Health
Doctor sounds alarm about scurvy cases among children
A DOCTOR warned of re-emerging cases of scurvy, a disease caused by vitamin C deficiency, among children and young people in Wales.
Dana Beasley, Wales deputy officer at the Royal College of Paediatrics and Child Health, raised concerns about a lack of vitamin C from fruit and vegetables in children’s diets.
She told the Senedd’s health committee: “I never thought I would see this in my lifetime as a paediatrician in a developed country, I’ve seen children with vitamin C deficiency: scurvy.
“This is something out of books from pirate stories long, long ago. We have seen children in Wales with vitamin C deficiency, it’s tragic.
“Vitamin C deficiency is rare but I’ve seen it, there’s been several cases but vitamin D deficiency is more frequent.
“It’s heartbreaking to see because our children are not well – we’re already robbing them of a healthy adult life before they even start school.”
In September, a medical journal warned scurvy – a disease which, if untreated, can lead to potentially fatal bleeding – is re-emerging due to the cost of living and poor diets.
Giving evidence to a health committee inquiry on obesity, Dr Beasley pointed to 2021 research which found Welsh children are among the least fit in the world.
Wales received an “F” in the study of 60 countries and the paediatrician warned “so many children” are deficient in vitamin D due to malnutrition and a lack of outdoor activity.
She said: “Children over five and young people should move for an hour a day every day but research has shown that probably 20% of boys maybe do that and 14% of girls.
“That’s shocking, absolutely shocking.”
Dr Beasley told Senedd members: “Cwm Taf’s got the biggest obesity rates [but] hasn’t got any sustained level two or three obesity services. Hywel Dda, that’s got the biggest rate of overweight children with about 28%, hasn’t got any services at all. That’s not right.”
Rocio Cifuentes, the children’s commissioner for Wales, pointed to a Food Foundation report showing 1,000 calories of healthy food costs £8.80 compared with £4.30 for unhealthy food

She said: “Healthy food currently is more expensive and that is a reality that parents who are struggling will have to grapple with and will have to make unhealthier choices.
“They will be forced to – their financial circumstances will dictate that.”
Ms Cifuentes warned of a “huge society-wide challenge” on screen time, emphasising that parents need to lead by example.
She told the committee: “Overall, there’s huge evidence that screen time is increasing for children and young people, and that it’s having a really detrimental impact on their physical health, mental health, education and social skills.”
More than a quarter of children aged four or five in Wales are overweight or obese, according to latest statistics for 2022/23.
The children’s commissioner warned of a “deprivation gap”, with children from the poorest postcode areas significantly more likely to be overweight or obese.
Ms Cifuentes called for a duty to have “due regard” to the UN convention on the rights of the child to be applied to councils as well as Welsh ministers.
She said this would ensure children’s rights form part of councils’ thinking when, for example, taking decisions to close swimming pools or parks.
During an earlier evidence session on February 13, Jonathan Bone, of Nesta Cymru, outlined the innovation charity’s blueprint which aims to halve obesity.
He urged the Welsh Government to go beyond plans to restrict “buy one get one free”-style deals by banning all price promotions on less healthy products in bigger retailers.
He told the committee: “The modelling suggested that this would lead to a 29% relative reduction in obesity rates, which is 40 times more impactful than the volume price promotions policy currently being drafted.”
Dr Bone called for mandatory targets for larger retailers to improve the average healthiness of food sold, suggesting this could lead to a 25% fall in obesity rates.
He said: “Over the past 30 years, the majority of government strategies have focused on policies that require individual action and over this time obesity rates have doubled – so these kinds of approaches clearly aren’t working.”
Health
RCN Wales appoints Nicola Williams as Executive Director
NICOLA WILLIAMS will take up the role in April, bringing more than three decades of experience in nursing and senior leadership.
The Royal College of Nursing (RCN) has announced the appointment of Nicola Williams as its new Executive Director for Wales.
She joins the organisation from Velindre University NHS Trust, where she currently serves as Executive Director for Nursing, Allied Health Professionals and Health Care Scientists. With 38 years of experience in nursing and more than six years at executive board level, she is widely recognised across NHS Wales for her work in improving patient outcomes.
A highly experienced strategic leader, Williams has worked across a wide range of clinical and organisational settings. She has led major transformation programmes, strengthened national clinical leadership networks and championed innovation and evidence-based improvements in care. Her work has contributed to changes adopted across Wales and has been recognised with national awards.
Speaking about her appointment, Nicola Williams said: “I feel privileged to be appointed as Executive Director of RCN Wales. I’m a proud nurse, passionate about patient safety and improving care standards.
“Delivering the best care is only possible when nursing staff are supported to work in safe, inclusive environments. I will stand alongside members and their patients.
“Nursing staff are the backbone of health and care. I am determined to support our members across Wales, wherever they work, to meet the challenges ahead and shape the future of our profession.
“I look forward to meeting members across Wales and ensuring our work is informed by their experiences and expertise.”
In her new role, Williams will lead the RCN’s work in Wales and provide strategic leadership across key priority areas spanning the UK.
She succeeds Helen Whyley, who has held the position since February 2019 and will move into a new role as Director of Service Innovation at the RCN.
