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Doctors in Wales ready to vote on industrial action over pay

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DOCTORS in Wales are on the brink of voting for industrial action over pay disputes. A potential strike would mark the first of its kind over pay issues in the nation.

Last month, after unsuccessful negotiations with the Welsh Government, the British Medical Association (BMA) Cymru Wales opted to ballot over strike action. This dispute represents the first time BMA Cymru Wales has been at odds over pay, with all secondary care doctors and GP trainees being asked to voice their opinion on industrial action.

BMA Cymru Wales entered a formal disagreement with the Welsh Government following the rejection of a “below-inflation” pay proposal. This offer, merely 5% for the 23/24 fiscal year, covered consultants, junior doctors, and SAS doctors. The union has expressed its intent to ballot its secondary care doctor members regarding this offer.

In contrast, junior doctors in England previously went on strike over a 6% pay offer. The English BMA has appealed for a 35% pay hike, targeting compensation rates from 2008. Scotland’s BMA approved an impressive 12.4% pay rise for junior doctors and dentists in training for 2023-2024, leading to a cumulative 17.5% increase over two years when combined with the previous year’s raise.

The Welsh Government voiced their disappointment over the possible strike action, citing limited finances and a need for more funds from the UK Government.

This offer from the Welsh Government lags behind others across the UK, even falling short of the DDRB’s (the pay review body for doctors and dentists) earlier recommendation. Some SAS doctors were offered a paltry 1.5%.

BMA Cymru Wales argued that the Welsh Government’s recent offer failed to address the erosion of pay over years, despite claims of commitment to restoring 2008 pay rates. Since 2009, UK doctors have faced a nearly 29% pay cut in real terms.

Dr. Iona Collins, Chair of BMA Cymru Wales, stressed the severity of the situation, noting that accepting the 5% offer could drive more doctors away from NHS Wales.

She said, “Despite our efforts to highlight the consequences of consistent pay cuts and dire working conditions, the Welsh Government’s best proposal is further erosion.”

The BMA’s Welsh committees highlighted the economic hardships faced by many of its members, especially junior doctors, with some even struggling to pay for basic necessities.

The sentiment among the medical community is unanimous. Newly-elected junior doctor committee co-chairs, Dr. Oba Babs-Osibodu and Dr. Peter Fahey, expressed their dissatisfaction with the decade-long pay cuts and underfunding.

Similarly, senior doctors, as pointed out by the Welsh consultants committee chair Dr. Stephen Kelly, are contemplating early retirement or relocation due to the unsatisfactory offer.

Dr. Ali Nazir, the Welsh SAS committee chair, lamented the government’s negligence towards the sacrifices made by doctors during the Covid-19 pandemic, leading to feelings of demoralisation and burnout among the community.

With the unanimous decision across three BMA committees to ballot members on industrial action, the coming weeks could see a groundbreaking movement if members vote in favour of the national strike.

Meanwhile, GP contract discussions remain separate, with GPC Wales scheduled for negotiations in September.

In response, a Welsh Government spokesperson emphasised the financial constraints they face and their dependence on the UK Government for additional funding. They pledged to continue advocating for adequate funds to ensure equitable pay rises for public sector employees.

Health

‘Children spending more time in digital worlds than the real one’

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CHILDREN are spending more time in digital worlds than the real one, the Senedd has heard, with excessive screen use shaping behaviour and health in ways society cannot ignore.

Labour’s John Griffiths expressed concerns about the impact of smartphones and online gaming on young people amid an “epidemic of screen use” in Wales.

Mr Griffiths titled the debate “Locked in, Bruh!” – “the state of playing a video game while oblivious to anything else” – on the suggestion of Tom, a teenager from Newport.

He raised research from the Centre for Social Justice, a thinktank, which estimates that up to 814,000 UK children aged three to five are already engaging with social media.

The Newport East Senedd Member told the chamber two-thirds of primary school pupils in Wales have their own smartphone by the age of 11.

Mr Griffiths said boys spend two hours more a day on online gaming while girls spend more time on social media and “reel scrolling” which has been linked to damaging self-esteem.

He told Senedd Members: “Boys are becoming more short-tempered and violent when exposed to violent video games and there is, rightly, much concern that children in more deprived families are particularly vulnerable.”

Mr Griffiths, who was first elected in 1999 and will stand down in 2026, said children aged five to 16 spend at least six hours a day looking at a screen. He added that for children, aged 11 to 14, that figure rises to nine hours a day.

He pointed to research showing more than 70% of young people in the UK do not undertake an hour of physical activity a day yet have at least six hours to spend looking at a screen.

