Withybush Hospital

Part of 4. Topical Questions – in the Senedd at 3:35 pm on 24 January 2018.

Alert me about debates like this

Photo of Vaughan Gething Vaughan Gething Labour 3:35, 24 January 2018

Well, I have to say, I don't share her characterisation of the way that Members in this Chamber behaved yesterday. I certainly don't think there was any attempt or intention to introduce supercilious arrogance or to traduce the efforts of Members in every party in having a properly mature conversation about the future of health and care in Wales. The parliamentary review was an honest attempt to try and have an informed and mature debate about our future. And in every part of Wales, not just in west Wales, there will be very difficult choices to be made. 

I can't and I won't comment on the detail of an incomplete process within Hywel Dda and their transforming clinical services programme, because as you know, and I appreciate you know this, I potentially have a decision-making role at the end of this. So, I can't comment on proposals, but there is a process going through and the health board have announced there will be a shortlist to go out to public consultation with in the spring. And it's really important there is a proper public consultation through this. It's important that staff are properly engaged in the process as well, because whatever you or I or anyone else says about the future of health services, if there is to be a battle between politicians, then people choose their sides. Actually, I think lots of people will walk away and simply think it's politicians arguing over something rather than, 'What about the future of health and social care in Wales?'

As we all know, from what the review said, the way we're currently set up isn't fit for our future, so there'll be a need to be a way to deliver change and reform in our system, and that's difficult when it comes to local decision making. It isn't just an issue for one particular site in Wales; every site has a challenge around the attachment to services as they currently exist, to bricks and mortar, and that isn't just a west Wales view. So, I really look forward to a consultation that engages the public and to see the view of healthcare staff themselves as well, because, actually, the real trust is in that which rests between the public and the people running and delivering those services.

There's got to be a serious account taken of whether or not we think the way we currently run and deliver services in every part of Wales is going to last, and if not, how that conversation takes place so the public do get properly engaged and informed before any choice is made. That's what I expect and that is a process that I expect to engage in in this place and, of course, I expect people to ask me questions to try and pin me down on a particular view during the process. I know that is part of what Members will try to do, but I will be direct and honest and I'll continue to say, 'I can't give you a view'. And I won't give you a view about a consultation. There are no proposals as of yet, but I may well be asked to be a decision maker in there so I have to make sure I do the right thing.