Current issues being worked on in the BMA Cymru Wales office at the moment include establishing the membership of the new Welsh Council. Proposals for reform of Welsh Council were successfully passed at this year’s Annual Representative’s Meeting in Edinburgh. The challenge for new members when elected soon, will be to elect a new chair and vice chair to lead Welsh Council over the next three years, at what promises to be an exciting time in our history.
As you are no doubt aware, the Assembly is currently in recess for the summer. There are quite a few important issues already under consideration. There was the Health Minister’s announcement just before recess about NHS reorganisation. This partly involves the end of NHS trusts and local health boards in their current form. These bodies will be reconstituted as one unified body, effectively creating a single local health organisation, responsible for delivering all healthcare services within a geographical area.
In principle, we support any plan to reduce the number of structures that detract from and absorb resources from the provision of frontline NHS services by hospitals, in community settings or in general practices, thereby reduce artificial funding boundaries.
The plans though are causing concern among some parts of the medical profession – especially GPs.Understandably, they fear that any new unified bodies, particularly if the intention is to base them at hospital trusts, will simply see them continuing to focus on hospital-based activity.
And running alongside the concerns of GPs, we have the place of Public Health services. Our Public Health Committee is significantly worried that the review of Public Health services underway in Wales is not aligned with the proposals for reconfiguration. The committee is very concerned that the role of local directors of Public Health medicine is not being factored into the future vision for the Welsh NHS.

They all mucked in to make sure the whole eight days were a success, despite some wind and heavy rain along the way. I know myself from past experience, just what hard work is involved in this type of event, having provided medical cover at various events in Wales. It can take it out of you, meeting and greeting people, for on average eight hours a day, for eight solid days. But judging from the feedback I’ve had from doctors and people in the office, it was more than worthwhile.
What really made the week, especially for John, was the fact that our stand won second prize in the best stand competition, out of dozens of others on the Maes. John, Hayley and Chris were rewarded with their moment in the limelight, going up on stage in the main pavilion, to collect their award!
The main reason for the BMA stand being singled out for praise was the element of interactive-ness and fun that it had, combined with educational aspects. For instance, we had a life-sized human torso, complete with removable body parts, which children had to put back together within a certain amount of time. We also used the stand to highlight key issues BMA Cymru Wales has been lobbying on in the last few years, including the effects of smoking, teaching people about their daily units of alcohol, how maggots and leeches are being used in modern medicine to treat wounds, and yes, we did indeed have live maggots and leeches on the stand too!

Dr Richard Lewis
Welsh Secretary
BMA Cymru Wales