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More than 300 healthcare workers from Kerala take up NHS jobs in Wales

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AN EMPLOYMENT agreement has exceeded its target for recruiting healthcare workers from India.

The Welsh Government outlined a commitment to recruit 250 qualified healthcare workers from India as part of a Memorandum of Understanding with the Kerala Government earlier this year.

The recruitment drive has outperformed that goal, with just over 300 healthcare workers taking up positions across all of Wales’ health boards and the Velindre University NHS Trust. Further recruitment is due to take place next year.

Sharoon Kolickatharayil Nowshad

The commitment was made as part of Wales in India, a year-long series of events to improve economic, educational, artistic and sporting ties between the two nations.

Sharoon Kolickatharayil Nowshad, 24, had long held ambitions to move to Wales and work as a nurse, inspired by his uncle Siji Salimkutty who began working in the Welsh NHS in 2004.

Since arriving in Wales and beginning his job with Aneurin Bevan University Health Board, Sharoon said he has reunited with his family and appreciated the kindness shown by his new colleagues.

“I was really excited to work in the NHS” Sharoon said. “It’s always been my ambition to contribute to society, and now I get to do that here in Wales.

“Everything moved quickly once I saw the opportunity to apply, and I’m proud to work for the NHS. I tell my family and friends that it feels great to help people when they need it the most.

“When you work for the NHS, it’s not just a job or salary. It’s a great life. You feel proud knowing you’ve supported and helped others.

“The NHS has given us a great opportunity and we should always work sincerely because we love our jobs. There are lots of opportunities to advance your career, your colleagues always support you and there’s a great support network.”

Sharoon said he hopes to continue his career in the Welsh NHS by progressing to become an Advanced Nurse Practitioner.

He added: “People in Wales are so kind, they always make time for us, whether that’s at work or at home.

“I would encourage anyone thinking of coming to Wales not to hesitate and to apply, it’s the best decision I’ve made.”

Dr Devangana Bora has taken up a position as a Senior Clinical Fellow in Oncology at Velindre NHS Trust. Born in Guwahati, a large city in the Northeast Indian state of Assam, Dr Bora has worked as an Oncologist since 2019.

“I was really nervous for the interview. When I got there they told me it was in three stages and I became more nervous,” Dr Bora said.

“After the interview, I was offered the job and I was so happy. I thought they were joking. I was so excited to take this next step in my career and move to Wales.

“The weather is cold here but the people are so warm. I have received nothing but support from my colleagues and generally the people in Wales are so friendly and helpful.”

Dr Bora said her sister is currently studying Medicine at university and has been inspired to move to Wales once she completes her studies.

Jeremy Miles, Cabinet Secretary for Health and Social Care, said: “Alongside continued investment in training healthcare staff in Wales, international recruitment has always been one of the ways we can help address NHS workforce vacancies.

“India and Kerala in particular has a fantastic record in training doctors and nurses. We are grateful for the commitment to delivering high-quality care our new NHS recruits have shown.

“The contribution of these healthcare workers is already being felt across our NHS and it’s wonderful to see them settling into happy lives in Wales.”

Wales in India was launched on St David’s Day, March 1, by the then First Minister Mark Drakeford and Minister for Health and Social Services Eluned Morgan, beginning a year of events and cultural engagements to strengthen links between the two nations.

One of the biggest impacts on policymaking in India drew inspiration from Wales’ innovative Well-being of Future Generations Act. Through partnership working, the Maharashtra Legislative Assembly introduced its own draft law called the Maharashtra Future Generations Welfare Bill in July.

Welsh Government, the British Council and Wales Arts International also made commitments to further cultural collaborations between Wales and India by investing in arts projects through a dedicated culture fund. With the support of these organisations, as well as the Deputy High Commission in Kolkata, Wales was recently a partner country for Hornbill, one of India’s largest music festivals, which saw Mari Mathias and Gareth Bonello perform on the main stage with Indian musicians Seyievinuo Chuzho and Benedict Hynniewta.  

In February 2025, 10 young women, chosen from 140 applicants, will travel to Kolkata to complete humanitarian work as part of a joint project with Urdd Gobaith Cymru and Her Future Coalition. The volunteers will provide support to vulnerable girls including survivors of trafficking and other forms of gender-based violence. Sport and art workshops for children will also be run by the group.

