BMA Cymru Wales’ GP committee has voted unanimously to reject the Welsh Government’s offer for the 2024/2025 GMS (General Medical services) contract, as it fails to provide a credible and sustainable future for general practice.

GPs in Wales will now vote on whether to accept or reject the contract in a referendum which will open later this month.*

Dr Gareth Oelmann, chair of the BMA’s Welsh GP committee said:

“The decision to disregard the serious concerns and valuable contribution of general practice once again in Wales is beyond insulting, it is dangerous, leaving more surgeries and their patients in peril.

“We are deeply concerned that this offer will leave more practices with no option but to close their doors. GP practices are being denied the resources they need to deliver vital services to the population.

“For years, the service has been starved of adequate funding which has led to the closure of 100 surgeries since 2012. This is having a devastating impact on general practice.

“A recent survey** of our members showed that 91% of GPs are routinely unable to meet patient demand due to unsustainably high workloads.

“With 100 fewer surgeries for patients to turn to, GPs are now seeing up to 35% more patients each, causing unsustainably high workloads and burnout with doctors being expected to do more with less, risking patient safety. How long can this continue?”

Dr Oelmann continued: “General Practice is the foundation of a high-quality, cost-effective health system, but successive governments have insisted on ignoring the vital role general practice plays in the national health service.

“Welsh Government had an opportunity to change the current trajectory but has failed to do so. It is now up to GPs to decide what happens next.”

A NURSE has been suspended for 12 months after striking an elderly patient during a challenging incident at Withybush Hospital.

The suspension followed an incident in May 2022 on the trauma and orthopaedic ward, where nurse Primrose James, described as experienced and respected, was assisting an 80-year-old man known as Patient D. The patient, who had been recovering from a broken hip for six months, had a history of lashing out at staff.

A healthcare assistant who witnessed the event reported that James had struck the patient across his face and tapped his cheek after he had hit her. Recalling the incident, the assistant told the panel: “Primrose was standing beside the bed when she struck him across the face and then tapped him on the cheek, telling him off for hitting out.”

Reflecting on the incident, Ms. James expressed regret, noting her intention was never to harm patients. “This was a difficult encounter in a fast-moving situation,” she stated. “Knowing his history of aggression, I should have anticipated he might strike out, but I reacted instinctively in the moment.”

ALLEGATIONS REVIEWED

At the Nursing and Midwifery Council hearing, Ms. James faced multiple allegations. Two were substantiated: that she struck the patient and tapped his cheek. Allegations that she had acted further aggressively by pressing on his forehead and making unprofessional comments were dismissed as unproven.

The panel acknowledged Ms. James’s previously unblemished 16-year career, her extensive experience with dementia patients, and her immediate remorse following the incident. It was noted that Patient D’s aggressive behaviour was a recurring issue on the ward, and despite staff regularly facing his outbursts, no measures had been implemented by senior staff to manage the situation.

NEED FOR SUPPORT

In its decision, the panel criticised the lack of support for managing Patient D’s behaviour, stating: “Staff had reported ongoing assaults, yet action to address the patient’s aggression was lacking.”

While the panel determined that Patient D suffered no physical harm, they raised concerns about the potential for psychological distress to the patient and his family.

12-MONTH SUSPENSION

The panel ultimately ruled that a 12-month suspension was necessary to reflect the seriousness of the misconduct, despite Ms. James’s previously clean record and her remorse over the incident. The panel remarked: “This was an isolated incident involving a challenging patient, but a suspension order is warranted to underline the gravity of the incident.”

Ms. James’s suspension is subject to review at the end of the 12 months.

THE RNLI are offering lifesaving beach safety advice as lifeguard patrols come to an end in Wales for the 2024 season.

This weekend (2-3 November, 2024) RNLI lifeguards will conclude their patrols at Whitesands Beach, St Davids. Lifeguards will be patrolling from 10am-6pm on Saturday and Sunday.

The RNLI are offering safety advice to help keep beach users safe during the winter months. Chris Cousens RNLI Water Safety Lead for the region said: “As the lifeguard season ends in Wales and wintery conditions have begun to hit our coastline, we’re asking people to take care and be aware of the dangers.

“If you visit a beach, never go alone. It’s vital that you have company who could get help, in the event of an emergency. Take note of safety signage at the entrance to the beach which will warn of the local risks and hazards, and if possibly speak to someone who might be local who might be able to also provide advice.

“Always check the weather and conditions and consider your capabilities, if in doubt it is better to stay dry and watch the sea than take the risk.

“Strong winds and big waves pose a great risk to those visiting the coast. In these conditions, stay clear of beachfronts, cliff edges and piers.

“You should always carry a means of contact such as a mobile phone, if you get into trouble or see anyone else in difficulty call 999 and ask for the Coastguard.

“We’re aware that cold water dipping is becoming increasingly popular. We strongly advise that you should never do this alone. As we get further into the winter months, and the temperature continues to drop, the risk of cold-water shock will increase. Make sure you understand the effects of cold water and that you have means of warming up afterwards.

“If you get into trouble in the water, Float to Live. Tilt your head back with ears submerged and try to relax and control your breathing. Use your hands to help you stay afloat and then call for help or swim to safety if you can.”

Bigger waves and stronger winds increase the likelihood and strength of rip currents.

Should you find yourself stuck in a rip current:

• Don’t try to swim against it or you’ll get exhausted.
• If you can stand, wade don’t swim.
• If you can, swim parallel to the shore until free of the rip and then head for shore.
• Always raise your hand and shout for help.

Despite the coming absence of RNLI lifeguards on the beaches, the RNLI would like to remind the public that RNLI lifeboats are a 24-hour search and rescue service with 238 stations situated around the British Isles. When you call 999 and ask for the Coastguard, they dispatch the nearest lifeboat which will come to your aid.