7. 6. Statement: Update on the Pathfinder 111 NHS Service in Wales

Part of the debate – in the Senedd at 4:49 pm on 4 July 2017.

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Photo of Angela Burns Angela Burns Conservative 4:49, 4 July 2017

Cabinet Secretary, thank you very much for your statement today. This is still a service in its infancy, and I have questions in three specific areas. The first is about resources, both human and financial. I wondered if you can give us a bit more of an overview as to how the intended pulling together of NHS Direct Wales and GP out-of-hours will go, based on the experiences that you have in ABM and of course the very few months that it’s been rolled out in Carmarthenshire. I’ve had a number of meetings with staff in these areas and also with staff throughout Wales, and one of the areas that comes up quite a lot is how difficult it is to get human resource, to get people, involved currently in NHS Direct Wales. There is a feeling that it is understaffed. It’s hard to recruit and so I wonder what is going to happen when this service pulls all those people together. How do you intend to be able to recruit them? On the financial resources element, can you perhaps give us an overview of the kind of cost that you anticipate, because I’m not clear whether or not you think that putting these two services together will just give you a fund of money and that’ll be what you spend? I would suspect that you might need some pump-priming exercises to carry this forward.

The second area I’d like to just have some clarity on is about the clinical directory. I picked here that there’s a potential development of a nationally agreed and managed directory of services, along with an IT digital platform. One of the things that I’ve really picked out from the pathfinder projects is that the directory of services is quite different for the different areas, and I anticipate that that will continue as it’s rolled out across Wales. I have a concern that if this becomes a national directory of services, then what flexibility will you look to build into the system to ensure that it reflects the local area, so that if you’re phoning in Angle or from the middle of Cardiff, you’re going to have access to quite different directories of services? You’re going to have access to, or no access to, not just what I would call medical clinical services, but other help that you might be pointing people into, because this is about general well-being as well. So, I’m very keen to explore with you how you see that directory of clinical services going. I’m extremely concerned that one directory that is supposed to fit all of Wales will actually not do what we could do very successfully with this, which is enable people to understand it. I think I’d just like to illustrate that by saying that I’ve met a number of clinicians who’ve said, ‘Wow, it’s not until those pathfinder services came together that we realised some of us didn’t realise that we did this or could offer that.’ So, if the clinicians don’t know it, how is the person in the street going to know about it?

Finally, you mention that you’re asking some organisation, the Public and Corporate Economic Consultants unit, to have a look and to evaluate it. I just wondered if you’ve got any interim commentary that you could share on how you think it’s gone and what feedback you’re currently having from either ABM or indeed from Carmarthenshire. Some of the feedback I’ve had has been very, very positive but there are some glaring holes, and I’d just be interested to know what your feedback is. Thank you.