7. Statement by the Cabinet Secretary for Health and Social Services: How Digital Technology is Improving Primary Care

Part of the debate – in the Senedd at 6:15 pm on 6 February 2018.

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Photo of Vaughan Gething Vaughan Gething Labour 6:15, 6 February 2018

Thank you. I broadly agree with where you want to be, in that I don't think  there's going to be much party difference on where we want to get to in terms of a vision of having a genuinely electronic patient record and having proper access between different parts of healthcare, because within primary care, which this statement is largely focused on, you have GPs, you have a range of community staff, you have the community pharmacy sector, you have optometry and dentistry, you have a range of areas where we all recognise that services are provided, and wanting to make sure that we reduce the room for error, which is one of the points you made, which a patient-based record always has and for loss, but also that should be seen as an opportunity to improve treatment and care as well. 

So, I'm interested in the Wales Audit Office report, which I'm sure we'll hear more of later—I'm looking at my colleague the Member for Llanelli. They recognise that there's a vision that they think is clear about having access to that record and having it available and having access to it consistently, but we haven't moved as quickly as we want to. Some of it has been about some of our challenges in actually getting different partners to point in the same direction at the same place in time, so it's about some of our staff groups and it's also about some of our organisational barriers as well. That's when I talk about not having moved at the pace that I want to see. I would have wanted us to have been in a position where the sharing of the record has made greater pace and progress than it has done to date. I'd want it to be where people are already able to access their own information more readily—one of the points you made several times in your comments. 

There is something about that there are some people who want to take greater ownership of their own health information, and that would help them to make further improvements in managing and sustaining their own healthcare. That's also why the investment, we're not just making it in the IT platform in pharmacies, but actually it's about the advice that should be given. Actually, we're paying for the quality of care that is provided in the pharmacy, and it's not simply about dispensing. It should also mean, actually, that we're able to process people more quickly through our system. So, part of the challenge we have in a hospital discharge service is whether people are waiting in a pharmacy there, when they could actually be seen, with electronic transfer, to actually go to their own pharmacy or to have that medication delivered to someone's home as well. So, there is lots of gain to be made, and a number of examples of why I'd want us to move more quickly than we have done. 

And, interestingly, when you think about your challenge about, 'What do you want to do more quickly?', optometry is a really good example. We need to have agreement on a system to use and to make sure that we have a once-for-Wales system, so that we don't have different health boards, as has happened in the past, having different products that clinicians are used to using, and then when you try to have a consistent system across our national health service, let alone to a join-on with social care, you have different systems that aren't necessarily compatible with each other, and you've got to transfer people to move onto a different system. That's taken time, energy and effort, and I wish it had not done. 

Interestingly my colleague Julie James is now in the room, because we do have a national informatics board that meets, and thinking about the way we have a more consistent approach across Government. So, Julie James will now be spending some of her time with that informatics board to try and make sure there's a consistent digital vision, and that health and care are very much part of that.

And, you know, your point about record provision across our system, it isn't just about the GP record; it's actually things like images as well. We've actually done quite a lot in eye care where you can actually transfer records from high street optometrists to the hospital sector as well, and that's a good example of where you can improve care as well. So, really good examples, but the consistency, the pace and the scale are not where we need them to be, but we have made real progress. The next stage is to do much more, because otherwise we won't meet the challenge the parliamentary review sets us on really realising the potential of digital for all the health gain that has yet to be made, and the way that, frankly, citizens are already used to living their lives.