Part of the debate – in the Senedd at 2:27 pm on 22 November 2016.
I’m happy to reassure you that local families do not need to change access to care. You’ll have heard me answer Eluned Morgan’s question, and in particular the point about transport and access to care, and, indeed, if there is a need for a child to be transported to a different point to receive their care, then the health board, together with the Welsh ambulance service trust, should make those arrangements available—and have that potential planned in, rather than waiting for a situation to occur that hasn’t been anticipated.
I am happy to reiterate the point that Eluned Morgan made again: that this is a planned temporary change in response to an inability to recruit in the short term, with further recruitment being planned. I don’t accept or recognise your point that urgent intervention is needed to protect other services. To try to expand this out and to spread more mistrust and fear about the future of those services I think is highly irresponsible. When it comes to acting on expert advice, you will of course know that, in many other parts of the United Kingdom, paediatric support is provided by expert nursing staff who are appropriately qualified and provide support for accident and emergency departments to continue; that is not an unusual service model.
Indeed, we come back to the nub of the Royal College of Paediatrics and Child Health’s recommendations about what is an appropriate service and what is the best possible service to provide in this part of Wales. And indeed, those recommendations in that review indicate the previous model is not safe, not sustainable and not the right thing to do for patients. I reiterate: I am being guided by expert advice in this field, by people who understand the need to run these services safely and effectively, by people who have run these services safely and effectively in a variety of different settings across the United Kingdom, including in significantly rural healthcare places, and I will not go back to a system where that expert advice says it would be a worse service delivering worse outcomes for people in Pembrokeshire; I believe they deserve much better than that.