Health

Call for overhaul of ‘unsustainable’ GP funding model

Published

26 seconds ago

November 7, 2024

SENEDD members added their voices to a chorus of calls for fair funding for GPs after more than 21,000 people across Wales signed a petition.

Carolyn Thomas led a debate on the petition submitted by the British Medical Association (BMA) as part of the professional body’s “Save our Surgeries” campaign.

The Labour politician, who chairs the petitions committee, attended a meeting with GPs and told the Senedd their message was clear: the current funding model is unsustainable.

She said: “Over the last two decades, while the number of face-to-face appointments, digital contacts and phone calls has risen, the complexity of the work has been transformed, expenses have risen, and the cost of premises has leapt up.

“Yet the share of the health budget spent on GP services has shrunk..”

Ms Thomas, who represents North Wales added: “In some areas, recruitment and retention is the main worry but in others it’s the crumbling fabric of buildings. In others, it is the rapidly ageing population or a growing workload that isn’t matched by an equivalent rise in capacity.

“But underlying all of these is money to pay for the services that we all want to see.”

Sam Rowlands, the Conservatives’ shadow health secretary, said 8% of NHS Wales funding goes to GPs which is lower than levels from 2005/06.

Mr Rowlands pointed out that more than 100 surgeries have closed in the past 12 years.

Plaid Cymru’s Heledd Fychan criticised “huge underinvestment” over the past decade, telling the Senedd that Wales remains 500 GPs short of the OECD average.

She said: “There were 372 GP services in Wales at the end of June, which is 14 fewer than when the BMA launched the ‘Save Our Surgeries’ campaign. It is clear, therefore, that these consistent warnings about a shortage of provision … have fallen on deaf ears.”

Ms Fychan, who represents South Wales Central, raised concerns about big companies, often located outside Wales, stepping into the market for GP services.

She said: “In the Aneurin Bevan area, eHarleyStreet is a clear example of this. This continues with the damaging trend of profits being taken out of the health system into private pockets, and also makes the provision vulnerable.”

Her Plaid Cymru colleague Luke Fletcher raised a BMA survey that found nearly four out of five locum GPs cannot find work despite patient waiting times hitting record highs.

He said: “That’s in England but here in Wales the symptoms of the same crisis have been visible for a while, yet the data doesn’t seem to be available….

“Anecdotally, I’ve been told of locums in Wales looking to other fields. Some are considering jobs in retail and driving taxis. At a time when we’re crying out for GPs and we all accept that there’s a shortage of GPs – this situation is madness.”

Warning services are in chaos, the Conservatives’ Laura Anne Jones raised concerns about a survey showing 37% of Welsh GPs may leave the profession within five years.

Julie Morgan said she has heard the same story from surgeries in her constituency: “They’re struggling to maintain safe levels of service and worried about being able to continue.”

The former minister told the Senedd that Cardiff North is in the bottom 1% of funded practices in the UK due to the “outdated” Carr-Hill formula used to calculate funding.

Jenny Rathbone, a fellow Labour backbencher, highlighted the Deep End Cymru project, which aims to support 100 practices in the most deprived areas.

Jane Dodds, the Liberal Democrats’ leader in Wales, raised concerns about staff welfare and reiterated calls for a premium to recognise the significant challenges for GPs in rural areas.

Responding to the debate on November 6, Jeremy Miles said surgeries in Wales see an astonishing number of patients with around 1.5 million every month.

Wales’ health secretary stressed: “I want to reassure GPs that we have heard the messages about the huge demands and the pressure on staff welfare.”

Mr Miles said ministers have chosen to commit £1bn over this Senedd term to clear the backlog and reduce waiting times following the pandemic.

He told the Senedd: “By necessity, this means that a larger proportion of funding has gone to secondary care. Redressing this imbalance will be a priority for future funding decisions.

“And we are committed to the principle of providing more care closer to home.”

