Health
Junior doctors in Wales vote in favour of strike action over pay

JUNIOR doctors in Wales have voted overwhelmingly for strike action in their fight for pay restoration, a campaign to restore their pay which has been cut by nearly a third (29.6%) in real terms since 2008/9.
Almost every junior doctor who cast a vote (98 %) voted in favour of industrial action in the ballot which ended at midday today (Monday 18th December).
A significant 65% of junior doctors eligible to vote in Wales had responded to a call to take part in strike action which will take place from 15 January.
The 72-hour full walkout could potentially see over 3,000 doctors with up to 11 years of experience out of medical school withdraw their labour from Welsh hospitals and GP surgeries across Wales in pursuit of a fairer deal for their service.
The Welsh junior doctors committee made the decision to ballot members in August after being offered another below-inflation pay offer of 5% – the worst in the UK and 1% lower than recommended by the DDRB (the review body for Doctors’ and Dentists’ Remuneration).
The offer was put to the doctors just four months after the Welsh Government initially declared they would commit to the principle of pay restoration back in April 2023.
Dr Oba Babs-Osibodu and Dr Peter Fahey co-chairs of BMA Cymru Wales’ junior doctors committee said:
“This vote clearly shows the strength of feeling. We are frustrated, in despair and angry and we have voted clearly to say, ‘in the name of our profession, we can’t and we won’t take any further erosion of our pay.
“Our members have been forced to take this difficult decision because Junior doctors in Wales have experienced a pay cut of 29.6 per cent in real terms over the last 15 years.
“A doctor starting their career in Wales will earn as little as £13.65**** an hour and for that they could be performing lifesaving procedures and taking on huge levels of responsibility.
“We aren’t asking for a pay rise – we are asking for our pay to be restored in line with inflation back to 2008 levels, when we began to receive pay cuts in real terms. Pay needs to be fair and competitive with other healthcare systems across the world to retain and recruit doctors and NHS staff to provide much-needed care.
“On top of this junior doctors are experiencing worsening conditions and so doctors are now looking to leave Wales to develop their careers for better pay and a better quality of life elsewhere.
“This is not a decision that has been made lightly. No doctor wants to take industrial action, but we have been given no choice. Doctors are already voting with their feet and leaving the NHS and we are in a vicious cycle of crippling staffing shortages and worsening patient care”
Responding to the news that junior doctors in Wales have voted in favour of strike action, with a 72-hour walkout scheduled from Monday 15th January, assistant director of the Welsh NHS Confederation Nesta Lloyd-Jones said: “Health leaders know this is not a decision staff who voted for strike action will have taken lightly and recognise the frustration staff feel.
“Like most people, staff are being hit hard by the cost-of-living crisis, alongside rising demand for healthcare causing increased pressure at work. NHS leaders recognise how hard staff work and the huge contribution, and sacrifices, they make day in, day out and we can’t thank them enough.
“It must be acknowledged that this comes at a particularly difficult time for public finances, but we urge those on both sides of the table to do everything possible to reach a compromise.
“By now, we understand the impact industrial action can have on staff, patients, waiting lists and wider NHS finances and we know January usually sees some of the highest demand on services.
“Following the announcement, NHS organisations will now focus on understanding the implications on services and put contingency plans in place to minimise disruption to patient care. If any changes need to be made to non-urgent care services, such as check-ups and elective care, they will ensure this is communicated in advance to patients.”
Commenting on the news that junior doctors in Wales will strike in January, Welsh Conservative Shadow Health Minister, Russell George MS said: “It is clear that the Labour Government’s has not done enough to avert the strikes that will be causing disruption after the busy Christmas period and inevitably beyond.
“Patients in Wales are already suffering from significant waiting times for treatment, in A&E and for ambulances. With news this morning that taxis are being used to replace ambulances in North Wales and Labour continuously missing their target of eliminating inhuman 2-year waits this disruption will act as a further setback as the winter pressures mount.
“I would suggest to Labour Ministers in the Senedd that they park their pet projects and spend the full Barnett consequential on the health budget, as for every £1 spent in England, Wales receives £1.20, yet Labour only spend £1.05 on the health service here in Wales.”
Health
Welsh Government announces additional funding for hospices

HOSPICSE across Wales are set to receive a further £5.5 million in funding to help continue delivering essential palliative and end-of-life care services.
The cash boost is in addition to the £3 million uplift in recurrent funding confirmed in the Welsh Government’s 2025–26 budget. The new funding will support Wales’ twelve NHS-commissioned hospices — including the country’s two children’s hospices — in managing financial pressures and ensuring fair pay for staff.
Hospices in Wales play a vital role in supporting patients, families and carers during the most challenging times, and are committed to providing dignified and personalised care outside of hospital settings.
Health Secretary Jeremy Miles said: “Hospices play a vital role in supporting families at some of the most difficult times.
We are committed to strengthening and improving palliative and end-of-life care to ensure everyone who needs hospice support receives dignified and personalised care, outside of hospital.”
Liz Booyse, Chair of Hospices Cymru, welcomed the announcement: “We welcome the Welsh Government’s commitment of funding. It is a testament to the importance of the hospice sector within our healthcare system, and we are immensely grateful. Our services provide vital care and support to over 20,000 children and adults affected by terminal illnesses each year.
This funding is a significant step forward, and we will continue working in partnership with the Welsh Government to achieve a sustainable funding settlement that will bring greater stability to the Welsh hospice sector.”
Matthew Brindley, Policy and Advocacy Manager for Wales at Hospice UK, added: “Recent years have been very tough for Wales’s hospices, amid a combination of rapidly rising costs and ever-growing need for end-of-life care.
We’re grateful to the Welsh Government for recognising both the pressure hospices are under, and the immense value they bring to Wales’ health and social care system.
It’s vital we continue to work together toward a more sustainable approach to hospice funding in Wales. Our population is ageing, with increasingly complex health needs. We need a strong, robust palliative and end-of-life care system — and hospices in Wales are ready to play their part.”
Health
Mind, Body and Spirit Awareness Day at North Pembrokeshire venue

