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Nursing staff warn Welsh Government: pay system ‘broken’

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MORE than nine in ten nurses in Wales have rejected the Welsh Government’s 3.6% pay offer in what has become the highest‑ever turnout in a Royal College of Nursing (RCN) consultation in Wales.

The record level of participation is seen as a clear sign of growing anger over pay, working conditions, and the ongoing pressures facing the NHS. For the first time, so many members have taken part in a consultative ballot – and the message is blunt: nursing staff feel undervalued far beyond the level of an annual pay award.

Call for urgent reform

The RCN says the current NHS “Agenda for Change” pay system – introduced more than 20 years ago – is outdated, offering low starting salaries, blocking career progression, and failing to reward advanced skills, training, and experience.

Union leaders accuse the Welsh Government of “kicking reform down the road” and deferring to England, despite having the power to act. They say proper pay reform is vital to keep experienced nurses in the profession and ensure patient safety.

‘Pay is a patient safety issue’

Helen Whyley, Executive Director of RCN Wales, said: “With the highest turnout ever, our members have made it clear: 3.6% is not enough for nursing staff – they deserve to be heard.

“The commitments made in 2023 on pay restoration and career progression have become empty rhetoric, making no difference to our members’ daily reality. Coupled with the cost‑of‑living crisis and the moral injury of caring for patients in inappropriate environments, it is clear that nursing pay reform is a patient safety issue – and it is within the Welsh Government’s power to fix.

“Pay is not just a number – it reflects the terms, conditions and respect that shape how valued, supported and motivated staff feel in their roles. In less than a year, our members will go to the polls. They feel desperately undervalued by this government, and that will not change unless major reforms are delivered in the months ahead – not just promised in an election campaign.”

What happens next

The RCN will now consult its members on the next steps, which could include a formal ballot for industrial action if the Cabinet Secretary for Health and Social Care does not enter “meaningful talks.”

Welsh Government response

A Welsh Government spokesperson told The Herald it had already committed to the biggest pay rise in the UK for nurses last year, alongside improvements to terms and conditions, and would “continue to work with unions to improve recruitment and retention in the NHS”.

The spokesperson said: “We value the incredible work nurses do every day for patients in Wales. While difficult financial choices have to be made, we remain committed to supporting NHS staff and delivering safe, high‑quality care across Wales.”

News

Amber weather warning as ‘danger to life’ rain set to hit Pembrokeshire

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Dyfed-Powys Police and council teams prepare as Monday deluge expected

COMMUNITIES across Pembrokeshire are being urged to brace for severe weather after the Met Office issued an amber “danger to life” warning for heavy rain, covering the county from 4:00am to 9:00pm on Monday (Dec 15).

Up to 80mm of rain is expected widely, with 100mm possible on higher ground in north Pembrokeshire and the Preseli foothills. With rivers already running high following weeks of persistent wet weather, Natural Resources Wales says there is a heightened risk of flooding in low-lying areas, including parts of Haverfordwest, Remington Bridge, Merlin’s Bridge, Tenby, Neyland and along the Western Cleddau.

Travel disruption likely

The Met Office warns that fast-flowing or deep floodwater could pose a danger to life, with road flooding likely on key Pembrokeshire routes such as the A40, A487 and A478. Bus and rail services may face disruption.

Dyfed-Powys Police said officers would be monitoring known flood hotspots throughout Monday and urged drivers to avoid non-essential travel during the worst of the downpours.

A police spokesperson said: “Please plan ahead. Do not risk driving through floodwater. Conditions may change very quickly.”

Yellow warnings already in place

A yellow rain warning is active for southwest Wales from midnight tonight (Sun 14 Dec). A separate yellow warning for mid and north Wales began this afternoon.

Pembrokeshire County Council said its highways and emergency planning teams are on standby, with extra staff monitoring river gauges and drainage across the county. Sandbags are available where required.

