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 6:25 pm on 6 February 2018.

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Photo of Vaughan Gething Vaughan Gething Labour 6:25, 6 February 2018

Thank you for the comments and the substantial question at the end about the IT system in general practice. I recognise what you said about the nurse rostering and organisation system in Wrexham. I still maintain an interest in that and want to see that properly developed in the hospital service. I guess for the hospital discharge part, that's about the discharge between secondary care back into primary care. There is certainly more that we could and should do, and I will have more to say as we're looking for more pilot work to be done in that area.

But as the substantial questions were about what's happened with the IT system in general practice, and in particular with EMIS, who have not been successful in the recent tendering exercise, I am, as I said last week, still limited in what I can say. Today is the last day of a potential 10-day legal challenge period, so if that challenge is not made, then there's more that we can say, but I am restricted in what I can say. But I recognise the very practical nature of the challenge for those practices who have taken up EMIS as a system.

It was raised with me on my recent visit to north Wales when I met doctors at the Bethesda practice. They are an EMIS practice and they were talking about—they were concerned about the practical reality of having to migrate to a new system, even if, to be fair, they did recognise that we'd indicated there would be support provided through the NHS Wales Informatics Service for them. In meeting that group of doctors, I think they see that there's a long enough future in the profession for them that they would go through that. They don't particularly welcome the change, but part of my real concern and recognition is that, if you are within a few years of retiring in any event, then this is the sort of change where some people may seriously consider actually not coming back, or actually accelerating their plans to retire. I recognise there is a real risk of that, and that's something that has been raised both by the Royal College of General Practitioners and by the British Medical Association as well. They're practical things they want people to talk through to try and make the transition as easy as possible for their members, and I expect to be meeting—if I'm not meeting them directly, an official will be meeting with them in the near future to talk through where we are as we get through the period of challenge. It is worth highlighting again, though, that I expect there to be a robust process to try and deliver proper value for the public purse and the actual service that that then procures and provides, and the general practice committee of the BMA were engaged as part of the decision-making architecture around this and they supported the choice, even though they recognised it would cause real difficulty for their members. They still think it was the right choice to make.

In the coming days, as I said, once we get past today, I may well be in a position where I can say more and provide a fuller explanation, not just to yourself but to general practitioners themselves. I'm keen that we can do that so that people can see the context in which that choice has been made, and then to actually deal with the practical challenge that we are nevertheless left with, regardless of the propriety of the choice that has been made.