Part of 3. Topical Questions – in the Senedd at 2:50 pm on 26 September 2018.
Thank you very much for that answer. And thank you for accepting, Presiding Officer, the topical question. I would like to have been able to have had a statement on this where we could have actually asked you some questions, because, like you, I welcome the increase in the pay award to doctors and dentists in Wales, but there are a couple of areas that need some clarity.
We've seen a 4.6 per cent reduction in GP practices in Wales over the last year and 10 per cent more locum GPs in Wales in 2017. Do you believe that this award will be able to help us to address the chronic shortages that we have in this area? And do you believe that this pay award will also go towards addressing the chronic shortages we face particularly in rural areas? And do you believe this award will enable us to increase, perhaps, or renew some of those many practices that have indeed closed down in the last 24 to 48 months?
Could you also please confirm whether or not the proposed increase in funding will affect locum and agency professionals? And what would be your view, given how much we spend in the NHS on locums, both within hospital settings and within general practice, on how much this will affect our spend on locum and agency—or the amount of money we spend on locums and agency—professionals? Because I am really concerned about the fact that, if the locum offering becomes ever more attractive, we will find it harder and harder to recruit full-time, permanent posts within the Welsh NHS.
I'd also ask if you could just confirm what the increase for consultants will be. In 4.5 of the report by the pay review body, they talk about the fact that there shouldn't be an increase for consultants over the base rate, and I would just like to have an understanding of some of the changes that you've made to independent contractors and to some of the specialised associates and specialist doctors and consultants. If you could just clarify that for us, that would be very helpful.
And finally, I do accept that you feel very happy about the fact that you are paying more money than England and Scotland, but you were very clear to the health board, you were very clear to the review body, and I quote:
'We have noted in this respect the Welsh Government’s view that considerations of fairness dictate that pay should align across the UK for the individuals fulfilling equivalent roles across the UK NHS and to avoid unhelpful internal competition for staff within the NHS workforce.'
Do you feel that this might undermine any of that? Thank you.