Health

Nursing applications rise but concerns remain over long-term decline

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RCN Wales calls for urgent action as Cardiff University faces cuts

THE NuMBER of applicants for nursing courses in Wales has risen by 14% this year, but the Royal College of Nursing (RCN) warns that the longer-term decline remains a major concern.

Figures from the Universities and Colleges Admissions Service (UCAS) show applications for 2025 nursing courses have increased from 3,050 to 3,480. However, since 2021, applications have fallen by 15%, down from 4,090.

Helen Whyley, Executive Director of RCN Wales, welcomed the rise but warned that it does not reverse years of declining interest in the profession.

“This increase in applications is a positive step, but we remain deeply concerned about the long-term decline in nursing applicants in Wales,” she said. “The health care system is already under immense pressure, and without sustained investment in nursing education, we risk deepening the workforce crisis.”

Cardiff University nursing cuts ‘alarming’

Ms Whyley also criticised Cardiff University’s proposed closure of its School of Nursing, warning that it would have serious consequences for Wales’ health services.

“RCN Wales is alarmed by Cardiff University’s current proposals,” she said. “Any reduction in nursing education provision would have significant implications for the future workforce and the ability to meet health care needs across Wales. We urge Cardiff University and policymakers to prioritise investment in nursing education and ensure that opportunities for aspiring nurses are expanded rather than reduced.”

Need for more nursing education places

Despite steady commissioning figures for nurse education places in Wales, RCN Wales argues that numbers must be increased to match growing demand.

Ms Whyley added: “RCN Wales will continue to advocate for sustained investment in nursing education, ensuring that Wales has a well-supported, well-educated nursing workforce now and in the future. The RCN urges the Welsh government, universities, and health leaders to work together to secure the long-term sustainability of nursing education and protect the future of the profession.”

With thousands of nursing vacancies still unfilled across Wales, the RCN is calling for urgent action to ensure the next generation of nurses can be trained and supported in their careers.

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Health

Emergency care failing in Wales, warns damming report

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EMERGENCY healthcare in Wales is failing too many people, according to a stark new report by Llais, the statutory body representing the public’s voice in Welsh health and social care. The report, based on feedback from over 700 people, calls for urgent action, warning that the state of emergency services has reached a crisis point.

Llais’ study, conducted over a five-week period, included visits to 42 emergency departments, minor injury units, and medical assessment units across Wales. The findings highlight severe delays, overcrowding, and a system struggling to meet even basic expectations.

Patients forced to find their own way to hospital

One of the most alarming takeaways from the report is the frequency of ambulance delays. Many patients reported waiting for up to 12 hours for emergency transport, forcing them to either drive themselves or rely on friends and family, despite being seriously unwell. Some even risked worsening their condition by taking taxis or public transport.

A patient at Morriston Hospital’s emergency department described the situation as dire: “I drove because the ambulance ETA was 7-8 hours, but I had severe chest pain and couldn’t wait that long.”

Others recounted horror stories of being sent to the wrong hospitals due to poor communication, leaving them stranded and paying exorbitant taxi fares to correct the mistake. One patient, initially taken to Glangwili Hospital despite their complex spinal history, had to pay £130 for a taxi back to Swansea, where they should have been taken in the first place.

Unbearable waiting times and overcrowding

The report details widespread reports of excessive waiting times, with many patients enduring 8 to 24 hours before receiving care. In some cases, waits exceeded 26 hours. Overcrowding is commonplace, with many patients left waiting in corridors, unable to access beds or even chairs.

One individual at Royal Glamorgan Hospital A&E said: “I’ve been waiting 12 hours and only had triage and a water sample. I’m in a corridor that’s meant to be for paediatrics – it’s uncomfortable and degrading.”

Families of vulnerable patients described feeling abandoned, with little communication from staff about their loved ones’ condition. One woman at Bronglais General Hospital recounted her frustration: “We are not too sure what is going on. We spoke to a nurse just over an hour ago. We are still waiting. We’ve been given no explanation of what the treatment is to be.”

