Part of the debate – in the Senedd at 5:30 pm on 26 September 2018.
I think where we are is that we've had a consultation document, we've had proposals and we've had petitions, with people clearly expressing concerns about those proposals. I live in Haverfordwest. I know perfectly well where Withybush hospital is, and I also know the strength of feeling and the fear that exist in people who might need to access A&E quickly. I think that, moving forward, as has just been said in the lengthy six-plus-minute speech by Helen Mary, we recognise the need to change the current configuration of health provision to meet the future demand that will be placed upon us to deliver that. And there are many, many changes that will have to be made, with a systematic approach, to meet those challenges.
And the biggest challenge of all—. Well, there are two challenges, but if we focus on the people we are trying to serve, we have an ageing population—lots of people have said that—when they present to hospital, they have multiple needs, but it doesn’t always mean that there aren’t opportunities along the way for those needs to be addressed before we get into the hospital setting and for them to be looked at once people leave those hospital settings. And it seems to me that, wherever I’ve spoken to people, the one real fear they have is about the provision of community beds, or beds in the community, so that they can visit elderly patients and also keep them closer to home, because those patients will do particularly much better if they’re in a setting where others can come along and support them.
The other big challenge that we are facing in an evolving medical setting is the staff to deliver it. What we have at the moment, clearly, are large-scale shortages of medical staff at every single level. That isn’t unique to Wales, to Pembrokeshire, to Dyfed or anywhere else. It is the case right across the country. We cannot pretend that Brexit isn’t happening, and nobody’s mentioned that, actually, today, and the pressures that that could further place on us accessing—