Charity

NHS staff take on Parkrun for charity

Published

17 hours ago

November 7, 2024

Richard Lewis

STAFF from the Frailty Unit at Withybush Hospital took part in the Haverfordwest Parkrun and raised a fantastic £1,478 for the unit.

The staff took part in the 5k Parkrun in August at the Haverfordwest cricket club, whilst others volunteered, sold refreshments and held a raffle.

Lisa Marshall, Senior Sister, said: “I am so proud of Estelle and the team for organising a successful fundraiser and helping to raise money for our unit.

“It was a great team building day and we all had lots of fun. We are as always grateful for the support and donations we receive, and we look forward to our next fundraiser!”

Katie Hancock, Pembrokeshire Fundraising Officer, said: “We’d like to say a big thank you and well done to Estelle, Lisa and the Frailty Unit team for completing their Parkrun fundraiser.

“Thank you so much for dedicating your time to once again raising funds for your amazing unit.

“The support of our local communities enables us to provide services over and above what the NHS can provide in the three counties of Hywel Dda and we are extremely grateful for every donation we receive.”

For more details about the NHS charity and how you can help support local NHS patients and staff, go to the Hywel Dda Charities website.

Health

Rising trend of private healthcare use among friends and family in Wales

Published

2 days ago

November 5, 2024

Tom Sinclair

MORE than half of UK residents report having close family or friends who have used private healthcare services, according to the latest data from the Independent Healthcare Providers Network (IHPN). In Wales, this figure is 58%, slightly above the UK-wide average of 55%. Meanwhile, 32% of Britons have used private healthcare themselves, with regions such as the East Midlands (64%) and Northern Ireland (59%) showing even higher familiarity with private healthcare options.

David Hare, Chief Executive of IHPN, said: “Private healthcare is becoming more mainstream, with people increasingly opting for private services to access healthcare more easily and quickly. Our findings highlight that most people in the UK know someone close who has used private healthcare, whether through insurance or self-pay. This demonstrates a shift toward private healthcare as a convenient and accessible option.”

***Claims that private healthcare is becoming more mainstream in Wales***

The survey found that 45% of those choosing private healthcare did so because of long NHS waiting times, while 27% preferred the ease of booking private appointments. Around 20% receive private healthcare through work, and 17% believe private services offer higher-quality care. Accessibility is another key factor, with half of respondents agreeing that private healthcare is more accessible than NHS options.

Top Treatments Accessed Privately:

Doctor consultation: 45%
Diagnostic treatment (e.g., scans): 45%
Other healthcare professional consultations: 35%
GP appointments: 34%
Minor operations (same-day discharge): 25%
Major operations (overnight stay): 16%
Ongoing serious condition treatment (e.g., cancer): 5%

IHPN’s Five Steps to Choosing Private Healthcare

If you’re considering private healthcare, IHPN suggests these key steps:

Do Your Research: Consult inspection reports from national care regulators like the Care Quality Commission (CQC) in England and the Private Healthcare Information Network (PHIN). Scotland and Wales have independent inspectorates, available at hiw.org.uk and healthcareimprovementscotland.scot.
Explore Payment Plans: Many providers offer flexible payment options, making private care more affordable.
Find Local Options: Use resources such as ihpn.org.uk or phin.org.uk to locate private providers nearby.
Take Control: It’s your choice; seek recommendations from friends and family or consult online ratings to find the right clinician or clinic. Your GP can also offer support.
Book a Consultation: Before committing, schedule a consultation with a private provider to discuss treatment options and ask questions. Bring someone you trust if you wish, and take notes.

For more information on private healthcare options in the UK, visit ihpn.org.uk. For additional information, interviews, or case studies, contact Helen Trevorrow at 0794 000 9138 or [email protected].

Source: Statistics are from the “Going Private 2024” report by IHPN and Public First, based on a survey of 2,004 respondents across the UK.

Health

Smoke-free ambitions clouded by concerns over illicit market

Published

2 days ago

November 5, 2024

Tom Sinclair

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.