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Health

Wales to lead rollout of first long-acting HIV prevention jab on the NHS

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WALES is set to lead the way in the UK’s battle against HIV, with the NHS preparing to offer a new long-acting injectable drug that can prevent infection with just six doses a year.

The National Institute for Health and Care Excellence (NICE) has issued a positive recommendation for cabotegravir, branded as Apretude, making it the first long-acting pre-exposure prophylaxis (PrEP) option available on the Welsh NHS. The medicine, manufactured at GSK’s facility in Barnard Castle, County Durham, is being hailed as a breakthrough for people at risk of HIV who cannot take daily tablets.

Available in Wales within weeks

Because of differences in how health systems are run, Wales is expected to roll out cabotegravir faster than England. Subject to no appeals, the drug will be made available within two months through Welsh NHS services – a move campaigners say could have a major impact on transmission rates.

The medicine has been shown to be significantly more effective than daily oral PrEP. In two large trials, it reduced new HIV infections by 69% and 90% compared to existing tablets. It was also well-tolerated, with only mild side effects such as temporary injection-site soreness.

A Welsh public health opportunity

The Welsh Government has long committed to the goal of ending new HIV transmissions by 2030, but campaigners say progress has been uneven. According to the UK Health Security Agency’s 2024 data, uptake of PrEP remains lowest among heterosexual women, Black African communities, and young people aged 15–24 – groups where new diagnoses are actually rising.

Richard Angell, OBE, Chief Executive of the Terrence Higgins Trust, said:
“We are not on track to meet the 2030 goal of no new HIV transmissions. There are stark inequalities in who is accessing prevention. We need to ensure that everyone in Wales understands their options and can access one that works for them.”

Juddy Otti, Head of HIV Services at the Africa Advocacy Foundation, added:
“More needs to be done to prevent transmission in communities where inequities persist. This new injectable option provides real choice and could help change that.”

How it works

Apretude is given as two starter injections a month apart, followed by one injection every two months – meaning just six visits a year to stay protected. It works by blocking HIV’s ability to integrate into human immune cells, stopping the virus from establishing infection.

Julie Guest, General Manager at ViiV Healthcare UK, said:
“Making cabotegravir available in Wales is a vital step forward in improving accessibility for people who can’t take daily oral PrEP. It’s an important addition to national efforts to bring down new HIV cases.”

With health boards now preparing to deliver the treatment, Wales could become the first nation in the UK to fully implement long-acting injectable HIV prevention on the NHS — a major milestone in public health and a powerful statement of intent to reach zero new HIV transmissions by 2030.

Health

Labour and Plaid Cymru strike £300m budget deal

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THE LABOUR Welsh Government has struck a £300m deal with Plaid Cymru to pass its £27bn spending plans for next year, with additional money for the NHS and councils.

The budget agreement will allow the Welsh Government’s final budget for 2026/27 to pass through the Senedd in January, averting a potential crisis for public finances.

Labour cannot pass a budget on its own because the party is two votes short of a majority after Plaid Cymru won the Caerphilly by-election.

Since the draft budget was published, councils have warned of a £400m funding gap and experts suggested the NHS faced a “historically low” funding settlement.

Without a deal, the picture would have been far worse – with the Welsh budget automatically reverting to 75% of last year’s, rising to 95%, costing public services billions of pounds.

The deal, which was announced in a written statement from First Minister Eluned Morgan, includes an extra £112m for councils, so all local authorities will receive at least 4% more.

An additional £180m will be spent on health and social care, the equivalent of a 3.6% increase. Meanwhile, £120m of longer-term capital funding will be available for the next government following the Senedd election in May 2026.

Baroness Morgan said: “This agreement shows the strength of the Senedd parties working together on shared priorities to deliver for Wales. Through this agreement we have secured the passage of the budget and prevented potentially catastrophic cuts to funding next year.”

Plaid Cymru previously supported Welsh Government budgets under the cooperation agreement, which contained 46 commitments, between December 2021 and May 2024. The party was in the ‘One Wales’ coalition government with Labour from 2007 to 2011.

Heledd Fychan, Plaid Cymru’s shadow finance secretary, warned the Labour draft budget would have been “catastrophic” for public services. She said her party was not prepared to let that happen as she pointed to more funding for councils and the NHS under the deal.

Plaid Cymru MS Heledd Fychan
Plaid Cymru MS Heledd Fychan

Last year’s budget was voted through after ministers cut a £100m deal with Jane Dodds, the Liberal Democrats’ Welsh leader and the party’s sole Senedd Member.

Ministers had been in budget talks with Conservative and independent Senedd Members for weeks, with the Tories calling for land transaction tax on primary homes to be scrapped.

