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Welsh Government accepts pay recommendations amidst ongoing disputes

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THE WELSH GOVERNMENT has accepted pay recommendations from independent review bodies for public sector workers, including NHS staff, teachers, and civil servants, for the 2024/25 financial year. The decision will see doctors and dentists receive a 6% pay rise, alongside a £1,000 consolidated uplift for junior doctors, while teachers and NHS staff will get 5.5%.

First Minister Eluned Morgan acknowledged the importance of public sector workers, describing them as the “backbone” of Wales. She emphasised the government’s commitment to fair pay while recognising public demand for improvements in services, particularly in the NHS and education. Cabinet Secretary for Finance Rebecca Evans highlighted the challenges of balancing fair pay with financial pressures.

The announcement has been cautiously welcomed by unions such as BMA Cymru Wales. Dr Oba Babs-Osibodu and Dr Peter Fahey of the BMA’s Welsh Junior Doctors Committee praised the 6% pay award as a step forward, but reiterated their calls for full pay restoration after years of real-term wage erosion. Meanwhile, Dr Stephen Kelly, chair of the Welsh Consultants Committee, recognised the progress made but expressed concerns that the settlement did not fully address years of undervaluation.

The response from general practitioners (GPs) has been more critical. Dr Gareth Oelmann, chair of the BMA Cymru Wales GP Committee, pointed out that while the pay increases were positive, they do not address deeper funding issues within general practice. He highlighted that over 100 GP surgeries had closed since 2012 due to financial constraints, and called for urgent GMS contract negotiations to tackle these systemic problems.

This latest announcement comes after significant industrial action by healthcare professionals earlier this year, with junior doctors leading the charge for fairer wages. The strikes, which resulted in widespread disruption to services, underscored the growing frustration within the medical community over years of pay stagnation.

While the pay increases for 2024/25 represent progress, the BMA and other unions remain steadfast in their pursuit of full pay restoration. They argue that, despite recent gains, doctors and healthcare professionals have seen their wages eroded in real terms over the past decade.

Beyond healthcare, teachers and other public sector workers have also benefited from the pay awards. Teachers will receive a 5.5% increase, reflecting the Welsh Government’s broader commitment to rewarding essential workers.

However, the Welsh Government faces the challenge of maintaining these pay awards while navigating broader economic constraints. Public finances remain under pressure, and there are concerns about how sustainable these pay settlements will be in the long term.

As the Welsh Government moves forward with these pay reforms, further negotiations with unions will be crucial to ensuring the long-term viability of public services in Wales. Despite the positive reception of the pay awards, there are still significant hurdles ahead, particularly in general practice and other underfunded areas of the public sector.

The pay increases mark a step towards resolving disputes, but the Welsh Government and public sector unions acknowledge that much work remains to address long-standing concerns around pay, working conditions, and service delivery.

Responding to the Welsh Government’s acceptance of the independent Pay Review Bodies recommendation of an above current inflation rate pay increase for NHS staff, director of the Welsh NHS Confederation Darren Hughes said:

“Health leaders will welcome the confirmation from the Welsh Government that those staff working so hard across the health service will benefit from an above inflation pay rise, in line with the UK Government offer to staff in England.

“NHS staff work tirelessly day in day out for patients and are the lifeblood of the health service, so this decision should be greeted with renewed optimism. Commitments to updating pay points and structures, as well as the intent to negotiate a fair and proportionate pay uplift across primary care, will also be welcomed.

“Industrial action has taken a real toll on the health service in recent years, not least on patients due to the cancellation of appointments and operations. We hope today’s news takes us another step towards avoiding disruption to health services from industrial action.

“However, it is crucial that the pay award is funded in full by both the UK and Welsh governments as the NHS continues to work hard at recruiting and retaining staff and driving down waiting lists against the backdrop of an already very tight financial position.

“Although NHS leaders understand the financial uncertainties faced by the Welsh Government, they would welcome an earlier decision in relation to future pay awards.

