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Health

Ministers at odds with dentists over ‘biggest reforms in decades’

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WALES’ health secretary set out plans for the biggest changes to NHS dentistry services in almost two decades despite still being at loggerheads with the profession.

Jeremy Miles said the Welsh Government will launch a consultation on dentistry reforms, which will mark a significant change to the old 2006 contract, by the end of the month.

In a statement on March 18, Mr Miles told the Senedd the new general dental services contract will be implemented rom April 2026.

Describing the reforms as the biggest in nearly 20 years, the health secretary said the central aim will be to make it easier to access NHS dentistry.

But, in an open letter last month, the British Dental Association (BDA) accused the Welsh Government of “spin, half-truths or doublespeak” on the future of dental services.

Mr Miles warned of issues with the current model, which is based on the “treadmill” of units of dental activity, saying substantive contract reform is required.

He said instead of recalling everyone every six months for a routine check-up, the new contract will be based on prevention and needs-based provision of treatment.

Negotiations between ministers, the NHS and the BDA over more than a year to design and develop the new contract ended without full agreement.

Mr Miles told Senedd members: “As is the case in all negotiations, there are aspects that all parties can readily agree on; there are some points that may be more contentious. Not everyone gets everything that they want but it is an improvement for everyone.”

He said key aspects of the reforms include:

  • creating a single route of entry for people to access NHS services;
  • implementing a ‘fairer, more transparent’ remuneration system;
  • disincentivising unnecessary routine examinations;
  • adjusting patient charges; and
  • making changes to terms and conditions, such as around parental leave.

Urging people to have their say as part of the consultation, which he suggested will open next week, Mr Miles said: “It’s one of the biggest changes, probably the biggest change in dentistry within the NHS in coming up to close to a quarter of a century.”

James Evans, the Conservatives’ shadow health secretary, told the Senedd that 189 NHS dentists, or about 13% of the workforce, have left the service in Wales since 2022.

Conservative MS James Evans
Conservative MS James Evans

He said the BDA has warned 2025 could see the largest number of contracts handed back in history, with more dentists reducing NHS commitments due to financial pressures.

Mr Evans compared a 6% contract uplift, which the BDA has described as a real-terms cut following the “flawed” negotiations, with an 11% increase for GPs.

“NHS dentistry is in crisis,” he said. “Patients are paying more while receiving less. Dentists are leaving in record numbers and practices are struggling to stay afloat.”

Mr Miles claimed the reforms have been broadly backed by the profession, with eight in 10 practices taking up the offer of a contract variation since 2022.

He said he was not prepared to wait any longer after talks broke down, taking a unilateral decision earlier this year to implement the 6% increase to contract payments.

Mabon ap Gwynfor raised the BDA’s warning of a dental desert spreading across the country, with a rise in so-called DIY dentistry and an increasingly disaffected workforce.

Plaid Cymru MS Mabon ap Gwynfor
Plaid Cymru MS Mabon ap Gwynfor

The Plaid Cymru politician accused the Welsh Government of ploughing ahead on a road to ruin and turning a blind eye to a rapidly unfolding crisis in the sector.

Warning dentists have been kept in the dark since September, Mr ap Gwynfor said: “On the one hand, this government says that it is unlocking hundreds of thousands of extra appointments but the BDA accuses them of cooking the books.”

 

Health

RCN Wales appoints Nicola Williams as Executive Director

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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.

 

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Health

Decision pending on adult mental health referral pathway

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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

 

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Health

Parents urged to check children’s vaccinations after meningitis cases

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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.

Mendus Pharmacy: No availability of the vaccine

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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