Health
Nurses go on strike after no pay deal agreed
MEMBERS of the Royal College of Nursing begin industrial action today (December 15) for the first time in the organisation’s history. The strike will affect all Welsh health board areas apart from Aneurin Bevan.
The Welsh Government expects the industrial action to affect NHS Wales services significantly.
Royal College of Nursing will also strike on December 20. The GMB union, representing ambulance workers amongst others in Wales’s NHS workforce, confirmed it would also take strike action later this month.
During the industrial action, NHS services are likely to resemble those usually provided on public holidays. People needing urgent assistance or with life-threatening conditions should attend emergency departments or contact emergency services as they would on any other day.
As part of discussions ahead of industrial action, NHS employers and trade unions mutually agree on exemptions from strike action, or ‘derogations’, to ensure the continuity of urgent or life-threatening care during any strikes.
Non-urgent or routine appointments are likely to be postponed. Health boards will inform patients and aim to reschedule new appointments as soon as possible.
The Welsh Government advises those with non-life-threatening conditions to use NHS Wales’s 111 digital service as their first point of contact. Local health board websites will provide the latest information on the strikes’ impact on local services.
Eluned Morgan, the Minister for Health and Social Services, said: “We believe all public sector workers should be fairly rewarded for their important work.
“The strikes will inevitably significantly impact NHS services. However, we recognise the strength of feeling among staff, which the difficult decision to vote for industrial action reflects.
“While we could not avert this week’s industrial action, all partners have agreed to keep talking and continue to work together. We will continue to bring together trade unions, employers and government to deliver the best possible outcomes for workers within our available funding.”
Although the Welsh Government claims it wants to pay nurses more, its submissions to the NHS Pay Review Body said Wales “aims to maintain parity with other nations regarding pay”. Rather than ever offering higher pay increases than in other UK nations, the Welsh Government’s position in its evidence to the Pay Review Body only contemplated paying lower wages in Wales than in England.
The Welsh Government also mimicked the Westminster Government’s remit letter (i.e. instructions) to the NHS Pay Review Body. The Westminster letter told the supposedly “Independent” Pay Review Body “The NHS budget has already been set until 2024 to 2025. It is vital that planned workforce growth is affordable and within the budgets set…”
The Westminster Government wrote to the NHS “Independent” Pay Review Body on November 16 about next year’s wage settlement.
Health Secretary Stephen Barclay repeated the line about NHS budgets and continued to say pay awards must not increase public debt.
He added: “It is particularly important that you also have regard to the government’s inflation target when forming recommendations.”
In other words, no more money next year, either.
It is possible that, unlike the last pay round, the Welsh Government will make representations on increasing nurses’ pay to make up for years of deep cuts in their wages. But it’s unlikely to change a politically winning formula when it’s somebody else’s fault every year.
Health
Welsh Ambulance Service stands down critical incident after heatwave pressure
THE WELSH AMBULANCE SERVICE has stood down the critical incident declared on 26 June following three days of sustained pressure linked to the extreme heat.
The service said demand has now begun to reduce, although it remains under significant pressure.
Members of the public are still being urged to call 999 only in serious or life-threatening emergencies.
For less urgent health concerns, people are being asked to use NHS 111 Wales or the online Albot service for advice and support.
The Trust thanked staff, volunteers, partner organisations and the public for their patience, professionalism and support during what it described as an exceptionally challenging period.
Health
Welsh Ambulance Service urges public to ‘choose wisely’ as pressures continue
THE WELSH AMBULANCE SERVICE has issued a fresh appeal to the public following the declaration of a critical incident on Friday (June 26), as exceptionally high demand continues to place pressure on crews across Wales.
In a social media post published today (Saturday, June 27), the Trust warned that hot weather is contributing to a rise in ambulance call-outs, including incidents involving heat-related illness, falls, breathing difficulties and existing medical conditions worsened by the heat.
The message comes less than 24 hours after the service declared a critical incident amid unprecedented demand, with ambulance resources stretched across Wales.
The Trust is urging people to call 999 only for serious or life-threatening emergencies, contact NHS 111 Wales for urgent health advice, and use local pharmacies for minor illnesses and ailments.
It said choosing the right service can help ambulance crews reach the sickest patients more quickly while pressures remain high.
Health
Nursing leaders demand urgent action to end corridor care in Welsh hospitals
RCN Wales joins doctors, patient groups and charities in call for national reporting before summer recess
NURSING leaders, doctors, patient groups and charities have called on the Welsh Government to take urgent action to end corridor care in Welsh hospitals.
