Health
NHS pay row erupts as ministers confirm 3.3% rise
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.
Health
Rural social care in west Wales ‘left to pick up the pieces’
CLAIRE ARCHIBALD MS has challenged the First Minister over pressures facing rural social care in west Wales, warning that families in Pembrokeshire and Ceredigion are being left without the support they need.
The Reform UK Member of the Senedd for Ceredigion Penfro raised the issue during First Minister’s Questions, saying reductions in the clinical role of rural hospitals had not been matched by proper investment in community care.
Ms Archibald, who has previously worked as a carer, said the impact was being felt by patients stuck in hospital, families struggling to secure support, and people unable to spend their final days at home.
She told the Senedd: “Across Pembrokeshire and Ceredigion, Labour has reduced the clinical role in our rural hospitals, but the community care to fill the gap has simply not been put in place.
“The results are delayed discharges, families left struggling, and many people denied the chance to spend their final days at home with their loved ones.
“We have providers across west Wales handing back contracts, refusing referrals and shelving expansion because they cannot recruit the workforce.
“So, after 26 years of Labour-led government supported by your party, isn’t it the truth that rural social care has been neglected and left to pick up the pieces?
“What concrete action will your government take to restore front-line social care in west Wales?”

Following the exchange, Ms Archibald said the issue was not simply about policy, but about real families being placed in impossible situations.
She said: “I have seen first-hand how important good care is, both for the person who needs support and for the family around them.
“When community care is not there, people stay in hospital longer than they need to, families are left fighting for help, and people lose the chance to be cared for at home.
“This is especially serious in rural areas like Pembrokeshire and Ceredigion, where distance, workforce shortages and reduced local services all make the pressure worse.
“For too long, rural social care has been left to carry the burden while services are taken away elsewhere.
“People in west Wales deserve better than warm words. They need clear action, proper workforce planning, and front-line care that actually reaches them.”
Ms Archibald said she would continue pressing the Welsh Government on delayed discharges, care package shortages, workforce pressures and the need to protect services in rural communities.
Health
Welsh Ambulance Service to hold extraordinary board meeting
THE WELSH AMBULANCE SERVICE will hold an extraordinary Trust Board meeting later this month.
Members of the public will be able to watch the meeting online via Microsoft Teams on Thursday (Jun 25), from 9:30am to 10:00am.
Board members are expected to receive and approve the Trust’s Annual Report and Accounts for 2025–26.
Colin Dennis, Chair of the Welsh Ambulance Service, said: “Our Board meetings play a vital role in ensuring transparency and openness in everything we do, and we would invite anyone with an interest in the Trust’s work to join us virtually to find out more.”
A link to watch the meeting will be available through the Trust, but viewers are advised it will only work from 10 minutes before the meeting begins.
An agenda will be published on the Trust’s website in the days before the meeting.
Health
Wales becomes first UK nation to offer online gambling harm support
WALES has become the first UK country to offer nationwide access to a new online NHS programme for people affected by gambling harms.
The free course, Space from Gambling Harms, is available through the SilverCloud platform and can be accessed at any time on a phone, tablet or computer without the need to see a GP.
It forms part of the new All-Wales Gambling Treatment Service, which launched in April alongside a 24-hour helpline.
The 12-week programme is based on cognitive behavioural therapy and motivational enhancement therapy, helping users reflect on their gambling habits, build confidence, and develop skills to regain control.
Jodie Morgan, Clinical Operational Manager at Betsi Cadwaladr University Health Board, which manages the gambling service and helpline for NHS Wales, said: “Improving access to support is a key part of the All-Wales Gambling Treatment Service.
“Space from Gambling Harms offers people another way to access confidential, evidence-based support at a time that suits them, and we will be supporting patients across Wales to access the programme alongside our wider treatment offer.”
The course is available to anyone in Wales aged 18 or over via self-referral. Users are advised to spend around 20 minutes a day, three times a week, working through the programme.
Anyone who self-refers is assigned an NHS-trained supporter who can provide guidance, advice and encouragement.
Fionnuala Clayton, project manager for NHS Wales’ online CBT service, said: “Through SilverCloud, we want to remove as many barriers to support as possible and provide people with tools they can use in a way that fits around their lives.
“This programme gives people the opportunity to reflect on their habits, gain the skills and confidence to control their gambling, and get their lives back on track.”
The programme is one of 28 mental health and wellbeing courses available through SilverCloud, which is managed by Powys Teaching Health Board.
Other SilverCloud programmes for mild-to-moderate mental health issues, including anxiety, stress, depression and poor sleep, are available to anyone in Wales aged 16 or over.
In Wales, research suggests tens of thousands of people are affected by gambling harms each year.
The new helpline offers information, advice and support to anyone affected by gambling, including family members and others impacted. Where needed, callers can be referred on to specialist treatment services.
Anyone affected by gambling harms can call the 24/7 helpline on 0808 281 9265.
Professionals and individuals can also refer to the Gambling Treatment Service by calling 03000 859464 or emailing [email protected].
Self-referrals to SilverCloud’s Space from Gambling Harms programme can be made at nhswales.silvercloudhealth.com/signup/.
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