Health
Senior doctors in Wales vote to strike over pay
- A 48 hour strike will take place from Tuesday 16 April
CONSULTANTS and SAS (specialist, associate specialist, and speciality) doctors have voted to strike as part of a dispute with the Welsh Government over their pay, which has been cut by almost a third in real terms since 2008/9.
The results of the ballots, which ended at midday today (Monday 4 March), for doctors working in both branches of practice in Wales saw 86% of consultant voters and 94% SAS doctor voters cast their ballots in favour of industrial action.
A significant 70% of consultants and 58% SAS doctors eligible to vote in Wales had responded to a call to take part in industrial action which will take place from Tuesday 16 April.
Consultant and SAS doctors make up over half (54%) of the hospital-based medical workforce combined, with 3,137 Consultants and 1,088 SAS doctors working in hospitals across Wales. *
The BMA is now calling on all consultants and SAS doctors in Wales to participate in a 48 hour strike, except for those providing ‘Christmas day’ cover.
This level of cover will ensure doctors can provide emergency care, but all elective or non-emergency work will be postponed during this period.
BMA Cymru Wales is working with NHS employers on precise staffing levels that are appropriate and will provide guidance to members in advance of any strike days.
Dr Stephen Kelly, chair of the BMA’s consultants committee in Wales, said:
“This has been an incredibly difficult decision. No doctor wants to strike, but the conditions now faced in the workplace caused by the extreme pressures on the service and unsafe staffing levels have left doctors with no choice.
“Fewer doctors now want to develop their careers in Wales with some health boards reporting vacancy rates of over third for senior doctor posts.
“Colleagues are now choosing to retire early, reduce their hours or move out of Wales where pay is competitive, and wards better staffed.
“Unless doctors are better valued for the work they do, more and more doctors will leave an NHS already under severe pressure in Wales”.
Dr Julie Jones, Deputy chair of the BMA’s SAS doctors committee in Wales added: “Doctors are burning out from covering significant gaps in the workforce and patient safety is at risk. With this result our members have chosen to take a stand for the profession and for patients.
“People are waiting for treatment for longer than ever before, resulting in poorer outcomes and more time in the hospital and we all deserve better.
“This result represents a profession that is not ready to give up on the NHS and its patients in Wales”.
The decision to ballot members was taken after the BMA rejected the Welsh Government’s first and final pay offer for the 2023/24 financial year for those working in secondary care.
For consultants and SAS doctors on closed contracts the offer was 5%; SAS doctors on more recent contracts received as little as 2.5%. This final offer left BMA Cymru Wales with no choice but to enter a trade dispute and ballot for strike action.
Over the last 15 years, consultants and SAS doctors in Wales have experienced a pay cut of almost a third since 2008/9. They received another sub-inflationary pay offer from the Welsh Government for 2023/24 which is below the recommendation made by the DDRB and is the worst offer in the UK.
The BMA is calling on the Welsh Government to provide sufficient funding to enable discussions around an uplift in senior doctor pay that will retain existing doctors and ensure that we are able to recruit more.
Consultant and SAS doctor strike action will take place from 7am, Tuesday 16 April to 7am, Thursday 18 April.
Junior doctors in Wales will begin their third round of strike action a 96-hour full walkout from 7am Monday 25 March in pursuit of a fairer deal for their service.
Commenting on consultants and specialist, associate specialist and speciality (SAS) doctors in Wales voting for two days of strike action in April, Russell George MS, Welsh Conservative Shadow Health Minister said:
“Yet more strikes, this time from senior doctors in Labour-run Wales, will place further pressure on the longest waiting lists in the UK.
“While Conservatives in England put forward substantially higher pay offers for speciality and junior doctors, Labour has consistently put the worst offer in the UK on the table.
“The Welsh Conservatives would spend the full Barnett uplift received for health on health and would at least match the independent recommendation, which Labour has failed to meet, instead of following Labour and Plaid’s plans to create 36 more politicians.”
Health
Paper petition launched in Withybush hospital campaign
RESIDENTS across Pembrokeshire can now back the campaign to protect services at Withybush Hospital by signing a paper petition available in council offices across the county.
The initiative has been introduced to ensure those who are digitally excluded – including older residents and people without reliable internet access – are still able to have their say.
The petition, originally launched online by local resident Ajay Owens, has already attracted more than 11,000 signatures. Campaigners say the introduction of paper copies will help ensure the final total reflects the views of the whole community.

SUPPORT GATHERS PACE
Local Senedd Members Paul Davies and Samuel Kurtz, who are supporting the campaign, said it was vital that every voice is heard.
The Preseli Pembrokeshire MS, PAUL DAVIES said: “We have taken significant steps to highlight the importance of protecting services at Withybush Hospital, including gathering evidence from staff, patients and residents, and raising concerns with health leaders. It is vital that people continue to share their experiences of why local services matter.”
