Part of the debate – in the Senedd at 2:55 pm on 10 January 2017.
Thank you, Deputy Presiding Officer. Cabinet Secretary, I welcome this statement immensely. I am very pleased to see that there’s a public consultation to inform the dementia strategic action plan. I do want to pick up on the paragraph where you start by saying:
‘People living longer is something to be celebrated.’
I think that, too often, the rhetoric around dementia, the rhetoric around older people, is not positive: they are bed-blockers, they are a drain on social services, and dementia is something that is going to happen to everybody and it is going to be absolutely terrible. Whereas, of course, we know that older people are to be celebrated, that they are a vital part of our community, and that dementia, if supported, if caught early, and if given the appropriate treatments, can actually be slowed and sometimes put into remission, and that people can go on to live really good live even though they have dementia—obviously not everyone, but, still, some people. So, it is to be celebrated.
I only have three questions because I am quite sure that the Chair of the cross-party group on dementia is going to have quite a significant number of questions for you, and I am very pleased to be a member of that group. When you see the outcome of this consultation, will you ensure that the action plan has clear and measurable outcomes, and a consistent data set? I think this is incredibly important because a key problem in ensuring transparent accountability is that measurements change over time, parameters can be fudged, and transparency can dissolve into opaqueness. I think that if we want to know whether or not this action plan is going to work and continue to work over the next decades, then to have a clear and consistent set of outcomes and measurables is vitally important, going forward.
My second point is, in looking at the consultation, it doesn’t propose much on delivery models. So, I wanted to have a little bit of an understanding from you on whether you will be seeking to rely quite significantly on co-production with third sector organisations; or will you be looking to increase the intervention by Welsh Government by, say, increasing the numbers of support workers; or will you be putting much of this responsibility onto health or on to social services or local councils; or will you be looking to deliver through the partnership boards?
Finally, given the severity of the dementia issue in terms of the fact that it is now one of the biggest killers of people in Wales, and given that it is also one of the main reasons why sufferers and carers suffer so badly from isolation and loneliness, which of course impacts on their mental and physical well-being even more, do you think that the targets that you have in the plan are ambitious enough? They don’t bring us in line with other countries. I do appreciate that it is always hard to go from one level to another, but a 3 per cent increase year after year—is that going to actually get us to where we want to be quickly enough, or can you look to improving those targets? Dementia kills more people than almost any other disease in Wales, and we really need to get a grip of it.