Part of the debate – in the Senedd at 3:17 pm on 7 February 2017.
Thank you very much for your statement, Cabinet Secretary. Yes, I do join you in thanking our hard-working NHS staff. It is amazing and very satisfying to see the improvements in cardiac care, and I absolutely welcome these improvements and I thank the staff who’ve made all this possible by their very hard work.
I was delighted to read both the statement and the plan. You have laid out in your statement something we all know, which is that cardiovascular disease remains a major cause of ill health and death in Wales. Would you please expand a little bit more on any potential education programmes? The Royal College of Paediatrics and Child Health have suggested a ‘make every contact count’ approach when trying to address the issues of obesity and weight loss. What scope is there to encourage this sort of approach to help address the contributing factors to heart disease? I was very pleased to see that there’s a dedicated children and young people’s section now, but the key actions are about those who already have a chronic disease or condition rather than prevention to stop us from getting into this situation. So, a little bit more detail on that and how the implementation plan might be able to promote that would be more than helpful.
You very rightly point out that the incidence of heart disease, very significantly, is very high in our most deprived communities. When you talk about these huge inequalities, will you further outline what plans you have to educate people outside of these traditional healthcare settings so we can have a clear view of how we might be able to prevent these inequalities, or at least go some way to mitigate them?
The Welsh Ambulance Service NHS Trust figures and your paragraph, if you like, on defibrillation and cardiopulmonary resuscitation—I’m very glad to hear that there are plans to push life-saving skills, but will you also look at what other groups could be targeted to learn these skills, such as the Women’s Institute, scouts, guides, other community organisations? We’ve put a huge emphasis on donor schemes such as giving blood and donating organs. I wonder if similar resources should now be put into promoting life-saving techniques.
With reference to the heart conditions implementation group’s £1 million investment, could you please give us an indication of how this will be spread out or apportioned across the health boards? Finally, I wonder, Minister, how you are going to measure success. I see, in the heart conditions delivery plan, that you have a very small section on outcome indicators and assurance measures. In some ways, they don’t seem to be particularly tangible. Is there a view that you will be working to actually put some much harder KPIs in place so that we can see how well this is being delivered against the outcomes? Because, for example, just saying:
‘For outcomes relating to children, we will consider information available on smoking in pregnancy, perinatal death, low birth weight’, et cetera—‘consider’ isn’t actually a hard and fast outcome monitor. So, I’d be very interested to know how you intend to do that. Thank you.