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Leaked report reveals allegations of bullying and toxic culture at hospital

An internal review, which has been leaked, reveals allegations of bullying, harassment, and violent conduct at the largest hospital in Wales.

A disciplinary investigation has been conducted at Wales' largest hospital, where staff members have reported feeling unsafe due to a prevailing "toxic culture".

The outside of a large hospital, which is tall, blue and white with many windows, and car parked in front of it.
Five members of staff at the Cardiff hospital are facing disciplinary proceedings, the health board says

An internal review by the Cardiff and Vale health board revealed instances of bullying, harassment, and violent behavior within a department at the University Hospital of Wales.

The investigation, completed in August 2024, identified systemic failures and unaddressed poor behavior at the Cardiff HSDU unit, which is responsible for sterilizing and decontaminating medical equipment.

The health board claims to have taken a firm but fair approach in addressing the allegations, which date back to previous years.

As a result, five staff members have faced disciplinary action, and efforts have been made to improve leadership, management, and team culture.

The initial investigation involved interviews with 64 current and former staff members, as well as 10 senior leaders, to gather information about the department's work environment.

Many staff members reported experiencing bullying and harassment, which has created a sense of unease and insecurity among employees.

The work environment has been described as "mentally draining" and "toxic", with some staff feeling unsupported when they raise concerns about their treatment.

There have been reports of violent outbursts, including throwing objects, shouting, and physical aggression, which have contributed to the toxic atmosphere.

Unprofessional behavior, including swearing and coercive actions, has also been reported, with some staff members appearing to target their colleagues.

The investigation found that two distinct groups within the unit were engaged in a cycle of reporting each other's behavior, creating a divisive work environment.

Some staff members have expressed frustration that previous reviews and surveys, dating back to 2017, have not led to meaningful changes, suggesting that poor behavior has been tolerated for too long.

The report highlighted specific incidents, including a 2022 incident where managers inadvertently left an inappropriate message on a staff member's voicemail.

Another incident in 2020 involved concerns that a staff member's drink had been tampered with, although the police found no evidence of criminal intent.

However, some staff members who reported concerns have been criticized for not acknowledging their own role in perpetuating the toxic culture and for being unwilling to change their behavior.

The review concluded that the culture within the HSDU unit is not safe or open, and that staff members are not able to speak freely without fear of repercussions.

The report recommended developing a plan to address the cultural issues and implementing consequences for individuals who engage in poor behavior, as well as strengthening management oversight.

However, the report acknowledged that changing the culture will require time and effort from all parties involved.

The health board has stated that it is satisfied with the way it has handled the allegations, taking a robust and fair approach to address the concerns.

The board noted that staff members' recollections of events can change over time, and that investigators must make judgments based on the available evidence.

The review led to disciplinary action against five staff members, with two resigning, two being redeployed, and one being dismissed.

The health board has taken the review and its recommendations seriously, implementing changes to address the cultural and behavioral issues.

The board claims to have strengthened leadership, management, and team culture, resulting in more effective working practices and a more positive work environment.

The issue was raised in the Senedd by Conservative member Andrew RT Davies, who asked the First Minister about the Welsh government's response to the review's findings.

Hospital equipment with a monitoring screen and a bed with what appears to be needles and further monitoring equipment on it. A hospital room, including a bed, can be seen in the blurred background.
The review said staff felt unsafe at work as a result of a toxic culture

During First Minister's Questions on January 27, Davies inquired about the steps being taken to address the concerns raised in the review.

First Minister Eluned Morgan replied that it is not unusual for health boards to conduct internal reviews without sharing them with the Welsh government, especially when disciplinary action is involved.

Morgan stated that she has requested a copy of the report from the health board, but has yet to receive it.

The Cardiff and Vale health board has insisted that it has kept the Welsh government informed about the review's findings and progress, including a presentation to the People and Culture Committee in 2024 and an update in March 2025.

The latest concerns follow a critical internal report published in May 2025, which highlighted failures in the hospital's surgical department, including an "atmosphere of fear" and allegations of criminal behavior.

The report described a culture where allegations of drugs and theft were largely unchallenged, contributing to a toxic work environment.

In July 2025, the Welsh government placed the entire health board under enhanced scrutiny, citing concerns about waiting lists and cultural and leadership challenges.

According to Health Secretary Jeremy Miles, the decision was made due to concerns about the size of the waiting lists and the need to address cultural and leadership challenges within the health board.

