Part of 2. Questions to the Cabinet Secretary for Health and Social Services — Postponed from 8 November – in the Senedd at 2:47 pm on 15 November 2017.
As you will recall, in the mid 2000s, a change was made to the way the out-of-hours service was structured. So, GPs now opt in and are not required as part of their contract with the national health service to undertake the out-of-hours function. Part of our challenge is understanding how many GPs we need to make the service more stable and secure, and there are challenges across different parts of Wales and the UK in having an adequate number of GPs undertake that service, together with, as we more and more understand, other healthcare professionals.
So, the roll-out of the 111 service across the ABMU area and now into Carmarthen as well is actually really helpful in use and in understanding the different numbers of people who we expect to be there—having the clinical leadership of GPs, of pharmacists, nurse practitioners, and, indeed, the advice that call handlers can give. So, we have understood the need to change our out-of-hours services to make them more robust, to make them more appropriate for people requiring help and support, and I expect the 111 project to roll out across the country, the pace of which is something that I'll need to determine based on the evaluation of the earlier pilot. But I do expect that will give more stability to out-of-hours services not just in Bridgend, but a footprint and a way of working for the rest of the country too.