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NHS dental charges in Wales to increase from April

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THE COST of NHS dental treatment in Wales will increase from 1 April 2024.

The increase in dental charges is the first since April 2020 and are overall still lower than in England. Any revenue generated from the increased charges will be re-invested back into NHS dentistry services.

From April 2024, the three standard charges will increase to between £20.00 and £260.00 depending on the treatment required, and urgent treatment will increase to £30.00.

Around 50% of people receive NHS dental treatment for free in Wales. Those eligible for free treatment include children under 18 or those aged 18 and in full time education, pregnant women or those who have had a baby within the 12 months of treatment starting, anyone who has dentistry treatment carried out in a hospital or people on certain benefits.

Additionally, the low-income scheme provides full or partial help with health costs, depending on individual circumstances.

Despite pressure on budgets the Welsh Government has increased investment for dentistry, with funding £27 million higher than it was in 2018 to 2019. Included within this increase is an additional £2 million a year to address local access issues.

Changes to the dentistry contract in Wales include a requirement for NHS practices to see new patients. Since this was introduce in April 2022, 312,000 people who couldn’t get an appointment before have now received NHS dental treatment.

Cabinet Secretary for Health and Social Care, Eluned Morgan, said: “Because of the extreme pressure on our budget we have had to consider if additional funding should be raised by increasing dentistry charges.

“This is the first increase we have made to dentistry charges since 2020. Around half of patients don’t pay for their NHS dental treatment and we will continue to protect those that are least able to afford to pay.

“It is vital we all keep our teeth and gums healthy. This is why we are working to make it easier for people to see an NHS dentist by increasing the number of new NHS places and helping dentists to focus on those who need help by changing how often we see a dentist for routine appointments.”

Commenting on the announcement Russell George MS, Welsh Conservative Shadow Health Minister said: “Vaughan Gething’s arrogant choice to hike up dental charges for the people Wales, rather than cut his Labour Government’s wasteful spending is wrong.

“All standard charges are being increased for dental services by the Labour Welsh Government, including for urgent treatment, which will add to cost-of-living pressures.

“While Welsh Conservatives agree that dental services require greater investment after years of Labour underfunding them, ministers should look at cutting vanity projects like their plans to create more politicians before passing on the cost to patients.”

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Health

Doctors to enter pay negotiations with the Welsh Government

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BMA CYMRU Wales has suspended forthcoming industrial action for Consultants and SAS doctors following a constructive meeting with the Welsh government to resolve its pay disputes.

As a result of sustained pressure, including three rounds of industrial action by junior doctors in Wales, the Welsh Government has made a significant proposal to form the basis of talks to end the pay disputes with all secondary care doctors including Consultants, SAS and Junior doctors.

Since the meeting last week, the committees representing doctors from all three branches of practice have voted to enter pay negotiations based on this proposal.

The planned 48-hour strike by Consultants and SAS doctors due to take place from 16 April will now be suspended.

Junior doctors have paused plans to announce more strike dates whilst they enter negotiations with the Welsh Government.

The Welsh junior doctors committee, Welsh SAS committee and Welsh consultants committee will now each engage in pay negotiations, with the aim of reaching deals which can be taken separately to their respective members.

Dr Oba Babs Osibodu and Dr Peter Fahey co-chairs of the BMA’s Welsh Junior doctors Committee said:

“This is a significant step forward. It is sad that we had to take industrial action to get here, but we are proud of members for demonstrating their resolve in pursuit of a fair deal for the profession.

“Whilst we are optimistic and hope to quickly resolve our dispute, we remain steadfast in achieving pay restoration. Until we reach a deal, nothing is off the table.

 “We will continue to work hard to reach an offer that is credible to put to members who will ultimately have the final say.”

Dr Stephen Kelly, chair of BMA Cymru Wales’ Consultants committee said:

“The Welsh Government’s recent efforts to reach an end to the pay dispute are encouraging and so we have called off our planned strike for now whilst we allow time and space for negotiations to take place.

“We’re hopeful that we can reach a deal that sufficiently addresses years of erosion to our pay to help retain senior doctors in Wales but remain ready to strike if we’re not able to do so during negotiations.”

Dr Ali Nazir, chair of BMA Cymru Wales’ SAS doctor committee said:

“As a committee, we felt that this latest development goes someway to understanding the strength of feeling of our members. We will work hard to reach a settlement that sufficiently meets the expectation of our colleagues who have faced real terms pay cuts of up to a third since 2008/9.”

