Part of the debate – in the Senedd at 2:58 pm on 23 October 2018.
Thank you to the Cabinet Secretary for his statement. If I may just return to an issue that was raised by Angela Burns, as to whether this £30 million that has been announced today is new money, I think that's very important. If it isn't new money to the health budget as a whole, can you tell us from where in your budget you have taken the £30 million? I would associate myself with the welcome that Angela Burns has given to this if they are new resources, but if they are recycled resources, we need to know where they have come from. I would draw your attention—. As you said yourself in your statement, of course, this extra money is very welcome, but it is very small compared to the total £9 billion budget. In fairness to the services, it may be asking them to do quite a lot with comparatively little.
Returning to this portfolio after many years, I suppose I was a bit concerned to see your statement that the 'A Healthier Wales' programme promises to provide strong national leadership from the centre. Obviously, part of me welcomes that, but you have to ask where that's been for the last 18 years. I'm trying hard, Llywydd, not to be sceptical here, but I've heard a lot of this before, about excellent pilot projects that can, in this case, deliver better co-ordination between health and social care, but what we haven't seen is those rolling out. I very much hope that this is not the case and that I will be proved wrong.
Of course, a candidate for the Welsh leadership position—and, you know, we all follow this very closely for very good reasons—recently said that change takes courage, and I'm sure that the Cabinet Secretary will agree with me that delivering change in the NHS is going to take considerable courage, and it will require him, I think, to face down some vested interests, possibly, and delivering that change may not be easy. Of course, his party has been in charge of the NHS and health and social care for 18 years.
We've had programmes and legislation intending to deliver this outcome, and, as I've said, it hasn't happened. And I don't underestimate, in fairness, Cabinet Secretary, how difficult it is to make this happen, but I would like you to provide us with some reassurance that it is going to be different this time. And even if this is quite a long timescale, could you give us some indication this afternoon—and forgive me, new to my role as I am, if this is a matter that you've already dealt with in previous statements and previous debates—but what sort of timescale do you have in mind, not so much for the pilot projects, but for actually being in a position where you know which pilots have worked and you're ready to start rolling them out? Because, I think, historically in Wales, we really haven't been very good at that. We've been good at coming up with good ideas, but we haven't been very good at upscaling them.
And in order to provide this Assembly with some reassurance about the process, I wonder if you would consider publishing the meeting notes of the advisory board, so that we can see for ourselves what challenge is being provided to the transformation programme. I understand you may not feel that that's appropriate, because there is a question, potentially, of confidentiality, and one wouldn't wish to stifle robust debate. I suppose an alternative to that, Presiding Officer, might be further regular statements from the Cabinet Secretary.
Your statement also mentions simplifying planning and reporting for the NHS. Now, none of us would wish that to reduce accountability, but I think, neither would any of us wish people to be spending time on unnecessary paperwork. So, I welcome that commitment in the statement. But, I'm also interested to know what the time frame is for a new and simplified system.
Can you elaborate on what you've already said to Angela Burns about how the effectiveness of the pilots will be assessed? This will obviously be difficult to do, because they'll be addressing different issues, different problems, as you've already highlighted. And can you also tell us: what plans do you have to ensure that the successful pilots are rolled out and, perhaps more difficultly, that the unsuccessful ones are abandoned and that this is done in good time? I don't wish to be sceptical, Cabinet Secretary. I wonder if you would consider, for example, publishing the evaluations of—once you've made a decision, if you publish the evaluations, both of the projects you decide to support and those you don't, so that we can see more clearly the direction of travel.
I very much hope that this is a new dawn of leadership, and I remain to be convinced and look forward to pursuing this work over the next months and years.