2. Urgent Question: Emergency Care

Part of the debate – in the Senedd at 2:21 pm on 10 January 2017.

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Photo of Angela Burns Angela Burns Conservative 2:21, 10 January 2017

You’re absolutely right, Cabinet Secretary, I think we must be very careful in the language that we all use. I think one of the first areas we have to be very clear about is that we are all entitled to challenge—challenge you, challenge the Welsh Government—about the performance of the health service. And by doing so, that does not impugn in any way the hard work of the people in that health service. Whether they are a top-flight consultant or the porter who takes the person from the ambulance in through the system, they all play a valuable part, and we need to get over this issue of ‘We can’t talk about it because we’re doing people down’, because none of us are doing them down. And language is very important, because the chairman of the Red Cross was utterly, utterly incorrect in the comments that he made about humanitarian crises. That was an appalling use of wording. And when you look at the evidence behind it, it’s mainly two NHS trusts. We have seven, and our seven all respond in different ways to the winter pressures.

Now, of course, the Royal College of Emergency Medicine made some very clear recommendations when they came before the health committee, and I know that you and your officials were looking at the transcript, looking at what people were saying, and have had a number of conversations with all these royal colleges. So, I would just like to ask you a couple of questions in terms of: were you able to ring-fence or ensure that health boards had ring-fenced any unscheduled care beds to ensure the provision was there, therefore elective surgery didn’t take a hit? Were you able to implement any frail and elderly assessment centres in any of the major hospitals in order to triage our more vulnerable people in the same way that we triage our paediatrics? Are you confident that redirection services have managed to work well? And, of course, what causes the collapse in A&E and what has caused this commentary, I believe, from the Royal College of Emergency Medicine, who were absolutely right to have pinpointed what they did and how they see it, is the closure of beds, and I wonder, Cabinet Secretary, if you’re able to say whether or not there’s been an increase at all in community beds and in secondary care, because taking those three or four actions would, in fact, help to alleviate the pressures that the A&E departments are under. They are, of course, the front door to all of our acute services.