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Welsh Government accepts pay recommendations amidst ongoing disputes

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THE WELSH GOVERNMENT has accepted pay recommendations from independent review bodies for public sector workers, including NHS staff, teachers, and civil servants, for the 2024/25 financial year. The decision will see doctors and dentists receive a 6% pay rise, alongside a £1,000 consolidated uplift for junior doctors, while teachers and NHS staff will get 5.5%.

First Minister Eluned Morgan acknowledged the importance of public sector workers, describing them as the “backbone” of Wales. She emphasised the government’s commitment to fair pay while recognising public demand for improvements in services, particularly in the NHS and education. Cabinet Secretary for Finance Rebecca Evans highlighted the challenges of balancing fair pay with financial pressures.

The announcement has been cautiously welcomed by unions such as BMA Cymru Wales. Dr Oba Babs-Osibodu and Dr Peter Fahey of the BMA’s Welsh Junior Doctors Committee praised the 6% pay award as a step forward, but reiterated their calls for full pay restoration after years of real-term wage erosion. Meanwhile, Dr Stephen Kelly, chair of the Welsh Consultants Committee, recognised the progress made but expressed concerns that the settlement did not fully address years of undervaluation.

The response from general practitioners (GPs) has been more critical. Dr Gareth Oelmann, chair of the BMA Cymru Wales GP Committee, pointed out that while the pay increases were positive, they do not address deeper funding issues within general practice. He highlighted that over 100 GP surgeries had closed since 2012 due to financial constraints, and called for urgent GMS contract negotiations to tackle these systemic problems.

This latest announcement comes after significant industrial action by healthcare professionals earlier this year, with junior doctors leading the charge for fairer wages. The strikes, which resulted in widespread disruption to services, underscored the growing frustration within the medical community over years of pay stagnation.

While the pay increases for 2024/25 represent progress, the BMA and other unions remain steadfast in their pursuit of full pay restoration. They argue that, despite recent gains, doctors and healthcare professionals have seen their wages eroded in real terms over the past decade.

Beyond healthcare, teachers and other public sector workers have also benefited from the pay awards. Teachers will receive a 5.5% increase, reflecting the Welsh Government’s broader commitment to rewarding essential workers.

However, the Welsh Government faces the challenge of maintaining these pay awards while navigating broader economic constraints. Public finances remain under pressure, and there are concerns about how sustainable these pay settlements will be in the long term.

As the Welsh Government moves forward with these pay reforms, further negotiations with unions will be crucial to ensuring the long-term viability of public services in Wales. Despite the positive reception of the pay awards, there are still significant hurdles ahead, particularly in general practice and other underfunded areas of the public sector.

The pay increases mark a step towards resolving disputes, but the Welsh Government and public sector unions acknowledge that much work remains to address long-standing concerns around pay, working conditions, and service delivery.

Responding to the Welsh Government’s acceptance of the independent Pay Review Bodies recommendation of an above current inflation rate pay increase for NHS staff, director of the Welsh NHS Confederation Darren Hughes said:

“Health leaders will welcome the confirmation from the Welsh Government that those staff working so hard across the health service will benefit from an above inflation pay rise, in line with the UK Government offer to staff in England.

“NHS staff work tirelessly day in day out for patients and are the lifeblood of the health service, so this decision should be greeted with renewed optimism. Commitments to updating pay points and structures, as well as the intent to negotiate a fair and proportionate pay uplift across primary care, will also be welcomed.

“Industrial action has taken a real toll on the health service in recent years, not least on patients due to the cancellation of appointments and operations. We hope today’s news takes us another step towards avoiding disruption to health services from industrial action.

“However, it is crucial that the pay award is funded in full by both the UK and Welsh governments as the NHS continues to work hard at recruiting and retaining staff and driving down waiting lists against the backdrop of an already very tight financial position.

“Although NHS leaders understand the financial uncertainties faced by the Welsh Government, they would welcome an earlier decision in relation to future pay awards.

“NHS organisations will now work hard to implement the back-dated pay award, so staff can receive the well-deserved pay uplift as soon as is practicable.”

RCN Wales Executive Director Helen Whyley said: “The RCN today welcomes the Welsh government announcement that it will implement the recommendations of the independent pay review body (PRB) for NHS Agenda for Change staff in Wales. Nursing staff have been eagerly awaiting the Welsh government decision since early July, which applies from April 2024. 

“The PRB recommendations acknowledge the tireless dedication and essential role of nursing staff, but investment in NHS staff is imperativeto fully reflect their contributions and to make the profession attractive to future nurses.

