4. Statement by the Cabinet Secretary for Health and Social Services: The Autism Updated Delivery Plan and Autism Code of Practice

Part of the debate – in the Senedd at 3:41 pm on 25 September 2018.

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Photo of Vaughan Gething Vaughan Gething Labour 3:41, 25 September 2018

I thank the Member for the series of comments and questions within. I think there are, essentially, three broad themes there. The first is about communication, and I recognise that there is a challenge about effectively not just communicating to but with people that is common to many of our challenges across health and social care—particularly in this area, though. 

The second broad challenge, I think, is that a number of the points that you make are about the north Wales service within the examples that you gave. And, of course, the roll-out of the integrated autism service only began this summer within north Wales, so I'd not expect to see a significant consistency to have taken place there yet or a significant story of service improvement that is making a real tangible difference that people feel and can experience themselves in north Wales yet. I think it is right that we judge the success of the service once people have actually taken part in it in significant number. But there are lessons to learn as we look to continue and complete the roll-out of the service. And it is important that we understand when things don't go well. That's part of the whole point about service delivery and improvement. 

On the discrete issue you raise about diagnosis, I obviously can't deal with it; I'm not able to comment on the particular points that you make. But, if you want to write to me with the detail, then I'm happy to make sure that those matters are properly looked at.

The third broad point that runs through your own series of comments and questions is to make the case for legislation, and there is an honest disagreement about this. I would honestly say to him and other proponents of legislation that, if you look at what has happened in England, you cannot plot a chart for both service improvement and outcome improvement for people with autism. So, I think there's a challenge about the suggestion that legislation will cure the challenges that we all recognise across this Chamber that affect people with autism and their families. And I think autistic people are looking for an answer that will practically help to improve their current life and their prospects for the future.

And I do think that trying to suggest that the autism community have a single view on this is not borne out by the facts. Autistic people have engaged in the consultation and the conversation thus far and it is not true to say that there is a single or overwhelming view. If you look at where the integrated autism service has rolled-out over a period of time, there are a range of testimonials from staff within the service who believe they are doing a better job and have more time to do a better job, as well indeed as autistic people themselves who have engaged and have been listened to to make sure that their individual needs are properly taken account of.

Service redesign is never unanimously supported and I think it's important for all of us who want to see services reformed in any area to recognise that. So, there will of course be criticism—people who don't support what's being done, people who recognise their individual experience isn't good enough—and I don't try to avoid that all, but I really don't accept the rather doomsday pronouncements that the Member makes about what is being done and why. I look forward to further evidence on the roll-out of the integrated autism service, I look forward to people engaging openly and honestly with the suggestions that have been made today and, indeed, the consultation that will come out in November this year.