<p>The Betsi Cadwaladr University Local Health Board Improvement Programme</p>

Part of 3. 2. Questions to the Cabinet Secretary for Health, Well-being and Sport – in the Senedd at 2:27 pm on 25 January 2017.

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Photo of Vaughan Gething Vaughan Gething Labour 2:27, 25 January 2017

Thank you for the questions. We recognise and we regularly discuss the need for a new staff mix, not just the numbers of staff we have but who those staff are and how they’re used. So, the models of care really matter as well as the numbers of staff we have: doctors, nurses, therapists, pharmacists—there’s a whole range of different people we will need in the health service of the future, working a slightly different way. I agree with you about integration between health and care. That is a clear direction of travel for this Government, and we expect to hear more about that during the course of the parliamentary review and the recommendations that it will provide for us and every party in this Chamber.

On your third point, again, we do talk about patient flow, in the sense of those patients who don’t need to go into secondary care, don’t need to go into hospital beds, or into anticipatory care, to keep them where they are, a better relationship with residential care and domiciliary care, as well as primary care and social services, as well as understanding what mix of beds we need and what provision we need. Sometimes, that will be in residential services. It isn’t just about having alternative forms of community hospitals. We need to think about the whole mix that we need, so not setting a particular bar or a particular number on beds. We need an understanding of what our whole system needs, how people are getting to the right place for their care and, crucially, how we return people to their community and their home to continue receiving care, where they still have a need for care that doesn’t need to be undertaken in a hospital bed.