Part of the debate – in the Senedd at 4:24 pm on 5 June 2018.
Deputy Presiding Officer, I was told off earlier for speaking for too long, so I’ll keep my comments very brief. There have been three years now since special measures were put in place and your statement is quite honest, truth be told, that very little progress has been made over those past three years. You use the words yourself: 'some evidence of recovery', 'some recent progress'. I think that we should be able to expect a little bit more than that after three years.
You describe that support from the Government has included greater scrutiny and oversight, of appointing specialist consultants, but the first question is: is this tantamount to you taking responsibility for what is happening at Betsi Cadwaladr health board after three years of special measures being put in place? What I see are patients waiting longer. The figures confirm that—patients waiting much more than a year for treatments that they genuinely need in order to improve their quality of life; people who are waiting far too long for mental health care; young people waiting far too long for mental health care. The evidence is all there, which proves how much further we have to go.
I'll ask three questions. Do you, as Cabinet Secretary, believe that the current structure to deliver health and social care across the north, with one health board, seven local authorities and external providers as well, is fit for purpose, if you like? If it's not now, is that kind of structure likely to develop to be fit for purpose in the near future? Do you believe, as a second question, that significant improvements to the referral-to-treatment times and waiting times for emergency departments are possible without improvements in social care services, including beds one step down in the community? Third, your statement refers to new health and social care centres, but can these centres and services genuinely deliver what they could, in principle, whilst there is that temptation for the board to continue to throw money at hospitals, at the secondary level of healthcare, in order to tackle waiting times? That is, that funds are sucked somehow into some kind of bottomless pit. If we can't deal with that, how can we strengthen primary care? Because I think that it's only through strengthening primary healthcare that a health board that serves a predominantly rural area can improve its performance significantly.