When you've got 46 A&E consultants who have penned a letter to the First Minister, saying that the safety risks are unacceptable, then we should be very critical about how we handle the winter. When you had, during the height of the winter demand, at Swansea's Morriston Hospital, personal assistants, IT staff and managers called upon to chase up scan results and even medication to help reduce delays, we have to question how we did this winter. We had the Royal College of Emergency Medicine saying that some patients in Wales waited more than 80 hours in emergency departments.

So, there are four questions that I'd like pose to you, and first about bed occupancy. Last year alone, there was an 8 per cent reduction in rehabilitation beds, 6 per cent in psychiatry, 6 per cent in general surgery and almost 6 per cent in geriatric medicine. You stated that health boards had been supported to open additional beds this winter, but it obviously did very little to alleviate demand. So, Cabinet Secretary, I wondered if you could tell us what went wrong with that—why Prince Philip had 103 per cent bed occupancy over those two weeks of winter, Withybush at 98, Bronglais at 100 per cent, Royal Gwent at 98, Nevill Hall at 98. They are staggeringly high, and I would like to understand how the £50 million that you gave earlier last year, the £10 million you recently gave for front-line services—and I do welcome the £10 million you've announced in this statement today for the social care sector—. But, you know, it's not getting to where we need it. Bed occupancy is a major problem.

My second area of concern was about out-of-hours care. The 4-3-4 nature of those two weeks over Christmas and new year really seems to have caught people on the hop. In Aneurin Bevan, we only had 20 doctors on shift when we actually needed 28. Cardiff and Vale—just 92 GP hours were worked despite 192 being needed. I could go on and on. We had GPs unable to cover the out-of-hours, so people of course then ended up going to the hospitals and putting all that pressure on our A&E services.

Turning to A&E, over that two-week period—I'm not going to bore you with statistics; I've got them all here—how many patients were waiting well over the 12 hours? But, when you think that the Heath hospital was able to plan for the UEFA cup final by saying to every single ward, 'You must clear two beds in order for us to be able to manage any influx we may have'—that kind of level of detailed planning didn't take place for the winter pressures. If you look at the Heath, they had almost two wards full of people waiting for a transfer of care to leave hospital, and I think that that must have added to that pressure enormously.

My final point is about influenza. GP consultation rates for influenza were well above the moving epidemic threshold. That means we were reaching—or had reached—crisis point. There was an enormous increase in flu, and I would like to understand, Cabinet Secretary, what you can do to improve the take-up of the flu jab. When we think that only 51 per cent of NHS staff had a flu vaccination, and only 53 per cent of NHS staff who were in the front line had a flu vaccination, then we can see that we actually have to do something about this.

Finally, on the NICE guidelines, the vaccine this year was the £5 trivalent vaccine, and that did not include the influenza B, which has caused over 50 per cent of hospital admissions. That other vaccine would have cost £8. So, I would like your commentary on whether or not you feel that a lesson going forward is that we should try and get a more comprehensive vaccine available to stop it. It is flu, particularly in the young and the elderly, that causes so much pressure on our A&E. There's an awful lot more to say about winter pressures, and I do recognise the green shoots of success that you highlighted. How to make them consistent and how to apply them universally across the NHS is the challenge you face, but you have absolutely got to be forensic in understanding why and where we were not successful this year.