Connect with us
Advertisement
Advertisement

Health

Smoke-free ambitions clouded by concerns over illicit market

Published

on

THE UK government introduced its Tobacco and Vapes Bill in Parliament today, aiming to create a “smoke-free generation” by prohibiting anyone born after 1 January 2009 from legally purchasing cigarettes for the rest of their lives. The Bill also proposes strict new restrictions on nicotine products, including vapes, heat-not-burn products, and nicotine pouches.

Public health experts in Wales are largely supportive of the new legislation, seeing it as a potential driver in reducing the strain on the NHS in Wales. Smoking-related illnesses are a major contributor to healthcare costs, and advocates argue that curbing smoking among future generations will yield long-term health and economic benefits. This could be especially impactful in Welsh regions where smoking rates are persistently high.

However, there is also concern about how restrictions on safer nicotine alternatives, such as vapes and heat-not-burn products, could impact Welsh individuals trying to quit smoking. The Welsh NHS has invested in smoking cessation programs that promote these alternatives, and some fear that restrictions on these products may reduce access to effective cessation tools, ultimately affecting health outcomes.

Mike Salem, UK Country Associate for the Consumer Choice Center (CCC), reacted to the news: “Whilst it is predictable that the prohibition was going to be introduced, I am extremely concerned and disappointed with how little regard the government has had for consumers’ voices, particularly the young voices.”

The Bill revives an initiative initially proposed by the previous Conservative government before the election, though Labour’s version brings in tougher regulations. The proposal has sparked debates across various groups, with health advocates supporting the measures and others, like the CCC, voicing concerns about potential unintended consequences.

Illicit market worries

The CCC has highlighted fears that prohibitions may fuel an already significant black market for tobacco products in the UK. According to Salem, 2023 saw the highest number of illicit cigarettes consumed in the country, with one in five cigarettes sold illegally. He warns that restrictions risk expanding this underground market.

“It is no surprise that gangs and illegal suppliers are already positioning themselves in this market in anticipation of the prohibition,” Salem said. He cited experiences from other regions, such as the state of Victoria in Australia, where similar prohibitions have led to gang-related violence and exposed children to criminal activities, including arson.

Impact on young people

Critics of the Bill argue that the Labour Party’s approach may negatively impact young people, whom they claim are already disadvantaged by recent policies. “The Labour Party has shown that it is the Party of Boomers, and is letting young people down,” Salem said. He added that recent increases in tuition fees and levies on alcohol and soft drinks, along with tougher employment markets, restrict young people’s lifestyle choices and increase their exposure to illegal markets.

Public health debate

Supporters of the Bill believe these measures are necessary to protect public health. They argue that strict controls on tobacco and nicotine products are crucial steps towards reducing smoking rates, improving long-term health outcomes, and reducing the burden on the NHS. Advocates also believe that limiting youth exposure to nicotine will reduce future smoking rates.

However, Salem argues that the Bill may have the opposite effect. “Not everyone can quit cold turkey,” he said, noting that many people have found success using alternative products like vapes, heat-not-burn devices, and nicotine pouches. “Restricting safer methods of consuming nicotine makes it extremely difficult for those who are trying hard to quit smoking to do so permanently and positively.”

Alternative solutions proposed

The CCC says it is calling on the government to ensure existing laws are enforced first, such as banning nicotine sales to under-18s, before introducing a total prohibition. They argue that failing to do so will lead to worse public health outcomes and put consumers and children in a vulnerable position. The Bill now moves forward for further debate, with both sides urging careful consideration of the potential impacts on public health, youth, and the illicit market.

Health

NHS staff at risk during pandemic due to PPE issues, Covid Inquiry hears

Published

on

NHS staff in Wales may have put their health at risk during the Covid-19 pandemic by treating patients without adequate personal protective equipment (PPE), former health minister Vaughan Gething has admitted.

Giving evidence to the Covid inquiry, Gething acknowledged significant challenges in distributing PPE despite assurances that national-level supplies were maintained. He revealed that stocks of key items ran out far quicker than anticipated, with some equipment deemed unfit for purpose and discarded.

“There were some very real challenges,” Gething said, noting that gloves, expected to last 15 weeks, were depleted within 11 days. Aprons and other essentials soon became critical concerns. He also condemned opportunistic profiteering during the crisis, calling some suppliers “shysters” who exploited global demand to sell inadequate equipment.

Covid 19: Hospitals were under pressure during the pandemic (Image: Herald)

The Welsh Conservatives described the revelations as “completely unacceptable” for NHS staff, while Plaid Cymru accused the Labour-led Welsh Government of “significantly letting down” frontline workers.

The inquiry also heard of chaotic conditions in some hospitals. An email from a consultant at Prince Charles Hospital in March 2020 described a dire situation, with staff lacking protection, low morale, and masks unavailable.

