Vaughan Gething: Actually, we know that for a significant part not just of Wales, but across the United Kingdom, some centres are more easy to attract and recruit to than others in different parts of the country. You don't need to take my word for it; go and talk to people who work in those other parts of the health service about the relative ease or difficulty of doing so. Cardiff and Vale, and other parts...
Vaughan Gething: That's true for some patients, and others take a rather different view. If you look at what we're doing and, actually, if you look at the NHS England plan, for example, when they talk about the way that they want general practice to work together, it sounds and looks a lot like clusters here in Wales. They may not give us credit for it, but they're actually copying a number of the things that...
Vaughan Gething: The Welsh Government continues to invest in the health service in north Wales, as demonstrated by the £1.4 billion allocation in 2018-19. We've provided specific additional support this year, totalling nearly £20 million to support performance, winter pressures, capacity and capability within the organisation.
Vaughan Gething: Well, obviously, I can't comment on an e-mail you've had today from a whistleblower about his perspective, but we want to take seriously any and everybody who provide concerns about the use of money. But, actually, the project you mentioned there does not go into the first part of your question and the disagreement between the Countess of Chester trust and the health and care system in north...
Vaughan Gething: It is disgraceful, you're right.
Vaughan Gething: We have nursing courses provided in Bangor that we pay for. They're part of the numbers and the training numbers that I've invested in, which I referred to in my answer to Neil Hamilton. I expect both the numbers to be delivered and the quality of training and care to be delivered. If there are real and serious concerns, as you've mentioned, I'd be very pleased to hear from you direct about...
Vaughan Gething: 'A Healthier Wales' sets out our vision for healthcare services and the primary care model for Wales is instrumental to delivering our aims for general practice. We are working with NHS Wales and representative bodies to continue to improve the delivery of services to the people of South Wales Central.
Vaughan Gething: Well, I'm not sure the person you refer to has given you permission to highlight his own personal experience in the way you do, but there is—[Interruption.]
Vaughan Gething: The characterisation you provide I don't think is entirely fair, but I do recognise the variance in experience between practices, and it's something that comes up regularly in postbags. If you look at the national survey for Wales, it recognises a decline in satisfaction in having access to local healthcare. So, there is a real challenge. It's a challenge that was recognised both by the...
Vaughan Gething: There is considerable work under way to ensure patients who have a clinical need for an ambulance response in South Wales West do so as quickly as possible. I was encouraged to note that the latest figures show the area was again among the best performers in Wales for patients in the red category.
Vaughan Gething: This was part of the amber review and the conversation about whether you should give an indication of whether an ambulance is due, and the advice in that was not to do so. There's work that the chief ambulance commissioner is doing to take forward the amber review to try and improve the experience for people whilst they are waiting as well. I'd be happy, though, to talk to the Member directly...
Vaughan Gething: On the two points—. There are two separate points, and on co-responders it isn't just about money. It is actually about agreement on the role, for example, for firefighters as well, and agreement that is about terms and conditions and, actually, about how we deliver and make better use of trained personnel within our broader emergency services system. The point about first responders is one...
Vaughan Gething: The Welsh Government has issued national guidance to NHS Wales on engagement and consultation when they're considering making changes to health services. I expect them to take full account of the guidance and involve stakeholders—including, of course, the public—fully when proposing any changes.
Vaughan Gething: I don't think I'd quite accept the characterisation that these are changes trying to be introduced through the back door. On the three areas that you've talked about—on neurology and orthopaedics, there's big pressure on the numbers going through our system and our ability to meet those. That is partly about the rise in demand—for example, in neurology, in having the right equipment and...
Vaughan Gething: I'm prepared to take on board and take seriously the point the Member is making and look again at the guidance to see if it does have an unintended consequence. But actually, the starting point is that it's important to have a full conversation with the public about what is being proposed: what is the proposal for the future, what does that mean about services now? And to make sure that we...
Vaughan Gething: Health boards use a variety of different tools to remind patients to attend appointments, including text messaging and phone reminders, one of which I had myself yesterday. Missed appointments cost the NHS and patients have a role to play in ensuring that arranged appointments are attended.
Vaughan Gething: This is part of standard business for the health service in making sure that people have the opportunity to attend, and, if there are changes, that people are told promptly, because something in the second class post is certainly not the most efficient way to get to most people within the country. So, it is a regular part of learning across the service about the different approaches being...
Vaughan Gething: Yes, and that is a real challenge. It is partly about efficiency, but it's also, frankly, about making the best use in terms of people's time, and not just money. Some health boards do provide an estimation for the amount that an appointment costs, and most hospitals that I have been in—and I tend to go to a few during the time I spend in the job—do have regular signs showing the cost of...
Vaughan Gething: Thank you, Llywydd. I am pleased to update Members on the delivery of unscheduled care services this winter. I'd like to begin by paying tribute to the hard work and dedication of thousands of our health and social care staff this winter. I've had the opportunity to see front-line staff across Wales delivering services for people whilst under pressure. I've talked previously about the...
Vaughan Gething: Hospitals across Wales reported considerably less time spent at the highest levels of escalation in December 2018 and January 2019 when compared to December 2017 and January 2018 respectively. When hospitals did experience those increased pressures, this winter they recovered and de-escalated quicker, and that is a real indication of improved resilience of front-line services. Hospitals have...