Health

Study Explores if Brain Stimulation Can Reduce Selfish Behavior

Researchers have found a way to temporarily and marginally decrease self-centered behavior in individuals by activating two specific regions of the brain.

Researchers have made a groundbreaking discovery, finding that temporary reductions in selfish behavior can be achieved by stimulating specific areas of the brain.

The image shows a brain scan seen from the dront of the head. The lobes of the brain are artifically coloured in bright red and you can see the pink outline of a person's skull around the brain.

A recent study conducted at the University of Zurich involved 44 participants who were tasked with dividing a sum of money between themselves and an anonymous partner, allowing scientists to observe their decision-making processes.

The experiment utilized electrical current to stimulate the frontal and parietal regions of the brain, located at the front and rear of the skull, respectively. When these areas were stimulated simultaneously, participants exhibited a greater willingness to share their funds.

According to Prof Christian Ruff, a lead author of the study, the observed effects were consistent, albeit modest in scale.

Statistical analysis revealed a notable increase in participants' willingness to allocate funds to others, indicating a shift in their behavior.

The findings not only provide insight into the neural mechanisms underlying fundamental human behavior but may also have implications for the treatment of certain brain disorders characterized by impaired social behavior.

Prof Ruff noted that some individuals struggle with profound social difficulties due to an inability to consider others' perspectives, leading to consistently selfish behavior, and suggested that this discovery could potentially be used to address such issues.

However, the effects of the brain stimulation were found to be short-lived, suggesting that repeated application may be necessary to achieve lasting changes.

Prof Ruff likened the potential effects of repeated stimulation to the benefits of regular exercise, stating that consistent application over a prolonged period could lead to significant changes in behavior, much like the physical adaptations that occur with regular gym attendance.

This latest discovery builds upon a previous study in which researchers monitored brain activity while participants engaged in a similar money-sharing game, providing a foundation for the current findings.

A participant receiving non-invasive brain stimulation during an experiment in a laboratory setting. The volunteer sits in the foreground with another person, whose hands can be seen, holding a scanning device over the person's head. A scan of their brain is visible on a screen behind.

The earlier study identified two brain regions that appeared to be synchronized, with neural activity occurring at the same frequency, when participants made more generous decisions.

These brain areas are known to play a crucial role in decision-making and empathy, enabling individuals to distinguish between their own feelings and those of others.

When participants made selfless decisions, the regions responsible for empathy and decision-making were found to be communicating with each other.

The researchers sought to investigate whether electrical stimulation could be used to influence this communication and promote more selfless decision-making.

One participant who underwent the brain stimulation test described the experience as a gentle, soothing sensation, comparable to a warm shower or light rain on the scalp.

The participant reported making decisions while receiving the stimulation without feeling any external influence on their choices.

The discovery of a consistent neural pattern associated with selfless decision-making across multiple individuals suggests that altruism may be an innate, evolutionarily conserved trait that enables humans to care for one another.

Prof Ruff emphasized the clinical significance of this finding, highlighting the potential to modify and influence this neural mechanism.

Dr Jie Hu, a co-author of the study, noted that the research provides evidence of a causal relationship between brain activity and decision-making, demonstrating that targeted stimulation can alter an individual's sharing behavior.

By manipulating communication within a specific brain network using non-invasive stimulation, the researchers observed a shift in participants' decisions, influencing the balance between self-interest and altruism.

Addressing concerns about the potential implications of this research, Prof Ruff assured that the experiment was conducted with strict adherence to medical regulations and ethical guidelines, ensuring the well-being and informed consent of all participants.

The neuroscientist drew a distinction between the controlled, medically regulated nature of the experiment and the often-subliminal influences of social media and advertising, which can affect behavior without explicit consent.

Prof Ruff suggested that, in contrast to the experiment, the impacts of social media and advertising on brain function and behavior are often unforeseen and uncontrolled, highlighting the importance of careful consideration and regulation in such contexts.

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Health

NHS Workers to Receive 3.3% Pay Increase

Labor unions have expressed displeasure, yet the government maintains that its actions showcase a dedication to its workforce.

The government has confirmed that NHS staff in England will receive a 3.3% pay increase in the upcoming financial year.

Nurses on a ward, checking patient notes

This pay award applies to approximately 1.4 million health workers, including nurses, midwives, physiotherapists, and porters, but excludes doctors, dentists, and senior management.

