5. Welsh Conservatives Debate: Betsi Cadwaladr University Health Board

Part of the debate – in the Senedd at 3:56 pm on 5 June 2019.

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Photo of Jack Sargeant Jack Sargeant Labour 3:56, 5 June 2019

For over 154,000 people in Flintshire and over 675,000 people across north Wales, Betsi Cadwaladr health board provides life-saving operations, cares for our most vulnerable and elderly, supports our friends and families through the trauma of death, whilst also supporting mothers and fathers bringing new life into this world. So, Deputy Llywydd, I'd like to start by acknowledging that and thanking every single NHS staff member across Wales, across the UK, for their work and the leadership they show in their communities, as well as the part they play in the health and social care service.

I know, as other Members across this Chamber who represent north Wales will know as well, that the care that many of our constituents receive from the health board is up there with the best. When I speak to certain patients and my own constituents, many tell me that they have received excellent care and of the professionalism of the staff members. But I also have too many who turn to me for help having been let down. Firstly, I think the health board has made some very positive steps by recognising the risks to its performance, namely the failure to maintain the quality of patient services, maintain financial sustainability, develop plans and reconnect with the wider public.

When constituents get in touch with me, it's more often than not relating to GP out-of-hours, primary care services, mental health services and ambulance response times. So, touching briefly on primary care, I know that, in my constituency, the issues are recognised and that more does need to be done to ensure a sustainable primary care workforce. Equally, on GP out-of-hours, I know there has been significant investment and that performance is comparatively good when viewed with the rest of Wales, but Members for north Wales will also know that several challenges remain in relation to the workforce, performance, risk management and finance of such services.

Members will also know that I've spoken a lot about new technology and how that can assist our public services in the future. Deputy Llywydd, I genuinely believe that if we are bold and brave enough, Betsi Cadwaladr is well placed to lead on the new technology, and will benefit from doing so, whether that is letting them lead on certain technological trials or by using more online services to reduce the pressure points within the GP services.

On mental health, which is, of course, one of the most personal issues for me, I know the significant scale of the ongoing challenge to improve those services across north Wales. The Minister will know that, since I was elected, I've had a lot of casework on mental health, and I particularly look forward to his reply to my recent query on the availability of dialectical behaviour therapy in north Wales, something that will help many of my constituents.

Finally, on the issue of the health board's make-up as it is—because I know this has been a controversial topic of discussion in the past, but, from the correspondence I continue to receive and the meetings that I have had, I believe it would be wrong to shelve completely the idea of reorganising Betsi Cadwaladr. For me, any change needs to weigh up the evidence—not political, but clinical, and led by professionals. At the same time, we need to make sure that any such changes wouldn't have unintended consequences or impact on the difficulties it already faces. Ultimately, our goal should be ensuring Betsi Cadwaladr health board gets out of special measures and regains the confidence of those who feel let down.

I'll finish my contribution shortly, Deputy Llywydd, but I'm also very keen to ensure that patients across north Wales, particularly my constituents, continue to be able to receive cross-border services, just as we are happy to welcome English patients to Wales. But I want to take this opportunity to say thank you for bringing everyone together, because we shouldn't be using the health service and debates about the health service as a political football, but we should speak openly and honestly about the issues whilst respecting the hard-working NHS staff. That is the way I see change and it's the way we all need to see change. Diolch.