Part of 1. Questions to the First Minister – in the Senedd at 1:55 pm on 19 November 2019.
I'm grateful to the Minister for his confirmation that this 32-hour week is merely an aspiration for 10 years' time. I think that will be quite reassuring to many of the health boards who are under enormous pressure already, with waiting lists having increased by 16,000 for hospitals just in the latest year.
One area of policy from your party at a UK level, which again I understand will apply here in Wales through law, is that they've stated that any ability to opt out of the 48-hour maximum on a working week will end. Now, I know there is guidance within the NHS as to how that applies for NHS contracts, but consultants currently are allowed to opt out of that 48-hour cap if they are then doing private work that, added to their NHS work, comes to more than 48 hours. Given the firm commitment from your party to remove that cap through UK law, what assessment have you made of the impact on NHS working hours for consultants if they choose to reduce NHS hours in order to facilitate private work within that cap?
Could you also say what consideration you've given to the issue of the taper for pensions, which is affecting many consultants, and whether you think that's a contributory factor to that 16,000 increase in hours? We've had a proposal, I think today, from UK Government for the English NHS. And I'm not recommending you accept it here—it seems to be quite 'make do and mend' in terms of that NHS consultants will pay out of their pension fund for the extra tax, but there's then a promise to pay it back to them at some point in the future.
If not that, are you giving consideration to any other mechanisms that might encourage NHS consultants to offer up more hours to try and help waiting lists, both in terms of the pensions and that 48-hour cap that otherwise is pending if a UK Government were—something we would certainly not want to see—to come in at the election, let alone for 10 years?