Part of the debate – in the Senedd at 5:32 pm on 1 February 2017.
Thank you very much, Deputy Presiding Officer, and thank you to everyone who’s participated in this debate. I have just a few minutes left. May I first of all thank Sian Gwenllian for highlighting how appreciative we should be of professional care workers across Wales, a point that’s been echoed by a number of Members? It is extremely important that those professionals are given the recognition that they need and deserve—many of them, of course working on very low wages. And then the point was made very strongly by many people, including Jenny Rathbone, Jayne Bryant and Llyr Gruffydd, on the immeasurable contribution made by voluntary carers. The Minister said that the Government does recognise the work that they do. On an individual level, of course, every one of us would be grateful to an individual for caring for a member of their own family or a friend, but as a sector we must do more to show our appreciation and recognition that the work that they do is carried out free of charge and supports other professional services.
Hannah Blythyn, thank you for summarising how important community hospitals are, and, yes, it’s beds that are important. In response to Dawn Bowden’s comments, we didn’t want to give the impression that bricks and mortar are the important thing here, but there has been a reduction in the number of community beds available, and we must somehow recognise that there is an important role for those community beds in the care pathway. I very much hope we can reach a point where we can achieve consensus on the need, after years of losing these beds—because that’s what happened, there are 7 per cent fewer beds in the NHS in Wales than there were a few years ago—to turn that tide and provide more beds in terms of providing choice, a broader range of options, in providing social care.
Suzy Davies started the debate by talking about integration. It’s not whether we want to see integration that’s the question, I think, but rather what model of integration we are seeking, because we must think about this as a unitary service—it must work in that way—because, on their pathway through the health and care service, a patient shouldn’t feel at any point that there is any barrier in the care provided. Once again, I hope we can agree on that. What we need to do, of course, is to find a way of implementing and delivering that the length and breadth of Wales.
I am grateful to the Minister for her comments—yes, I am more interested in outputs. The Minister listed a number of budgetary elements, financial contributions to various strategies, and, of course, I do recognise that funding, and some of that has emerged from negotiations that have taken place between the parties here. But the stresses on social services are clear—I hear about it in my own postbag and in my inbox. And whilst the evidence demonstrates that that strain is there—and the statistics also demonstrate that in terms of the recent increase in delayed transfers of care—we will continue to hold the Government to account and to insist that there is a move to strengthen this crucial sector.
To conclude, Dai Lloyd said that we needed to celebrate the fact that we are in a situation where there has been an increase in demand, because we are living longer. But the demographic change, which we do welcome, does bring responsibilities with it. That’s what we’re discussing today: how to face up to those responsibilities and to build a system that can cope with the needs of today and is prepared for tomorrow.