In some instances, healthcare workers resorted to makeshift solutions, including wearing bin bags or purchasing their own safety gear. Trade unions highlighted that schools even stepped in to produce masks and hand sanitiser for local health services.

When asked whether healthcare workers treated Covid-19 patients with inadequate PPE during the first wave, Gething replied, “I’m afraid that’s possible.”

Decisions under pressure

The session also addressed difficult decisions made during the pandemic. Evidence was presented that some patients with little chance of survival were not admitted to critical care due to limited space.

“It’s very upsetting to read,” Gething said, acknowledging the heartbreaking choices faced by medical teams, though he claimed to be unaware of specific instances.

Gething, who served as health minister until May 2021, conceded that delays in tackling hospital-acquired infections could have contributed to the challenges. He admitted he might have acted earlier in forming a task group to address the issue, which worsened during the second wave.

First Minister reflects on birthing partner rules

Current First Minister Eluned Morgan also testified, reflecting on delayed decisions to allow birthing partners in hospitals during the pandemic.

First Minister Eluned Morgan at the hearing on Wednesday (Image: Youtube )

Morgan, who succeeded Gething as health minister in May 2021, acknowledged that guidance was not updated until May 2022, more than a year after England implemented similar changes.

“If I had my time again, that’s one of the things I definitely would have changed,” Morgan said, calling the delay regrettable for new parents.

She also defended the decision not to launch a national investigation into hospital-acquired infections, citing extensive reviews conducted by health boards. However, Morgan acknowledged shortcomings in resuming routine surgery and criticised poor management at some facilities.

The inquiry continues to examine decisions made by Welsh ministers and NHS leaders during the pandemic, focusing on lessons learned to prevent similar issues in future crises.

Continue Reading

Health

Concern over ‘green light’ for NHS privatisation

Published

on

SENEDD Members quizzed Wales’ health secretary about long NHS waits amid concerns about health boards getting the “green light” to commission private sector services.

Jeremy Miles, who was appointed health secretary in September, told the Senedd an extra £22m, on top of £28m announced last month, will go to tackling the longest NHS waits.

In a statement on November 19, Mr Miles said the £50m will be made available to health boards immediately and “where necessary” will be spent on private hospital capacity.

Mabon ap Gwynfor, his Plaid Cymru opposite number, raised concerns about privatisation.

He said: “We have yet another example of the government having to absorb added costs from their mismanagement of existing NHS capacity, something we’ve seen before with respect to the spiralling bills associated with agency staffing.

“From a broader perspective, this also speaks to the false economy on which the government’s funding of the health service has been based for some time, which is to throw money at the front line without dealing with the issues upstream.”

Mr ap Gwynfor pointed to a backdrop of two-year waiting time targets being dropped by the Welsh Government, with one in five people now on a waiting list.

He said: “Back in September, the solution … was to offer treatments in England. By October, the solution was to pay £28m to tackle waiting lists. Now we’re in November, the solution is to increase that £28m to £50m. I wonder what the next statement will be next month.”

Mr ap Gwynfor said the £50m will not be used to address a recruitment and retention crisis, nor boost student placements on medical training courses following an “alarming” slump.

The Dwyfor Meirionnydd Senedd member, who published a report on NHS governance earlier the same day, asked how much will go to private providers.

But Sam Rowlands, the Tories’ shadow health secretary, welcomed ministers “encouraging” health boards to commission services from the private sector.

He said: “I’m not sure if some of your colleagues will approve of that but it’s something we’ve long called for: cross-sector collaboration to tackle waiting lists here in Wales.”

The North Wales representative raised concerns about a “staggering” 619,200 patients awaiting treatment, with 24,000 people waiting two years compared with 124 in England.

Warning of systemic failure, Mr Rowlands said: “The 95% target for patients spending less than four hours in A&E in Wales has never been met. The 95% target of patients waiting fewer than 26 weeks in Wales hasn’t been met in more than 10 years.

“The 75% target for cancer patients to start treatment within 62 days of cancer being suspected has never been met in Wales.”

Mr Miles cautioned against cross-border comparisons, saying waiting time measures in England are “very much narrower” than in Wales.

He said the £50m will see 16,000 more people treated, an extra 14,000 tests carried out and up to 20,000 more outpatient appointments by March 2025.

Mr Miles told the Senedd that £3m will go towards reducing the longest waits for autism and ADHD assessments amid exponential growth in demand.

He said: “In six months alone, waiting lists for neurodevelopmental assessments have increased by more than 2,000. Assessments can be complex and reductions to the waiting lists have been quickly subsumed by new referrals.”

