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BMA Cymru Wales to put pay offer to doctors in pay dispute 

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DOCTORS’ union the BMA has secured pay offers for doctors working in secondary care in Wales following pay talks with the Welsh Government. 

Members of BMA Cymru Wales including Junior doctors, SAS doctors and Consultants will now vote on whether to accept the three separate offers. 

Junior doctors have been offered a 7.4% additional uplift taking the total to a 12.4% uplift for the 23/24 financial year and will be back dated to April 2023. 

A revised consultant pay scale is proposed, which provides higher career earnings, significantly better starting pay, and an additional pay rise of up to 10.1% for some consultant doctors.  

For SAS doctors, pay offers for newer contracts include increases of 6.1-9.2%, as well as an additional uplift for associate specialists, senior doctors who are on closed contracts. 

The offers, which also include non-pay elements and reform of pay scales and contract terms,* are the result of weeks of pay negotiations which began in April this year after sustained pressure from BMA Cymru Wales including 10 days of strike action by junior doctors and planned industrial action by senior doctors which were suspended last month to start the talks. 

From Wednesday 12 June to 26 June members will vote on whether to accept the offers.  

Dr Oba Babs Osibodu and Dr Peter Fahey co-chairs of the BMA’s Welsh Junior Doctors Committee said:  “We entered pay negotiations in good faith to reach a deal that will put us on the path to achieving full pay restoration to address the years of erosion to our pay We’re satisfied that this offer delivers on our ambition. This offer puts us well on the path to pay restoration. 

“We are therefore encouraging members to vote to accept this deal. It is a testament to the resolve they have shown in taking part in industrial action to achieve a better future for the profession 

Dr Stephen Kelly, chair of BMA Cymru Wales’ Consultants committee said: “We are pleased to have been able to reach an offer that we believe honours our overwhelming strike mandate and offers significant improvements in pay for consultants across their careers.

“The offer is recognition of the hard work and dedication of senior doctors and signifies a commitment to attracting and retaining doctors in Wales by offering a fairer more competitive value for their service. 

“Whilst ultimately it will be up for members to decide, we believe the offer is a big step in the right direction for the profession and so we are recommending that members accept it. We will continue to work hard to improve your pay and working conditions, and we understand this is just the first step.” 

Dr Ali Nazir, chair of BMA Cymru Wales’ SAS doctor committee said: “We are pleased to be able to bring an offer worthy of the hard work and dedication shown by SAS doctors in Wales. We know voting to take industrial action was a very difficult decision for our members but in voting to strike they were choosing to stand up for themselves and their colleagues. 

“By taking part and getting us here they have played a part in securing a better future for SAS doctors in Wales. We are encouraging members to vote to accept this offer.” 

In August last year the BMA’s committees representing all secondary care doctors in Wales voted to enter a trade dispute with the Welsh Government after being offered another below inflation pay uplift of just 5% for the 23/24 financial year.  

The RCN in wales has responded. Helen Whyley, Executive Director of Royal College of Nursing Wales said: “All NHS workers deserve a proper pay rise, but nursing staff are still waiting at the back of the queue. They feel let down and misled by this government.”

“The repeated firm position from the Welsh government that there was no money in the pot for NHS nursing staff salaries was either untrue or demonstrates that they can’t
manage their finances. Either way it shows a total disregard to principle of equity of approach to NHS negotiations.”

“Actions speak louder than words. This announcement comes only
days after the First Minister opened our annual RCN Congress on home soil in Newport, speaking of his unwavering support for nursing staff. It shows his government support is merely hot air and no real commitment. His government have failed to fulfil the promises
made to nurses in last year’s pay award and now they add insult to that injury by substantially increasing only the doctors’ pay award for 2023/24.”

“Congress saw the RCN launch its general election manifesto, with the leading priority being a substantial pay rise for all nursing staff. The nursing workforce highlighted
inadequate staffing levels, treating patients in corridors, limited or no access to continuing professional development and the increased demands of delivering patient care. All of these pressures lead to severe moral distress, leading to an increase in nursing
staff so overwhelmed with pressure from work that they even considered taking their own lives. This is unacceptable.

“All health care staff deserve to be paid fairly and be recognised for the safety critical work that they do. Our members will be deeply discouraged to hear that their
sacrifices and unrelenting efforts during the RCN Wales pay campaign in Wales has been cast aside by Welsh government.

“We will be urgently raising this with the Cabinet Secretary for Health and Social Care and the First Minister urging them to address fair pay for nursing now.”

