Part of the debate – in the Senedd at 3:13 pm on 2 July 2019.
Thank you for your statement, Minister, and for providing us with a copy of the task and finish group's final report. I would also like to thank members of the task and finish group for their work in helping us transform health services for the critically ill in Wales.
The conclusions of the report are welcome, with the objectives being clear and concise, along with excellent recommendations. As the group rightly points out and the Minister acknowledges, there is considerable strain being placed upon critical care services and how this strain will intensify in future years due to demographic changes. And, as stated, it is important, as with other healthcare services, that we speed up the pace of change within critical care, including the model of provision across Wales, to ensure the right services are in the right place for those who are critically ill at that time. Workforce issues appear to be the biggest barrier to increasing critical care services, and recruitment and retention of staff are still major factors across the NHS.
Minister, the task and finish group point to the impact recent pension changes are having, given the reliance on consultants doing additional sessions. So, what discussions have you had with the UK Government regarding the impact tax and pension changes are having on our NHS? I've been told that recent changes are discouraging more and more doctors from conducting extra sessions across the NHS. It is clear that we need to recruit more staff for our critical care service, but these personnel will not appear overnight, and, therefore, Minister, what steps are you taking to ensure critical care services do not deteriorate further until we have sufficient staff to meet current and future demand? Importantly, Minister, is funding ring-fenced?
Minister, I welcome your national approach to critical care. Given the roll-out of the major trauma network, what steps are you taking to ensure we have sufficient patient transfer capacity going forward?
Finally, Minister, I also welcome the emphasis given to reducing delayed transfers from critical care. However, we still have issues of delayed transfers throughout the system and I recently learnt of an instance of an elderly stroke patient being sent home without any care package in place. What discussions have you had with colleagues in local government about increasing social care capacity, given the impact this has upon services such as critical care? Because this 85-year-old gentleman waited nine hours in A&E for a bed, how will you, therefore, ensure there are sufficient beds for people, as his local hospital was also full to capacity? Thank you, once again, Minister, and I look forward to working with you to improve critical care services for patients in Wales.