7. Statement by the Minister for Health and Social Services: Update on NHS Planning

Part of the debate – in the Senedd at 5:20 pm on 15 October 2019.

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Photo of David Lloyd David Lloyd Plaid Cymru 5:20, 15 October 2019

Can I thank the Minister for the statement on NHS planning? Obviously, NHS planning—any planning in the NHS—is a huge arena that both goes down to the micro level and, obviously, macro, future, blue-skies thinking. Can I start first of all—? My first point is on the new planning academy, which I think is a concept that is greatly to be welcomed in terms of improving the quality of administrative planning that happens. I would ask for a bit more detail. Some of us would like to think that we can entice and attract more clinically qualified nurses and doctors to be administrators in general, and particularly when it comes to the planning of services, because they tend to have an idea of what needs doing. But also they're not administrators, so they also need to be qualified. But in terms of how we're going to attract more clinically qualified administrators and perhaps a novel concept of actually having them combine their clinical responsibilities with their administrative responsibilities as well, so they don’t completely lose sight of their staffing and resourcing issues.

It’s very much to be welcomed what you were saying about the access, again, to care closer to home. Even with all the new gadgets that we have at our disposal, there’s nothing like the human contact in somebody’s home. But that is a specific workforce plan in the communities. So, could you update us on the work that’s happening as regards primary care and backing up all the innovative things we've been saying about having care in people’s homes, close to people’s homes, so that they can stay where they want to in the community for as long as possible and possibly forever—never having to darken the doors of a hospital at all?

The second point is about ambulance response times. As you’ve said, over recent years, there has been a turnaround in events with the ambulance service with all the planning and winter planning that’s going on. I still do get calls from constituents about big delays, though, in individual ambulances arriving at an individual case, so there is still work to be done. But in terms of winter NHS planning, you published a recent written statement on winter planning as regards the ambulance service, and you confirmed plans as regards the amber review to introduce new call-to-door measures for ambulance response to strokes specifically—speaking in my role now as chair of the cross-party group on stroke. As you will be aware, the amber review committed to a measure of the whole episode of patient care, which, clearly, does not end at the door of the hospital. Now, my understanding is that the call-to-door measure is only stage 1 of introducing this new measure, and that a stage 2 will involve measuring the time it takes patients to get treatment once in hospital, because, obviously, as regards stroke, that is fundamentally an imperative. It’s not good enough just to deliver people to the door, we need them treated as well. So, could you confirm that it is the Welsh Government’s intention to fully implement both stage 1 and stage 2 of the new measure to meet the commitment contained within the amber review and the winter planning aspect of the NHS planning?

Staying with ambulances, although moving on to our world-leading, emergency air ambulances—our air ambulances that are flying around all the time. We justly celebrate—although, sometimes I think we could justly celebrate a bit more—the phenomenal achievements of our relatively new emergency air ambulance, our flying helicopters that are like flying A&E departments, really. They’re amazing, absolutely amazing, innovative and they save lives now at the scene of a dreadful accident where lives before were not saved, and that was as little as five years ago. Our emergency air ambulance service has totally transformed the scene, particularly of rural healthcare, and in emergency healthcare, not just in isolated, rural spots, but in taking people to the best part within minutes. That, possibly, can transform the whole way we think about NHS planning on the ground, vis-à-vis the provision, say, of district general hospitals, tertiary centres, what is required everywhere, because quite often we forget about our world-leading, emergency air ambulance service. That is incorporated sometimes in the small print of all NHS planning, but I think it justifiably requires just celebration.

And with that, can I welcome the phenomenal commitment of NHS staff and social care staff on the ground to make sure that what NHS plans we have in place are brought to fruition? Thank you.