Part of the debate – in the Senedd at 4:11 pm on 18 June 2019.
Diolch, acting Chair. Anyway, I'm really pleased and I welcome seeing this Bill coming forward. I like the idea of the emphasis being on quality and candour, and broadening the definitions that an all-Wales citizen voice body will be able to work across. I want to also make it very clear that the community health councils have done remarkable work, and they've done it to the best of their ability in most cases, and I, for one, have valued their work and their advice and guidance in the past. I just wanted to put that on the record, because I'm sure that others feel the same.
I think it's right that we look at proactive planning and safe, effective and person-centred services going forward, but I think what really is necessary, and it's being delivered here, is the joining up of health and social care services, and underpinning that structure—as well as being national, it's regional and local level. Because one of the weaknesses that have been identified and talked about here already today has been that weakness in the social care sector, where CHCs clearly couldn't go in.
What I'm hoping will come out here is this clear separation of who is the inspectorate and who is the body that is monitoring some progress, and I'm sure all these details will come out as we go further through examining these proposals. I think the problem that we have at the moment, if we're moving back to candour—very often, litigation gets in the way of candour at the moment, and that is fairly obvious. That can't be a good thing in every case, so I'm hoping that, somehow, we can move forward into, perhaps, a less cautious response because of the threat of litigation and an open and clear determination in the way that I have just described—that we get safe, effective and person-centred improvement in services. Because there is no doubt that—and I'm old enough to remember—when you would have a little bit more candour because you didn't have the ultimate threat of litigation—. I think that if we can move back to that, we could make some progress, perhaps, in some cases, a little bit quicker, and that is in both the social care now, which it's expanding, and the health sectors. So, I look forward, like many others here, to seeing the progress of this coming forward, and, if it is the case, the improvements—if they are needed—in those discussions that we will have, not just us here amongst each other, but with those people that we're hoping these improvements will make the difference to.