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Health

Women driven to end pregnancies amid row over £28 drug

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A DOCTOR who facilitated abortions for two women with much-wanted pregnancies was not allowed to prescribe a £28 anti-sickness drug due to cost-effectiveness rules in Wales.

The stark warning came as petitioners called on the Welsh Government to place Xonvea, the only licensed medication for severe pregnancy sickness, on the routine prescription list.

Georgina Forbes, a specialist doctor in Gwent, revealed she facilitated terminations for two women who were suffering from hyperemesis gravidarum (HG) in a single week. HG, which affects about 3% of pregnancies, leads to extreme, persistent nausea and vomiting.

“Both pregnancies were very much planned and wanted,” she wrote. “Both had multiple admissions and were on other medical treatments which were not giving adequate relief.

“For the sake of their physical and mental health, they felt their only option was to terminate their much-wanted pregnancies – inevitably having a further impact on their well-being.”

She warned of distress for the patients and staff involved because Xonvea “may well be the medication that provides symptomatic relief but departments are not allowed to prescribe it”.

Dr Forbes, chair of the College of Sexual and Reproductive Healthcare’s Wales committee, noted Xonvea costs £28 for a 10-day supply – “far less than the cost of admission”. She urged Welsh ministers to ensure women are not “left behind compared to other UK nations”.

In 2019, the drug was rejected for routine use by the All-Wales Medicines Strategy Group (AWMSG) – which advises ministers – due to “insufficient” evidence of cost-effectiveness. Scotland reached a similar conclusion while access in England is inconsistent.

But campaigners argue the decision is a false economy. Data submitted to the Senedd’s petitions committee highlighted a two-night hospital admission to rehydrate a woman with severe sickness costs the NHS £850, with ambulance call-outs costing a further £238.

Petitioner Sarah Spooner, from Monmouthshire, argued the “myopic approach” ignores the costs of untreated sickness such as perinatal mental health support.

Ms Spooner, whose pregnancy sickness was so severe she had to have a termination, warned of inequality in access to treatments. She recalled having to travel to an abortion clinic in Bargoed to get medication, a process she described as “immensely difficult”.

While the Welsh Government has insisted health boards have discretion to prescribe the drug “when other treatments… are ineffective”, staff and patients report a different reality.

Ms Spooner’s 947-name petition warned women face a “postcode lottery” for care, with only two Welsh health boards making Xonvea more widely available.

She was contacted by Heather Kosick, a Canadian doctor, who was horrified by her story.

Dr Kosick wrote: “Here in Canada Xonvea, also called Diclectin, is readily available to all pregnant women. In fact, it is considered the first-line agent for nausea and vomiting in pregnancy due to its extensive safety data.”

Ms Spooner volunteers for the Pregnancy Sickness Support charity which pointed out that Xonvea has been prescribed globally for years, with an estimated 30 million women treated.

The charity highlighted that 57% of patients are forced to cycle through three or more ineffective drugs before being offered Xonvea, which 83% of women found effective.

One patient reported being hospitalised seven times during a pregnancy without Xonvea but zero admissions during a subsequent pregnancy when she was prescribed the drug.

About 5% of women with HG end a wanted pregnancy due to the severity of symptoms, according to a 2021 study, which found 52% considered termination.

The study, from the Obstetric Medicine journal, found 25.5% of respondents occasionally experienced suicidal thoughts while 6.6% reported frequent suicidal ideation.

Writing to the petitions committee, Wales’ health secretary Jeremy Miles said the 2019 AWMSG appraisal remains the “most up-to-date and comprehensive evaluation”.

He told the committee health boards can make Xonvea available in certain circumstances, with more than 1,140 prescriptions issued between January and July 2025. He added that the manufacturer was “unable” to provide updated information to support a reappraisal.

Mr Miles wrote: “We must ensure our health service treats all conditions and diseases fairly. Taking an evidence-based approach helps us to do this, whatever the disease, by ensuring resources are targeted at where the evidence indicates people will gain the most benefit.”

During today’s (December 8) meeting, Senedd members paid tribute to women for sharing their “horrendous” experiences before deciding to ask the AWMSG to reconsider its position.

Plaid Cymru’s Caerphilly MS Lindsay Whittle said: “I don’t think you can put a price on young families, young couples who wish to start a family and have undergone such traumatic decisions.”

He stressed: “Cost should simply not be the issue – families are suffering.”

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

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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