Eluned Morgan MS, Cabinet Secretary for Health and Social Care said on Friday (Jun 6): “We have today made a formal pay award offer to each of the three BMA branches of practices – junior doctors, SAS doctors and consultants – for 2023-24, following successful negotiations over the last two months.

“We would like to thank members of the BMA’s negotiating teams and NHS Employers for the constructive nature of the talks, which have enabled us to make these formal offers, which will now be put to the BMA membership for consideration. Each of the three BMA elected representative committees are recommending members accept the offers.

“While strike action has been paused during negotiations, if these offers are accepted, it will end this dispute and industrial action, meaning doctors will return to work in Wales for the benefit of patients and NHS services.

“The negotiations have been robust and while the aim was to end the 2023-24 dispute and prevent further disruptive strike action, these offers also ensure the additional investment in doctors’ pay is balanced against commitments towards operational reforms, which seek to address productivity and efficiency and achieving future contract reform. These pay awards, if accepted, will also help to address inequalities in the senior NHS medical workforce.

“These offers are at the limit of our affordability. We have been open and transparent about our financial constraints with our social partners during negotiations.”

The Welsh Government confirmed that for Junior Doctors, the offer consists of a 12.4% pay uplift, backdated to 1 April 2023. This includes the 5% pay lift for 2023-24, which has already been paid. If agreed, this offer is outside of the Doctor and Dentists Review Body (DDRB) recommendation for 2023-24. This offer is in line with the pay award accepted by junior doctors in Scotland.

It was confirmed that all parties will commit to re-entering contract negotiations as soon as practicable once a new BMA junior doctors committee is elected this year with the ambition of reaching an agreement that, subject to approval by BMA members, would begin implementation in 2025-26. The contract negotiations will build on the contract rejected in 2022, while recognising that significant changes will be required.

The Welsh Government and the BMA Welsh consultant committee have agreed the time is right to reform the current pay structure, which is more than 20 years old. A modern pay structure will better support recruitment and retention, better reward performance, address the gender pay gap, and support progression through the career of consultants in Wales. The new pay structure will be backdated to 1 January 2024. If this offer is agreed, it will be outside the DDRB recommendation for 2023-24.

The BMA rate card will be withdrawn if the offer is accepted with immediate effect at both local and national levels in Wales.

All parties have agreed to an all-Wales job planning policy being developed and implemented during 2024-25 along with an NHS Wales recruitment template for newly-recruited consultants in Wales.

It has also been agreed that scoping work will be undertaken during 2024-25 in preparation for contract reform talks. Any reformed contract will need to be fully modernised against current and future requirements of the NHS Wales for the benefit of patients and the wellbeing of consultants.

In 2021, a new specialty doctor contract was agreed in social partnership and implemented as part of a multi-year pay deal. This offer addresses the unintended imbalances in the pay scale for doctors on the 2021 contract and the 2008 contract to ensure consistency and fairness across the specialty doctor workforce.

This investment will encourage more doctors to take up the new contracts, which offer modernised terms and conditions to ensure that doctors and patients benefit from the reformed contract and working conditions.

In 2021, a new specialist doctor contract was agreed in social partnership and implemented as part of a multi-year pay deal. This offer addresses the unintended imbalances between the specialty doctor and specialist pay scales to ensure a career progression pathway is maintained across the workforce. It will resolve the current issue that exists where the top pay point of the 2008 specialty doctor pay scale is higher than the starting salary for the specialist grade.

The Welsh Government says it has listened to the BMA Welsh SAS committee and while recognising this is a closed grade, recognises the rationale for associate specialists to receiving comparable levels of pay against the consultant pay scale, given the skills and experience of associate specialists working on consultant rotas.

A spokesperson said: “The offer includes uplifting the 2022-23 pay scales by a further 4%, making a total of 9% for 2023-24 backdated to 1 January 2024 for associate specialists.

“The BMA rate card will be withdrawn if the offer is accepted with immediate effect at both local and national levels in Wales.

“Full details of each pay offer will be communicated through BMA Wales to their members.

“We would like to take this opportunity to encourage doctors who have any questions about the offer to speak to their BMA representatives as this is a fair offer to address the pay dispute.

“We look forward to working in social partnership with all NHS and health trade unions to discuss the 2024-25 pay award.”

 

Business

Specialist clinic launched in Haverfordwest to treat common eye condition

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A HAVERFORDWEST opticians has launched a specialist clinic for dry eye disease, offering new support for people living with the common condition.

