A DOCTOR who facilitated abortions for two women with much-wanted pregnancies was not allowed to prescribe a £28 anti-sickness drug due to cost-effectiveness rules in Wales.

The stark warning came as petitioners called on the Welsh Government to place Xonvea, the only licensed medication for severe pregnancy sickness, on the routine prescription list.

Georgina Forbes, a specialist doctor in Gwent, revealed she facilitated terminations for two women who were suffering from hyperemesis gravidarum (HG) in a single week. HG, which affects about 3% of pregnancies, leads to extreme, persistent nausea and vomiting.

“Both pregnancies were very much planned and wanted,” she wrote. “Both had multiple admissions and were on other medical treatments which were not giving adequate relief.

“For the sake of their physical and mental health, they felt their only option was to terminate their much-wanted pregnancies – inevitably having a further impact on their well-being.”

She warned of distress for the patients and staff involved because Xonvea “may well be the medication that provides symptomatic relief but departments are not allowed to prescribe it”.

Dr Forbes, chair of the College of Sexual and Reproductive Healthcare’s Wales committee, noted Xonvea costs £28 for a 10-day supply – “far less than the cost of admission”. She urged Welsh ministers to ensure women are not “left behind compared to other UK nations”.

In 2019, the drug was rejected for routine use by the All-Wales Medicines Strategy Group (AWMSG) – which advises ministers – due to “insufficient” evidence of cost-effectiveness. Scotland reached a similar conclusion while access in England is inconsistent.

But campaigners argue the decision is a false economy. Data submitted to the Senedd’s petitions committee highlighted a two-night hospital admission to rehydrate a woman with severe sickness costs the NHS £850, with ambulance call-outs costing a further £238.

Petitioner Sarah Spooner, from Monmouthshire, argued the “myopic approach” ignores the costs of untreated sickness such as perinatal mental health support.

Ms Spooner, whose pregnancy sickness was so severe she had to have a termination, warned of inequality in access to treatments. She recalled having to travel to an abortion clinic in Bargoed to get medication, a process she described as “immensely difficult”.

While the Welsh Government has insisted health boards have discretion to prescribe the drug “when other treatments… are ineffective”, staff and patients report a different reality.

Ms Spooner’s 947-name petition warned women face a “postcode lottery” for care, with only two Welsh health boards making Xonvea more widely available.

She was contacted by Heather Kosick, a Canadian doctor, who was horrified by her story.

Dr Kosick wrote: “Here in Canada Xonvea, also called Diclectin, is readily available to all pregnant women. In fact, it is considered the first-line agent for nausea and vomiting in pregnancy due to its extensive safety data.”

Ms Spooner volunteers for the Pregnancy Sickness Support charity which pointed out that Xonvea has been prescribed globally for years, with an estimated 30 million women treated.

The charity highlighted that 57% of patients are forced to cycle through three or more ineffective drugs before being offered Xonvea, which 83% of women found effective.

One patient reported being hospitalised seven times during a pregnancy without Xonvea but zero admissions during a subsequent pregnancy when she was prescribed the drug.

About 5% of women with HG end a wanted pregnancy due to the severity of symptoms, according to a 2021 study, which found 52% considered termination.

The study, from the Obstetric Medicine journal, found 25.5% of respondents occasionally experienced suicidal thoughts while 6.6% reported frequent suicidal ideation.

Writing to the petitions committee, Wales’ health secretary Jeremy Miles said the 2019 AWMSG appraisal remains the “most up-to-date and comprehensive evaluation”.

He told the committee health boards can make Xonvea available in certain circumstances, with more than 1,140 prescriptions issued between January and July 2025. He added that the manufacturer was “unable” to provide updated information to support a reappraisal.

Mr Miles wrote: “We must ensure our health service treats all conditions and diseases fairly. Taking an evidence-based approach helps us to do this, whatever the disease, by ensuring resources are targeted at where the evidence indicates people will gain the most benefit.”

During today’s (December 8) meeting, Senedd members paid tribute to women for sharing their “horrendous” experiences before deciding to ask the AWMSG to reconsider its position.

Plaid Cymru’s Caerphilly MS Lindsay Whittle said: “I don’t think you can put a price on young families, young couples who wish to start a family and have undergone such traumatic decisions.”

He stressed: “Cost should simply not be the issue – families are suffering.”

Brother says 51-year-old Robert is “wasting away in agony” while their 80-year-old mother struggles to cope

SAMUEL KURTZ MS has intervened in the case of a Pembroke family who say they have been left “abandoned” by the Welsh NHS, after a severely disabled man waited two years for essential dental treatment.

Mr Kurtz confirmed that his office has been in contact with the family since the end of last week, and that he will raise their concerns with the Welsh Government and Hywel Dda University Health Board at the earliest possible opportunity.

The case centres on 51-year-old Robert, who is disabled, non-verbal and relies entirely on his mother for his day-to-day care. According to the family, Robert has suffered severe dental pain for two years, during which time he has been unable to eat properly and has experienced rapid weight loss.

