The move that we wish to see in health and care is set out in the review. There'll be a concentration of some specialist services onto a smaller number of sites to provide better care. That will mean more physical travelling distance to some of those services. What absolutely compromises that also is that there'll be more care delivered closer to home—we see that already. There are a wide number of services delivered within the community and local healthcare that previously would have been delivered in theatre conditions. So, we're seeing a move around right across the whole country of the way in which care is delivered. 

Our challenge in the future of health and care, not just in Pembrokeshire, not just in west Wales, but in every single part of the country, will be how we deliver change and reform to safeguard the future of health and care services, and not to wait until something is genuinely broken before we fix it, because no change isn't an option, and there's no way not to be honest about that. That is one of the central messages from the parliamentary review. The challenge is how we recognise the way we currently send and deliver services in health and care, how we recognise the weaknesses and the strengths we have to try and deal with our weaknesses, as well as build on our strengths, and, actually, there are real challenges in every health board about locum and agency spend. In some of our services, there's a real challenge in financial terms about the way money is spent. That's why I've taken action on the pay bill, actually, in locum spending in particular in the last few months. There's a pay cap that's come in on locum spend, on the terms available in November from last year, because we do need to deal with some of those costs, otherwise we'll undermine the sustainability of that service. That does affect recruitment into services in each part of the country.

In west Wales, in particular, I still expect the campaign we have on 'Train. Work. Live' to sell not just the opportunity to work in the national health service in Wales, but to live here as well. And, actually, I think west Wales has an awful lot to offer people as a place to work, but certainly as a place to live as well, and the training opportunities that go alongside that. 

There is no way to have an easy conversation about transforming any part of the national health service. There will always be a reasonable view about why a change—in particular on a local and individual level—shouldn't happen; you'll see that in any and every part of the country. But if there is not the space to have an honest conversation between staff within the health service and with the public about reasons to try and change the service to improve the quality of care and the quality of outcome that is delivered, then we won't get to a point where we can be certain and have real confidence in the future of the national health service, and that is absolutely where the parliamentary review is. That is the way I expect every health board to behave with their own individual populations, but also in working together on a number of the challenges that we face in the way that services are designed and delivered. 

As I say, I'll be as open and as honest as I can be, protecting, of course, the reality that I may well have to be a decision maker. I can't go into some of the detail in the questions that you asked, because, otherwise, I'd put myself in a position where I could undermine the consultation that has not yet gone out to the public—it's for this spring. And this is not just that one part of Wales would have this conversation; there is a national conversation and some really difficult national choices for us to make.