In August last year, the BMA’s committees representing secondary care doctors in Wales voted to enter into separate trade disputes with the Welsh Government after being offered another below inflation pay uplift of just 5% for the 23/24 financial year. SAS doctors on some contracts were offered as little as 1.5%. This was the lowest pay offer any government in the UK offered and less than the DDRB, the pay review body for doctors and dentists, recommended last year.

As part of their disputes, SAS doctors, consultants and junior doctors carried out successful ballots for industrial action. Since then, junior doctors have taken part in 10 days of industrial action since January this year.

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Health

BMA pay disputes – Junior Doctors, Consultants and Specialist Doctors

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THE WELSH Government and BMA Wales’ three national committees representing consultants, SAS doctors and junior doctors have today agreed to formal negotiations about pay.

Planned industrial action will be suspended during the negotiations.

A mandate is being developed for the talks with all three BMA branches of practice with the aim of resolving the disputes over pay for 2023-24.

In the context of the most challenging financial position the Welsh Government has faced since devolution, a significant amount of work has been undertaken to identify funding to support the negotiations.

First Minister Vaughan Gething said: “We recognise the strength of feeling among BMA members and that industrial action is never taken lightly.

“This is a government that listens and engages to find solutions. I prioritised a meeting with the BMA directly alongside the Cabinet Secretary for Health to reinforce our commitment to that partnership approach.

“We currently face the most severe financial situation in the devolution era which makes our task far harder. Despite this backdrop, we have worked to identify a way forward that I hope will lead to the successful resolution of this dispute and ensure that doctors can return to work in NHS Wales.”

Cabinet Secretary for Health Eluned Morgan added: “Even in these very challenging circumstances, we have worked in social partnership with the BMA and NHS to maintain patent safety during industrial action.

“But the strikes have been very disruptive to the delivery of NHS services – none of us want to see doctors on strike. I am pleased the three BMA committees have agreed to pause further industrial action and begin formal talks with Welsh Government and hope we can bring an end to this dispute.”

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Health

Hywel Dda faces ‘unprecedented pressure’ on emergency services

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IN an urgent communication released last week, the Hywel Dda Health Board has issued a critical alert regarding the overwhelming strain on Emergency Departments (A&E) across the region, marking Easter Sunday (Mar 31) as a day of significant challenge.

The health authority is earnestly appealled to the public to assist in alleviating the pressure on these vital services by judiciously selecting the most appropriate healthcare options for their urgent needs. This plea comes in light of an escalating situation that has seen emergency units grappling with an influx of patients requiring immediate care.

Individuals feeling unwell or in doubt about the severity of their symptoms were strongly encouraged to first utilise the online symptom checker available at NHS 111 Wales or to contact NHS 111 for guidance on the necessary steps to take. This service aims to streamline the process of seeking medical help, ensuring that emergency departments are reserved for those in critical condition.

For those experiencing urgent mental health issues, the health board advised calling 111 and selecting option 2 to access advice and support from mental health professionals, available 24/7.

The health board underscored the importance of visiting an Emergency Department solely in cases of life-threatening illnesses or serious injuries. Conditions warranting such immediate attention include severe breathing difficulties, intense pain or bleeding, chest pain indicative of a possible stroke, and major trauma injuries, for example, those resulting from vehicular accidents.

For less severe injuries, the public were directed towards Minor Injury Units, which are equipped to handle adults and children over 12 months of age. These units deal with minor wounds, burns or scalds, insect bites, and minor injuries to limbs, heads, or faces, including the removal of foreign bodies from the nose or ear.

Additionally, the health board highlighted the role of community pharmacies in offering walk-in, common ailment, or triage and treat services without the need for an appointment. This initiative is part of a broader strategy to provide accessible healthcare options to the community, thereby reducing unnecessary visits to emergency departments.

The health board asked families of patients who are ready for discharge but are awaiting homecare and community health support to consider facilitating their loved ones’ return home, if feasible. This gesture can significantly expedite the discharge process and free up much-needed hospital beds.

The Hywel Dda Health Board extended its gratitude to the public for their cooperation and support during the difficult period.

Responding to the news that health bosses in West Wales have made another appeal for people to avoid A&E departments due to “significant pressure” being placed on staff, Russell Geroge MS, Shadow Health Minister, said: “It is far too often that news breaks of A&E departments suffering from extreme pressures in Welsh hospitals.

“Our Welsh NHS is critically understaffed which all boils down to 25 years of Labour mismanagement in Wales.

“The Labour Government would rather spend £120 million sending 36 more politicians to Cardiff Bay than reverse their real terms cut to our health service to support hospitals across Wales.”

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