Part of 2. Questions to the Cabinet Secretary for Health and Social Services – in the Senedd at 3:16 pm on 23 May 2018.
Well, I just don't accept that at all, and Paul Davies revealed his position at the outset: he is opposed to any change. And look, that's a position for him to take and for him to explain. This is a consultation that the health board are running that takes seriously the challenges it has and will have in the future. I don't have a view on any of the three options that are available, because I may have to make a choice. I can't therefore confirm that I'm going to fund any of the three options because I put myself in the position where I can't then be a decision maker on what is, potentially, going to be my responsibility. It is also entirely possible that, during the consultation, if it is a real consultation, that some of the options may change. So, actually, you'd be asking me to sign up to funding something that may not be the actual proposal at the end of it, otherwise there would be no consultation—[Inaudible.]—potentially changing or refining any of the proposals.
I go back again to the example of Gwent. Healthcare in Gwent changed significantly because of the clinical futures exercise. It brought together staff who agreed on a broad model and it brought together a wide range of public stakeholders as well. That still took, though, a process to have not just a view about the future, but then to develop a business case for changing the hospital estate as well as community services too. And what has now happened is that this Government has invested in the Grange university hospital to deliver the final piece of that vision that will also require changes to the way that other hospital services are run in other other sites, and most significantly of all, a change in the way in which local healthcare is delivered. Over 90 per cent of our healthcare interactions are within local healthcare. We spend nothing like 90 per cent of our time discussing local healthcare in this Chamber or otherwise.
I will do what I said I would do at the start of this term. I will provide the space for the national health service and the public to have a consultation, a conversation about the future of healthcare and the necessary changes that we all recognise would need to be made when every single party in this place signed up to the parliamentary review. We knew there would be difficult choices to be made at the end of it. I am not going to walk away from potentially having to make a choice, but this is a consultation for the public to be involved and engaged in, for staff to be involved and engaged in, and I look forward to seeing the outcome of that very public consultation.