Part of the debate – in the Senedd at 4:39 pm on 20 March 2018.
Well, I rather agree with Neil Hamilton on this, in that it's really important that, whatever measures we're introducing, we cannot afford to give the impression that only those who speak Welsh can be working in the Welsh NHS, because that would be a very dangerous path to travel. I welcome the measure; a long time in gestation, but now we need to give birth to this baby. Therefore, I will be voting in favour of the measure. We have to recognise that—. I absolutely agree with Siân Gwenllian that, in some cases, it isn't just a quality issue; it can be a safety issue. If a child is a Welsh speaker and needs to express how they're feeling about the pain or where it is, the quality of the consultation is going to be reliant on being able to understand what that child has to say. So, this is a really important issue in areas where children are being brought up as Welsh speakers. That also applies in relation to where we're discussing mental health issues or dementia is involved, where people may revert to being monoglot as a result of their dementia.
Caution is required in the speed with which we introduce this measure, simply because many of the services, certainly in my area of Cardiff and Vale, are dependent not just on attracting people from other parts of Britain, but on attracting European clinicians for whom we have to make sure that they speak sufficiently good English, never mind Welsh, and it's extremely unlikely they're going to speak Welsh if they're coming from other countries. So, I absolutely support the right and the duty on us to make progress on ensuring that services offer people the choice between Welsh and English, but as with the movement to enable women to see women clinicians, particularly on women's health issues, where somebody's life is at risk, we're clearly not going to be proposing that somebody cannot see a doctor because a woman doctor isn't available. In emergency circumstances, we clearly have to go with the clinician that's in front of them.
So, I support this measure, but I think we need to go cautiously in order not to artificially discourage people from coming to work in the Welsh NHS when, at the moment, we are having considerable difficulty filling vacancies for people who speak either language, never mind both languages.