Health
Welsh clinicians warn against assisted dying law as Senedd debate approaches
A GROWING debate over assisted dying has moved to the forefront of Welsh politics, as more than 250 doctors, nurses and healthcare professionals urge the Senedd to reject plans that would allow terminally ill adults to seek medical assistance to end their lives.
The intervention comes ahead of a crucial vote on Tuesday (Jan 20), when Members of the Senedd will be asked whether Wales should give legislative consent to the Terminally Ill Adults (End of Life) Bill, legislation currently progressing through Westminster but with direct implications for devolved health services in Wales.
The Bill, which applies to mentally competent adults diagnosed with a terminal illness and given six months or less to live, has been promoted by its supporters as a compassionate option for those facing unbearable suffering. However, critics argue that it risks placing vulnerable people under subtle pressure to end their lives and could fundamentally alter the relationship between patients and clinicians.
In an open letter, more than 250 healthcare professionals working across Wales have expressed “serious concerns” about the proposals, warning that the legislation could undermine patient safety, suicide prevention efforts and confidence in end-of-life care.
The signatories include over 120 doctors alongside nurses, specialist nurses, physiotherapists, occupational therapists, pharmacists, paramedics, radiographers and medical managers, many of whom work in frontline roles within NHS Wales.
They stress that their opposition is not rooted in ideology but in the practical operation of the law within an already stretched health system.
Dr Sarah Davies, a respiratory physician based in north Wales, said the forthcoming vote should not be seen as a general endorsement or rejection of assisted dying in principle.
She said: “It is vital that our elected representatives understand that this vote concerns the specific details of this proposed legislation and how it will operate. It is not a general vote on assisted suicide.”
One of the central concerns raised is access to palliative and hospice care. Palliative care physician Dr Victoria Wheatley warned that many patients in Wales are currently unable to access specialist end-of-life support.
She said: “People living in around a quarter of Wales cannot access a hospice bed. That means they do not have real choice. Funding a state-sponsored assisted dying service without first ensuring comprehensive palliative care is not the right approach for Wales.”
Mental health specialists have also voiced alarm. Consultant psychiatrist Dr Stuart Porter said the Bill could undermine Wales’ Suicide Prevention and Self-Harm Delivery Plan for 2025–2028 and place psychiatrists in an ethically conflicted position.
He warned that the Mental Capacity Act was never designed to assess decisions around assisted dying and said the proposed role for psychiatrists is not supported by the Royal College of Psychiatrists.
Senior figures in Welsh medicine have also joined the call. Former Chief Medical Officer for Wales Dame Deirdre Hine is among the signatories, citing concerns about unintended consequences and the potential impact on disabled people, homeless individuals and others who may already feel marginalised.
Professor Hope-Gill has raised additional constitutional concerns, warning that the Bill relies heavily on so-called “Henry VIII powers”, allowing key aspects of the system to be altered later through secondary legislation with limited scrutiny.
The clinicians also point to cross-border complexities. More than 13,300 Welsh residents are registered with GP practices in England, while over 21,100 English residents are registered with GPs in Wales, raising questions about jurisdiction, oversight and consistency of safeguards.
Supporters of assisted dying argue that strict safeguards would be built into the law and that similar systems already operate in countries such as Canada and parts of Europe. Campaigners say the legislation would offer dignity and autonomy to those facing intolerable suffering at the end of life.
Several Senedd Members have previously indicated that the issue is one of conscience rather than party politics, and the forthcoming vote is expected to cut across traditional political lines.
In their concluding statement, the healthcare professionals said the Bill risks undermining devolved decision-making in healthcare and creating inequality in access to care, urging Members of the Senedd to withhold legislative consent.
Support and help
This article discusses issues relating to suicide. Anyone who may be struggling or feeling distressed can seek confidential support from the Samaritans on 116 123, or from CALM on 0800 58 58 58. Support is available 24 hours a day.
Business
BPCA calls for stronger action to protect Welsh homes from pests
AHEAD of the Senedd elections in May, British Pest Control Association (BPCA) is calling on the next Welsh Government to do more to protect people in Wales from preventable pest problems in their homes.
In its new manifesto for public health pest management in Wales, the national trade body says no one should have to live with rats, cockroaches, flies or other pests because of poor housing conditions, slow repairs or inadequate waste management.
