Part of 2. 2. Questions to the Cabinet Secretary for Health, Well-being and Sport – in the Senedd at 2:51 pm on 29 March 2017.
Of course, I recognise the challenge of orthopaedics as a speciality in north Wales in particular. It makes up the greater number of those people waiting too long, and waiting beyond our waiting time standard, in the north Wales area. I also recognise that we commission care on a regular basis from providers within England. In fact, the spinal surgery speciality is commissioned from Robert Jones and Agnes Hunt, and we’re currently commissioning additional places and additional procedures over the border as well, and that’s because we do have a problem and some people waiting too long. We can either say that we’re prepared to invest some money in the here and now to try and make sure that we bring those numbers down, or we say that we’ll only spend that money within the system. It’s a balancing act, of course, and what I’ve been really clear about is that we need to maintain and improve the level of performance in the here and now, because it isn’t in a place that I or any other Member would say is acceptable. That also means, though, that the health board have to, with the clinical community, come up with a plan for the future.
I actually met the orthopaedic team in Ysbyty Glan Clwyd on my last trip to north Wales, just a few weeks ago, and they too recognise there’s a need for improvement. There’s a need to have a view across north Wales, rather than three or four centres competing with each other about what a new service might look like, so that it’s not just about the operative end where people go in for procedures, but also about the care in the community—so, primary care, the musculoskeletal service. We’ve got to look at the whole picture. I’m expecting that there will be a plan that will come to the health board within a matter of weeks, as opposed to several months, setting out proposals on what the future could look like. So, I’ve met surgeons in the past, and I’m sure I’ll meet members of the orthopaedic team in the future, but I’m looking forward to receiving that plan to then understand what the timescales are for success, and what they believe success could and should look like for people in north Wales.