Part of the debate – in the Senedd at 2:59 pm on 10 January 2017.
Thank you for the questions and comments, and I agree: as I said in my statement, we should celebrate the fact that more of us live longer. Our challenge always is: how do we live healthily and live well for longer as well? Part of the point you made earlier about reducing our risk or delaying the onset of dementia is that there is lots and lots of evidence about how we can help ourselves to live longer. We talked lots in the last term—but not so much this term—about the fact that the Caerphilly study shows us an awful lot, not just about the theory but about the practical reality of what each of us can do to make different choices about how we live our lives, to live a healthier life, to reduce our risk of having dementia or, indeed, to delay the onset. There are also major public health factors in a whole range of other conditions too, in the way that we can reduce those particular challenges for us, not just for the health of the nation, but for individuals as well. And that’s part of what we want to try and move to in writing this plan, about having different bodies talking about the same messages about what each of us could and should do, as well as what we then expect of each other within our communities, but also of public services and the private sector as well.
And I think that this goes back to the point you made about the actions for different partners, because there will be things for the health service to do. We were talking about diagnosis rates, so, a range of people obviously have to be a big part of that, but also in social care, in the care and provision and the way that we expect the social services and well-being Act to be implemented progressively, there are sections in the action plans being consulted upon about what we expect to see happen. As that Act is implemented, the third sector will be not just champions and advocates, they provide services—they’re commissioned to provide those services in different parts of the sector. But there’s an awful lot in here, as I say, about us as a society and as a nation, and what each of us will do, as individual employers in this room, with our staff and the way we all deal with our constituents, the way that we talk, to the way that businesses and the wider communities are actually genuinely friendly and understanding of, you know, the significant number of people who live with us now and will do in the future as well.
So, it isn’t just one set of partners; that goes back into how we’ll have consistent data and measures for success. Some of these will be easier to measure than others. How people feel that they are supported, for example, is more difficult to measure in the same way that we might want to measure, for example, diagnosis rates and have harder data about what is being done in different parts of it. But I do want to see commentary on what’s in the plan and how we then have meaningful measures, because we do know—and this is being perfectly honest—that, in the past, each of us has signed up to saying the Government should do, the Government should measure different parts of activity, but they don’t always tell us a great deal that is useful, and I really do think, in the end, if you want something that is both, as I say, realistic and ambitious at the same time, that does mean that the measures that we have and the way we want to produce that information has got to be meaningful and useful. Otherwise, we could measure activity in a way that is easy to say we’re measuring something but not really telling us anything of value.
And on your final point about diagnosis and the 3 per cent year-on-year increase, I think that is quite ambitious, actually, and if we achieve it, we’ll see a progressive and increasing number of people coming into services and actually receiving services and, hopefully, receiving more help. But, if people have a different view, then they should say that during the consultation. And it’s then also about having an ambition, as I say, that is achievable. What I don’t want to do is to set a level of ambition that may look great on paper but we don’t then have the services scaled up to deliver and we set our staff up and our services up to fail then, and that can’t be the right thing. It’s got to be about how we further improve what is a real and current significant challenge for health, social care and our nation and will be more so in the future.