Darren Millar, the Conservatives’ leader in the Senedd, described the deal as “another Labour-Plaid Cymru stitch-up”, accusing the First Minister of “playing games”.

Conservative MS Darren Millar
Welsh Conservative leader Darren Millar

He said: “Labour and Plaid’s deal will mean yet more of the same wasteful spending on extra politicians, overseas embassies and trees, instead of focusing resources on the priorities of the people of Wales, and putting more cash into people’s pockets.”

A Reform UK Wales spokesperson said: “This is more evidence that a vote for Plaid next year is a vote for Labour. While Labour find themselves without a paddle, Plaid have stepped in yet again to save them.”

The government’s final budget for the 12 months from April will be published on January 20.

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Health

Senedd backs bill to create smoke-free generation and curb youth vaping

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A LANDMARK BILL aimed at creating Wales’ first smoke-free generation has been backed by Members of the Senedd on Tuesday (Dec 9).

The Tobacco and Vapes Bill — which applies across all four UK nations — will make it illegal for anyone born on or after 1 January 2009 to purchase tobacco products. The legislation has already passed the House of Commons and is currently being considered by the House of Lords.

Mental Health and Wellbeing Minister Sarah Murphy welcomed the Senedd’s vote on the legislative consent motion, describing the Bill as vital to protecting young people from a lifetime of nicotine addiction. Ahead of the debate, she met school children who shared a poem they had written about a smoke-free future, along with pledges of support gathered from their peers.

Wales has already led the UK in tightening smoking laws, introducing restrictions in outdoor public spaces — including hospital grounds, school grounds and playgrounds — to reduce exposure to second-hand smoke, particularly for children.

Sarah Murphy said: “This is a historic day for public health in Wales. Despite real progress in reducing smoking levels, tobacco remains one of the leading causes of preventable disease and premature death. The Tobacco and Vapes Bill gives us a unique opportunity to tackle smoking and the growing issue of youth vaping, and to significantly improve public health in Wales and the wider UK.”

Wales’ Chief Medical Officer, Professor Isabel Oliver, added: “Tobacco addiction kills thousands of people in Wales every year and continues to drive health inequalities. This Bill offers a once-in-a-generation chance to break that cycle and protect future generations from a product that has caused immeasurable harm.”

The Bill will introduce tougher rules around vapes, including stricter advertising controls to prevent products being marketed to children. It will also introduce a new licensing scheme for anyone wishing to sell tobacco or vaping products, giving enforcement officers stronger tools to tackle illegal sales.

Trading Standards Wales will receive more than £650,000 from the Welsh Government over the next three years to support implementation, including the recruitment and training of five apprentices to assist with enforcement operations.

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Health

Learning disability packs rolled out across local emergency departments

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FOLLOWING a successful pilot at Glangwili Hospital’s emergency department, Hywel Dda University Health Board (UHB) has rolled out Learning Disability Packs across Carmarthenshire, Ceredigion, and Pembrokeshire. 

These packs are designed by the health board’s Learning Disabilities Team to make emergency hospital visits less stressful and more accessible for adults with learning disabilities. They provide clear, simple information and reassurance for patients and their families. 

The pack is available at Bronglais, Glangwili, Withybush hospital’s emergency departments (A&E) and Prince Philip Hospital’s Acute Medical Assessment Unit (AMAU).

It is designed to provide clear, simple information and reassurance and includes: 

  • Easy Read information 
  • Pictures and symbols to aid understanding 
  • Details about what will happen during the visit 
  • Information about staff who can help 

To ensure the packs are offered promptly, the Learning Disabilities Team is working closely with front-of-house staff and holding staff drop-in sessions. Posters will also promote their availability throughout departments and patients, or their carer can ask for a pack at the reception desk.  

“These packs were developed to help make emergency care less stressful and more accessible for adults with learning disabilities. We’re delighted these packs are now available across our hospitals,” said Melissa Evans, Learning Disabilities Health Facilitation and Liaison Team Manager, at Hywel Dda UHB.  

Anyone with a learning disability is also encouraged to complete a Health Profile and share it with health workers when visiting hospital. This profile includes essential information for health workers and can be used across all health and social care appointments.  

Melissa added: “A Health Profile is an important communication tool for people with a learning disability. It can include information about how to communicate, their medication and allergies, and the reasonable adjustments they may need.  

“Everyone is different, so we encourage anyone with a learning disability to fill in a Health Profile and take it with them when you need to go to hospital or see health and social care staff.” 

Health Profiles are available to download at https://www.improvementcymru.net/health-profile along with advice on how to fill it in.  

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