5. Will the Minister provide an update on paediatric services in west Wales? OAQ(5)0034(HWS)

Thank you for the question. The recent independent review by the Royal College of Paediatrics and Child Health stated that the changes to paediatric services in west Wales in 2014 have led to improved outcomes and better compliance with national clinical standards. We are investing in the service to secure further improvements for families in west Wales.

Cabinet Secretary, as you’ll be aware, the Hywel Dda health board is engaged with clinicians and patient groups to look at developing an enhanced patient pathway for paediatric services in Pembrokeshire and Carmarthenshire by the end of the year. On a recent visit to Withybush and Glangwili, I was made aware of the reliance on doctors from outside the UK to ensure that we can fulfil the rotas in paediatrics in particular. I’m sure you’ll agree with me that it doesn’t help to attract doctors when it’s suggested that that care that is provided is unsafe. Since the Brexit vote, Hywel Dda health board has written to non-UK medical staff in the light of an increase in race hate incidents across the UK. I’ve helped to launch a campaign to encourage patients to go that extra mile to thank those doctors who’ve come to help us in Wales to provide that service. Will you join with me in extending that welcome and ensuring that NHS services will not be adversely affected by the EU vote and that those doctors who are here to help us will indeed be made to feel welcome?

Thank you for the question. I quite agree with the points that are made. The level of intolerance that I’m sure each of us has seen within our communities, directed at public servants and people in private life as well, is something that I feel deeply ashamed and angry about, because I want our country to be a properly outward-looking, welcoming place where we value what people do and what people bring to us and our country. In particular, in the health service, we are reliant on a range of health professionals from around the world to make the service work, to deliver the quality care that we value. I really do think that the messaging the NHS is giving, and Members of the Cabinet are giving, to all parts of the service, making it clear that we welcome the fact that people are here, we want them to stay and they are welcome to stay and keep on delivering that real value to our services, is really important. We can’t say it often enough.

On recruitment, I should say, I’ve met a range of doctors who have been recruited from within the EU and outside and it’s a good example of a health board that has changed its attitude in the way it talks about its services and has been more successful in selling the idea of living in west Wales as well as working there in a really successful manner. There’s a lesson there for other health boards about what they can do if there’s a level of ambition and equally if the clinical community is prepared to say, ‘We want these services to work and we want to be part of making that work and attracting more people to come to work with us as part of the healthcare team’.

Minister, there’s a shortage of community paediatricians in the Hywel Dda health board. One of the areas that this severely impacts is the provision of support and diagnosis for young people and children with autism. Despite reducing waits, we still have some people waiting two to four years for an autistic diagnosis. I don’t need to tell you that the earlier these young people get that diagnosis, the better their life chances are of being able to be the best they can possibly be. That is surely our aim for them. Now, Hywel Dda are trying their best, so they assure me on a constant basis; what I would like to know is what you are doing to monitor not just Hywel Dda health board, but actually all health boards, to ensure that there is adequate provision and to see what we can do to attract some of these much valued clinicians into our country.

I thank the Member for her question and her genuine interest in this area. We’ve had half a discussion about this and I’m sure we’ll have more discussions through the life of this Assembly term. You’ll be aware that we’re due to have an autism strategy. We had a consultation that concluded shortly after the election. We’re analysing the responses and we want to make sure that the action that we take is actually about improving the position for individuals and their families, so for the carer group around individuals with this developmental condition—it really does matter too. And, we’re investing new money in the service. At the end of this year, I expect us to be able to publish our new strategy and action plan with the investment that will go with that. I do believe that we will see improved outcomes for families and the people within them, because these are a range of conditions that many Members in this Chamber will understand, from either direct experience or from constituents—I certainly have members of my extended family, and so I do have some understanding of the impact this can have on changing the lives of whole groups of people around them. We want to make sure that our service provides the support that they would quite rightly expect.