5. Statement by the Minister for Children, Older People and Social Care: In celebration of Older People's Day

Part of the debate – in the Senedd at 4:35 pm on 2 October 2018.

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Photo of Huw Irranca-Davies Huw Irranca-Davies Labour 4:35, 2 October 2018

Diolch, Dai. It's interesting that one of the aspects you mentioned there was the talk around a national care service or a national care system. It seems in some ways to be very much the flavour of the moment here, talking about how we take forward an approach to care that builds on the approach that we've done back in the post-war years around the health service. It's quite interesting. Of course, you'll be aware that the approach we're currently taking under 'A Healthier Wales', the long-term plan for health and social care, is to bring the two spheres together. I think it's something that the original architects of the national health service, were they alive today, would look at and would recognise as an imperative, so that, for older people and others, they have something that feels genuinely seamless, that they are picked up when they need it and they are helped to live independently with seamless care, integrated care, around them at home.

We see so many good examples. I was in north Wales yesterday looking at excellent examples: the teams that are working out of Wrexham Maelor Hospital, the Cwm Taf reablement teams, the stay well at home teams. There's more and more of this. We're actually putting the money into that, Dai, as well. So, you're asking about resources. There are a number of ways we do this, not least through the ICF funding, and we've announced an additional £80 million into intermediate care funding this year to drive those sorts of initiatives. Yes, we have changed the ICF slightly—I think rightly—to also include, for example, how we find creative solutions to provide for the needs of children with complex needs and so on. But, the main focus was, and continues to be as well, on the needs of our ageing population and how we best provide that.

So, we are, even in constrained times—as laid out by the finance Secretary just now—we are trying to find that money to drive innovation, but it's more than that. What 'A Healthier Wales' shows us as well, building on the cross-party support for the parliamentary review that preceded it, was that actually this has to become core. So, part of a healthier nation is backed by £100 million of transformation funding, which is not designed to replicate what's going on within ICF, so, lots of 'Let a thousand flowers bloom'; it's to take some of those flowers that are blooming and say, 'How do we make sure that it happens not just in one place but across a region?' And if we can lift it up to a step change across that region, how do we do that in a way then that can be replicable to other regions? So, we build strongly on the creativity that we have seen. 

There are other ways: the investment that we're putting in, for example, to not only our carers strategy, but the money behind carers as well, because we recognise that if you don't look after carers, including some older carers, they themselves will become the people who need to be cared for. So, there are a number of ways that we are trying to put money into the system in the right way and some of them were outlined by the Cabinet Secretary for Finance earlier on.

You are right, though, Dai, we can't rest on our laurels with that, we have a way to go. I think the older people's commissioner has previously been, and I'm sure the new older people's commissioner will be, very frank in welcoming the strides we have taken. I think we are doing some incredible things within Wales, quite frankly, but also saying we need to go further. Part of that, I have to say, is, as has been touched on a couple of times, making a reality of the legislation we pass here as legislators.

I've touched on a couple of the ways we can do it, but one of those is actually taking forward with older people the idea of how we make that real, and there is work going on at the moment with the framework for an ageing society. That's looking at how we make real participation, deal with transport issues in urban and rural areas, living in the community, what makes a real difference to people living independently in the community, and also preparing for the future. Some of that touches on loneliness and isolation.

So, that ministerial advisory forum that's driving that work, along with engaging with older people as well, will operate now up until the spring of next year, then they will bring forward the framework and we'll take forward from that the work that they point at to say, 'This is how you actually make this really happen on the ground and build on the work that we've done.' So, there are ways to go forward with this, but I welcome again the support for drive and innovation within this area. We haven't got there yet and I don't think we ever will. If we ever sit back and say we're happy, we'll have failed. We need to keep on pushing to make these rights real.