Vaughan Gething: I'm happy to reiterate the answers that I've given to Joyce Watson to try and deal with the points that you raise. In terms of pension rights, given that this Government won't approve a transfer out of the national health service of staff, the issue doesn't arise. If people choose to transfer and move their employment, that's a matter for them. We can't force people to stay within the...
Vaughan Gething: I'm happy to do that, because if there has been a problem with the way that staff have been engaged I expect it to be rectified. But I do know that health service trade unions have been engaged in and around the conversation with this service. Again, I say that national health service staff will not be required to transfer their employment; I expect staff to be properly involved, and their...
Vaughan Gething: Thank you for the question. Our approach to tacking respiratory ill health is set out in the respiratory health delivery plan for Wales, which was updated and republished this January. We continue to invest in respiratory care, and, in Wales, spending has risen from £338 million in 2009-10 to £432 million in 2016-17.
Vaughan Gething: I'm happy to recommit ourselves to driving up standards right across respiratory conditions. We'll have more to say on that in the coming months. There's an interesting project led by a number of people about the possibility for a respiratory innovation centre, which I'm particularly excited about. There could be economic benefits as well as healthcare benefits to that. On asthma, the...
Vaughan Gething: I'm happy to confirm that there are conversations that do take place across Government, not just with the Cabinet Secretary, but with the Minister, who leads on the clean air plan for Wales. There's something here about understanding the contribution of the national health service and what we can do both to improve the quality of air, but the way the national health service itself operates....
Vaughan Gething: Thank you for the question. GP services are a core component of primary care and the delivery of a sustainable health system. Our drive for continued improvement is backed by the nearly £43 million primary care fund that is driving change and innovation across Wales, including, of course, Pembrokeshire, and £4.69 million of the fund in 2018-19 has been allocated to Hywel Dda for their plans...
Vaughan Gething: I'm sure the Cabinet Secretary for Economy and Transport will be happy to outline the progress this Government is making on the Cleddau bridge in due course. In terms of general practitioner and primary care services within Neyland, I recognise the point that the Member makes, and there are ongoing conversations to consider which services can still be provided within that area to reduce the...
Vaughan Gething: There are two points there, aren't there? There's the point about access in hours and the work that's being done in making sure people get to see the right healthcare professional. Sometimes that will be a GP, other times it will be a physiotherapist, an occupational therapist, or a nurse, or a pharmacist, or a different healthcare professional. I'm pleased to see that in both the north and...
Vaughan Gething: Thank you for the question. Hywel Dda university health board is currently consulting on proposals to transform community and hospital services across mid and west Wales. I expect the health board to follow the process set out in the guidance for engagement and consultation on changes to health services and to encourage it to ensure the public has every opportunity to participate in the...
Vaughan Gething: I do recognise the point the Member is making, and of course, in addition to the traditional paper consultation exercise, there is the challenge of having drop-in sessions, which they've decided to run, where they've got extra sessions that they're putting on through the rest of the consultation period, which doesn't close till, I think, the second week of July. And there's a challenge about...
Vaughan Gething: Well, I just don't accept that at all, and Paul Davies revealed his position at the outset: he is opposed to any change. And look, that's a position for him to take and for him to explain. This is a consultation that the health board are running that takes seriously the challenges it has and will have in the future. I don't have a view on any of the three options that are available, because I...
Vaughan Gething: Diolch, Llywydd. In my statement on the 1 February this year, I confirmed that following the review by the Welsh Government, the Wales Audit Office and Healthcare Inspectorate Wales, under the escalation and intervention arrangements, that Betsi Cadwaladr university health board would remain in special measures.This week marks three years in special measures for Betsi Cadwaladr university...
Vaughan Gething: Since 2015 there has also been a continued investment in the estate and the services to ensure improved access and healthcare for the people of north Wales, with a number of these having been or due to be completed. The major ongoing significant refurbishment work, involving over £160 million of capital investment on the Ysbyty Glan Clwyd site, is due to be fully completed in December this...
Vaughan Gething: I thank the Member for his comments with some questions provided, as well. I'll start with your final point about Ockenden 2, and no, I have not had sight of it; I'm making clear that I expect the health board to take seriously the report on reviewing and improving its governance and to deliver a real-time plan for improvement. I think it's entirely appropriate, because we expect that report...
Vaughan Gething: Thank you for the questions and the comments. I'm happy to state at the outset that I certainly don't see special measures as a permanent status or indeed something that could or should be normalised. It is absolutely different, not just to the rest of the healthcare system, but there is also the fact that there have been real improvements in some areas of activities that I've highlighted in...
Vaughan Gething: Thank you for the series of questions. And, just in terms of the challenges about planned care, I've never stated that the challenges of planned care have been resolved. Far from it. I've said exactly the opposite. The improvement that has taken place has only been part of the improvement required, which is why money was clawed back, which I'm absolutely clear is the right thing to have done,...
Vaughan Gething: On the final point, it's difficult to answer that without some particular examples. So, if you want to come to me with particular examples of where the third sector have been engaged or not engaged, that would be helpful, rather than more general involvement and engagement with the third sector in a wide variety of services, which I can't properly respond to. On the point about the four-hour...
Vaughan Gething: I really do reject the assertion that this Government is abusing people who are waiting for orthopaedic surgery. I think there is an entirely proper scrutiny process to undertake with questions to be asked about the challenges that do exist for your constituents and others, but I do not think that that sort of offensive statement helps anyone, and I don't think it helps a reasonable case...
Vaughan Gething: Formally.
Vaughan Gething: Diolch, Llywydd. Next month marks the seventieth anniversary of the NHS. Nye Bevan’s radical vision, based on the model of the Tredegar Medical Aid Society, transformed health services for millions of people. Today, the NHS and the social care sector are critical to the well-being of our nation. Yet everyone in this Chamber knows that the context for these services has changed...