The health secretary recognised that short-term measures will be insufficient on their own, stressing: “I have been clear with the NHS: we need to transform the way we deliver services while we focus on clearing the backlog. Our funding is intended to support this.”

Continue Reading

Health

Eluned Morgan on NHS: ‘I’ve listened, I’ve heard, I’m making it happen’

Published

on

FIRST Minister Eluned Morgan is set to announce an additional £22 million to tackle NHS waiting lists, bringing the total funding commitment to £50 million in a bid to address the longest delays in NHS Wales.

The announcement will form a key part of her speech at the Welsh Labour Conference on Saturday in Llandudno, marking her first as Welsh Labour Leader. Morgan will emphasise the strength of partnership between the Welsh and UK Labour Governments, showcasing their shared commitment to delivering for the people of Wales.

The funding pledge comes two weeks after Rachel Reeves unveiled a historic £21 billion funding settlement for the Welsh Government—the largest since devolution. Drawing on her summer listening tour, where she engaged with thousands across Wales, Morgan will declare: “I’ve listened, I’ve heard, I’m making it happen.”

Focus on NHS and Green Growth

During her tour, the First Minister heard the pride people feel for the Welsh NHS and its workforce, as well as the importance of safeguarding its future. Today’s funding boost underscores Welsh Labour’s commitment to addressing key issues, distinguishing it as the only party serious about governance and delivery.

In addition to NHS investment, Morgan will highlight her administration’s ambitions for green jobs and growth. Five new renewable energy projects are set to be unveiled, alongside plans to streamline infrastructure planning by 12 weeks—a move aimed at accelerating progress in Wales. These initiatives are expected to create hundreds of skilled jobs, reinforcing Labour’s commitment to a greener, more prosperous future.

Conservative Perspective on NHS Wales

The Welsh Conservatives have expressed concerns regarding the current state of NHS Wales. They have highlighted issues such as prolonged waiting lists and underfunding, attributing these challenges to longstanding Labour governance. In a recent statement, the Welsh Conservatives emphasized the need for increased investment and support for NHS staff, proposing the establishment of an NHS Covenant to guarantee such commitments.

Additionally, the Welsh Conservatives have criticized the Labour Government for not allocating the full Barnett consequential funding to the Welsh NHS, arguing that this shortfall has exacerbated existing challenges within the health service.

Delivering for Wales

The Conference will celebrate the achievements of the Welsh Labour Government while setting out its future priorities. From tackling NHS challenges to driving renewable energy development, the event will demonstrate Morgan’s focus on the issues that matter most to the people of Wales.

Eluned Morgan’s speech is expected to reaffirm Welsh Labour’s ambition to lead with purpose, listening to the public and working closely with the UK Labour Government to deliver tangible results.

Continue Reading

Health9 hours ago

NHS staff at risk during pandemic due to PPE issues, Covid Inquiry hears

NHS staff in Wales may have put their health at risk during the Covid-19 pandemic by treating patients without adequate...

News2 days ago

Snow falls in Wales: School closures, road blockages, and weather warnings

THE FIRST significant snowfall of the year has fallen across Wales, with snow covering parts of north-east Wales overnight. The...

News3 days ago

Inquest hears social media bullying was factor in teen’s tragic death

MEGAN EVANS, 14, was found dead at her Milford Haven home on February 7, 2017, after what her family described...

Business3 days ago

Milford Haven Port Authority in Burry Port Harbour takeover talks

MILFORD Haven Port Authority is in the frame to take over the running of Carmarthenshire’s only harbour. The Trust Port...

Farming5 days ago

Farmers fight back: Inheritance tax row at Welsh Labour conference

THE Welsh Labour conference in Llandudno, Conwy, on Saturday (Nov 16) became the backdrop for a large and impassioned protest...

News5 days ago

Four shouts in busy period for Angle RNLI

AT 10:32am on Friday, November 15, Angle RNLI’s all-weather lifeboat was launched following a Pan Pan call from an 18ft...

Health5 days ago

Eluned Morgan on NHS: ‘I’ve listened, I’ve heard, I’m making it happen’

FIRST Minister Eluned Morgan is set to announce an additional £22 million to tackle NHS waiting lists, bringing the total...

Crime5 days ago

Man jailed for growing £500,000 worth of drugs in Pembroke

A MAN has been jailed after police uncovered a cannabis farm worth up to £500,000 at a former Lloyds Pharmacy...

News7 days ago

Milford Haven man admits to downloading indecent images of children

A MILFORD HAVEN man has been sentenced after admitting to downloading over 1,000 indecent images and videos of children, including...

Business1 week ago

Bristol Trader to temporarily serve menu at the Castle Hotel

The team of a popular riverside pub in Pembrokeshire, devastated by a recent fire, will relocate to a new town...

Popular This Week