Health
Decision pending on adult mental health referral pathway
HYWEL DDA University Health Board will decide next week whether to make changes to the GP referral pathway for routine adult mental health services permanent.
The decision will be taken at a public Board meeting on Thursday (Mar 26).
Board members will consider a proposal to formalise changes already introduced in Ceredigion and, if approved, roll out the revised pathway across Pembrokeshire and Carmarthenshire.
Since March 2025, adults in Ceredigion seeking routine mental health support have been advised by their GP to contact the NHS 111 Wales ‘Press 2’ service, rather than being referred directly to the county’s Community Mental Health Team.
The temporary change was introduced in response to ongoing staffing shortages. Health Board officials say the approach has helped maintain timely access to face-to-face assessments for those who need them, while directing initial contact through a single access point.
The 111 ‘Press 2’ service provides telephone assessments by local wellbeing practitioners, supervised by registered mental health nurses, offering advice, support and onward referrals where required.
At its November 2025 meeting, the Board agreed to extend the temporary pathway until the end of March 2026. A nine-week engagement exercise followed, running from December 8 to February 9, to gather feedback from patients, professionals and stakeholders on the potential long-term impact.
Andrew Carruthers, Chief Operating Officer at Hywel Dda University Health Board, said: “I would like to thank everyone who took the time to share their views and experiences.
“I would also like to thank West Wales Action for Mental Health for supporting engagement with patients, including those with lived experience, alongside GPs, primary care teams, mental health staff and third sector partners.
“Our priority is to ensure mental health services remain accessible, fair and sustainable. The temporary changes in Ceredigion have shown some positive benefits, and the feedback we have received from across the three counties will play an important role in shaping the Board’s decision.”
The Board will review all evidence and feedback before making a final decision on the future of the adult mental health referral pathway.
GPs will continue to refer patients with urgent or complex needs directly to community mental health teams where appropriate, and have access to a dedicated NHS 111 professional line for additional clinical advice.
Further details, including the full Board papers, are available here:
https://biphdd.gig.cymru/amdanom-ni/eich-bwrdd-iechyd/cyfarfodydd-y-bwrdd-2026/agenda-a-phapuraur-bwrdd-26-mawrth-2026/
The meeting will be streamed live from 9:30am on Thursday (Mar 26) via:
www.youtube.com/hywelddahealthboard1
Health
Parents urged to check children’s vaccinations after meningitis cases
Local pharmacy reports MenB vaccine shortage amid rising concern
PARENTS and carers across west Wales are being urged to check their children’s vaccination status following recent meningitis cases in the UK.
The warning comes as a local pharmacy has confirmed a shortage of the Meningitis B (MenB) vaccine, highlighting growing pressure on supplies.
Mendus Pharmacy said it currently has no availability of the vaccine due to what it described as a nationwide supply issue.

In a statement, the pharmacy said: “We would like to inform our patients that, due to ongoing supply issues, we currently have no availability of the Meningitis B vaccine.
“Unfortunately, this is a nationwide shortage and all stock is currently unavailable.
“We understand this may be particularly concerning given the recent outbreak reported in Kent, and we completely appreciate the importance of timely vaccination.”
The pharmacy confirmed it is operating a waiting list and will contact patients once supplies return.
Health officials say keeping vaccinations up to date remains one of the most effective ways to prevent serious illness and reduce pressure on NHS services.
Dr Ardiana Gjini, Executive Director of Public Health at Hywel Dda University Health Board, urged parents to act.
She said: “Vaccination is one of the most effective ways we can protect children and young people from serious illness.
“Ensuring your child is fully vaccinated not only safeguards their health but also helps prevent the spread of infections within our communities.
“I strongly encourage all parents and carers to check their child’s vaccination status. If you are concerned that your child may have missed routine vaccinations, please speak to your GP.”
Meningococcal disease is a serious and potentially life-threatening infection that can lead to meningitis or septicaemia. While many people recover, some are left with long-term physical, neurological or psychological complications. Around one in ten cases can be fatal.
Although the disease can affect anyone, babies, young children, teenagers and young adults are at greatest risk.
In Wales, vaccines protecting against meningococcal strains A, B, C, W and Y are offered as part of the NHS immunisation programme. Infants receive the MenB vaccine, while teenagers are offered the MenACWY vaccine.
Latest figures from the Health Board show that uptake among 16-year-olds for the MenACWY vaccine stands at 76.4%, meaning a significant number of young people remain unprotected as they approach adulthood.
For younger children, uptake of the MenB vaccine is higher but still below the recommended 95% target. Around 92.8% of infants are vaccinated by their first birthday, rising slightly to 91.8% by their second.
Health officials say these figures reflect strong engagement from families and primary care teams but stress that continued vigilance is needed.
Families are being advised to check their child’s vaccination record with their GP or by contacting the Health Board directly. Parents should also ensure babies receive their scheduled MenB doses and that teenagers receive their MenACWY and 3-in-1 booster vaccines, which are currently being delivered in schools.
Parents are also urged to remain alert to the symptoms of meningitis and septicaemia and to seek urgent medical advice if they have concerns.
Further information on symptoms is available via NHS 111 Wales.
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