10. Plaid Cymru Debate: Access to Health Services

Part of the debate – in the Senedd at 5:13 pm on 6 November 2019.

Alert me about debates like this

Photo of Jenny Rathbone Jenny Rathbone Labour 5:13, 6 November 2019

I agree with those who have already said that primary care needs to get more resources, because we have to remember that 97 per cent of people never go anywhere near a hospital. So, I wouldn't disagree with what Angela Burns said, that we probably need to have it as more than 10 per cent, but it's good to see the Brexit Party supporting a 10 per cent target. It will be interesting to hear what the Minister has got to say on that.

Primary care is the last open access service. Often, primary care is dealing with issues such as debt or domestic violence, which of course have a serious detrimental impact on people's health, but aren't issues that necessarily couldn't be dealt with by other agencies. So, we have to get better at ensuring that we've got that multidisciplinary support for people who are turning up in primary care who could be seen by a debt counsellor or could be seen by a social worker, who can help them dig themselves out of very difficult situations.

I think one of the frustrations for my constituents is the inconsistency of access to primary care. So, we have some GP surgeries where you're able to book an appointment online, and others where you can't. I think it's quite difficult for patients to understand why that is. I note the uptake of a digital booking system has gone up from about 220,000 to 350,000, but that's well short of the target of over 870,000, and it would be interesting to hear from the Minister as to whether doctors' surgeries are simply refusing to engage with the way in which the world has moved on, technically. People expect that, if they can buy a book online, a ticket to a match, or a piece of clothing, they feel they ought to be able to book a doctor's appointment online, rather than having the frustration of holding onto the phone at 8 o'clock in the morning in the hope that they will get answered before all the places have been booked. 

I raised in the Assembly a couple of weeks ago the fact that people who need to get their ears syringed were instead being told by GP surgeries that this was no longer in the general medical services contract and they were being diverted to other agencies who were charging up to £95. So that needs sorting out, because these are pretty basic pieces of primary care intervention, just the same as foot care for older people, who can become crippled if they don't have somebody to cut their toenails, if they can no longer reach down and cut them themselves. 

So I think these are really important things. I acknowledge completely that we've boosted Choose Pharmacy to enable simple primary care tasks to be done on a walk-in basis by the pharmacist, who is a highly trained individual and much underused. But I think that we have to acknowledge that there's much that's going on that's very good.

There are some existential threats to the health service arising out of Brexit. The first one is just that we've got over 1,300 NHS workers from Europe employed by the NHS in Wales, including 7 per cent of our doctors. Are we going to be able to retain them if Brexit goes ahead? People might feel they're no longer welcome here and they're certainly able to vote with their feet. These are highly employable anywhere in the world.