Across Wales a range of work is being undertaken to strengthen and develop out-of-hours services. We want to ensure appropriate access and a co-ordinated service to meet the needs of patients. These developments are a priority for the unscheduled care work programme and individual health boards.

Health boards and trusts in Wales are performing above target in a number of areas and improvements have been seen in a number of other areas. I have made clear my expectations for improvement, especially in areas where we recognise further progress is required.  

Officials will be working with the NHS Wales Informatics Service management board to consider the wider informatics system in Wales. To inform this we will draw on a variety of information, including good practice in other healthcare systems. The recently published Wales Audit Office report and parliamentary review will also inform this work. 

The parliamentary review recognised the 2014 Act as 'a strong foundation to build on'. Implementation of the Act is progressing well across Wales, and we will continue to work with stakeholders to identify and address any areas for further development, informed by the findings of the review.

The provision of accessible toilet facilities is an important issue and certain groups such as older people and disabled people can be particularly affected by poor provision. The Public Health (Wales) Act 2017 places a duty on local authorities in Wales to publish a local toilets strategy for their areas.

Cervical screening can save lives and we want to maximise uptake. Seventy-seven per cent of eligible women in Wales regularly attend for cervical screening. From October 2018 we will be introducing a more sensitive primary test allowing us to more effectively identify women requiring treatment, reducing the need for repeat smears.

We are working to improve child health in Wales through a range of plans and actions. Our programme for government, 'Taking Wales Forward', includes implementation of our Healthy Child Wales programme, a universal health programme for all families with children up to the age of seven.

The Welsh Government continues to support local recruitment activity through our successful national and international campaign by marketing Wales as an excellent place for doctors, including general practitioners, to train, work and live.