7. Welsh Conservatives Debate: NHS Capacity

Part of the debate – in the Senedd at 5:27 pm on 17 October 2018.

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Photo of Janet Finch-Saunders Janet Finch-Saunders Conservative 5:27, 17 October 2018

I would certainly like to support our own proposals to establish a national plan that aims to deliver a more sustainable out-of-hours critical care and ambulance service that will meet the needs of the Welsh people. Under this Welsh Labour Government, the NHS in Wales has increasingly continued to underperform. These issues have been particularly acute in Betsi Cadwaladr board, which covers my own constituency.

Betsi has seen significant issues with the performance of A&E departments. A Statistics for Wales report on A&E waiting times, published in 2018, shows 68 per cent of patients waiting more than four hours to be seen, going worse in August 2018. Two hospitals in north Wales achieved the worst A&E performance for a Welsh hospital since records began. Wrexham Maelor saw fewer than half its patients within the Welsh Government's own four-hour target time. Ysbyty Glan Clwyd had a rate of 52 per cent.

Pressures on the ambulance service have been compounded by system blocks at our hospitals causing significant delays in ambulance handovers. Almost 5,000 hours were lost to handover delays as Wrexham Maelor, Ysbyty Glan Clwyd and Ysbyty Gwynedd between April and June of this year. These figures come after the north Wales senior coroner and assistant coroner recently highlighted concerns regarding ambulance waiting times in their regulation 28 notifications.

Further—[Interruption.]—GP-led out-of-hours services, which are an integral aspect of relieving pressure on emergency services, are also under pressure. It woke the Cabinet Secretary up, I think that did. The Wales Audit Office's 2018 report on the state of out-of-hours services states that such services are not meeting national standards due to morale and staffing problems. Research from BBC Wales and the Wales Audit Office shows that the Betsi board could not fill 2,082 hours of GP out-of-hours shifts. This means that 462 individual shifts were empty, escalating pressures on A&E services, especially for non-urgent cases.

Whilst those who work in out-of-hours critical care and the ambulance service continue to provide a fantastic level of care to patients, and we salute them all, these figures clearly show that they are simply failed by a lack of leadership, and I tell you: that lack of leadership comes from here. My constituents are fed up with a severely underperforming health board that has seen standards fall continuously, and a health board in special measures for three years.

It is not just our constituents who are fed up. A former senior manager in the Welsh NHS, Siobhan, is now leaving Wales following several failings in the care of her husband, and I didn't like the way that her arguments were dissed in this Chamber earlier. She argues that there is a void in Welsh Government and that health boards are not being controlled by this Government, nor are they accountable to people. This is happening because of the failings of your Government—leaderless, incapable and incompetent. That is the legacy of this Welsh Labour Government.

It is, however, encouraging to hear of the Prime Minister's recent commitment to invest an extra £20 billion a year in real-terms funding into the NHS. This means that the Welsh Government will get a funding boost of £1.2 billion a year. Long-term funding must now be invested wisely by the Welsh Government, particularly into critical care and ambulance services. Therefore, I urge the Welsh Government to work with health boards to develop a comprehensive national plan to address the issues currently experienced by the critical care and ambulance services. I also urge the Government to commit more resources to preventative services to reduce unnecessary attendance at emergency departments whilst the £100 million transformation fund is being implemented.

Cabinet Secretary, it is not the first time I have almost pleaded with you and begged for you to actually show some mercy, really, on the many patients who depend on our hardworking nurses, consultants, doctors, general practitioners and our care-in-the-community workers. The fault lies here—not in this Senedd, but with you, the Welsh Government, here in Cardiff. Please, Cabinet Secretary, I ask you again, not only for the sake of my constituents in Aberconwy, and your patients, but for all of the patients across Wales and their families.