He said: “Children are sat inside with a screen at the end of their nose and are not spending time outside enjoying their local communities or playing and interacting with friends.”

Mr Griffiths warned of increasing levels of obesity and rising numbers of young people reporting vision problems, with one in three children globally now short-sighted.

He told the Senedd: “As for the mental health and wider social impacts, anxiety and depression are increasingly linked to excessive screen use as is sleep disruption – with social media interfering with rest and emotional development.”

He raised a New Zealand study of more than 6,000 children that found a correlation between excessive screen time and below-average performance in literacy and numeracy. He warned children have increasingly shortened attention spans and an inability to concentrate.

Mr Griffiths shared the case of his constituent, Danielle, who said her son becomes more aggressive and snappier after a significant time gaming. Lucy, another constituent, explained how her children find the endless reels on social media addictive.

“Once they start scrolling, it’s hard to break that cycle,” the Senedd Member said. “And when she and her husband take the devices away, it often results in tantrums and tears.”

Mr Griffiths raised the example of countries such as Australia, France and Italy which have introduced strict age checks and bans on social media for under 16s.

He acknowledged such a policy would need to come from the UK Government because powers over internet services are not devolved. But he said Wales has the authority to introduce measures through education policy on, for example, smartphones in schools.

The Tories’ Sam Rowlands warned algorithms are having a “sickening” effect on teenagers who are eight times more likely to act on self-harm urges when exposed to such content. “TikTok users with eating disorders receive over 4,000% more toxic content,” he warned.

Responding to Wednesday’s (December 17) debate, Jane Hutt recognised how so-called doom scrolling can have a detrimental impact on young people.

Wales’ social justice secretary said: “We are living through profound change. Childhood today is shaped by technology in ways that were unimaginable a generation ago… For many young people, screens, smartphones and online gaming are part of everyday life.”

Jane Hutt, secretary for social justice, trefnydd and chief whip
Jane Hutt, secretary for social justice, trefnydd and chief whip
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Health

New research centre launched to tackle historic gender health gap in Wales

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A NEW £3m research centre has been launched to tackle long-standing health inequalities faced by women in Wales.

The Women’s Health Research Centre – the first of its kind in Wales – aims to close the historic gender health gap by strengthening investment in women’s health research and improving representation in clinical trials.

The centre was launched to mark the first anniversary of the Women’s Health Plan for Wales, with First Minister Eluned Morgan and Minister for Mental Health and Wellbeing Sarah Murphy visiting staff, researchers and community partners involved in the project.

Led by Women’s Health Research Wales, the centre brings together researchers, NHS organisations, industry, policymakers and communities to develop more effective treatments and ensure health services meet women’s needs throughout their lives.

Its work will cover prevention, early-onset conditions, rare diseases and care for under-served communities.

Projects currently in development include research into symptom-reporting tools to improve the management of conditions such as diabetes, heart failure and chronic obstructive pulmonary disease – areas where the specific impact on women has historically been under-researched.

Researchers are also examining the potential health effects of chemicals used in menstrual products, how best to support young people to stay active during periods, and improved care pathways for people with polycystic ovary syndrome to reduce the risk of developing diabetes and heart disease later in life.

Other projects focus on fertility, including a decision-making tool for women with kidney disease who are considering having children.

One study is working directly with women undergoing fertility treatment to understand why the process can lead to mental health conditions such as post-traumatic stress disorder, with the aim of producing guidance to support trauma-informed fertility care.

First Minister Eluned Morgan said: “I am passionate about improving women’s healthcare. To do that, we must invest in research to gather the evidence we need.

“I am delighted to see how the Welsh Government’s £3m investment, through Health and Care Research Wales, is supporting research based on the experiences of women. This will result in better care and better health outcomes for women.

“This innovative new research centre is a key part of the Women’s Health Plan and will help us better understand women’s experiences. It will lead to more effective treatments and ensure our health service delivers improved outcomes for women in Wales.”

Sarah Murphy, Minister for Mental Health and Wellbeing, said the early progress had been encouraging.

“I’m thrilled the investment we’ve made in this research centre is already delivering projects in such important and under-researched areas of women’s health,” she said.

“The pioneering work I’ve heard about today – including the impact of infertility on women’s mental health – is exactly what we want the Women’s Health Plan to influence and deliver.

“All of this has been achieved in the first 12 months, and I look forward to seeing what can be delivered over the next year.”

Debbie Shaffer, founder and director of Fair Treatment for the Women of Wales and chair of the Women’s Health Wales Coalition, said partnership working would be key to success.

“Research into health issues experienced by women throughout the life course is vital,” she said.