“Last year the Welsh government made a commitment to pay restoration for NHS staff. Now they must decide how to achieve that over time. The RCN expects to see a clear route to fair pay restoration – making up for a very serious loss of earnings in the last 15 years.

“Stagnant salaries at a time of spiralling prices have forced too many to leave nursing and deterred others from joining. Fair pay is vital to recruiting and retaining nursing staff, to filling the thousands of vacant nurse jobs and giving people the care they deserve.

“Nurses are the ever-present, safety critical workforce across the whole of health and care. Our wages do not reflect that, and still won’t after today. We will be pushing the Welsh government to show us their plans for improving NHS pay – it is vital to recruit and retain nursing staff. We will consult with our members on whether they see today’s statement as enough of a start on this pay journey.”

Health

Air quality scheme in Pembroke and Haverfordwest areas could be ended

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A PUBLIC consultation which could lead to the ending of an air quality management scheme in Pembroke and Haverfordwest, brought in after high levels of pollution were recorded back in 2012, has been backed.

At the Pembrokeshire County Council Cabinet meeting of January 12, members were recommended to support a six-week public consultation on the proposal to revoke the Haverfordwest and Pembroke Air Quality Management Areas (AQMAs).

A report for members ahead of the meeting, presented by Cabinet Member for Planning & Regulatory Services Cllr Jacob Williams said: “In 2012, Pembrokeshire County Council identified that concentrations of nitrogen dioxide (NO₂) were exceeding the national annual mean objective within certain areas of Pembroke (specifically along Main Street) and within sections of Haverfordwest’s main commercial streets.

“The elevated concentrations were attributed primarily to road traffic emissions, particularly in narrow streets where vehicle emissions were less effectively dispersed. Although the number of exceedances was limited, the council had a statutory duty under Part IV of the Environment Act 1995 to take action to achieve and maintain compliance with national air quality objectives.

“Consequently, as a precautionary measure, Pembrokeshire County Council formally designated these areas as Air Quality Management Areas (AQMAs).”

It added: “To support the AQMA designations, a comprehensive local monitoring network was established, comprising 48 diffusion tube monitoring stations across both Haverfordwest and Pembroke. Each diffusion tube is tested and replaced on a monthly basis, providing a continuous dataset on ambient nitrogen dioxide (NO₂) concentrations to track progress and assess the effectiveness of implemented measures.

“Over several years, measured NO₂ levels have shown a consistent downward trend, reflecting the effectiveness of local emission reduction measures and broader improvements in vehicle technology and fleet composition.”

It says monitoring over the last three years has shown levels to be below national objective and precautionary threshold levels, adding: “On the basis of this sustained compliance and the clear evidence of air quality improvement, Pembrokeshire County Council proposes to revoke both the Haverfordwest and Pembroke AQMAs.”

It stressed: “Although the statutory Air Quality Management Area (AQMA) designations for Haverfordwest and Pembroke have been proposed for revocation; Pembrokeshire County Council will continue to undertake air quality monitoring to ensure that standards are consistently maintained and that public health remains protected.”

Cllr Alistair Cameron said: “This is a good news story, it’s so important for people to breathe good quality air in Pembroke and Haverfordwest.”

He was joined by Leader Cllr Jon Harvey, who represents Pembroke St Mary North, who said: “Modern vehicles are less pollutive than previous ones, it’s a good news story.”

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Health

Ward closures at Prince Philip Hospital, Llanelli as norovirus cases rise

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FOUR wards at Prince Philip Hospital in Llanelli have been temporarily closed and visiting restrictions introduced after cases of norovirus were confirmed on the site and in the wider community.

Hywel Dda University Health Board said the measures came into force on Tuesday (Jan 13) and apply to the whole hospital, even though four wards are currently affected.

Visiting has been limited to essential visits only, with the health board asking members of the public not to attend the hospital “until further notice”. Essential visiting may be permitted in exceptional circumstances, and families are being advised to contact wards directly or the hospital switchboard for guidance.

Norovirus is a highly contagious virus that can cause vomiting and diarrhoea, and outbreaks often lead to ward closures to help prevent further spread.

Sharon Daniel, Hywel Dda’s Director of Nursing, Quality and Patient Experience said: “We have taken the decision to restrict all but essential visiting to Prince Philip Hospital in order to keep patients and staff safe and to halt the spread of norovirus, which is currently circulating in our local community.

“I know this will be difficult for those who have loved ones in hospital and we will re-open the wards as soon as it is safe to do so. Please keep an eye on our website or social media for further updates.”