Housing, public health and environmental regulation are devolved to the Senedd.
BPCA is urging Welsh policymakers to make sure protections against pest problems apply to all renters, not just those in social housing.
The Association warned that pests in homes are not just a nuisance and can pose a risk to health.
Rodents can spread diseases, including leptospirosis, salmonella and listeria, while also causing damage by gnawing pipes and wiring. Cockroaches, flies, and other insects can spread pathogens, contaminate food and damage belongings.
Rosina Robson, Chief Exec of the British Pest Control Association (BPCA), said: “Too many people are still being left to deal with pest problems that could and should have been prevented.
“Where there are building defects, poor waste management or delays to repairs, infestations can quickly take hold. That has a real impact on people’s health, well-being, and quality of life.
“It should not matter whether someone lives in social housing, private rented housing or temporary accommodation. The risks posed by pests are the same, and the protections should be too.
“We want the next Welsh Government to recognise the danger pests pose in people’s homes and make sure everyone in Wales has the right to live in a decent home that is protected from avoidable infestations.”
BPCA’s manifesto calls on the next Welsh Government to:
- Recognise the danger that pests pose to the health and well-being of tenants
- Ensure protections for all renters, including people living in social rented, private rented and temporary accommodation
- Back a stronger public health approach to pest management in Wales.
The manifesto also highlights the wider role of professional pest management in protecting public health, food supply chains and the built environment across Wales.
BPCA says tackling pests properly means more than responding once an infestation has taken hold. Landlords and property managers also need to act on the advice of pest professionals, including improving communal waste disposal, repairing defects in buildings and addressing the conditions that allow pests to thrive.
Niall Gallagher, BPCA’s Technical Manager, added: “We wouldn’t accept pest activity in places such as factories or restaurants where food is prepared, and people should not be expected to put up with the same risks in their own homes.
“This is about prevention, public health and basic standards. Wales has an opportunity to lead the way and make sure fewer people are left living in misery because of pests.”
BPCA’s full manifesto, A manifesto for public health pest management in Wales, is available from the Association’s website.
Health
Nursing graduate jobs crisis warning as NHS pressures deepen
THE ROYAL COLLEGE OF NURSING WALES has warned of a growing jobs crisis for newly qualified nurses, saying a shortage of Band 5 posts could leave up to half of this year’s nursing graduates without work when recruitment opens.
The union said the situation was particularly alarming given the severe pressures already facing NHS Wales, with staff continuing to report overcrowded wards, unsafe conditions and unmanageable workloads across multiple health boards.
RCN Wales said the lack of available jobs for newly trained nurses pointed to a serious failure in workforce planning. It warned that losing new entrants to the profession would place even more strain on already overstretched services and could further affect patient care.
The organisation said the situation also undermined the Welsh Government’s and NHS Wales’ duty to improve the quality and safety of care.
RCN Wales is calling on the Welsh Government to provide urgent clarity on the scale of the shortfall, set out credible long-term workforce planning, and introduce immediate system-wide measures to recruit, retain and deploy the nursing workforce Wales needs.
The union said it had received assurances that students would not be penalised if posts were unavailable. That includes being released from any obligation to work in Wales and not being required to repay tuition fee support where workforce shortages prevent them from securing employment.
Professor Sandy Harding, Associate Director of Nursing at RCN Wales, said: “The situation facing newly registered nurses is deeply concerning and exposes serious failures in workforce planning.
“It is becoming increasingly clear that this situation is being driven by financial constraints, including the freezing of vacant posts within local health boards. Our NHS is under intense pressure, yet hundreds of newly qualified nurses may have no posts to enter. This is simply unacceptable.
“These students stepped forward for Wales, trained through immense challenges, and now face uncertainty at the very moment the system needs them most. They deserve far better.
“Every newly qualified nurse will be vital to meeting Wales’s care needs. The RCN will continue to demand transparency, accountability and long-term planning from the system. We will not stop speaking up for students, for our safety-critical nursing workforce, and for the people who rely on safe, high-quality care.”
Health
Crumbling NHS faces £1bn repairs bill in Wales
Senedd election promises collide with the harsh reality of ageing hospitals, fire safety concerns and a maintenance crisis stretching across the country
WALES’ NHS is facing a repair and maintenance crisis of almost £1bn, with some of the country’s biggest hospitals burdened by ageing buildings, serious safety concerns and growing pressure on already stretched budgets.
