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Health

Senior doctors in Wales vote to strike over pay

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  • 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.”

 

Charity

Local St John Ambulance cadets confirmed national first aid champions

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ST JOHN AMBULANCE is proud to share that three local St John Ambulance cadets have been crowned National First Aid champions after competing against eight other cadet teams representing counties across Wales.

The team, comprising Emily Williams (Yr 10, Ysgol Bro Gwaun), Ruby Collins (Yr 10, Ysgol Henri Tudor), and Gemma Tilbury (Yr 11, Ysgol Henri Tudor) represented the whole of Dyfed, and demonstrated exceptional skill, teamwork, and composure throughout three demanding rounds.

The competition consisted of a first aid knowledge quiz and exam, followed by a practical skills challenge assessing communication, teamwork, and the ability to perform under pressure—an area in which they excelled. The final round featured a complex, theatrically produced first aid scenario. Here, the team showed remarkable calm and professionalism as they stabilised a casualty with a severe compound bleed involving a large object lodged in the wound.  They also managed distressed and aggressive members of the public, and successfully resuscitated an unresponsive, non-breathing casualty using CPR and a defibrillator—all completed in record time.

In Pembrokeshire, cadets train every Monday evening during term time from 5:45–7:15pm, with sessions focussing on practical, hands-on learning of real-life first aid skills, including CPR, defibrillator use, treatment of severe wounds, allergic reactions, choking, strains and sprains, head injuries, heart attacks, hypothermia, and much more. Training is engaging and interactive, often involving active, game-based learning, ensuring there is rarely a dull moment.

 Cadets also have the opportunity to support a wide range of events delivered by St John Ambulance Cymru. Working alongside adult volunteers and healthcare professionals, they engage with the public at events of all sizes, applying their skills in real-world, and sometimes life-saving, situations.

 Beyond events, cadets are encouraged to share their knowledge within the community, helping to lead first aid demonstrations and inspire others. Previous outreach has included sessions with Scouts, Cubs, Brownies, and Girlguiding groups, as well as senior community organisations such as the Pembroke Lions and specialist charities like Pembrokeshire People First. On a larger scale, cadets played a key role in organising and delivering “Defibruary,” where they helped lead a team of St John first aiders to train over 950 students at Henri Tudor in a single day in February 2026.

If you are interested in volunteering, opportunities are available for cadets aged 11–16 and adults aged 16+. We are always keen to welcome new members and are happy to discuss opportunities for adults to support the cadet programme as youth leaders.    

To find out more visit https://www.sjacymru.org.uk/volunteer

 

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Charity

Paul Sartori receives generous support from the James Tudor Foundation

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Paul Sartori Hospice at Home is celebrating a major support package from The James Tudor Foundation thanks to an unrestricted grant to help fund the charity’s vital end-of-life care services throughout the county. 

The £46,364 grant award ill be paid over three years.

Commenting on the windfall, the new Chief Executive Officer, Laura Hugman, said, “At a time where funding and funding partnerships are challenging, we’re very grateful to The James Tudor Foundation in helping us achieve our aims and passion for supporting and bringing reassurance to the local families who need us.” 

Paul Sartori Hospice at Home provides an holistic approach to end-of-life care, which encompasses home nursing, equipment loan, complementary therapies, bereavement and counselling support, physiotherapy, future care planning, and training. The team provides thousands of hours of day and night respite care each year, ensuring that patients can receive the support they need, complementing the statutory provision within the comfort of their own homes.

Judith Williams, Grant Development Officer at Paul Sartori Hospice at Home, expressed the charity’s gratitude: “We’re incredibly thankful to The James Tudor Foundation for their continued generosity. Their support helps us maintain our nursing service, which is a lifeline for many families facing end-of-life care challenges.”

Paul Sartori Hospice at Home offers a comprehensive range of services to individuals with life-limiting illnesses, ensuring they can be cared for at home with dignity, independence, and comfort.

 

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Health

FOI raises fresh questions over plan to close Pontyates GP surgery

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Health board accused of misleading claims over recruitment as pressure mounts ahead of final decision

A FREEDOM of Information disclosure has raised serious questions over plans to close Meddygfa’r Sarn in Pontyates, with claims the health board failed to properly attempt to recruit permanent doctors before recommending its shutdown.

The row centres on Hywel Dda University Health Board, which is due to make a final decision on the surgery’s future later this month.

An FOI response reveals that while the board cited a “lack of recruitment interest” in its January report, there is limited evidence of any recent, targeted recruitment campaign specifically aimed at the Pontyates practice.

Instead, the board confirmed that salaried GP roles were advertised in 2020 across its wider portfolio of managed practices — rather than as a focused effort to fill posts at Meddygfa’r Sarn itself. Those vacancies did not result in successful appointments.

‘No real attempt’

Independent Senedd candidate Carl Peters-Bond, who is also a patient at the surgery, has strongly criticised the health board, accusing it of presenting a misleading picture to justify closure.

He said: “They cited a lack of recruitment interest as justification for closing this surgery — but they never actually ran a proper recruitment campaign for it.

“Sending out general adverts years ago is not the same as making a serious, targeted effort to keep a vital community service alive.”

He also raised concerns about the consultation process, claiming it focused on the impact of closure rather than asking whether closure should happen at all.

Fully reliant on locums

The FOI confirms that Meddygfa’r Sarn currently has no salaried GPs and is entirely dependent on locum doctors.

While the health board says this model is unsustainable in the long term, the same disclosure shows several other managed practices across the region also rely heavily on locum staff — some to a significant degree.

Cost data included in the response suggests Meddygfa’r Sarn is not the most expensive practice per patient within the health board’s area.

Alternative options unclear

Another key issue raised by campaigners is the apparent lack of explored alternatives.

The FOI response indicates that the health board does not hold information on alternative local solutions, including potential relocation or different service models within the Pontyates area.

Campaigners argue this suggests closure was considered before all options had been properly examined.

A 52-page independent report submitted as part of the consultation process states that dispersing patients to other surgeries should only be considered as a last resort, after full recruitment efforts and capacity assessments have been carried out.

Health board position

Hywel Dda University Health Board maintains that the surgery, which serves around 4,350 patients, has faced long-standing recruitment difficulties and increasing reliance on temporary staff.

It says a Vacant Practice Panel concluded that dispersing patients to neighbouring surgeries would provide a more sustainable long-term solution.

The board has also acknowledged that transport and access concerns are likely to be a major issue for patients if the closure goes ahead, with a full Equality Impact Assessment expected to be considered before a final decision.

Decision later this month

The future of Meddygfa’r Sarn will be decided at a meeting of Hywel Dda University Health Board on Wednesday (May 28) at Yr Egin in Carmarthen.

With local anger growing and new questions emerging from the FOI disclosure, pressure is mounting on board members to reconsider the proposal.

Campaigners say the case now hinges on a simple question: whether enough was done to save the surgery before moving to close it.

 

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