Although the Department of Health and Social Care initially proposed a lower figure, it has accepted the recommendation of the independent pay review body to demonstrate its commitment to NHS staff, resulting in a higher pay rise than initially suggested.

However, several health unions have expressed disappointment with the announced pay award.

Prof Nicola Ranger, general secretary of the Royal College of Nursing (RCN), noted that the 3.3% increase falls short of the current consumer price index (CPI) inflation rate of 3.4%, which measures the rise in prices over the past year.

Prof Ranger stated, "A pay award that is lower than the current inflation rate is unacceptable, and unless inflation decreases, the government will be imposing a real pay cut on NHS workers."

She criticized the government's approach, saying, "This strategy of making last-minute decisions is not an appropriate way to treat individuals who are essential to a system in crisis."

Prof Ranger indicated that she would wait to see the pay awards for the rest of the public sector and doctors before deciding on a course of action.

The RCN had previously reacted strongly to the 5.4% pay increase received by resident doctors last year, compared to the 3.6% increase received by nurses, which they described as "grotesque".

Prof Ranger emphasized, "Nursing staff will not accept being treated with disrespect, as has happened in the past when they were given lower pay awards than other groups."

Helga Pile, head of health at Unison, the largest health union, commented, "NHS staff who are already under financial pressure will be outraged by another pay award that fails to keep up with inflation."

"Once again, they are expected to deliver more while their pay effectively decreases, as it falls behind the rising cost of living," she added.

In response, the government argued that the pay award is actually above the forecasted inflation rate for the coming year, which is around 2%.

A spokesperson for the Department of Health and Social Care stated, "This government greatly values the outstanding work of NHS staff and is committed to supporting them."

The pay increase is expected to be implemented by the start of April.

However, the government did not provide a timeline for the announcement on doctors' pay, as the pay review body responsible for making recommendations on their pay has yet to submit its report to ministers.

The government is currently engaged in negotiations with the British Medical Association regarding the pay of resident doctors, previously known as junior doctors.

Members of the BMA recently voted in favor of strike action, granting them a six-month mandate for walkouts, and there have been 14 strikes so far in the ongoing dispute.

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Health

NHS Waiting List Hits Three-Year Low

In England, the backlog has fallen below 7.3 million for the first time since 2023, yet worries persist regarding prolonged waiting times in accident and emergency departments.

England's hospital waiting list has reached its lowest point in almost three years, marking a significant milestone in the country's healthcare system.

A group of surgeons operating on a patient in theatre

As of December 2025, the number of patients awaiting treatment, including knee and hip operations, stood at 7.29 million, the lowest figure recorded since February 2023.

However, the latest monthly update from NHS England reveals that long wait times persist in Accident and Emergency departments, with a record number of patients experiencing 12-hour trolley waits.

In January 2026, over 71,500 patients spent more than 12 hours waiting for a hospital bed after being assessed by A&E staff, the highest number tracked since 2010.

This translates to nearly one in five patients admitted after visiting A&E waiting for an extended period.

According to Health Secretary Wes Streeting, while progress has been made, significant challenges still need to be addressed.

Streeting acknowledged that "there is much more to do" and emphasized the need to accelerate progress, but expressed optimism that the NHS is on the path to recovery.

Dr. Vicky Price, representing the Society for Acute Medicine, noted that hospitals are operating beyond safe capacity in terms of emergency care.

Dr. Price highlighted the vulnerability of patients who require admission, often elderly and frail individuals with complex needs, who are at greater risk of harm when care is delivered in corridors and hospitals exceed safe limits.

Duncan Burton, Chief Nursing Officer for England, commended the progress made in reducing wait times, achieved despite the challenges posed by strikes by resident doctors.

Burton attributed this progress to the hard work and dedication of NHS staff, describing it as a "triumph".

Although the waiting list decreased, performance against the 18-week target slightly declined, with 61.5% of patients waiting less than 18 weeks, compared to 61.8% in November, and still short of the 92% target set to be met by 2029.

Rory Deighton of the NHS Confederation, which represents hospitals, welcomed the progress but cautioned that it obscures significant regional variations.

A recent BBC report revealed that nearly a quarter of hospital trusts experienced worsening wait times over the past year.

Deighton emphasized that the NHS is composed of numerous separate organizations, each with unique financial and operational challenges, making it more difficult to address care backlogs in some areas.

According to Deighton, this means that tackling care backlogs will be more challenging in certain parts of the country due to these distinct regional challenges.

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