A joint letter signed by Age Cymru, BMA Cymru Wales, Carers Wales, Llais, Marie Curie Cymru, Royal College of Nursing Wales, Royal College of Emergency Medicine Wales, Royal College of Pharmacy and Royal College of Physicians sets out a series of steps ministers are being urged to take immediately.
The organisations want the Welsh Government to publish a formal definition of corridor care, introduce national reporting, monitor the issue as a patient safety indicator, and require health boards to produce local plans focused on the most vulnerable patients.
They have also called for a coordinated approach across health and social care, warning that the problem cannot be tackled properly unless it is measured consistently across Wales.
The groups want a public commitment from the Welsh Government before the Senedd’s final sitting day before the summer recess on July 17.
‘Unsafe and unacceptable’
Corridor care refers to patients being assessed, treated or cared for in inappropriate areas such as corridors, waiting rooms, ambulance bays or other spaces not designed for clinical care.
Health bodies have repeatedly warned that the practice can put patients at risk, reduce privacy and dignity, and leave staff unable to provide the level of care they know patients need.
RCN Wales Executive Director Nicola Williams said corridor care was still happening every day across most hospitals in Wales.
She said: “Earlier this month, we welcomed the Cabinet Minister for Health and Care’s determination to address corridor care following England’s first publication of corridor care statistics.
“I have also been encouraged by the verbal commitments I have received from Welsh Government officials that echo our priorities of a clear, consistent definition of corridor care across Wales, and the development of a data set for use across NHS Wales for public reporting.
“Corridor care continues to happen every day across most hospitals in Wales, putting patients’ wellbeing and lives at risk and affecting the morale of nursing staff who cannot give the care that patients deserve.
“We must be able to quantify this problem if we are to eliminate it.”
Ms Williams added that the RCN must be involved in efforts to eradicate corridor care because nurses are “at the forefront of this crisis and a vital part of the solution.”
Wales behind England
The call comes after NHS England began publishing national corridor care data, giving a clearer picture of how often patients are being treated in inappropriate settings.
In Wales, there is still no formal national definition of corridor care and no routine public reporting.
RCN Wales has argued that without consistent data by health board, it is impossible to know the true scale of the problem, identify trends or hold the system properly accountable.
The issue has been raised repeatedly by nursing and medical bodies in recent months. In January, RCN Wales published a briefing calling for care delivered to a patient in a chair for more than 24 hours to be treated as a “never event.”
The RCN and BMA Cymru Wales have also called for reductions in hospital beds to be paused, for capacity to be reviewed nationally, and for greater investment in community and social care so patients who are medically fit to leave hospital can be discharged safely.
Healthcare Inspectorate Wales has also warned that corridor care should not become normalised, saying care in non-clinical spaces can compromise patient safety, dignity and the quality of care.
West Wales concerns
The issue is particularly relevant in west Wales, where hospital capacity, ambulance handover delays and the future of local services remain politically sensitive.
Hywel Dda University Health Board has faced repeated criticism over pressures at Withybush, Glangwili, Bronglais and Prince Philip hospitals, with patients in rural areas often facing long journeys for emergency treatment.
The call from nursing and medical bodies comes days after the Senedd backed a motion calling on the Welsh Government to rule out hospital closures and service downgrades during the current Senedd term, with patient safety prioritised.
That debate was dominated by concerns over Withybush Hospital, where changes to emergency general surgery mean some patients who need emergency operations will be transferred to Glangwili Hospital in Carmarthen.
Campaigners argue that distance is itself a patient safety issue in rural Wales, particularly when emergency departments and ambulance services are already under pressure.
Wider NHS pressure
Corridor care is widely seen as a symptom of wider problems across the NHS, including delayed discharges, lack of social care capacity, pressure on emergency departments, workforce shortages and too few available beds.
Doctors and nurses say patients can end up stuck in emergency departments because hospital wards are full, while patients on wards cannot leave because care packages or community support are not available.
The result is a system where pressure builds at the hospital front door, leading to long waits, ambulance queues and patients being cared for in unsuitable spaces.
The Welsh Government has previously said it recognises the seriousness of the issue and is committed to improving urgent and emergency care.
But professional bodies say recognition is no longer enough and that Wales now needs clear national data, local health board plans and public accountability.
The joint letter places fresh pressure on ministers to act before the Senedd breaks for summer.
For patients and staff, the message from Wales’ leading health organisations is blunt: corridor care cannot be ended until Wales properly defines it, measures it and treats it as a major patient safety issue.
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