Part of 1. Questions to the Cabinet Secretary for Finance – in the Senedd at 1:45 pm on 24 January 2018.
Llywydd, the Member was careful to make a distinction, but it is an important distinction, between the proportion of the budget that goes to primary care and the absolute investment in primary care, because the absolute investment in primary care has gone up over the years, albeit that as a proportion of the total budget it has taken less. Now, I know that the Cabinet Secretary for Health and Social Services is very keen to address that issue. That is why we fund primary care clusters directly. That is why we have preserved the integrated care fund again this year.
But I put this point to the Member, that one of the reasons why, as a proportion of the health budget, primary care has not had the share that other parts of the health service have had is because of the way in which public debate and debate here too focuses so heavily on hospital services, and we talk far less about primary and community services. So, every time there is a debate about services that might be altered in a hospital setting, we have huge debates. When changes happen at primary care level, there is far less attention to them. Partly, the reason that hospitals have taken a larger share of a growing budget is because of the way in which debates around the future of the health service are conducted.