This Saturday, April 12, thoughts will be turning to the mind, body and spirit, thanks to the ever-popular Awareness Day that takes place at Canolfan Hermon in North Pembrokeshire.
This is the fourth event of its kind at the village hall and each year the event continues to grow from strength to strength.
This year, there will be a total of eight therapists in attendance as well as two mediums, a card reader and ten stall holders selling spiritual, mind and body items including crystals, jewellery, honey and cosmetics. There will also be a stall from the Jig-So Children’s Centre in Cardigan while hot food and refreshments will also be served throughout the day by Fusion Kitchen.
As with previous events, the Mind, Body and Spirit Awareness Day will be raising funds for Breast Cancer and Thrombosis UK. As a result, there will be a £1 entry fee as well as optional raffle tickets and a Memory Tree for additional donations. A light language healing demonstration will take place at 1 pm.
People near and far are invited to experience the different therapies, while event organiser Lynda Barnes says there is guaranteed to be something here for everyone. The event starts at 11 am and will continue until 3 pm.
For further information, contact Lynda Barnes on 07920249194.
Health
‘Nobody taking responsibility’ for paying care workers the real living wage

CARE HOME providers urged the Welsh Government to follow through on a key commitment to ensure care workers are paid the real living wage.
Giving evidence in the Senedd, Care Forum Wales, which represents more than 450 care homes, warned funding did not reach all parts of the sector in 2024/25.
The non-profit organisation said funding for the real living wage (RLW) was not ringfenced, so some councils chose to spend the money on libraries and teachers’ salaries instead.
Care Forum Wales raised concerns about “nobody taking responsibility”, with the Welsh Government claiming to have provided the money and councils saying it was insufficient.
Labour’s manifesto for the 2021 election contained a pledge to “ensure care workers are paid the real living wage during the next Senedd term”.
But Sanjiv Joshi, Care Forum Wales’ treasurer, warned the Welsh Government’s push for care workers to receive the real living wage has become an aspiration rather than a reality.
He told the local government committee: “The first year when it was announced … providers had to give an undertaking to commissioners that we were paying the real living wage.
“Since then, that’s now become aspirational as commissioners have not had the funds – or so we are told – to follow through and maintain those real living wages.”
Giving evidence on April 3, Melanie Minty, policy adviser at Care Forum Wales, said: “The real living wage, as Sanjiv said, isn’t reaching the sector necessarily.”
But, describing the RLW as a drop in the ocean, she warned care homes cannot compete with councils and the NHS which pay a higher rate than used in costing commissioned care.
Under the Welsh Government’s 2025/26 budget, funding for the real living wage is allocated to councils within the revenue support grant, meaning it can be spent on other areas.
Ms Minty also voiced concerns about an increasing number of councils receiving grants to build care homes that “will never recover their costs”.
She pointed to the example of Carmarthenshire Council building a £19.5m residential home despite free capacity in the county’s independent sector.
Cautioning that commissioning too often focuses on cost over outcomes, she said: “I’ve heard of commissioners going into homes and saying ‘you’re spending too much on food’.
“Things like holidays have been drastically cut back for younger people.”
Mr Joshi, who runs the Caron group of care homes in mid and south Wales – which includes Valley View Care Home in Hengoed – warned of a £9,000-a-year difference in nursing fees between neighbouring councils.
He said: “We’re talking about Cardiff and RCT … imagine the pressure that puts on and it’s not driven by the needs, the needs would not be that different.”
Pressed about the minimum level of profits required to make services feasible, Mr Joshi replied that he targets an 11% return which is unachievable in parts of Wales.
Warning of an “irrational” policy direction, he said: “We have the private sector delivering incredible value for money [yet] being eroded by underfunding. Then we have the public sector spending four or five times that amount, it doesn’t make sense.”
Mr Joshi told the committee families are increasingly having to make up a difference in costs that should be provided by councils and health boards.
Warning charity providers are exiting the market, Ms Minty said: “Most of our third-sector members have sold their care homes because they are not viable.”
Ms Minty called for a fee methodology that can be applied consistently across Wales, with some councils far more transparent and understanding of the costs than others.
“Cardiff, while giving a really good increase this year, has been very honest in admitting they know it’s not going to meet all the changes,” she said. “Whereas other local authorities … have been known to make an offer and say this will cover all sorts of things.”
She said the sector has stabilised since the pandemic and Brexit but increasing employer national insurance contributions have added to the pressure.
She told the committee: “I think we’ll see an unintended consequence will be that employers are forced to suppress pay increases … and some will be forced to make redundancies.”
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