Part of 2. 2. Questions to the Cabinet Secretary for Health, Well-being and Sport – in the Senedd at 2:53 pm on 5 October 2016.
I think that those are completely fair and reasonable points to make. We recognise that the older model may work for some people, but there are different doctors with different priorities—a change in the workforce and a change in what people want to do. For example, it isn’t just that there are more women who are doctors—actually, men who are doctors want to spend more time with their families as well. So, you see people who think that it’s important that they’re around as their child is growing up, and that that, actually, perhaps, if you go back 50 years, might not have been the priority. So, understanding how and why we change the model really matters.
It’s not simply about cutting our cloth against the money. It’s actually about saying, ‘How do we improve outcomes for people to make sure that it’s a more attractive place for people to live and work in the country?’ I’ve said before in this Chamber, and have had some criticism from some Members, that the future of primary care will almost certainly be a smaller number of organisations—amalgamations and/or federations—where there should be more potential to still provide a local service with doctors who people know and trust, but that will provide different services to shift more care into the primary sector.
A really exciting and positive step forward, I believe, is the federation that’s taking place within one cluster in Bridgend, where doctors have come together. They’ve formed their own not-for-profit model to understand how they can run and manage their service in a more holistic way. That should make it easier for new doctors to come in, not having to buy into a property, and to understand what those partnerships will look like in the future. There are questions for us about how we use capital funding to renovate the primary care estate and what that then means for the people working in that service and providing and delivering what I hope will be an expanded and more diverse service that still meets the needs of people in every community up and down the country.