3. Statement by the Cabinet Secretary for Health and Social Services: Valuing the NHS Workforce

Part of the debate – in the Senedd at 3:13 pm on 6 March 2018.

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Photo of Vaughan Gething Vaughan Gething Labour 3:13, 6 March 2018

Thank you for the comments and questions. You're right about the band 6 conversation; I remember you in a different role when those conversations started, and I recognise you are in Unison and suffragette purple today as well. I do recognise there's something about the good will and the commitment of staff. It's a regular part of what keeps the service going, because NHS staff do not work to the letter of their job description; they go above and beyond it on a regular basis. If that stopped, then large parts of our service wouldn't take place in the way that they do.

On the point about the negative public and political debate, it does impact on staff. I remember meeting, as the then Deputy Minister for health, paramedics, and they were particularly downcast for the way that they felt they were talked about. They didn't feel it was the Government that was being talked about every month when ambulance response times were published, and it did affect their morale in a real and material way. There's something about the wider public debate and the impact it has on the current workforce, but also, potentially, the workforce of the future, because there are some people who are opting not to pursue a career in medicine or in the health service because of the way the NHS is regularly talked about. They see that on the first few pages of newspapers on a regular basis—and the distance and the speed at which the negative news travels about the national health service. So, that's why I try to take every opportunity to thank and praise NHS staff for what they do.

On your point about the pay cap, I know that matters too, and there's something about the value that people feel placed upon them as well. Having seen teachers having the continuation of a 1 per cent pay cap and having seen other public service workers having that pay cap continue, what next happens with the pay review body's reporting, and the terms on which any pay rise is offered, will matter a great deal to today and tomorrow's workforce as well. I sincerely hope the UK Government recognise their responsibilities and do the right thing in providing a fully-funded, decent pay rise. 

On your point about staff well-being, I recognise this all too well. For those staff who work really hard, you can't keep going at 100 mph every single day, because at some point people end up breaking. So, they need to have time to recover and the space to do so. That's why we have decent terms and conditions for NHS staff, but it's also why it's important to look again at what the parliamentary review said about staff well-being. I think it's really interesting their proposal about the emphasis that we should have on the well-being of our staff and how they're treated and managed, and, actually, how they feel genuinely empowered to make choices about the future of the service because that matters too. So, there's a range of things.

It comes back to my point about the NHS as an employer, employing over 90,000 individuals in the country, and it needs to make sure that it's a good employer and looks critically at itself and the way it treats all of its staff and recognises opportunities for improvement. I've never said the NHS is a perfect employer because it is not, and that is something we will always continually need to look at and that will definitely form part of our response to the parliamentary review.