Critical incidents declared

The Llais report warns that the pressures on Welsh emergency services are not temporary, but systemic. Since the study was conducted, ‘business critical incidents’ have been declared by both the Welsh Ambulance Service NHS Trust and Aneurin Bevan University Health Board. Other health boards, including Swansea Bay and Cwm Taf Morgannwg, have issued urgent warnings about overwhelming demand.

Calls for immediate action

Llais Chief Executive Alyson Thomas has called for immediate action, stating: “The voices we’ve heard paint a stark picture of a system under immense pressure. While we commend the dedication of healthcare staff, they are working in a system that is not giving them or the people they care for the support they need.”

The report calls for urgent measures, including:

  • Faster ambulance response times
  • Better coordination between emergency services and primary care
  • Increased staffing and resource allocation
  • Improved dignity and care for patients waiting in corridors
  • Greater transparency and accountability from NHS Wales and the Welsh Government

Welsh Conservative response: “Labour’s mismanagement to blame”

James Evans MS, Welsh Conservative Shadow Cabinet Secretary for Health and Social Care, has sharply criticised the Welsh Labour Government’s handling of emergency care.

“Emergency care is losing the very essence of its definition. Responses are too slow, and far too many people are suffering as a result of Labour’s mismanagement,” Evans stated.

He dismissed the idea that ‘winter pressures’ could explain the ongoing crisis, arguing that the current state of emergency care has become an unacceptable ‘new normal.’

“No one should be waiting over 12 hours in A&E, certainly not the many thousands we are seeing every month. The Welsh Labour Government seems completely unwilling to get to grips with this situation. Only the Welsh Conservatives stand ready to replace them so that we can fix Wales.”

Calls for reform

Keir Starmer, Prime Minister, acknowledged the crisis, stating: “The NHS in Wales is in urgent need of reform. Investment and reform need to go together… On occasions, using the private sector to get down waiting lists? Yes, that’s been going on a long time. We will do that to get waiting lists down.”

In a Senedd debate in January 2025, concerns were raised that waiting lists have hit record highs after nine months of continuous increases, forcing many patients to pay for private healthcare after years of waiting.

First Minister of Wales, Eluned Morgan, stated: “Reducing waiting times must be our key objective… It’s about rolling up our sleeves and collaborating to deliver the investment and reform desperately needed for healthcare in Wales.”

A Welsh Labour Government statement reaffirmed their commitment to the NHS: “Your Welsh Labour Government will always support the NHS – and will always support the NHS to change and modernise. That means continuing to invest in the NHS… Reforms have also focused on providing more care and NHS services out of hospital and in local communities.”

A system at breaking point

With emergency care in Wales under “extreme and unsustainable pressure,” as described by Llais Chair Professor Medwin Hughes, many patients and staff feel abandoned in a system that is failing them.

“The dignity of patients is not even being considered anymore. The system is chaotically inefficient and in desperate need of a review,” one patient at Glan Clwyd Hospital remarked.

Llais has vowed to keep pushing for reform, but with patient experiences growing increasingly dire, the question remains: how much longer can Wales’ emergency healthcare system hold on before it completely collapses?

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Health

Kilgetty dispensary to close temporarily due to staff sickness

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PATIENTS who rely on Kilgetty Dispensary for their medication are being urged to collect prescriptions before the facility temporarily shuts down due to a high level of staff sickness.

Saundersfoot Medical Centre, which operates the dispensary, has announced that the closure will take effect from Monday, February 17, 2025.

A spokesperson for the medical centre said: “We have taken the difficult decision to close the Kilgetty Dispensary temporarily from Monday, February 17, due to a high level of sickness among staff.”

Patients are being advised to collect their medication before 1:00pm on Friday, February 14, 2025, to avoid disruption. Any uncollected prescriptions will be transferred to Saundersfoot Surgery, where they will be available for collection between 8:00am and 1:00pm, Monday to Friday.

The medical centre has assured patients that updates will be provided as soon as possible regarding the reopening of the dispensary.

Residents who rely on Kilgetty Dispensary are encouraged to make alternative arrangements and ensure they have sufficient medication before the closure takes effect.

For further information, patients can contact Saundersfoot Medical Centre on 01834 815115.

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