Part of 2. 2. Questions to the Cabinet Secretary for Health, Well-being and Sport – in the Senedd at 2:44 pm on 7 December 2016.
Well, where individuals pay top-up fees, it’s because they’re assessed, and either they want to pay a contribution on top or they’re assessed as being able to make a contribution. This is something about the commissioning of care, and it’s about who commissions that care and what standards are provided. There is something for the public sector in the way that care is commissioned, and you will be aware that the Minister is leading the implementation of the Social Services and Well-being (Wales) Act 2014 and the joint commissioning of a range of services between health and local government partners in the future as the Act is progressively implemented. You’ll also be aware of the role of individual families, too, because there’s something about the quality of care and how we get to that point.
So, the public sector definitely have a role, but equally individual families have a role as well in the sort of care they wish to provide with and for their loved ones, but equally people going into care—it isn’t as if people are always in a position where somebody else is making those decisions for them. Where people are paying their own fees, those fees are paid by individuals who often do have capacity to make choices, and it’s about how we equip people to make those choices. That’s why the information and guidance provisions in the social services and well-being Act are so important. I remember, with a range of other people in the Chamber, going through the scrutiny and having exactly these sorts of issues highlighted when the Bill was going through its scrutiny and became an Act. So, we’re well aware of the challenges, there’s no pretence that we’ll resolve them simply by a certain point in time, but it is an issue we recognise exists and one we’re determined to see improve.