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

Part of the debate – in the Senedd at 3:20 pm on 6 March 2018.

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Photo of David Rees David Rees Labour 3:20, 6 March 2018

Thank you, Cabinet Secretary, for your statement today, and I think it's important that we remind ourselves of the importance of the workforce in the NHS. Can I join you and others across the Chamber—and I'm sure I'm speaking for everybody who might not even speak today about the support we give to the NHS staff, the appreciation we have for their commitment, particularly during recent days and the difficulty in travelling? Even at times when police have said only to travel if it's essential, NHS and care staff believe their attendance to look after patients and clients is essential, and they've made that effort. I was at Neath Port Talbot Hospital on Friday morning—we weren't as badly affected—dropping my wife off to get into work, but I saw staff bringing in overnight bags, because they'd come from areas that were affected and they knew that they needed to be at that place of work to deliver the care for the patients. We should always appreciate that and never forget that.

You also highlight today that, clearly, there are record levels of staff in the workforce. I totally agree. There are record levels of staff in the workforce. But we also have to recognise that we're no longer generalists, we have a lot more specialists in different areas and, therefore, we have large numbers of staff, but some of them now specialise in areas that were far more general before. I will take my wife's area as an example. In radiography, we've got ultrasound, MRI, CT—computerised tomography, nuclear medicine, ordinary extra diagnostics, radiotherapy—[Inaudible.] There are so many specialisms in that one area that we might have more radiographers, per se, but perhaps less per different area. So, I'm also pleased to see the intent statement yesterday that highlights the work being done in that particular imaging area, which is good news, as well. We do have to recognise that that means there are going to be shortages elsewhere.

Dai Lloyd mentioned junior doctors, but let's not forget the out-of-hours GPs, which are also a big issue we have to address, because we are facing challenges with out-of-hours GPs. That's not necessarily the number of GPs, that's just some people being able to have time to do out-of-hours work and not feeling so stressed in their normal day work. That's part of the problem we need to look at.

But we also have to recognise that training is great, but it takes years. It doesn't happen overnight. There are several years of training and then they need experience, and, sometimes, we need the cover now. So, I'll go on to one of the issues for nursing, for example. Banking is an issue I think we need to look at very carefully across all health boards to ensure banking is consistent. I have met with trade unions that have concerns that—there is a limit on banking, or if you're going to do banking, you actually take out a new contract, so you're not being paid overtime. Therefore, the value of NHS staff—make them feel valued by simply not saying to them, 'You can't have overtime, you've got your own different contract and therefore you're getting flat-rate pay for maybe working 70 hours in a week.' We need to look at banking to ensure it's consistent across Wales and it rewards staff, because it's cheaper than having agency staff. Many people don't do banking now, and you get agencies in, and that costs you a lot more money. So, please will you look at talking to the boards to address this issue on banking?

You also talked about paramedics—fantastic news about paramedics, but we are also seeing a wider range of paramedics now—they're being used in GP practices as well. So, as we train more, they are being spread across areas more. So, I think we need to increase the numbers of paramedics being trained.

Similarly, as has been mentioned by Suzy Davies, the deanery—. The Welsh Government need to address some of the issues the deanery raised, to increase the number of doctors being trained to be GPs. The numbers have to go up to the limits of 170 that were being talked about. Now, I understand—. Can we fill the 170? That's the question, but if we don't put the number there, we'll never know. So, I think we should be addressing that as well.

Llywydd, I'll stay at that, because I see I'm out of time. But I think it's issues of valuing staff, not just simply saying the words, but putting into action the value we have for our staff.