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Health

Difficulties accessing GP practices leaving older people suffering in pain

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A SIGNIFICANT number of older people throughout Wales are facing difficulties when trying to access GP practices, leaving many individuals suffering in pain, living with deteriorating conditions and feeling worried and anxious.

That’s the key finding of a new report published today by the Older People’s Commissioner for Wales, Access to GP Practices in Wales: Older People’s Experiences, which is based on evidence shared by over 900 older people living throughout Wales.

The Commissioner’s report reveals that changes to the way that GP services in Wales are accessed, which have accelerated a great deal in recent years, and the changing relationships between patients and their practices often make it difficult for older people to find suitable appointments with an appropriate clinician.

Of particular concern is the fact that these kinds of difficulties have resulted in some individuals withholding information about their health or symptoms with some clinicians, preferring to discuss certain matters only with their own doctor, something that presents a significant risk to people’s health.   

Many older people also told the Commissioner that services often do not feel ‘joined-up’ and that communication between services can be poor, which has resulted in cases of patient information going missing, crucial prescriptions being delayed, and people being sent ‘from pillar to post’ when trying to resolve issues.

In addition to these issues, the Commissioner found that around two-thirds of older people who responded to her survey find it difficult make suitable appointments, or face issues when trying to contact or communicate with their GP practice, whether by telephone or online. Other issues highlighted included accessing services and information in a language of choice – a particular barrier for Black, Asian and Minority Ethnic older people – and getting to surgeries via public transport. 

Discussing the findings of her report, Older People’s Commissioner for Wales, Heléna Herklots CBE, said: “As we get older, accessing GP and other health services often becomes a more prominent part of our lives and these play a crucial role in supporting many older people to stay healthy, independent and safe.

“Older people often share concerns about the difficulties they experience when accessing GP practices with me and my team at engagement events, as well as through my Advice and Assistance service, and I wanted to examine these issues in more detail to ensure older people are not prevented from accessing a crucial part of the health service.

“The large number of responses to my survey demonstrates that these kinds of issues are affecting the lives of many older people throughout Wales, and I would like to thank everyone who got in touch for making their voices heard and providing so much evidence to support my calls for action.

“My report shows that alongside long-standing issues that will be familiar to us all – such as difficulties making appointments or getting through to practices on the phone – the changing nature of GP services and relationships between patients and their GP practices also appears to be creating barriers for older people in terms of arranging the right kinds of appointments or accessing an appropriate clinician.

“These kinds of difficulties are leaving many individuals suffering in pain, living with deteriorating conditions and feeling worried and anxious, something that is deeply concerning.”   

The Commissioner’s report includes a series of recommendations for GP Practices, health boards, Welsh Government and other health bodies and organisations, which set out the action needed to improve older people’s experiences and tackle the barriers that make accessing GP practices more difficult.

This includes action focused on building relationships of trust between patients and their surgeries, removing practical barriers to access and improving communication, as well as ensuring there is sufficient investment to modernise systems and improve wider infrastructure.

The Commissioner added: “I am acutely aware of the significant pressures being faced by health services, including GP services, and this was also reflected in responses from many older people, who recognised that staff were doing the best they could under difficult circumstances.

“Much of the action I am calling for will deliver improvements at little or no cost, or is focused on ensuring that existing standards and frameworks – such as the Welsh Government’s Access Standards – are being met and that this is reflected in older people’s experiences.

“Delivering the action I am calling for will help to ensure that people can access the health services they need, when they need them, in a way that suits them, which will make a positive difference to the lives of many thousands of older people throughout Wales.

“As Commissioner, I will be monitoring the progress against this action, and will continue to encourage and support health services, GP practices, and other key organisations to reach out to and engage with older people throughout Wales in a meaningful way so that the voices of patients of all ages help to shape policy and practice. 

“I also want to empower older people by helping them to better understand what they can expect in terms of access to GP practices and where people can find help and support if they experience issues or barriers, and will be soon be publishing a new guide to provide the information they need, which is being developed with support from older people.”

Health

Mind, Body and Spirit Awareness Day at North Pembrokeshire venue

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This Saturday, April 12, thoughts will be turning to the mind, body and spirit, thanks to the ever-popular Awareness Day that takes place at Canolfan Hermon in North Pembrokeshire.  

This is the fourth event of its kind  at the village hall and each year the event continues to grow from strength to strength.

This year, there will be a total of  eight therapists in attendance as well as  two mediums, a card reader and ten stall holders selling spiritual, mind and body items including crystals, jewellery, honey and cosmetics.  There will also be a stall from the Jig-So Children’s Centre in Cardigan while  hot food and refreshments will also be served throughout the day by Fusion Kitchen.

As with previous events, the Mind, Body and Spirit Awareness Day will be raising funds for Breast Cancer and Thrombosis UK.  As a result, there will be a £1 entry fee as well as optional raffle tickets and a Memory Tree for additional donations. A  light language healing demonstration will take place at 1 pm.

People near and far are invited to experience the different therapies, while  event organiser Lynda Barnes says there is guaranteed to be something here for everyone. The event starts at 11 am and will continue until 3 pm.

For further information, contact Lynda Barnes on 07920249194.

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Health

‘Nobody taking responsibility’ for paying care workers the real living wage

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CARE HOME providers urged the Welsh Government to follow through on a key commitment to ensure care workers are paid the real living wage.

Giving evidence in the Senedd, Care Forum Wales, which represents more than 450 care homes, warned funding did not reach all parts of the sector in 2024/25.

