There’s a problem with general practice, as well. The north Wales medical committee has concerns regarding the sustainability of over a third of surgeries in the region: one in three surgeries is currently at risk. The committee says that we need an additional 70 GPs as a matter of urgency in north Wales. Now, in addition to the impact on patients, there is a financial cost to that shortage too. Expenditure on agency staff increased by 64 per cent over the past two years, whilst the latest information suggests that Betsi Cadwaladr will have spent more than £21 million on agency medical staff in the 11 months up to the end of February 2017—£21 million. That’s their own figure. A figure such as that is not sustainable, neither is it sensible. However, one could open a new medical school and maintain that for a far lower figure.

Plaid Cymru has consistently argued that a new medical school for north Wales, serving rural parts of our nation, is part of the solution. Studies in various nations have demonstrated that there are three factors at the heart of attracting doctors to work in rural areas: first of all, a rural background, second, that the prospective medic has positive clinical and educational experiences in rural locations as part of their medical training as an undergraduate, and, third, that training for rural placements is targeted specifically at the postgraduate level.

Now, one of the most successful medical training programmes in a rural area is a scheme between five states in the USA, Washington, Wyoming, Alaska, Montana and Idaho—the WWAMI programme. Graduates from this programme return to practise in rural areas at far higher rates than graduates from most of the state-run medical schools in the United States. Eighty-three per cent of graduates in the WWAMI programme practise in a rural practice. At the Calgary medical school, graduates from rural backgrounds are two-and-a-half times more likely to practise in a rural practice as compared with those from an urban background. In Norway, 56 per cent of graduates from the Tromsø medical school in the north of the country remained in rural areas, and 82 per cent of graduates who were originally from northern Norway remained there to practice. Quite simply, prospective doctors from rural areas do tend to remain in the rural area where they have been trained.

Therefore, it is practically possible to have a medical school in Bangor? Yes, most certainly, it is. Ireland has seven; Scotland has five, suggesting that one medical school for every million of the population is possible. The population of the Betsi Cadwaladr health board is around a million people, if you take it in conjunction with the Powys health board, but you can also add a part of the rural area of Hywel Dda health board to that figure to bring us to that figure of a million. So, a third medical school for Wales would align with the structures in Scotland and in Ireland.

Plaid Cymru has consistently argued that the new medical school should be located in Bangor. A new medical school at Bangor University would build upon the expertise of the medical sciences school at the university and the clinical training, which is already provided in the three general hospitals of the region. Evidence suggests that a new medical school should initially work with an established medical school. There are a number of examples of new schools building on the expertise of medical science within universities, and therefore there is a clear way ahead, and with time, Bangor can develop into a medical school standing on its own two feet.

In summary, a new medical school is crucial if Wales is to tackle the significant shortage of doctors facing this nation. In north Wales and in rural areas of Wales a number of medics are approaching retirement age, and there aren’t enough people being trained in those areas. Governments across the world are responding to similar situations by increasing the training opportunities available. In rural areas, which face problems similar to Wales, new training institutions are established and medical schools are being located in those rural areas. Adapting structures already in existence simply doesn’t work. These new institutions, in turn, create new generations of doctors who stay to serve those areas where they have been trained, dealing with the shortage of doctors and enhancing the quality of care for people in those areas.

It’s time to move forward with long-term solutions, with planning, in order to establish a new medical school along, with the short-term measures currently being put in place. Thank you.