Seasons Greetings

I would like to wish all our members and regular observers of my blog a very merry Christmas and a happy new year.

2010 will inevitably bring with it huge challenges to the NHS in Wales, particularly in the light of financial uncertainty and real cuts in funding of public services. However, whatever the New Year brings you can rest assured that BMA Cymru will continue to be at the forefront of discussions, striving to improve the health of the people of Wales by representing the doctors who care for them. We believe doctors in Wales can provide the medical leadership needed to ensure NHS Wales delivers the services that will improve outcomes for our patients. While service delivery is important, so too is the training of the doctors of the future; one cannot be sacrificed for the other if we are truly to create sustainable excellence in healthcare attracting and retaining the very best doctors to Wales.

BMA Cymru looks forward to working hard on behalf of its members in 2010, and sends Seasons Greetings to all - especially those working for our patients over the holiday period.

Presumed consent: the debate

Fervent debate has followed the announcement by Health Minister Edwina Hart last Friday that Wales could move to a system of presumed consent for organ donation.

Jonathan Morgan AM has voiced his concern over the announcement. This is what I said in response:

“We recognise that the introduction of an opt-out system would be a controversial decision, and as such those who do not want to donate their organs will sign up to opt out. A law on presumed consent would, at a single stroke, save lives whilst still giving the individual the right to have a choice.

“Given the very high level of support for organ donation expressed in repeated surveys it is reasonable to presume that those who die without making their views known are in the majority who want to donate, rather than the minority who do not.
“Presuming consent rather than presuming objection is more likely to achieve the aim of respecting the wishes of the deceased person.

“We believe that with further debate and information about the way such a system would operate, there will be widespread public and professional support for such a change.

“The gap between the number of organs available and those needed continues to grow, with around 1,000 people dying each year in the UK waiting for an organ.

“We must recognise that the current system is unable to meet the increasing demands placed upon it. Steps must be taken to increase the availability of organs for transplantation.

“Let’s show that we still care deeply about the health of our nation and that we are willing to lead with bold initiatives whilst other countries dither and waver.”

I’m looking forward to hearing Jonathan’s response.

We will continue our work with the Welsh Assembly Government and other partners over the next few months to raise public awareness of the urgent need for change and the rationale behind the presumed consent option. You can expect to hear a lot more from us on this important issue.

What are your views on the announcement?

Organ Donation in Wales

BMA Cymru Wales is delighted with the announcement that the WAG will explore the possibility of introducing a soft opt out system for organ donation in Wales, and that a bid for a Legislative Competence Order will be submitted.

I hope that this brave decision by the Health Minister will mark a small step towards ending the tragedy of patients dying while waiting for a transplant.

Organ transplantation saves lives and it can transform the lives of people suffering disability and the tremendous burden of dialysis. There have been many high profile cases highlighted by the media over the last few years which touched us all.

As long ago as 2000, doctors voted for an opt-out/presumed consent scheme to be introduced in the UK following its success on the continent which increased the number of organs available for transplants and therefore reduced the number of patients who die waiting for a transplant. They also agreed that a public education campaign about the merits of organ donation should take place before introducing the scheme.

BMA Cymru Wales will continue to work with the Welsh Assembly Government, Kidney Wales, and other partners over the next few months to raise public awareness of the urgent need for change and the rationale behind the presumed consent option.

Tell us what you think of the announcement.

Responsible drinking

As pubs and clubs are gearing up for one of the busiest nights of the year - widely known as “Black Friday”, BMA Cymru are urging party goers to drink responsibly tonight.

Black Friday has become one of the busiest nights of the year for those working in Hospitals and the emergency services in Wales. Hospitals are busy putting extensive contingency plans in place to cope with an influx of alcohol induced injuries.

The combination of the Friday before Christmas, pay-day and binge drinking will put an increased strain on services in Wales.

Anti-social behaviour, violence, and drink-driving will multiply this weekend across Wales due to an increased level of alcohol intake, and in many cases, binge drinking.

Alcohol can be an enjoyable part of social and cultural life especially over Christmas. I've said it before - we are not looking to restrict people from having a choice about consuming alcohol, we just want to encourage adults to drink in moderation, rather than drinking to get drunk.

Sometimes people may not even be aware that they are drinking too much – it is easy to do. It is important to keep track of how much you are drinking.

It is vital that people make alternative arrangements for getting home if they are drinking this weekend. Even driving the morning after can be dangerous as alcohol may still be in the system.

I met with Kate Edwards and Melanie Hamer of Pontypridd Women’s Aid recently who have considerable experience in supporting and dealing with victims of domestic violence. They were extremely concerned that the number of complaints about domestic violence would increase this weekend. Kate Edwards who is the Chair of Pontypridd Women’s Aid said:

“There will be a visible police presence out on the streets prompting some to take their anger out at home.

“It is particularly sad when such incidents occur at a time which is meant to be a happy one. Domestic violence can have a dreadful effect not just on the victim, but of course on the children and it can end up not just ruining their Christmas, but impacting adversely on the rest of their lives.”

So the message from us at BMA Cymru is – enjoy a drink, but don’t overdo it.

BMA Cymru support Julie Morgan MP's private members bill

Julie Morgan, MP for Cardiff North has put down a private members bill which would ban under 18’s from using sunbeds, and ensure all sunbed use in England and Wales would be supervised.

BMA Cymru are delighted that Julie has chosen to use her bill to close a loophole in law to protect the public – particularly young people – from the dangers of sunbeds and from over-exposure to intense UV radiation.

This is something we have campaigned heavily on this year in Wales - calling for tighter regulation of the commercial sunbed industry; particularly for a ban on coin-operated / unsupervised salons and a ban on the use by under 18s.

The link between exposure to UV radiation and skin cancer is now indisputable – shown by the recent decision by the International Agency for Research on Cancer to raise the sunbed classification to “carcinogenic to humans” - the highest risk category.

Just one session a month on a sunbed doubles the average individual's annual dose of UV radiation and this is proven to greatly increase the risk of cancer, skin and eye problems in later life.

For us the essential point is that there is no such thing as a safe tan (unless it comes out of a bottle). The damage to your skin remains long after a tan has faded.

There are no formal guidelines about standards of private sector tanning salons, the ones which do exist are only advisory and providers are free to ignore them. Anyone can decide to set up a tanning salon, and they need no training or qualifications.

In 2009, there is no excuse for such lax regulation. When we gave evidence to the National Assembly for Wale’s Health Committee inquiry a few months ago that is exactly what we said – we are delighted that the Committee took our recommendations forward, and now we are even more delighted that Julie Morgan MPs Private Members Bill could close this gap in public protection on a UK level for good. We will do everything we can to support her.

The bill has it’s second reading on 29 January 2010 – we will be watching closely.

Tell us what you think of this private members bill.