The non-profit organisation said funding for the real living wage (RLW) was not ringfenced, so some councils chose to spend the money on libraries and teachers’ salaries instead.

Care Forum Wales raised concerns about “nobody taking responsibility”, with the Welsh Government claiming to have provided the money and councils saying it was insufficient.

Labour’s manifesto for the 2021 election contained a pledge to “ensure care workers are paid the real living wage during the next Senedd term”.

But Sanjiv Joshi, Care Forum Wales’ treasurer, warned the Welsh Government’s push for care workers to receive the real living wage has become an aspiration rather than a reality.

He told the local government committee: “The first year when it was announced … providers had to give an undertaking to commissioners that we were paying the real living wage.

“Since then, that’s now become aspirational as commissioners have not had the funds – or so we are told – to follow through and maintain those real living wages.”

Giving evidence on April 3, Melanie Minty, policy adviser at Care Forum Wales, said: “The real living wage, as Sanjiv said, isn’t reaching the sector necessarily.”

But, describing the RLW as a drop in the ocean, she warned care homes cannot compete with councils and the NHS which pay a higher rate than used in costing commissioned care.

Under the Welsh Government’s 2025/26 budget, funding for the real living wage is allocated to councils within the revenue support grant, meaning it can be spent on other areas.

Ms Minty also voiced concerns about an increasing number of councils receiving grants to build care homes that “will never recover their costs”.

She pointed to the example of Carmarthenshire Council building a £19.5m residential home despite free capacity in the county’s independent sector.

Cautioning that commissioning too often focuses on cost over outcomes, she said: “I’ve heard of commissioners going into homes and saying ‘you’re spending too much on food’.

“Things like holidays have been drastically cut back for younger people.”

Mr Joshi, who runs the Caron group of care homes in mid and south Wales – which includes Valley View Care Home in Hengoed – warned of a £9,000-a-year difference in nursing fees between neighbouring councils.

He said: “We’re talking about Cardiff and RCT … imagine the pressure that puts on and it’s not driven by the needs, the needs would not be that different.”

Pressed about the minimum level of profits required to make services feasible, Mr Joshi replied that he targets an 11% return which is unachievable in parts of Wales.

Warning of an “irrational” policy direction, he said: “We have the private sector delivering incredible value for money [yet] being eroded by underfunding. Then we have the public sector spending four or five times that amount, it doesn’t make sense.”

Mr Joshi told the committee families are increasingly having to make up a difference in costs that should be provided by councils and health boards.

Warning charity providers are exiting the market, Ms Minty said: “Most of our third-sector members have sold their care homes because they are not viable.”

Ms Minty called for a fee methodology that can be applied consistently across Wales, with some councils far more transparent and understanding of the costs than others.

“Cardiff, while giving a really good increase this year, has been very honest in admitting they know it’s not going to meet all the changes,” she said. “Whereas other local authorities … have been known to make an offer and say this will cover all sorts of things.”

She said the sector has stabilised since the pandemic and Brexit but increasing employer national insurance contributions have added to the pressure.

She told the committee: “I think we’ll see an unintended consequence will be that employers are forced to suppress pay increases … and some will be forced to make redundancies.”

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Health

New patient deal aims to cut NHS waiting times across Wales

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A NEW deal between the NHS and the public is at the centre of a plan to drive down the longest waiting times for healthcare in Wales.

Health Secretary Jeremy Miles is expected to unveil a strategy this week aimed at reducing the overall waiting list by 200,000 patients by March 2026. The plan also sets targets to eliminate two-year waits for planned treatments and restore a maximum eight-week wait for diagnostic tests.

A key part of the announcement is the introduction of a new “patient deal”, which aims to improve transparency, reduce missed appointments and ensure better preparation for surgery. This deal will be incorporated into updated referral-to-treatment guidelines due later this month.

What the new deal includes:

  • Faster access to planned care with patients told how long they can expect to wait once added to the list.
  • Waiting time tracking through the NHS Wales App, with updates available from June.
  • Only fit and well patients will be added to surgical waiting lists, in line with evidence showing they recover more quickly and have better outcomes.
  • Support to get surgery-ready, with help to improve health before treatment.
  • Appointment changes, where patients will be offered two dates. If they miss both without good reason, they will be removed from the waiting list.
  • Alternatives and risks explained, so patients are fully informed before deciding on surgery.

Each year, around 700,000 outpatient appointments in Wales are either missed by patients or cancelled. Health boards will now be under stricter obligations to reduce these disruptions, and to minimise the number of cancellations made by the NHS itself.

Mr Miles said: “The NHS will do all it can to prioritise faster access to treatment. In return, we are asking the public to prioritise and keep their appointments so that, together, we make the best possible use of scarce NHS resources.

“We cannot continue losing one in seven appointments due to no-shows or other avoidable reasons. These missed slots delay care for everyone and waste vital resources.

“Evidence shows people in better health recover more quickly and require shorter hospital stays. By preparing patients properly and ensuring they understand all treatment options, we can deliver better outcomes and greater efficiency.”

The Welsh Government hopes the new plan will bring waiting lists closer to pre-pandemic levels. As well as reducing overall waiting list size by 200,000 by March 2026, the government has pledged to ensure no one waits more than two years for planned treatment and to restore the eight-week target for diagnostic testing.

Health boards will be expected to continue transforming how they deliver planned care over the next 12 months. This includes adopting more regional working models and implementing recommendations from the Ministerial Advisory Group on NHS Performance and Productivity, due to report later this month.

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