Residents urged to prepare

Natural Resources Wales is advising residents in flood-prone areas to take precautions today, including:

  • Checking local flood alerts
  • Moving valuables upstairs where possible
  • Securing outdoor items against strong winds
  • Checking on vulnerable neighbours

The Herald understands that emergency services expect the heaviest rainfall between 6:00am and 3:00pm on Monday, with further unsettled weather forecast later in the week.

More updates to follow

This is a developing story. The Pembrokeshire Herald will bring live updates as information comes in from the Met Office, NRW, PCC and emergency services.

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Health

Major investment confirmed for GP services in Wales

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Government unveils £41m boost, but practices warn pressures remain acute

MORE than £41m in extra funding will go into general practice in Wales this year following a new agreement between the Welsh Government, NHS Wales and GP leaders. Ministers say the deal provides stability at a time of rising demand — but the settlement comes against a backdrop of sustained pressures, recruitment challenges and concerns over patient access.

The package includes a 4% uplift to the General Medical Services (GMS) contract for 2025-26, in line with independent DDRB pay recommendations, and a guaranteed 5.8% recurrent uplift from 2026-27. The Welsh Government says the multi-year commitment will allow practices to plan ahead, modernise systems and strengthen community-based services.

Health Secretary Jeremy Miles said the investment showed an “unwavering commitment” to general practice, adding: “The 4% pay uplift ensures fair recognition for GPs and practice staff who work tirelessly to deliver care for communities across our country. Multi-year funding gives practices the confidence to invest in the transformation primary care needs.”

However, the announcement comes at a time when many Welsh practices continue to report severe workforce pressures, rising demand, and longstanding challenges in recruiting new partners. GP numbers have fallen over the past decade, with some practices handing back contracts or operating list closures because of unsustainable workloads. Patient satisfaction with access has also declined, according to the latest Welsh GP Patient Survey.

What the deal includes

The settlement for 2025-26 comprises £37.9m of new investment and £4m in re-invested capacity funding, with the key elements including:

  • A 1.77% uplift in expenses, intended to help practices manage inflationary pressures in energy, staffing and running costs.
  • A recurrent £20m stabilisation fund to support practices facing immediate operational pressures and to prepare for wider reform under the incoming Sustainable Farming Scheme model for health.
  • An increased partnership premium, aimed at retaining experienced GPs and encouraging new partners into a model that some say has become less attractive due to financial and regulatory risk.
  • A full review of the GMS allocation formula — the first in more than 20 years — which determines how funding is distributed between practices. Some rural and deprived communities have long argued the current system does not reflect the complexity of local health needs.

Wider context

General practice remains the foundation of the NHS, accounting for around 90% of patient contacts, yet it receives a proportionally small share of the overall health budget compared with hospital services. Both the Welsh NHS Confederation and GPC Wales have repeatedly warned that without sustained investment, primary care risks being unable to meet increasing demand from ageing populations and rising chronic illness.

The Welsh Government’s own “community-by-design” programme relies on shifting more care closer to home, reducing pressure on emergency departments and supporting earlier intervention. For that to be achieved, GP leaders say investment needs to be matched with workforce expansion, improved digital systems, and clear strategies to retain experienced clinicians.

Working groups will now be set up to examine access standards, diabetes prevention and new service models.

Mr Miles said he was pleased that GPs would be “actively contributing to creating innovative care models that enhance access, improve outcomes and deliver care locally.”

GP representatives broadly welcomed the deal but have stressed that it is only one step in addressing the scale of challenge across primary care.

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Community

Narbelles WI support Food Bank with festive donation

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Group marks December meeting with charity collection and Christmas celebrations

NARBELLES WI rounded off the year with a festive December meeting featuring a bring-and-share buffet, party games and a Secret Santa gift exchange.

Members also used the occasion to support families in need across the county, collecting food items and presenting a £120 cheque to Ann Watling from Pembrokeshire Food Bank. The donation represents the proceeds of the group’s bucket collection during Narberth Civic Week 2024.

A spokesperson for the WI said the group was delighted to finish the year “with fun, friendship and a chance to give something back to the community.”

(Photo: Narbelles WI members presenting the cheque to Ann Watling, Pembrokeshire Food Bank.)

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