2. Will the Minister make a statement on the Welsh Government’s delivery of health services across Pembrokeshire? OAQ(5)0038(HWS)

Thank you for the question. The Welsh Government’s priorities are to provide the people of Pembrokeshire with health services that deliver the best possible outcomes for patients. We will, of course, be guided by the best and most up-to-date clinical evidence and advice to deliver high-quality care that the people of Pembrokeshire deserve.

I’m grateful to the Cabinet Secretary for that response. Skin Care Cymru has revealed that there is no consultant dermatologist in the entire Hywel Dda Local Health Board area. Whilst there is an issue with recruiting and retaining dermatologists across the UK, the fact that there is not one actually in the entire health board area is extremely worrying. What specific support is the Welsh Government giving Hywel Dda health board to recruit a consultant dermatologist, so that people living with skin conditions in Pembrokeshire can have the vital services that they deserve?

Thank you for the question. Dermatology is a particular challenge across the UK, as you recognise. Recently, there was a retirement from this particular consultant post within the Hywel Dda area. The challenge is how they work with other parts of the service as well, in particular, the growing partnership with Abertawe Bro Morgannwg University Local Health Board, which we are encouraging to understand how consultants work between different areas and across health board boundaries. I’m interested in people having access to a service. Actually, teledermatology is an important part of this as well. So, it’s not just about the consultant level, but it’s also about access at a primary care level as well. We are continuing to support both Hywel Dda and their partners in actually trying to understand what posts they need, at what level, including consultants, and where and how they can be best recruited to make sure that the right service is in the right place at the right time. But I would expect that, in the future, there will be dermatology consultants again within Pembrokeshire, within Hywel Dda, working within what you recognise is a very challenging recruitment market in this particular speciality.

Cabinet Secretary, as you know, the parents of Pembrokeshire have lost the neonatal services at Withybush hospital, supposedly to have a better service provided at Glangwili, but the Royal College of Paediatrics and Child Health says that neonatal services in Wales are overstretched and under incredible pressure, putting the safety of the sickest babies at risk, and they say that only two out of the 10 neonatal units have enough nurses to staff all their cots. What assurance can you give to the parents of Pembrokeshire, therefore, that this move from Pembrokeshire to Carmarthenshire, and from one hospital to another, is actually going to result in the long term in a better staffing ratio and a better service?

I thank the Member for the question. I appreciate that he has a particular perspective on this, but services have not been lost; they’ve been moved, and they’ve been improved. You quote the Royal College of Paediatrics and Child Health, and we take seriously what they say. We recognise there is real pressure across the UK and in Wales as well. That in particular makes it even more important that the right model of care is provided, and that we don’t try and staff and run models that are unsustainable and don’t provide the right quality of care for people when they need them, because we’re talking about a small number of really sick children who need not just high-quality but very specialist care.

What the Royal College of Paediatrics and Child Health have said in their review is that the move of the specialist service to Glangwili has improved outcomes and improved compliance with national standards. That’s why we’re moving ahead with the business case that I’m expecting from the health board about the next stage of work in Glangwili to further improve the service. I think that people should take confidence from that. Also, I look forward to having a report back from the royal college’s review team that were recently in Glangwili to look again at the service and give us more reassurance about the quality of service and outcomes that Pembrokeshire parents are receiving. Of course, I met Pembrokeshire mothers when I recently visited Glangwili, to understand directly from them the quality of care that they’re receiving at a really important and difficult time in life, not just for them as a parent, but obviously for their child as well. So, I’ve been impressed by the professionalism and the quality of care that Pembrokeshire parents are receiving in Glangwili.