7. Statement by the Cabinet Secretary for Health and Social Services: Winter Delivery Planning

Part of the debate – in the Senedd at 5:28 pm on 13 November 2018.

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Photo of Vaughan Gething Vaughan Gething Labour 5:28, 13 November 2018

Thank you for the wide range of questions. Some of your broader points were about capacity across the system—you started and ended on those points. On capacity within the beds part of the system, and not just within the hospital setting, but the ability to flex bed capacity, that requires staff, and that's the biggest limiting factor, rather than the physical beds and space themselves. But there are also beds in different parts of the system, so a focus on reablement beds, to get people out of hospital if they need an intermediate setting before going back to their own home wherever that may be, whether it's a private residence or if they're in the residential care sector.

There's always capacity to make better use of the capacity within the pharmacy sector too, which I've outlined in the statement. There are more services that pharmacies can provide than many people are aware of. We want to make the best possible use of that service. I've outlined in both the amber review and in today's statement some of where that extra capacity will be—for example, more clinicians available to service the clinical desk with the Welsh ambulance service, where lots of demand ends up being filtered through during this time of year, and, where the 111 service has been rolled out, there is more resilience in the out-of-hours service and not just people interacting with the emergency ambulance service as well. So, we will have more staff to help make that work. That partly follows on from the statement last week on the amber review. Today, for example, you know that, across the system, the successful pilot of advanced paramedic practitioners in north Wales is being rolled out through the service. So, that's extra capacity but not just numbers, but the sorts of people making use of the skill that those advanced paramedics have. Local health boards have decided with their local authority partners where best to deploy the skills of those advanced paramedics. So, yes, there are going to be more staff in and around our system, and we really are trying to learn lessons from the last winter. It should be a positive that that lesson learning takes place between professional staff and leaders of staff, so I'm not getting drawn into the operational detail of that because, actually, that's not where a politician should be. It's about the assurance that we are providing them with the resources they need to deal with the capacity and where they need that capacity to try and deliver a more resilient system through this winter.

But it would be foolish of any health Minister in any Government to try and provide an absolute guarantee that the system won't come under pressure or strain during the winter, and that includes our ability to provide out-of-hours services and how all parts of the system flex with each other. That's why we need to make better use of integrating the whole system together, because otherwise I recognise that that pressure goes into different areas. That's why we are looking to provide more capacity across the social care side of the system, because the dedication of our staff has to be in all of those sectors. If we achieve greater flow through the healthcare system, as we expect to do and as we want to do, that means that people will arrive in the social care sector more rapidly than before. We need capacity in that sector, not just in beds but in staff to do their job too.

On some of the specific points you made, on the operational plans that health boards are delivering, I do expect them to cover the estate within our hospitals so people can actually move around that estate—that's staff and patients and visitors too. On the assurances on the maternity services, we have received assurances, and I'll be providing a written note for Members to confirm that those assurances have been received about the staff members on maternity services around the country.

And then, on the flu vaccine, there was significant additional demand for the manufacture this year. Every year, public health organisations agree on the right strains of the flu vaccine to target. There's a slightly different vaccine available depending on different age groups and the efficacy of that. The manufacturer had some short-term supply issues at the start of the season. They're being resolved and the batches are being released across England, Wales and the rest of the UK as well. So, if anyone has not had the flu jab who wants it they should re-contact either their GP or their local community pharmacy and they can give them local information about when to have the jab and when it will be readily available in each area of the country. But we've actually got ahead this year in our flu campaign. We expect and want to vaccinate more of our staff and more of the public, and there should be more opportunities to do that in different locations around the country too.