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Health

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

Phone calls to reduce GP visits for 42% of patients this winter

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NEW research from the Royal Voluntary Service has shown that a simple phone call could significantly impact well-being, reducing GP visits by 42% among patients who receive regular telephone support.

The charity urges those feeling isolated this winter, particularly the elderly, to use telephone support services as a way to improve health and free up GP appointments, potentially reducing waiting times. It is estimated that if people experiencing loneliness in later life reduced their GP visits by just one appointment a year, this could free up 588,000 appointments annually.

As winter approaches, the Royal Voluntary Service reports that isolation can sharply increase, especially for adults over 75, with nearly half (47%) of people in this age group feeling lonelier in the colder months. Among those who live alone, one in six say they feel forgotten during winter, and 20% report having no one to turn to for emotional support.

In addition to loneliness, older generations face several winter worries, including increased heating costs, cited by 55% of respondents, and reduced ability to go out, which 29% said they dreaded as winter sets in.

To address these challenges, Royal Voluntary Service has launched the Stay Safe, Warm and Well campaign in partnership with Yakult. The campaign provides a guide for practical and emotional winter preparation, encouraging sign-ups for telephone support services and offering access to the Virtual Village Hall online community for events and activities. Practical advice on money-saving and energy-saving tips is also available through the guide.

Royal Voluntary Service Ambassador Elaine Paige, who has herself made support calls for the charity, described the positive impact these calls can have. “A warm, friendly phone call can transform someone’s day. Some conversations leave you smiling long after the call ends—something we could all use, especially in winter. For those facing the season alone, there are amazing people ready to remind you that you’re not alone,” she said.

The charity’s support services match volunteers with individuals across the UK for friendly chats, reducing isolation and boosting mental health. Catherine Johnstone CBE, Chief Executive of Royal Voluntary Service, said: “The feedback that conversations with volunteers are helping people to visit their GP less is testament to the value of connection.”

Yakult Marketing Manager Reshma Patel added: “Our research with Royal Voluntary Service shows that one in four adults over 75 feel they’d benefit from practical and emotional support over winter. We are committed to helping people access the Stay Safe, Warm and Well guide to support their overall well-being.”

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Health

Over 1500 patients in Wales blocked from leaving hospital

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THE First Minister Eluned Morgan has been pressured on her government’s failure to clear hospital beds in Wales, leading to delays for people seeking urgent medical care.

According to a report from BBC Wales, there are currently 1,600 patients across Wales waiting to be discharged from hospital compared to England where there are currently 12,000.

However, when comparing population sizes, it’s revealed that Wales is performing worse than its closest neighbour, with 0.05% of the population of Wales stuck in hospital beds compared to 0.02% in England.

The Welsh Labour government have been criticised for their failure to clear out backlogs in the system,

The Liberal Democrats have now called on the Welsh Government to provide urgent social care funding to local authorities to help alleviate pressures on the NHS in Wales.

Speaking in the Siambr on Tuesday, The Leader of the Welsh Liberal Democrats Jane Dodds MS described how over twenty years of Welsh Labour government in Wales had let to a “desperate situation in our NHS, with services nearing breaking point.

Welsh Labours refusal to change their approach and fix a system clogged up by mismanagement is directly responsible for the current situation faced by thousands of patients.

Delays in discharging patients from hospitals are placing huge pressures on both staff and those awaiting care, but there is a way out of this mess and the answer lies in social care.

I have been told by numerous professionals working in healthcare that the first step towards fixing our NHS is made by providing local authorities with the funding to fix social care services within their respected areas.

By dedicating adequate investment into our social care services, we can make life easier for patients discharged from hospital while also lifting the strain on health services throughout Wales.”

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Education

Concern over ‘highest-ever’ school bullying rates

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RATES of bullying in Welsh schools have reached record levels, with more than one in three children and young people reporting being bullied, the Senedd heard.

Gareth Davies raised concerns about a 6% increase in bullying between 2021 and 2023, according to a survey of more than 130,000 pupils in 200 secondary schools.

The Conservatives’ shadow mental health minister told the Senedd: “These results are higher than ever previously reported in the survey, which is deeply troubling.”

He said the latest survey showed regression on “just about every metric of pupil wellbeing”, including growing social isolation and a rise in behavioural issues.

Mr Davies, who worked in the NHS in north Wales for more than a decade, pointed to a 2021 legal duty to have regard to the mental health of children and young people.

He said: “The mental health of pupils has declined and reports of bullying in schools have only increased, so the Welsh Government have failed in that duty, unfortunately.”

Plaid Cymru’s Cefin Campbell called for an update to 2019 anti-bullying guidance for school governing bodies following a commitment from the Welsh Government eight months ago.

The shadow education secretary focused on the impact of poverty, warning the high cost of school uniforms can cause stress and lead to bullying.

Mr Campbell, a former lecturer, expressed concerns about penalties, such as detention, for pupils over non-compliance with uniform policies.

Raising a report on “horrific” experiences of racism in Welsh schools, he said one pupil was told a classmate did not want to sit next to them due to the colour of their skin.

“That’s entirely unacceptable in our schools,” said Mr Campbell.

Labour’s Carolyn Thomas warned children’s mental health is at an all-time low, pointing to smartphones and social media as major contributing factors.

She said: “They can be used to bully, manipulate and control, sending young people into an isolated world of despair, not thinking they can get out of it or go to somebody for help.”

The North Wales politician highlighted a petition calling for a ban on phones in schools.

Rhys ab Owen, an independent who represents South Wales Central, stressed that bullying can impact people for decades to come after school.

“But it’s an issue that doesn’t affect learners equally,” he said. “In Cardiff, around a third of learners come from ethnically diverse backgrounds.

“And I was staggered to read a survey from 2020, which said that 61.5% of learners had expressed stereotypes over skin colour, religion and nationality.”

In a statement on November 12 to mark anti-bullying week, Lynne Neagle accepted that bullying continues to be an issue in Welsh schools.

Pledging to prioritise the problem, Wales’ education secretary said new statutory anti-bullying guidance will be published for consultation after Christmas.

Ms Neagle pointed to concerning trends, including 42% of girls scoring high or very high in a questionnaire on psychological problems compared with 27% of boys.

She told the Senedd: “I wouldn’t want to be a teenager growing up today.”

Ms Neagle stated the Welsh Government provided more than £800,000 this year for one of the biggest surveys of children and young people in the UK.

She said: “The link between bullying and mental health is well known. At its most extreme, young people have taken their own lives as a result of being bullied. This is a tragedy for the young life lost, for their family and friends and for whole communities.”

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