Part of the debate – in the Senedd at 6:36 pm on 26 June 2018.
I'd like to thank the Minister for bringing forward this statement today, the content of which is very welcome to us, because you have pinpointed with accuracy that lifestyle, transport, housing and design are vital elements of how we're going to be able to move forward in a more integrated way and to have a healthier Wales. It's very vital because home is going to be increasingly the place where our health and our social care needs are delivered, and of course, no single part of the system can possibly hope to answer all of our needs. Michael Marmot's 'Fair Society, Healthy Lives' really highlighted the significance of the wider issues that impact on health. In fact, they say often, don't they, that housing, employment and education are the causes of the causes of ill health. So, I think anything that Welsh Government, with the support of the Assembly, can do to tackle some of these issues is incredibly important.
Having said all the nice words—and you'd be disappointed by anything else—I just want to challenge you on a couple of points and ask for some explanations in a couple of other areas. The parliamentary review of social care did indeed recognise the role that housing can play, however, your response, or the Government's response—'A Healthier Wales'—your plan in response to that parliamentary review, had very, very little on housing. You talked about new partnerships between health and housing, you talked about area plans that would provide a robust platform, but perhaps you can give us a little bit more information about how crucial a role housing will be enabled to play in delivering this vision of a healthier Wales. You do make a very strong assertion that there's been a marked decrease in delayed transfers of care and I'd be really interested to know where those statistics have come, from because I've yet to be able to put my hand on my heart to say that that is there, because of course it's been one of the key components of our winter pressures and all the rest of it. We don't see it out there on the street and I'd like to know how you have that.
You talk about upping the game with the fund and delivering larger projects and you talked about going out with the Minister for Children, Older People and Social Care and seeing new plans. Can you please tell us how you're going to ensure that local authority planning departments come on board with this? Time and time again in my area, I know of great initiatives that bring together housing and care that are being turned down by local planning authorities because they don't meet some criteria in the planning documentation. We've got to get over this and start building the houses that people really need. I absolutely welcome the £105 million of extra money to support this more scalable approach and it's really good to see that it's tying in across the whole of the United Kingdom, isn't it, because the UK Government have also announced this better care fund with a significantly larger sum of money, but they're a slightly larger country. So, it's good to see that everyone's going down—this is a good direction of travel.
I would ask you to perhaps cast your eyes over David Melding's White Paper 'Liveable Cities', because it's from the Welsh Conservative think tank and it does, very much, focus on socially inclusive and environmentally sustainable homes and cities and environments that can be built on the principles of the health and well-being of the citizens. Going back to what are the causes of the causes of ill health—it is your home, it is your environment, your education and your employment prospects. Also, could you please, actually, just give us a quick bit of an overview on the adaptation side? You talk about the new fund, but we do, very often, have this scenario where a house is very expensively adapted for somebody who has needs, and when they move out, those adaptations are then ripped out, at great cost to us all, and then somebody else moves in to get a sort of baseline home. This is nonsense; surely we should just be making sure the appropriate person moves into that.
Two more questions. What measurements do you have in place to measure the success of this extra funding? How will you know if it's hitting the nail on the head and doing what it should be doing and how are you going to apportion it across the areas of greatest needs or across the areas of Wales? And, finally, I come back to that planning authority and planning permission again. We do need different types of houses and we should be building homes that already have—either bungalows, or, if we're tight on space, we should have extra wide stairs going up so that you can put a stairlift in if you need to, because people want to stay in their home and they want to remain in that home. We're trying to encourage them to do that. We need to build homes where it is easier to put in hoists. We need to build homes where it is easier to adapt a kitchen. And those are the things that we need to start looking at in the design principles for our housing stock going forward if we truly want to buy in to the fact that people are going to stay in their home, they're going to receive their healthcare in their home, they're going to receive their social care in their home, hopefully until the end of their days. This is a great direction of travel, it's a good initiative, but I'd really like to see some teeth put into this, because it's a lot of money and I'm worried that we won't achieve what we need to achieve.