His brother, Alfie Probert, highlighted the situation in an emotional Facebook post that has been widely shared in Pembrokeshire. Alfie said Robert had once been a healthy sixteen stone but is now “wasting away” while the family waits for specialist treatment.

He also described the strain on their mother, who is eighty, unwell herself and caring for Robert around the clock. “We feel completely abandoned,” he wrote. “This isn’t just a backlog. This is cruelty. This is negligence. This is destroying people’s lives.”

The post has prompted a strong local reaction, with many residents tagging Samuel Kurtz and calling for urgent action.

Mr Kurtz said he shared the public’s concerns and would be seeking answers from ministers and Hywel Dda UHB as to how such a long delay could be allowed to develop for a vulnerable adult.

Hywel Dda University Health Board has been approached for comment.

UNPAID carers are being left to “pick up the pieces” of a broken system due to a lack of respite, unsafe hospital discharges and carer’s assessments that result in “nothing at all”.

The warning came as the Senedd’s health scrutiny committee began taking evidence for an inquiry on access to support for more than 310,000 unpaid carers across Wales.

Chris Kemp-Philp, from Newport, who has been a carer for 33 years, gave up her career to become a full-time carer after her husband medically retired from the civil service in 1990.

Ms Kemp-Philp, whose husband died in April, told today’s (December 4) meeting: “I thought he’d been really badly treated… The last four months of his life were dreadful for both of us.”

She was only offered an updated carer’s needs assessment – a right under the 2014 Social Services and Wellbeing (Wales) Act – the day after her husband died.

Ms Kemp-Philp did not realise she had become a carer at first. “But, of course, having lost two incomes and to survive on a half civil service pension wasn’t great,” she said.

She told the committee how the couple “shielded” during the pandemic, saying: “For the past five years, basically, apart from going to a hospital or… a medical facility – I didn’t leave the house because if I’d have gone out, I could have brought something home.

“So, we spent five years literally avoiding people. The experience was unpleasant, I had two great-grandchildren born in that time and I only saw them on video.”

Ms Kemp-Philp said her husband was “pingponged” back and forth after unsafe discharges from hospitals in Gwent. He was put in a car by two nurses then she had to get him out on her own at the other end, with clinicians effectively telling her: it’s your problem now.

“Every time he was sent home, nobody came to help at all,” she said, explaining how she struggled to cope and her husband’s death brought a tragic sense of relief.

Judith Russell, who moved back to Wales to care for her mother 23 years ago, told Senedd Members the responsibility grew greater over the years.

Ms Russell, whose mother died last Saturday on the eve of her 102nd birthday, told the committee: “It’s been my privilege to care for her but I wish other people—I wish there had been more actual care for her. That’s it.”

Ms Russell also cares for her husband who has Alzheimer’s disease, acts as guardian for her disabled sister and cooks every week for her sister-in-law.

“It’s quite a responsibility,” she said. “My life is taken up with caring. I didn’t actually know I was a carer, I cared for my mother because she was my mother – I looked after her, of course I did – and it wasn’t until about three years ago that I identified as a carer.”

Ms Russell warned: “All through this last 23 years, I’ve had to fight and struggle to find things out… there’s very, very little help out there.”

She said she was given a carer’s assessment earlier this year but “there was nothing they could offer me, quite frankly – nothing at all”.

Ms Russell told Senedd Members: “We had a diagnosis [but] there’s no offer of help, there are no directions to find help, somebody to point you – you should be doing this, this is available, that’s available – nothing, you’re on your own completely.”

She joined the Bridgend carers’ group which opened a door to other people grappling with the same weight of responsibility and helped navigate the system. Ms Kemp-Philp added that joining a similar peer support group saved her life.

Ann Soley, who is originally from France and has been living in Wales for eight years, described how life was turned upside down when her British husband had a stroke.

She said: “We are stressed, we are lost. A lot of carers have lost their friends, that is just unbelievable for me because I realised society is not there – there is no compassion.”

Kaye Williams, who works at Bridgend carers’ centre and is herself a carer, warned the witnesses’ experiences are commonplace across the country.

Sue Rendell, from Caernarfon, has cared for her husband who has vascular parkinsonism for nearly 14 years and was waiting for a doctor to call as she gave evidence remotely.

She told the committee: “You go in in the morning to see if he’s still breathing to be honest. We’re at the later stages of his disease and it’s physically demanding, it’s mentally demanding and it’s administratively difficult as well… it’s just very wearing.”

Ms Rendell, who was shattered after a late night caring, said she has tried to get respite but has been told there’s nothing available in Gwynedd nor Anglesey for her loved one’s needs.

She told the committee unpaid carers in Wales are “expected to pick up the pieces” but “nothing much happens” after an assessment. “Fine words butter no parsnips,” she said.

Ms Russell added: “As carers, we save the government millions… and I asked for some help this week actually. I’m 258th on the list for a hip replacement… and I asked the doctor: as a carer, couldn’t I possibly go up the list a little bit? ‘No, we’re not allowed to do that.’

“It’s the only thing I’ve ever asked for.”