4. Statement by the Cabinet Secretary for Health and Social Services: The Long-term Plan for Health and Social Care in Wales

Part of the debate – in the Senedd at 3:53 pm on 12 June 2018.

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Photo of Caroline Jones Caroline Jones UKIP 3:53, 12 June 2018

Thank you for your statement, Cabinet Secretary. I want to state at the outset that my party supports the direction you are taking with the long-term plan. I might not always agree with some of the decisions you may take or always support the way you've opted to implement those decisions, but I agree that things have to change, and they have to change if we are to see the NHS celebrate its hundredth anniversary. Health and social care in Wales have their problems, but we can all agree that the care provided is excellent. The problems are in getting the care in the first place. We have finite resources and because we're all living longer, our reliance on health and social care is increasing, putting those resources under greater strain. Sadly, in the past there has been a lack of forward planning in health and care, particularly in workforce planning and silo working, which meant a complete disconnect between services. I welcome the Welsh Government's recognition that all public services have a role to play in improving health and care. Ensuring an elderly person has a walk-in shower after a hip replacement will ensure that that person can stay in their own home and not be forced into a care home for two years while they wait for adaptations to their housing.

As I've said many times, and as the Welsh Government have indicated in their plan, the old models of care won't work in the future. We have to work smarter. There are many great examples of this happening within health and social care at a local level. For example, Aneurin Bevan local health board and the University Hospital of Wales worked with mathematicians from Cardiff University to improve appointments. The specialist in queue theory ascertained that, by rescheduling theatre slots, they could eliminate cancelled operations. This is the sort of thing that needs to be shared and rolled out across our NHS and social care sector. Best practice needs to be shared and scaled up. I am therefore pleased that the Welsh Government has chosen to implement a national transformation board. I hope the programme board will help identify and nurture innovation and roll it out quickly to the whole health and care sector.

Cabinet Secretary, while I welcome the role that digital technology will play in delivering future health and care, and there are clear advantages to increasing the use of telemedicine, what safeguards will be put in place to ensure that a move away from face-to-face consultations does not lead to increasing isolation for our elderly population? The move to a more digital health and care system will see greater investment in informatics and health-related software. Cabinet Secretary, have you or your Government given any thought to the role that open-source software will play in the future? And will you be taking steps to reduce the NHS's reliance on proprietary software? After all, if public money is being used to pay for software development, shouldn't the public own the licence?

Finally, Cabinet Secretary, in the spirit of a whole-system approach to health and care, what steps are the Welsh Government taking to ensure that Welsh patients are not prevented from playing a full part in participating in their own health and well-being as a result of poor broadband connectivity? As we move more and more services online, we have to ensure that the digitally excluded don't become excluded from health and care. Thank you once again for your statement, and I and my party stand ready to work with you to deliver health and social care services fit for the future.