“By working co-productively, in partnership with women and communities, we have a real opportunity to reduce health inequalities and improve treatment options and support.

“We look forward to helping create more opportunities for people with lived experience – whose voices may not have been heard before – to get involved.”

The Women’s Health Plan for Wales was published in December 2024 and sets out a 10-year approach to improving health outcomes for women, ensuring they are listened to and their health needs properly understood.

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Health

Welsh Government intervenes as Gwent health board’s finances ‘deteriorate rapidly’

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THE WELSH Government has escalated intervention at Aneurin Bevan University Health Board to one step short of special measures, amid concerns about an £18m deficit and A&E failures.

Jeremy Miles, Wales’ health secretary, announced the Gwent health board will move to level four for finance and emergency care on the government’s five-point scale.

In an update on escalation at each NHS organisation in Wales, Mr Miles warned the health board’s financial position has “deteriorated rapidly” over the past year.

“It is forecasting an £18.3m deficit by the end of March. This is not acceptable,” he said, announcing he will revoke approval of the health board’s three-year plan.

Mr Miles said the health board had been at level three due to concerns about emergency care at the Grange hospital in Cwmbran but will move to level four.

He told the Senedd: “The health board has failed to deliver the required improvements… This will result in direct intervention by the Welsh Government… to improve the timeliness and quality of urgent and emergency care for people living in the Gwent region.”

Mr Miles announced Betsi Cadwaladr Health Board, in north Wales, would remain at level five or special measures. He pointed to interventions including a review of planned care, cancer and emergency services as well as an investigation into management of waiting times data.

But he raised “considerable” progress on governance and leadership at Hywel Dda Health Board following the appointment of a new chair and chief executive.

He announced Hywel Dda will be de-escalated to routine, level-one arrangements for governance and leadership. However, the west-Wales health board remains at level three for planned care and cancer as well as level four for finance and A&E performance.

He told Senedd members he was appointing a “senior turnaround director” to provide support to Cardiff and Vale Health Board, which was placed into level four in July.

Mr Miles said the escalation levels of Cwm Taf Morgannwg, Swansea Bay and Powys health boards, as well as other NHS bodies such as the ambulance services trust, will not change. All seven health boards in Wales remain in some form of escalated status.

In today’s (December 16) statement, Mr Miles said long waits are falling as he pointed to a 43% reduction in lost ambulance hours since the last six-monthly update in July.

But James Evans, the Conservatives’ shadow health secretary, questioned whether intervention is delivering meaningful improvements for patients and staff.

Conservative MS James Evans
Conservative MS James Evans

Pointing out that Betsi Cadwaladr Health Board has been “trapped” in special measures for most of the past decade, he told the Senedd: “It is deeply concerning that, once again, we see multiple health boards at levels four and five.”

Mr Evans urged ministers to publish performance metrics, risk assessments and evidence used to assign escalation levels to enable decisions to be properly scrutinised.

He warned focusing on local financial mismanagement of health boards risks ignoring wider, systemic challenges driven by the Welsh Government’s policy and funding decisions.

Plaid Cymru’s Mabon ap Gwynfor agreed with his Tory counterpart about “deeper and more systemic” failures becoming a “constant feature” of the government’s record.

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

“Measures that should be exceptional, temporary and used only as a last resort have instead become routine,” he said. “It is the people of Wales who are paying the price for that failure.”

The Plaid health spokesperson said Betsi Cadwaladr Health Board has come to “embody the Welsh Government’s failure to embed lasting performance improvement”.

Mr ap Gwynfor told the Senedd: “This situation suggests one of two things: either the special measures system itself is not working or there’s no ceiling to Labour’s mismanagement.”

Mr Miles emphasised that escalation is about supporting health boards, not punishing them. The health secretary also pointed to challenges in other parts of the UK, with 12 of the 14 health boards in Scotland also in escalation.

South Wales East MS Natasha Asghar outside the Grange University Hospital
South Wales East MS Natasha Asghar outside the Grange University Hospital

Speaking ahead of the Senedd debate, South Wales East MS Natasha Asghar said: “This serious intervention is a damning indictment of Labour’s track record when it comes to the health service here in Wales and it is my constituents who are paying the price.

The Conservative MS continued: “Our dedicated NHS staff go above and beyond day in, day out, often under unimaginable pressure, but they are being let down by the chaos and mismanagement from the Labour Welsh Government.

“The problems within our health service have been known for quite some time, yet it appears Labour politicians in the Senedd are either reluctant or totally incapable of doing anything to fix the system.

“The Welsh Government must now finally declare a health emergency and focus all efforts on improving outcomes for patients, driving down shamefully high waiting lists, and turning our health service around.”

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