Wales is an unsustainable state: another good reason not to leave the EU. Graphics in support…

Apart from the aspect of reducing “tribalism”, and increasing “mutuality”, which to my mind are the main reasons to stay in the EU, I list below some graphics and sources. Wales is in many ways similar to the Arab states as reported in the Economist Nov 14th 2015: Arab bureaucracies

may be impossible to tame without bottom up initiatives – rather like the Health Services.

…”The inefficiency of Arab bureaucracies matters to more than just frustrated citizens. The uprisings of 2010 that toppled regimes in the so-called Arab Spring were as much a cry for services as for democracy. Yet the governments replacing them have been even less efficient in many cases, raising the risks of further upheaval….” This is similar to UK health and the civil unrest that NHSreality is afraid of may only be prevented by bottom up action, as politicians have proved inept. Wales has 370,500 public employees and 1,017,800 private employees. So 24% of the workforce is public, but it is almost impossible to calculate their contribution to Welsh GDP, but since wages are low especially in the private sector, I guess somewhere between 15 and 20%…

Wales is poor but it would be a lot poorer without UK subsidy and EU subsidies. The latter may now be in the past as the newer countries will demand the lions share, but Wales needs England – badly. The graphics and below indicate the problem. Each should be linked and downloadable from site..

2012: Is Wales really as poor as Romania?

Wales v Romania

GDP England & Wales

Wales Subsidy

Read average income by constituency and the North South divide. ( Gross Domestic household income is below (GDHI) from the Office of National Statistics:


Public expenditureTotal government spend is estimated as £742 billion in 2015-16 and distributed as below.

Chart 1: public sector spending 2015-16

The UK Hourly pay differential is expressed below:

UK Regions Hourly pay diff

Wages in the UK as a percent of GDP are below:

Wages UK as percent GDPPublic sector employment is going up in Scotland only, and coming down in the rest of the UK

Public Sector Employment

Rate of change PSE

Tribalism in Midwifery and Obstetric services is dumbing down your local health service. Divisions between doctors and midwives…

Devolution and health: data and democracy. Any differences will be because of tribalism and a smaller mutual

Poverty in Wales

Tell Wales it isn’t working. Inequality is increasing…. better to “aspire to excellence”.

Dr recruitment crisis deepens, especially in Wales for GPs. Too little too late… When will the media look for a scapegoat?

How much does NHS Wales spend? You can find out the basics, but not in comparison with England yet.

Update: The parlous State of NHS Wales and its aspirations does not help doctor recruitment.

The State of Wales: we should all rage against it dying

This entry was posted in A Personal View on by .

About Roger Burns - retired GP

I am a retired GP and medical educator. I have supported patient participation throughout my career, and my practice, St Thomas; Surgery, has had a longstanding and active Patient Participation Group (PPG). I support the idea of Community Health Councils, although I feel they should be funded at arms length from government. I have taught GP trainees for 30 years, and been a Programme Director for GP training in Pembrokeshire 20 years. I served on the Pembrokeshire LHG and LHB for a total of 10 years. I completed an MBA in 1996, and I along with most others, never had an exit interview from any job in the NHS! I completed an MBA in 1996, and was a runner up for the Adam Smith prize for economy and efficiency in government in that year. This was owing to a suggestion (St Thomas' Mutual) that practices had incentives for saving by being allowed to buy rationed out services in the following year.

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