5. 5. Statement: Update on Plans to Recruit and Train Additional GPs and Other Primary Care Professionals

Part of the debate – in the Senedd at 4:12 pm on 20 September 2016.

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Photo of Rhun ap Iorwerth Rhun ap Iorwerth Plaid Cymru 4:12, 20 September 2016

(Translated)

Thank you, Deputy Presiding Officer, and thank you also to the Cabinet Secretary for the statement. This is an area that is a priority for us, and that’s why we were determined to see a commitment in this area in terms of the post-election agreement. However, we are facing a crisis and, in the face of a crisis of this kind, we need to act as a matter of urgency. There are fewer GPs per head in Wales than in the rest of the UK. Secondly, the calls and pressure on them is increasing. So, it’s entirely clear that the situation that we’re facing at present isn’t sustainable. So, I welcome several aspects of the statement, but there are several things that are insufficient, unclear or missing from the statement. So, I will ask four questions.

The Cabinet Secretary has talked about an incentives system for some posts. I take it that that will be in areas where recruitment is difficult. Will the Cabinet Secretary confirm that that will include incentives for service over a longer period of time rather than just short-term incentives to fill posts in the short term? It’s very important that we do look at the longer term. There are some long-term elements that are perhaps not included here. There’s no mention here of recruitment of students from within Wales to study medicine in the first instance, nor is there mention made of recruitment of school pupils to want to pursue a career as a GP—which is something that I have an interest in—and to study medicine with that view from the very beginning of going into primary care work. I wonder whether the Cabinet Secretary is willing to look into work that can be done in that particular area.

The third question from me: the First Minister said in an interview on the radio this morning, when referring to the number of GP practices that have been put back into the hands of health boards, that that wasn’t necessarily a bad thing. Does that mean that aiming towards having more GP practices managed directly by health boards is something that you would want to pursue, and even that that could become something that the Government would favour from now on?

Finally—and this is entirely crucial—may I ask what targets the Cabinet Secretary is willing to set for the number of additional GPs that he wants to have, or the number of GPs that we will have in Wales by 2021? If you consider: technically, having one new part-time GP would mean expanding the provision of GPs. But, what is the target that the Cabinet Secretary has in mind? The Royal College of GPs, for example, has said that we need 400 new GPs in Wales. Is there any reason in the Cabinet Secretary’s mind as to why that figure wouldn’t be an appropriate target?