Part of the debate – in the Senedd at 4:07 pm on 11 July 2017.
Cabinet Secretary, I’d just like to follow up the point on public engagement. We haven’t lacked expert analysis over the last decade or so on the challenges facing the NHS in Wales, but one of the things the system has found extremely challenging to do is engaging with communities. Llanelli is a famous case study in how not to do it, in the reshaping of services at Prince Philip Hospital, and, with all credit to the team there, they’re a case study in how to do it, in the way they then picked themselves up, drew on the clinicians and the community in coming up with a new solution, which is now being seen as a model for elsewhere.
I’ve been disturbed in recent weeks by the changes we’re seeing in primary care, where doctors’ surgeries are having to close lists or having to hand back their contracts, and the way that’s being communicated with their patients leaves some room for improvement. I met recently with the chief exec of Hywel Dda to discuss, and he fairly points out that these are privately run contracted businesses—a point that is little understood, I think, amongst the general public—and there is a limited amount that the health board can do if these private businesses aren’t willing to co-operate. It’s these doctors’ surgeries who often communicate these difficult messages by imperfect means. So, for example, a poster on the door as a notice to people that the doctor’s surgery has been closed to new patients.
So, I just wonder if the Cabinet Secretary could tell us about the next stage of work, how public engagement is going to be hard-wired into the approach that’s needed, and also whether or not the models that we’re working with are going to be reviewed as part of that, because if we do have a primary care model that relies upon private businesses, who may or may not want to co-operate with this agenda, is it time to look again at that model?