

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