6. Will the Minister make a statement regarding the provision of care services in the Hywel Dda Health Board region? OAQ53966

Ensuring that people have access to high-quality care is a key priority for the Welsh Government. This is why we are investing £180 million this year that will be targeted across the health and social care system to support the development of seamless models of care in all regions.

I'm grateful to the Deputy Minister for her answer. The health Minister himself will be aware of a very distressing individual case that's been brought to me from a family in my region. The gentleman had very complex care needs and an agreed package for him to be able to released from hospital to go home under continuing healthcare. The collapse of Allied Healthcare Ltd led to a situation where the care package that was provided for him at home was unsustainable and, in fact, dangerous. He was then readmitted to hospital. There's been a whole history—and I will happily copy the correspondence to the Deputy Minister—around this, because there has been a whole catalogue of issues that have led to the gentleman being readmitted now, after six months of this, to acute hospital.

I'm wondering if the Deputy Minister will undertake today to make an assessment of how many patients have been affected across Wales by the collapse of Allied Healthcare Ltd. It is, after all, now 12 months since the financial warnings were first made and six months since the company actually collapsed. So, I'd like to know how many patients in Wales have been affected by this. I'm sure that my constituent won't be the only one, unfortunately. Can the Deputy Minister please undertake to investigate how many of these patients still lack an adequate care package and whether that's meant that they're at home and are not receiving the care package they should have, or whether that's meant that perhaps they're inappropriately being placed in residential care?

Could I ask the Deputy Minister, with the Minister, to undertake to look at the effects of this, potentially, on district nursing teams? In this particular individual case, the district nursing team did their best to step into the gap, but that simply wasn't possible. And can the Deputy Minister undertake to have discussions with the Hywel Dda health board—but there may be others across Wales—and the relevant local authorities, to look at what work they're doing to replace the specialist care packages that have been lost by the collapse of Allied Healthcare Ltd? And finally, does the Deputy Minister agree with me that this particular case highlights the risk of depending on private sector companies to provide these extremely important care packages for some of our most vulnerable citizens? Will she undertake to work with local health boards and local authorities to develop more alternative and sustainable models so that no other patient will have to put up with, and no other family will have to put up with, what this family and this gentleman have gone through?

I thank Helen Mary Jones for that question. I am aware of the correspondence that Helen Mary Jones had with the Minister about her constituents, and I'm aware of the distressing nature of what happened. I do believe that the financial failure of Allied Healthcare before last Christmas undoubtedly did put huge additional stress on the local health board and on the local authority. And, I think it's important to remember that the regulation put in place under the 2016 Act requires providers to listen to what matters to the individual, which is something that I think came out very strongly in the correspondence that I saw. Also, it emphasises the quality of care, and it was very regrettable when the situation developed as it did with your constituent.

We know that there are huge pressures on domiciliary care and on continuing healthcare, and I think there's no doubt that the Allied Healthcare situation did make that worse. I'm certainly prepared to look at some of the points that she made. I mean, we are already looking at trying to diversify the whole sector, because the strain of having this total dependence on private care provision is not healthy. We need the private care provision and there's some excellent provision there, but we also need, as I said in response to the questions from Janet Finch-Saunders earlier, some other models of care so that we're not dependent on one area—for example, developing social value businesses and co-operatives, and also encouraging local authorities to take more provision back in-house. So, we're already doing that because it is part of our workstream, and I think this has all highlighted that. And I think the effects that it's had on the district nursing service and the effects it's had on individuals and how many they are is something we could look at as part of the wider inquiries that we're looking into about how the social care system is going to develop.

So, again, I'm really sorry for the experience that her constituents had, and we do want to try to avoid that happening. But I think it is also important to say that when Allied Healthcare did collapse, Carmarthenshire and Pembrokeshire did move quickly to take their homes in-house, which is obviously a good move forward. But, with the continuing healthcare situations, I know that has been more difficult.

Deputy Minister, I recently met with representatives from Solva Care, a registered charity currently operating in the village of Solva in my constituency. Now, the charity operates a very innovative model for delivering care, with a clear focus on keeping people in their own homes. The aim of the charity is to improve the health and well-being of the community, and it holds events to counteract loneliness and isolation, as well. If you haven't already done so, I'd encourage you and, indeed, the Minister to look at the specific model of care, given that Solva Care is doing a fantastic job in its community. Bearing in mind this model's specific success, what consideration has the Welsh Government given to these kinds of community models and what support can the Welsh Government provide to organisations such as Solva Care?

I thank Paul Davies very much for that question, and, indeed, I'd very much like to visit, perhaps, Solva Care and see exactly what they're doing, because what they're doing is completely in line with what we want to do as a Government. Certainly, combating loneliness and isolation, keeping people in their own homes, I think those are exactly the things that we are trying to promote as a Government. As part of our survey and review of all the types of community care that are being considered, certainly care by the third sector and the voluntary sector is one of the key areas that does provide the variety of care that we're looking for. So, certainly, I think this is an example that we'd be very keen to look at and to see if we can encourage it, and others like it, to bring this variety of care that we need so that we are not put in the position where we are very heavily dependent on one sector.