SAMUEL KURTZ MS added: “The community has come together before to oppose cuts to Withybush, and once again the community are showing they will not accept the closure of services at Withybush lying down. We will stand beside them every step of the way until this decision is overturned.”
Both Members have formally requested that the petition be debated in the Senedd before its dissolution, in a bid to ensure Pembrokeshire residents’ concerns are considered at the highest level.
RURAL CARE CONCERNS
Campaigners argue that maintaining services at Withybush Hospital is critical for patient safety, timely emergency care, and supporting rural communities, where travel times to alternative hospitals can be significantly longer.
Residents wishing to sign the petition can do so at their local town or community council office during normal opening hours.
Ajay Owens said: “I am incredibly heartened by the support from our local town halls and businesses. This petition is about giving every resident in Pembrokeshire a voice, and having these physical locations available ensures that everyone, regardless of their access to the internet, can stand up for what matters to our community and share their concerns.”
WHERE TO SIGN
Paper copies of the petition are currently available at locations including Fishguard and Goodwick Town Hall, Haverfordwest Town Council at the Old Wool Market, Milford Haven Cemetery Lodge, Narberth Community Library, Newport Town Council, Pembroke Town Hall, Pembroke Dock Town Council, and across Saundersfoot via local distribution.
Opening times vary depending on location.
Health
New standards set to transform mental healthcare in Wales
Clear framework aims to deliver faster access, better support, and improved outcomes
PEOPLE across Wales are set to benefit from clearer and more consistent mental health care, as new national standards outlining what good services should look like are introduced.
Two new quality statements, published this week (Mar 24) set out the outcomes and expectations for NHS and social care services. They aim to ensure patients can access timely, compassionate, and effective support — including same-day, open access care and improved services for those who have self-harmed.
The measures form part of the Welsh Government’s wider Mental Health and Wellbeing Strategy and Suicide Prevention and Self-Harm Strategy. Ministers say they are designed to move Wales towards becoming the first nation to offer same-day, open access mental health support nationwide.
Around 20 pilot schemes are already underway across Wales, offering support without the need for a GP referral. These “demonstrator sites” are intended to provide early help and reduce the number of people reaching crisis point.
One such scheme includes a university liaison service in Cardiff, supporting students across Cardiff University, Cardiff Metropolitan University, the University of South Wales, and the Royal Welsh College of Music and Drama.
Since its launch in 2022, more than 240,000 people have contacted the NHS 111 “press 2” service for urgent mental health support.
The Mental Health Quality Statement sets out nine key principles aimed at reshaping services. These include designing care with input from people with lived experience, embedding trauma-informed approaches, and ensuring services are flexible, collaborative, and centred around individual needs.
A separate Self-harm Quality Statement outlines six pillars of care: immediate treatment, trauma-informed support, continuity of care, safety planning, holistic signposting, and skilled responders. It stresses that anyone who self-harms must receive compassionate, person-centred care, regardless of intent.
The standards have been developed in partnership with NHS Wales, third sector organisations, and individuals with lived experience.
The Cabinet Secretary for Health and Social Care, Jeremy Miles said: “These standards will ensure people have access to consistent, compassionate and effective mental health support wherever they are in Wales.
“We are moving towards a future of open access services, so people can get help earlier and avoid reaching crisis point. These standards will play a key role in improving mental healthcare across Wales.”
Health
RCN Wales appoints Nicola Williams as Executive Director
NICOLA WILLIAMS will take up the role in April, bringing more than three decades of experience in nursing and senior leadership.
The Royal College of Nursing (RCN) has announced the appointment of Nicola Williams as its new Executive Director for Wales.
She joins the organisation from Velindre University NHS Trust, where she currently serves as Executive Director for Nursing, Allied Health Professionals and Health Care Scientists. With 38 years of experience in nursing and more than six years at executive board level, she is widely recognised across NHS Wales for her work in improving patient outcomes.
A highly experienced strategic leader, Williams has worked across a wide range of clinical and organisational settings. She has led major transformation programmes, strengthened national clinical leadership networks and championed innovation and evidence-based improvements in care. Her work has contributed to changes adopted across Wales and has been recognised with national awards.
Speaking about her appointment, Nicola Williams said: “I feel privileged to be appointed as Executive Director of RCN Wales. I’m a proud nurse, passionate about patient safety and improving care standards.
“Delivering the best care is only possible when nursing staff are supported to work in safe, inclusive environments. I will stand alongside members and their patients.
“Nursing staff are the backbone of health and care. I am determined to support our members across Wales, wherever they work, to meet the challenges ahead and shape the future of our profession.
“I look forward to meeting members across Wales and ensuring our work is informed by their experiences and expertise.”
In her new role, Williams will lead the RCN’s work in Wales and provide strategic leadership across key priority areas spanning the UK.
She succeeds Helen Whyley, who has held the position since February 2019 and will move into a new role as Director of Service Innovation at the RCN.
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