Part of the debate – in the Senedd at 4:58 pm on 1 November 2016.
Thank you for the point—I note the picture you paint about English local authorities having widely varying responses, given the population they have, the financial resources they have. And, actually, I think that’s part of the challenge that we want to try and avoid: having a multifaceted system where, actually, you can’t understand the logic of that, and how that meets the needs of the citizen. That’s part of the reason to have this review, of course—to try and understand how health and social care in Wales can work in a more integrated way together, and understand that we should see them as a whole system. That’s part of the approach we are trying to take in Wales, not just in policy terms and leadership, but then in delivery as well. That’s why we place such store on integration between health and social care in the delivery of those services.
That will definitely be part of the review. It’s within the terms. I think your fear about the NHS centralising and taking over and swallowing up social care and then forgetting about it—I appreciate that the concern is being expressed in a certain way to make the point, but we’re looking to see how we can actually have a genuinely integrated system in the future to recognise the importance of that social care.
In fact, much of what we’re already doing with the legislative architecture, with the Social Services and Well-being (Wales) Act 2014, is about promoting and, at times, enforcing collaboration. So, the joint commissioning that will be taking place between health and social care on a range of areas of residential care, the joint understanding of needs within a particular population, the regional footprint boards—there’s something about how we take that forward and make that work. This review will bring with it experience on a national and international level about what has already taken place, it will look at where we are now, and will give us recommendations about the future. As I said earlier, I expect those recommendations to be realistic, implementable and, at the same time, really challenging. That, after all, is the point and purpose of having what I hope will be a genuine, independent and mature conversation about the future.