4. 3. Statement: The Refreshed Stroke Delivery Plan

Part of the debate – in the Senedd at 3:27 pm on 7 March 2017.

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Photo of Vaughan Gething Vaughan Gething Labour 3:27, 7 March 2017

Thank you for the very particular comments and questions. I, too, enjoyed, and learnt a lot at the visit to Bryncethin. I learn an awful lot when going around meeting front-line staff, and I’m robustly confident that in the last two weeks I’ve now met more than 100 front-line staff within the ambulance service, and they’ve all been very honest with me on what they think has worked, and, indeed, on those areas where they think there’s further improvement to be made. It’s in everyone’s best interest that I’m not actually one of those paramedics now, because I certainly couldn’t do what they do. And seeing the new kit and equipment they’ve got for their learning as well was a fascinating exercise.

But I’m happy to deal with your main point, which is the point about this one-hour CT scan on admission, in the follow-up to what Angela Burns has already said as well. I hope I can provide some direct reassurance to you and other Members that this will be part of what I expect to see measured in the snap audit. So, stroke services across England, Wales and Northern Ireland will be measured on their ability, I expect, to deliver against that in an open and upfront auditable measure, to understand where we are now and where we’re going as well. So, I do expect that to be reported as part of the improvement of expectancy as well. But I go back to this point about the reconfiguration of hyperacute services, which again you mentioned, and I would expect to see that as part of that configuration drive. Because there’s no point in saying we want to reconfigure services if we don’t actually meet the service standards that we have now, although we expect to see it delivered in the future, because the sort of levels we’d all wish to see, we won’t see immediately. The challenge is: how do we make sure we have staff in the right place and services in the right place to deliver the right care? So, yes I do expect that to be part of what the service plans to deliver against in reforming the way in which we deliver stroke services. I hope that’s helpful, not just for yourself and Angela Burns, but for other Members in this Chamber listening, and gives that reassurance about the expectations for any reconfiguration.

On your final point, which was the invite—I haven’t checked my diary, but I’m sure a formal invite will come. Because I do recognise that there is life after stroke. And I recognise that some people pass away as well. I’ve seen recovery from stroke, and I’ve seen my own father pass away after his four strokes, so I recognise the very real issues that face families in this particular instance. So, I’ll be very happy to consider a formal invite, but I can’t give a definite commitment as, at this point, I couldn’t tell you exactly what I’m due to do on 21 May.