Part of the debate – in the Senedd at 3:11 pm on 12 February 2019.
I'd like to thank the Minister very much for his statement and, in doing so, join him in valuing the excellent work that our staff are doing, sometimes under very difficult circumstances. I'm sure that we all appreciate the efforts they make, often under very difficult circumstances, as I've said.
It is, as Darren Millar said, positive to see some trends. I'd like to ask the Minister for a little bit more detail about some of the headlines that he mentions. So, the statement mentions that hospitals across Wales reported considerably less time spent at the highest level of escalation in December last year and January this year. That's obviously good to hear, but I'd appreciate some more detail from the Minister. Perhaps he could write to Members, because 'considerably less time' is quite a vague term and it would be interesting to know whether that improved performance was consistent across all the hospitals in Wales, were there variations, and if there were variations, what accounts for them and how those might be addressed.
So, a further question of detail around delayed transfers of care. Again, it's very pleasing to hear that there has been a reduction, but it would be helpful, from the point of view of scrutiny, to know a reduction from what to what, and again, whether that performance is consistent across the whole of the service or whether, as we might suspect, there are substantial differences. And again, if there are differences, what accounts for those. And I should stress, Dirprwy Lywydd, that I'm not expecting the Minister to have all of this at his fingertips, though I'm sure he will have some of it. But it would be useful to have that level of detail.
I also welcome the engagement of the third sector, where it's appropriate, to help in this area of work. I would, though, put it to the Minister that it's very important that we ensure that these third sector services once—. As I appreciate the Minister said to Darren Millar, some of these are pilots, and we need to see whether they're working and then whether Government wants to commission them on an ongoing basis. But it is very important when we are engaging with the third sector that it's done on a sustainable basis and that the funding pattern is enough for the organisations to be able to sustain themselves as well as to provide the particular service. I have, for example, been in some discussions with a hospice at home service in my own region where the funding that they're being offered from the health board is on a standstill basis, despite the fact that nursing salaries are, rightly, being increased. So, I think it would be helpful for the Minister to take a look at how the service as a whole is engaging with the third sector and is it doing so in a way that makes those services, which are much appreciated, as Darren Millar has said, truly sustainable.
The Minister's statement made references to the accident and emergency situation, but it's at a fairly broad level, though I appreciate we have discussed this already. But the reality is, isn't it, that we had almost 4,000 people—3,887—waiting longer in major A&E centres last December, and that was more than in previous years. The Minister rightly highlights that the figures are skewed by particularly poor performances in particular places—Darren Millar made reference to the north—and I'd be grateful if the Minister can say a bit more today about what he and his officials are doing to address that performance in those three centres where we know that there are really serious issues.
Finally, Deputy Presiding Officer, it is fairly obvious to state that winter does come every year, and yet we do seem to hear that we are to be surprised by certain things like influenza and norovirus, and I wonder if the Minister can assure us—and I look forward to seeing the policy framework for unscheduled care, because I think it's very useful to have a national policy framework—. But will the Minister ensure that, in that framework, we take into account the fact that these pressures do come every year? Some years, they're worse than others; some years flu is worse, some years norovirus is worse. But we do need to understand that there will always be those additional pressures. So, can the Minister assure us that that policy framework will take into account that variation in pressure so that we're not looking for emergencies when, in fact, what we've got is just the weather and this being Wales? Thank you.