Priorities for the Health Service in Pembrokeshire

Part of 1. Questions to the Cabinet Secretary for Health and Social Services – in the Senedd at 2:24 pm on 14 March 2018.

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Photo of Vaughan Gething Vaughan Gething Labour 2:24, 14 March 2018

There are three points to make about your question. I understand the concern of Members of every party about any consultation on the future of health services within their area. On the specifics about what may or may not happen, I've had broad conversations with every health board, and on a national level as well. If you've had the pleasure or otherwise of listening to me make speeches over the last two years, you'll have heard me say regularly that we need to see deliberate planned reform within the service, rather than waiting for change to happen at a time of chaos or when the services fall over. That's the indication that I've given. It's also backed up by the parliamentary review saying we need to plan for the future, because our current model of service delivery is not fit for the future. So, I expect the health board to continue with their plans for a consultation on the future of healthcare services within mid and west Wales. I haven't gone into the detail of what that might be, because I may have a role as a decision maker in the process. 

On the second point about when that will start to happen, my understanding is that from the April board there should then be a public consultation on the defined options. I have not had early sight or looked to approve those in any way. I think it's really important that I make sure that there is not just a licence or empowerment to have this conversation, but an expectation that health boards have this conversation with their staff and with their public, and set out very clearly what this means for them—what this means in terms of the quality of the service, what this means in terms of access and what this means for the future. We then have to have questions about an agreed vision on what future funding there is, because you should expect me not to give complete carte blanche to any health board to say that any plan they come up with will be funded on any basis. I expect to see options come forward, and I expect us to work with any and every health board on looking at how we are able to support them in delivering the future of healthcare delivery within their area. 

I recognise you want me to give a level of detail to this, but I'm simply not in a position to do so, and it would not be appropriate for me to try and do so when I also, of course, will need to understand the future financial resources available to this Government and, indeed, to the health service area in particular.