New figures covering 210 NHS sites show that the backlog of work classed as high risk or significant risk has now reached £917m — up 71% in just four years.
The data, published for 2024-25 by NHS Wales Shared Services Partnership, shows more than £616m of the total relates to serious problems at 12 of Wales’ 13 main hospitals.
Ysbyty Gwynedd has the biggest backlog of high and significant risk repairs at £110.5m, followed closely by University Hospital of Wales in Cardiff, where the figure stands at £106.8m.
The scale of the problem is not just financial. Three hospitals — Bronglais, Prince Philip and Ysbyty Gwynedd — have 40% or more of their space rated as not fire safety compliant. At Ysbyty Gwynedd, 35% of space is also not regarded as health and safety compliant.
Aging estate
The figures highlight the deep-rooted problem of an ageing NHS estate across Wales.
More than 30 NHS sites have buildings where over half the estate predates the creation of the NHS in 1948. Another 17 sites, including University Hospital of Wales and Bronglais Hospital, are mainly made up of buildings between 50 and 60 years old.
Only one major hospital in Wales — the Grange Hospital near Cwmbran — is said to have no maintenance backlog. But even that project, which cost £350m, was first proposed in 2004 and only opened during the Covid pandemic, showing how long major hospital developments can take.
When the wider risk-adjusted backlog is considered across all NHS buildings in Wales, focusing on problems where safety may be at risk, the total cost rises to more than £1bn.
The largest overall figure is in the Betsi Cadwaladr health board area, where the backlog stands at nearly £278m.
Despite the Grange being one of the newest hospitals in Wales, Aneurin Bevan health board still faces a backlog of almost £233m, much of it linked to older sites including the Royal Gwent and Nevill Hall hospitals.
In Hywel Dda, where hopes of a new west Wales hospital remain some way off, the total backlog has reached £221m. Among the worst affected sites is Glangwili Hospital in Carmarthen, where high and significant risk repairs and maintenance amount to £82m.
West Wales pressure
FOR west Wales, the figures are especially troubling.
Hywel Dda residents have already faced years of uncertainty over the future of hospital services, and the scale of the maintenance bill raises fresh questions about how long ageing buildings can continue to serve local communities safely and effectively.
Bronglais Hospital is among the sites with major fire safety compliance concerns, while Glangwili carries one of the largest repair backlogs in the region.
The growing cost of patching up older hospitals will inevitably intensify the political argument over whether ministers should prioritise maintaining existing buildings or push ahead with long-promised new developments.
The chair of Cardiff and Vale health board recently acknowledged that the age and condition of University Hospital of Wales was affecting morale and efficiency, describing the quality and upkeep of buildings as an ongoing concern.
Expert warning
Mark Dayan, a policy analyst at the Nuffield Trust, said Wales had a worryingly large maintenance backlog by any standard.
He warned that poor infrastructure could directly affect the way care is delivered, making it harder for the NHS to reorganise services, improve patient flow or create safe, modern working environments.
The issue is not unique to Wales. NHS England is facing its own enormous repair backlog, estimated at £16bn. But in Wales, where budgets are tighter and hospital plans often move slowly, the pressure is especially acute.
Election battleground
WITH the Senedd election set for Thursday, May 7, parties are offering different solutions to the growing crisis.
Labour has pledged a £4bn Hospitals of the Future fund, promising new hospitals including replacements for Wrexham Maelor Hospital and University Hospital of Wales, as well as a major development in west Wales.
Plaid Cymru says Labour’s sums do not add up, and argues urgent high-risk repairs should come first.
Reform UK says the Welsh Government should concentrate its capital budget on clearing the maintenance backlog rather than making promises on multiple new hospitals.
The Conservatives say they would declare a health emergency and expand capacity through new community hospitals, diagnostic centres and surgical hubs.
The Liberal Democrats say they would upgrade the worst parts of the NHS estate while backing a replacement for University Hospital of Wales, linking investment to wider reform of social care and community services.
The Green Party has called the backlog a disgrace and says it would launch a multi-year programme to bring NHS facilities up to a safe and modern standard.
Whatever the result in May, the next Welsh Government will inherit a stark reality: before it can deliver a new generation of hospitals, it must first confront the spiralling cost of keeping the current estate from falling further into decline.
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