The health board said other hospital sites across Hywel Dda are operating as normal, but urged people not to visit friends and relatives if they have symptoms of flu, sickness or diarrhoea, and to wear a face covering when attending clinical sites.

Ms Daniel added: “You should only come to our sites if you are feeling well. This helps us limit the spread of viruses and protect our most vulnerable patients. It also helps us to keep staff well, so that they can look after those in greatest need of our care.”

Hywel Dda also encouraged eligible people to take up flu vaccinations, and said information on flu jabs — including RSV and COVID-19 boosters where applicable — is available via the health board’s website or its vaccination helpline.

For further information, the public can call 0300 303 8322 (option one) or email [email protected].

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Community

Screening crisis: 15,000 ‘missing’ women at risk of breast cancer in Wales

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A PETITION signed by more than 4,000 people has thrust Wales’ breast cancer screening programme into the spotlight amid low take-up and “massive” disparities across the country.

On Monday January 12, Senedd Members considered the 4,254-signature petition on improving the national Breast Test Wales screening programme run by Public Health Wales.

The Senedd’s petitions committee heard only 69% of women invited for screening attended their appointment in 2022/23, below a 70% minimum standard and an 80% target.

The petitioners wrote: “If the 80% target was met, 15,871 more women would have been screened and an estimated 154 more breast cancers detected.”

Breast Cancer Now, which organised the petition, pointed to latest uptake data for the UK – showing England at 70%, Northern Ireland at 74% and Scotland at 75%.

Highlighting an awareness campaign launched in England in 2025, the charity urged the Welsh Government to similarly promote potentially life-saving breast screening.

Plaid Cymru’s Lindsay Whittle was taken aback: “I would say this is certainly the most alarming statistic I have read in possibly the past 35-40 years I’ve been involved in politics.

Caerphilly's Plaid Cymru MS Lindsay Whittle
Caerphilly’s Plaid Cymru MS Lindsay Whittle

“To think that 15,000 women are walking around Wales not being screened and 154 of those women probably have early signs of breast cancer is alarming.

“And we have to send out a 999 message to women in all corners of Wales: please use this facility, it is absolutely vital. If this facility was taken away, we would probably have demonstrators outside this building – and rightly so.”

Calling for a communications campaign to save lives, Caerphilly MS Mr Whittle added: “The low take-up in many areas of Wales is a matter of national concern.”

He urged colleagues on the cross-party petitions committee to write to health secretary Jeremy Miles, seeking answers on breast cancer screening.

The politician questioned: “What is England doing differently to Wales because they seem to be more successful? Well, that shouldn’t be right obviously.”

Mr Whittle stressed: “We have to ensure that women’s lives are protected and they’re given this help as fast as possible. Early detection is vital.”

Vaughan Gething, the former First Minister and health secretary, supported calls to ask the Welsh Government for an update on plans for a new wider screening equity strategy.

Former First Minister Vaughan Gething
Former First Minister Vaughan Gething

Labour’s Carolyn Thomas, who chairs the committee, explained people continue to go every three years if they attend their first screening, “so it’s getting them there in the first place”.

Ms Thomas, who had to rearrange her own appointment last week due to a family medical emergency, said early detection could save the NHS as much as £100m.

A Public Health Wales report showed significant disparities, with uptake ranging from more than 70% in Carmarthenshire to 40% on Anglesey in 2021/22.

Rhys ab Owen, who sits as an independent, suggested a debate in the main chamber but recognised the clock was ticking on the Senedd term with an election in May.

Independent MS Rhys ab Owen
Independent MS Rhys ab Owen

He said: “I was unaware of this issue before the petition and I’d be very interested to know the reason behind the difference between different local authorities. There must be a reason: why is Ynys Môn so low at 40%? It’s a massive outlier.”

The committee agreed to write to health secretary Jeremy Miles about the forthcoming screening equity strategy and the use of 11 mobile centres in Wales.

Breast Cancer Now also expressed concerns about delays in data reporting, with a 2023/24 annual report set to be published a year after the equivalent English data.

The charity stressed: “Timely annual statistical reporting, in line with the timescale of other UK nations, increases transparency and accountability within Wales’ breast screening programme, and supports evidence-based decision making and long-term planning.”

In an earlier letter to the committee, Mr Miles told the committee uptake rates can vary across regions, age groups and socioeconomic backgrounds.

He wrote: “The reasons women choose not to take up the offer are complex. Factors may include lack of awareness, fear or anxiety about the screening process and results, cultural and language barriers, access issues, and the impact of misinformation.

“We are committed to maximising breast screening uptake across all communities, recognising its vital role in early cancer detection and improved outcomes.”

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