Part of the debate – in the Senedd at 3:25 pm on 7 February 2017.
I thank the Cabinet Secretary for this statement, which, of course, will be of interest to very many people in Wales because so many people do live with cardiac conditions or suffer from heart disease. Of course, we also welcome those areas where ground has been gained because of the hard work of our staff within the health service, and we must also bear in mind because of things that have emerged from this place, such as the ban on smoking in public places, which is having a very real impact on public health.
I have four questions to ask. The statement mentions cardiac rehabilitation services. The Government congratulates itself that almost 60 per cent of patients do now participate in rehabilitation programmes, but the delivery programme itself says that people in Wales wait too long before starting that treatment. We know of the waiting times for initial treatment, but we know very little about the waiting times for this recovery or rehabilitation treatment, which is so important. So, when will those data be made more public, and will the Government then establish how long patients should wait before they start that treatment, bearing in mind that the plan itself says that the waiting time is currently too long?
Secondly, the statement also recognises that we need to tackle inequalities in terms of outcomes, and that we need to increase the level of engagement between people and primary care teams, something that people in high-risk groups very often don’t do. So, bearing in mind that the Government is going to put additional pressures on the primary care sector, what intention is there to provide additional resources to correspond to that, including additional doctors and so on, in order for the primary care sector to deliver the objectives that the Government is putting in place for them?
The next one is for the Cabinet Secretary to discuss with the education Secretary, perhaps. I welcome the section in the delivery plan on children with cardiac conditions. In that plan, it notes that the Cabinet Secretary—the Government—wants children who have heart conditions to enjoy full access to education, including school trips. Now, does the Cabinet Secretary believe, therefore, in terms of delivering those strategic objectives, that we need a review of the laws surrounding school trips in order to secure children’s safety? We are aware of a number of cases where children who do have chronic conditions have been at risk, and, at the very least, I think we need to enhance the first-aid provision so that that is a wider part of the curriculum.
And, finally, we also know that in previous years that long waiting times for treatment have been a problem, with patients waiting longer than is clinically acceptable. That’s why certain treatments have been put out to contract to the private sector and have been outsourced. Can the Cabinet Secretary, finally, therefore, give us an assurance that the capacity is now in place within the system to avoid turning to that kind of provision too often?