Specsavers Haverfordwest has introduced its Advanced Dry Eye Clinic to give customers access to in-depth diagnosis and targeted treatment for dry eye.

Dry eye is a common, but often misunderstood, condition where the eyes do not produce enough tears, or the tears evaporate too quickly, leading to discomfort, irritation and sometimes blurred vision.

It can be linked to a range of factors, including increased screen use, contact lens wear, ageing and environmental conditions. As many as one in three people suffer from dry eye and most causes can be treated.

Many people are surprised to learn that watery eyes can actually be a sign of dry eye, as the eyes produce poor-quality reflex tears in response to irritation. The new service provides an in-depth approach to diagnosing and managing the condition.

While many high street opticians now offer dry eye clinics, Specsavers Haverfordwest provides a wider range of specialist treatments and technology that are not commonly available.

Using advanced imaging to assess the eyes and tear glands, the team can identify the underlying cause of symptoms and create a personalised treatment plan for each customer.

Whilst there are a range of different treatments available, the major investment has been in the introduction of eye-light devices, bringing advanced IPL (Intense Pulsed Light) and LLLT (Low-Level Light Therapy) treatments to customers suffering from dry eye symptoms.

Designed to target the underlying causes of dry eye disease, the eye-light device combines clinically proven light-based therapies to help improve tear quality, reduce inflammation, and restore eye comfort. The treatment is safe, non-invasive, and suitable for many patients experiencing irritation, burning, watery eyes or discomfort linked to screen use and modern lifestyles.

The clinic also supports contact lens wearers experiencing discomfort, helping them return to comfortable, everyday use.

Some of the first customers to use the clinic have already noticed improvements in their symptoms.

Danielle Thomas says: ‘I honestly can’t believe the difference. I’d been struggling with sore, gritty eyes for years and had given up wearing my contact lenses altogether – they just became too uncomfortable. I was constantly using drops with very little relief.

‘From the moment I walked into the dry eye treatment room, it felt completely different to a normal appointment. The environment is calm, almost spa-like and the whole experience was surprisingly relaxing. The treatments were comfortable and the team explained everything so clearly. After just three sessions the improvement was notable – my eyes feel normal again.

‘The constant irritation and watering have gone and I’m now back in contact lenses comfortably, which I never thought would be possible. It’s genuinely been life changing. I wish I’d known about it sooner.’

Wayne Jones, optometrist and retail director at Specsavers Haverfordwest, adds: ‘Dry eye is something we see very frequently, yet it’s still widely dismissed as a minor irritation. In reality, it can have a real impact on comfort, vision and overall quality of life.

‘What many people don’t realise is that, in many cases, there is an underlying cause that can be identified and treated.

‘By launching this clinic, we’re able to offer a much more detailed and personalised level of care here in West Wales, helping us support more customers locally. We would encourage anyone experiencing persistent symptoms such as dryness, irritation or blurred vision to have their eyes checked, as there’s often a treatable cause.’

People interested in using the clinic should call Specsavers Haverfordwest on 01437 767788 to book an initial assessment and discuss treatment options.

 

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Health

Wales has highest stillbirth rate in UK for third year running, charity says

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Sands calls for urgent targets to reduce baby deaths and improve mental health support for bereaved parents

WALES has recorded the highest stillbirth rate in the UK for the third year in a row, according to baby loss charity Sands.

The charity has called for urgent action from the Welsh Government following the publication of the latest MBRRACE-UK perinatal mortality surveillance report, which tracks stillbirths and neonatal deaths across the UK.

Sands says there has been a lack of political focus on maternity safety and saving babies’ lives in Wales, despite repeated reviews.

The charity is calling for clear national targets to reduce stillbirths and neonatal deaths, as well as action to eliminate inequalities linked to ethnicity and deprivation.

Aidan Smith, Wales campaign lead for Sands, said: “There has been a lack of political focus and attention on maternity safety and saving babies’ lives in Wales in recent years.

“There has been review after review, but little change. At Sands, we are supporting bereaved parents across Wales to campaign for targets to reduce stillbirths and neonatal deaths and eliminate inequalities by ethnicity and deprivation.

“Bereaved parents are calling for accountability. Targets to reduce stillbirths and neonatal deaths will help ensure that saving babies’ lives becomes the political priority it should be.”

Sands says England introduced targets to reduce baby deaths in 2015, helping focus political decision-making and transparency.