“NHS organisations will now work hard to implement the back-dated pay award, so staff can receive the well-deserved pay uplift as soon as is practicable.”

RCN Wales Executive Director Helen Whyley said: “The RCN today welcomes the Welsh government announcement that it will implement the recommendations of the independent pay review body (PRB) for NHS Agenda for Change staff in Wales. Nursing staff have been eagerly awaiting the Welsh government decision since early July, which applies from April 2024. 

“The PRB recommendations acknowledge the tireless dedication and essential role of nursing staff, but investment in NHS staff is imperativeto fully reflect their contributions and to make the profession attractive to future nurses.

“Last year the Welsh government made a commitment to pay restoration for NHS staff. Now they must decide how to achieve that over time. The RCN expects to see a clear route to fair pay restoration – making up for a very serious loss of earnings in the last 15 years.

“Stagnant salaries at a time of spiralling prices have forced too many to leave nursing and deterred others from joining. Fair pay is vital to recruiting and retaining nursing staff, to filling the thousands of vacant nurse jobs and giving people the care they deserve.

“Nurses are the ever-present, safety critical workforce across the whole of health and care. Our wages do not reflect that, and still won’t after today. We will be pushing the Welsh government to show us their plans for improving NHS pay – it is vital to recruit and retain nursing staff. We will consult with our members on whether they see today’s statement as enough of a start on this pay journey.”

 

Health

Paramedic recruitment freeze confirmed in internal email to students

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‘No jobs in 2026–27’ as graduates told service has ‘more paramedics than required’

AN INTERNAL email sent to student paramedics has confirmed that no newly qualified paramedics will be recruited in Wales during the 2026–27 financial year, escalating concerns over workforce planning in the NHS.

The message, seen by The Herald, was sent to final-year students following a board meeting of the Welsh Ambulance Services NHS Trust on March 26.

It confirms that the trust “does not require any NQPs” this year, stating the decision is based on affordability and workforce restructuring.

The development follows reporting by BBC Wales that students had already been advised to seek work overseas.

‘Simply not affordable’

In the email, the ambulance service states:
“Employing NQPs in 2026 is simply not affordable… No extra funding has been made available by Welsh Government or our commissioners.”

It adds that a review of workforce needs concluded:
“We currently have more paramedics than required and enough lead practitioners to fill any short to medium term vacancies.”

Students say they have also been told the service is aiming to reduce paramedic numbers, despite ongoing delays in ambulance response times across Wales.

Graduates left without roles

Around 70 students are expected to graduate this year from Swansea University and Wrexham University.

Training is heavily subsidised by Healthcare Education and Improvement Wales, with costs estimated by students at around £50,000 per person.

Despite this investment, graduates have now been told to consider employment outside Wales—or even overseas—to begin their careers.

Patient care concerns raised

Students have warned the decision could impact patient care if fewer fully qualified paramedics are deployed on the frontline.

They say being redirected into lower-grade roles means their full clinical training will not be used.

One student told The Herald: “We are ready to go straight into frontline care. Instead, we’re being told to look abroad. It doesn’t make sense.”

Government under pressure

A Welsh Government response seen by The Herald acknowledges the issue and says ministers are working with the ambulance service and universities to support affected graduates.

However, the internal email suggests the decision is already firm for the coming financial year.

The Herald has approached the Welsh Government and the Welsh Ambulance Service for further comment.

 

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Paramedic graduates told to look abroad as Wales freezes recruitment

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Students urged to seek work overseas despite millions spent on training

NEWLY qualified paramedics in Wales are being advised to apply for jobs overseas after a recruitment freeze left graduates with no roles in the Welsh NHS.

The Welsh Ambulance Services NHS Trust has confirmed it will not be hiring newly qualified paramedics this year, citing financial and operational pressures.

The development, first reported by BBC Wales, has sparked anger among students and political figures, with some branding the situation “short-sighted” and a waste of public money.

Students left in limbo

Final-year paramedic students say they have been encouraged to look for work in countries including Canada, Australia and New Zealand.

