Part of the debate – in the Senedd at 3:45 pm on 3 July 2018.
Thank you, Deputy Presiding Officer. Can I welcome your statement, Cabinet Secretary, on the seventieth anniversary of the NHS? It was born in Wales as a result of one man, Aneurin Bevan, who had the political will and strength of conviction and vision to take this forward, building on the local Tredegar Medical Aid Society, as you said, which so inspired him.
Cabinet Secretary, you may not have had the opportunity in your busy schedule to see the ode to the NHS created by Welsh poet Owen Sheers with his film To Provide All People. It was broadcast last week and last weekend. He chose to honour his local district general hospital, Nevill Hall, and in a preview in the Radio Times—it was filmed at Nevill Hall—he spoke in tribute to Nevill Hall, where his mother received her knee replacement, his premature daughter received life-saving care, and his eldest daughter attends ophthalmology clinics. Will you join Owen Sheers and myself in thanking the staff of Nevill Hall Hospital for their devotion to care and clinical excellence, which we know is replicated in our hospitals across Wales? Would you also agree with Owen Sheers when he describes what Nye Bevan achieved—creating the NHS as a monument to the communal, and yet providing care for the individual, meeting the health needs of the population? Do you agree that this is how we must sustain and safeguard our Welsh NHS?
I would also like to pay tribute to Dr Julian Tudor Hart, who sadly passed away at the weekend following a very active retirement, leading the Socialist Health Association, following 30 years as a 'new kind of doctor'. He wrote a book about that, obviously, from his Glyncorrwg health centre experience, where he inspired Dr Brian Gibbons to come from Ireland to work there and then become health Minister here. Julian was a huge influence on me before I became an Assembly Member and the first Minister for Health and Social Services. During my time in that post, he was an inspiring and supportive influence in those early days. I would like you to express again your recognition of his contribution with the inverse care law. I looked at the paper in The Lancet that he wrote—it was back in 1971—and in the summary he says:
'The availability of good medical care tends to vary inversely with the need for it in the population served. This inverse care law operates more completely where medical care is most exposed to market forces, and less so where such exposure is reduced.'
Do you agree that is still pertinent today as evidence, and that we have a duty here in Wales to ensure that it is our policy and our commitment to provide free healthcare for all, without the negative impact of market forces?