Mr Smith said analysis by the Sands and Tommy’s Joint Policy Unit suggested that more than 1,000 babies in Wales may have survived if stillbirth and neonatal mortality rates had matched the best performing countries in Europe between 2019 and 2023.

The charity wants the Welsh Government to introduce new targets running to 2035, including reducing the stillbirth rate to 2.0 stillbirths per 1,000 total births, and reducing neonatal mortality to 0.5 deaths per 1,000 live births for babies born at 24 weeks’ gestation and over.

It is also calling for inequalities in baby loss linked to ethnicity and deprivation to be eliminated.

Mr Smith said Wales also needed better monitoring of maternity outcomes, including a national data dashboard to track changes over time and identify differences between health boards and population groups.

He said more complete data was needed on ethnicity and social risk factors to understand which families were most at risk of pregnancy and baby loss.

Sands has also raised concern about a lack of specialist psychological support for bereaved parents in Wales.

Mr Smith said there was currently only one specialist NHS service providing mental health support to bereaved parents, the Onnen service in Cardiff and Vale.

He said: “The Welsh Government must evaluate the Onnen service in Cardiff and Vale and expand this to all health boards across Wales.

“All bereaved parents in Wales should have access to specialist psychological support regardless of where they live, the type of pregnancy or baby loss they experienced, or how long ago it was.”

The Welsh Government said support was available to families affected by pregnancy loss and pointed to work taking place across health boards.

A Welsh Government spokesperson said: “The loss of a baby at any stage of pregnancy is devastating. Families who experience pregnancy loss at maternity units in Wales are supported by bereavement midwives, in conjunction with Sands, and offered memory boxes, which include a certificate of birth.

“Since 2016, stillbirth rates in Wales have shown a downward trend. The latest Perinatal Mortality Surveillance report acknowledges that in Scotland, Wales, and Northern Ireland, year-to-year variation in rates is often more pronounced because of lower birth numbers.

“All health boards are committed to improving quality and safety in perinatal care – through enhanced clinical reviews, early warning surveillance, safer preterm birth care, and structured learning from incidents.”

Hywel Dda University Health Board said it recognised “how devastating the loss of a baby is for parents and their families” and said its maternity and neonatal teams worked to provide safe, compassionate and supportive care.

Dana Scott, Director of Midwifery and Professional Governance for Women and Children at Hywel Dda, said the health board had “robust safety measures and clear clinical processes” in place across its maternity services.

She said Hywel Dda’s review processes were aligned with MBRRACE-UK and the Perinatal Mortality Review Tool, ensuring the health board listened, learned and reflected on each baby loss.

Ms Scott added that every family affected by stillbirth or neonatal death had access to dedicated bereavement midwives and nurses, as well as psychological support, follow-up care and opportunities for memory-making.

She said the health board also worked closely with its local Sands group and remained committed to learning from national reports to improve maternity safety locally.

Sands said the new Welsh Government now had an opportunity to act.

Mr Smith added: “Bereaved parents across Wales are campaigning for accountability and change. The new Welsh Government has a chance to reset the narrative by implementing targets to save babies’ lives, eliminating inequalities in loss by ethnicity and deprivation, and rolling out specialist mental health support for bereaved parents across Wales.”

Sands provides support to anyone affected by pregnancy loss or the death of a baby, including a confidential helpline, email support, online groups and local peer-support networks.

 

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Community

Transgender people “feel under siege” says Sioned Williams

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TRANSGENDER people “feel under siege”, Wales’ Deputy First Minister has said.

Sioned Williams faced questions on gender identity guidance in schools, and the implementation of single-sex spaces, during her first appearance at Questions to the Deputy First Minister.

Serving as both Deputy First Minister and cabinet secretary for social justice and equality, Ms Williams was questioned by opposition politicians on Wednesday June 10, about the Welsh Government’s response to the Cass Review, and the implementation of the Supreme Court’s ruling on single-sex spaces.

The session opened with questions from Blaenau Gwent Caerffili Rhymni’s Reform MS Catherine Cullen, who asked how the Welsh Government would work with education ministers to prioritise “objective, evidence-based safeguarding standards” in schools.

Catherine Cullen, Reform MS for Blaenau Gwent Caerffili Rhymni
Catherine Cullen, Reform MS for Blaenau Gwent Caerffili Rhymni

She said: “We sit here today with one non-negotiable duty: the absolute safety of Welsh children in schools.

“When the Cass review explicitly warned that social transition – that is, changing a child’s name, pronouns or uniform at school – is not a neutral act and carries severe psychological risks, Plaid Cymru voted against these recommendations.”