Around 70 students are expected to graduate this summer from courses at Swansea University and Wrexham University, having completed degree-level training heavily subsidised by Healthcare Education and Improvement Wales.

Some students have undertaken placements more than 100 miles from home, expecting to move into frontline NHS roles after graduation.

Traditionally, graduates would enter the service as Newly Qualified Paramedics on Band 5 salaries, progressing to Band 6 after a period of mentorship.

However, opportunities have been shrinking. In 2025, only around a third of graduates secured paramedic posts, with others offered lower-paid technician roles instead.

‘Deeply disappointing’ decision

A spokesperson for the ambulance service said the organisation was facing a “difficult financial and operational landscape”.

They added: “Regrettably, as things stand, we are not in a position to employ newly qualified paramedics this year.”

Graduates are now being encouraged to consider roles as emergency medical technicians or to seek work elsewhere in the UK—or abroad.

Despite bursary conditions that would normally tie students to Wales, HEIW has confirmed the current cohort are now free to pursue employment outside the country.

Political backlash grows

The decision has prompted sharp criticism from across the political spectrum.

Jane Dodds described the situation as “a staggering waste of both talent and taxpayers’ money”, warning it made little sense while ambulance response times remain under pressure.

Plaid Cymru figures estimate that training costs of up to £150,000 per student could mean nearly £10 million of public investment failing to benefit Welsh patients.

Welsh Conservatives said the situation reflected a failure of workforce planning, while Welsh Labour insisted it remained committed to ensuring the NHS has the staff it needs.

Government response

A Welsh Government spokesperson said ministers were working closely with the ambulance service, HEIW and universities to address the issue and support affected graduates.

But for many students, the immediate reality is stark—after years of training for frontline roles in Wales, their careers may now begin thousands of miles away.

 

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Health

Patients face higher costs and fewer appointments as NHS dental reforms begin

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PATIENTS across Wales are being warned to expect higher charges and longer waits for appointments as sweeping changes to NHS dentistry come into force today (Tuesday, Apr 1).

The reforms — described by the British Dental Association (BDA) as “untested” — are expected to reshape how dental care is delivered, but critics fear they could deepen the already serious access crisis.

Dentists say the changes will mean many patients are seen less often, while some treatments will become more expensive at a time when households are already under pressure from rising living costs.

Under the new system, routine check-ups for new patients will rise from £20 to £27.21 — an increase of more than a third — while urgent appointments will increase from £30 to £37.50.

At the same time, recall periods for patients considered to be in good oral health could stretch to 18 or even 24 months, raising concerns that problems may go undetected for longer.

The BDA has warned that the reforms could accelerate the loss of NHS dental services, with some practices already handing back their contracts. In certain areas, more than ten per cent of NHS dental capacity has reportedly been returned by practices unwilling or unable to continue under current conditions.

That loss of capacity is likely to put further strain on remaining services, making it even harder for patients to secure appointments.

Russell Gidney, Chair of the BDA’s Welsh General Dental Practice Committee, said: “From today, many patients across Wales will have to get used to more costly, less frequent dental care.

“But the risk all now face is that utterly untested reforms will push more practices out of the NHS, taking the access crisis from bad to worse.”

The changes come at a politically sensitive time, with the Senedd election scheduled for Thursday (May 7), and mounting pressure on ministers to address long-standing problems in NHS dentistry.

Access to NHS dental care has been a growing concern in recent years, with many patients across west Wales struggling to find a dentist taking on new NHS patients.

The BDA says the reforms have been introduced without sufficient consultation and has called for a pause on full implementation until 2027, alongside a wider rescue package to stabilise the service.

It is also urging the next Welsh Government to commit to increased funding, better protection for vulnerable patients, and a reset in relations with the profession.

The Herald understands that concerns are also being raised locally about whether practices in Pembrokeshire and Carmarthenshire will be able to maintain NHS provision under the new system.

With demand already outstripping supply, there are fears that more patients could be forced to turn to private care — or go without treatment altogether.

 

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