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

Part of the debate – in the Senedd at 4:59 pm on 4 July 2017.

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Photo of Vaughan Gething Vaughan Gething Labour 4:59, 4 July 2017

In terms of making a statement now, I gave commitments to make a statement before the end of summer recess, so I’m delivering on the commitments that I had previously made. I’d have thought that’s a good thing for a Minister to do.

Now, look, in terms of the evaluation—the broader point—we already have really positive feedback. In terms of the initial surveys that have been done, over 90 per cent of patients say they’re happy with the service they’ve received. So, that’s a good place to start, but the formal evaluation is really important to go into more depth, and I would expect that Members will be interested in seeing the evaluation when it’s published. There’ll be more questions for us to go through, whether in this forum or in committee, because I need to understand, before I make choices in the autumn about the future of the service, the different impacts in terms of the roll-out and how a programme might work, but also the choices we make, going back to Angela Burns’s comments about a directory of service, but also to have a more in-depth understanding of the impact across the whole system. As I said, it’s really good to have the direct feedback from somebody like Andy MacNab, working in a really busy emergency department, and to understand that this hasn’t led to a significant bump up in the numbers coming in—certainly the numbers coming in inappropriately. There will be more of that detail with the evaluation.

Whilst I’m sure you’re delighted to have me make another statement, I hope that in the future, when I make further choices in the autumn, I’ll talk about the reasons why we’re making choices at that point in time for what I think will be a continuing impact across our unscheduled care system. Because we do know that just leaving things as they are—just leaving it with NHS Direct Wales and just leaving it with the primary care out-of-hours service and emergency departments—that doesn’t properly meet the needs of people who have real care needs. It’s about how we manage those needs, how we deal with them properly and appropriately, in the best way, to make use of the resources that we already have. I think one of the key lessons has been that our broad approach in having more clinicians within that team within the hub has made a real difference, and actually it’s made a really big difference to people in primary care as well, who feel much better supported, and our ability to staff that particular group has been improved. So, there are real advantages. You don’t need to take my word for it; clinicians will say that as well, and we’ll see what the evaluation says in due course.