She continued: “[Plaid’s] manifesto demands a demedicalised self-declaration system that actively pushes gender identity theories through the school system.”

In response, Ms Williams said the Welsh Government remained committed to improving literacy and numeracy standards, and stressed the importance of creating a supportive environment in which all children can fulfil their potential.

She told members that education officials had developed draft guidance for schools on supporting transgender, non-binary and gender-questioning learners, and said the education minister recognised the need to proceed with “leadership and sensitivity”.

Questions then turned to the implementation of single-sex spaces following the Supreme Court’s ruling on the definition of sex under the Equality Act.

Reform UK MS Art Wright, of Casnewydd Islwyn, asked about the Welsh Government’s plans to implement single-sex spaces across Wales, while Conservative MS Natasha Asghar, of the same constituency, accused the previous Labour administration of “dragging its heels” in responding to the judgment.

Art Wright, Reform MS for Casnewydd Islwyn
Art Wright, Reform MS for Casnewydd Islwyn

Ms Asghar said she had received correspondence from a Welsh Government employee claiming staff were still working under policies that allowed “men who identify as women to use women’s single-sex spaces from the first day of self-identification”.

Reading from the email that was sent to her, she said: “A government cannot pick and choose which laws it follows, yet that is exactly what seems to be happening within the Welsh Government itself.”

Casnewydd Islwyn's Conservative MS Natasha Asghar
Casnewydd Islwyn’s Conservative MS Natasha Asghar

Responding, Ms Williams said the Welsh Government respected the Supreme Court ruling and was working to ensure devolved policies and practices complied with the law.

“This work has to be done carefully and consistently, and across a range of devolved areas,” she said.

However, the Deputy First Minister also emphasised that the Equality Act continues to protect people with the protected characteristic of gender reassignment from discrimination and harassment.

She added: “This is a community that feels under siege at the moment, and we must be sensitive to that.

“We need to look at the practical steps that we can take whilst complying with the Supreme Court ruling, and then, in seeing the code of practice that will come forward, if it is passed in Westminster, we will need to consider how we do that.”

Ms Williams said work was continuing across government departments to ensure Welsh Government policies comply with the law while maintaining protections for transgender people.

Ms Williams, who represents the Brycheiniog Tawe Nedd constituency, also reaffirmed her support for universal free school meals during the session, after Senedd Members raised concerns about food poverty and access to nutritious food for children.

Huw Thomas, Labour MS for Caerdydd Penarth, drew attention to the work of the previous Labour government in introducing universal free school meals for primary school children across Wales.

Mr Thomas said: “For too many of our pupils, this is the only proper meal of the day that they have every day – hugely important – and yet we know that food costs have risen dramatically in recent years.

“So, my question is: when councils tell Welsh Government what the cost of supplying these meals are, will you accept and respect their advice and fund it, or else risk affecting the quality and provenance of the food served to our young people?”

Ms Williams agreed that free school meals play a vital role in supporting children and families.

She said the scheme “really does help”, allowing children to receive the “nutritious hot meal that they so desperately need”.

While noting that responsibility for free school meals sits within the education portfolio, the Deputy First Minister said she would ensure the concerns raised within government.

The discussion also turned to nutrition during pregnancy and early childhood.

Welsh Liberal Democrat leader Jane Dodds said access to nutritious food in a child’s earliest years is critical to healthy development.

Jane Dodds, leader of the Welsh Liberal Democrats
Jane Dodds, leader of the Welsh Liberal Democrats

She said: “We know how important nutritious food is in brain development in babies, both in pregnancy and in those first 1,000 days.

“Key nutrients such as vitamin D are absolutely essential, and if you are poor and you are not able to afford a full range of nutritious food, then that hampers that child’s development from the very, very early point.”

Ms Dodds asked what steps the Welsh Government was taking to ensure babies and young children have access to healthy food during their first 1,000 days.

Responding, Ms Williams said she “wholeheartedly” agreed about the importance of nutrition in the early years.

She pointed to the Healthy Start scheme, which provides support for low-income pregnant women and families with young children, describing pregnancy as a “crucial part” of ensuring lifelong health.

The Deputy First Minister also highlighted the nursery milk scheme, which provides children under the age of five in approved childcare settings with a free daily portion of milk.

Ms Williams said ensuring children have access to nutritious food from pregnancy through early childhood remains an important part of tackling inequality and improving long-term health outcomes in Wales.

 

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