Part of 2. Questions to the Minister for Health and Social Services – in the Senedd at 3:06 pm on 13 March 2019.
Llywydd, I'm very pleased to hear the Minister say that that is his objective, but I would put it to him that his party has been running the health service for 20 years in Wales and since the very first days of the National Assembly, we have been talking about—with, again, broad cross-party support—removing resources from secondary care and investing in primary care and indeed taking that a step further and ensuring, as the Minister has already said this afternoon, that there's much more effective co-operation between social services and health. I would put it to the Minister that this is nothing new and this is not rocket science and nobody's arguing with him about whether or not some of the projects under the transformation fund will be positive and deliver positive results. I mean, for example, I'm very glad to see—I know this has been put forward as a priority by Hywel Dda and their partners—that the local health board is actually paying for some elements of social care to enable it to get people out of hospitals more quickly. That seems to me to be entirely positive, but I don't know why we need to do that on an experimental basis and why the Minister can't simply encourage all—well, actually, instruct—all local health boards to do this.
I appreciate some of what the Minister's already said this afternoon about trying to give a stronger guiding hand, but let's be clear here, Llywydd: the Minister appoints the local health boards, he sets their priorities, he gives them their funding. I was here in this place and actually assisted the then Minister in writing the legislation that makes it completely clear that the local health boards are accountable to him. And the then Minister used these words, I think, in this Chamber: it is absolutely crucial that decisions about health are made by the people the people can sack—in other words, the politicians.
What assurances can the Minister give us this afternoon that once he has learnt those lessons from the transformation process—and I'm not sure that we need to learn them again—but once he's learnt those lessons, he will insist that local health boards and their partners deliver on the good practice that the transformation fund's projects identify? Because, as he has just said, what we do not need is more small, little, local projects, however successful they are, if those are not sustainable and then rolled out.