Part of the debate – in the Senedd at 4:11 pm on 20 November 2019.
Diolch yn fawr, Dirprwy Lywydd. I'd like to begin by thanking the Conservative group for bringing forward this debate on this very important issue, and to say a personal thank you to Mark Isherwood for his excellent work on this very, very important topic, which, as he says, has been a consistent feature of his contribution to the Assembly ever since he was elected. And I know that colleagues in the third sector and the hospice movement are very grateful to Mark Isherwood for everything that he does, and I'm sure, actually, that that gratitude is shared across this Chamber, regardless of party.
I'd like to speak, if I may, Deputy Presiding Officer, briefly to our two amendments and then make one further general comment. Our second amendment, amendment 2, calls attention to the importance of carers and support for carers in this regard. Of course, Members of the Assembly will be aware that the Health and Social Services Committee has been doing a big piece of work looking at support for carers overall. The impact, of course, of caring for someone in this situation is huge, and, for many people, the emotional impact is very serious. The issues around caring for a younger person towards the end of their life—you may then also, perhaps, as a grandparent, be caring for the children of that younger person. The pattern, of course—we very often see that the younger person, let's say with cancer, may rally, may be well for some months, may be very unwell again; the pattern isn't consistent. And so carers supporting people in palliative care situations have particular needs and they also need that support after bereavement. There is that loss of role, as well, if you've been caring for somebody for some time and suddenly they're no longer with you. You have the grief at their loss and then a question about how you go forward with your own life, and I'm sure that many of us have seen this in our own families. Of course, the hospice movement does some very good work around that grief support, but we shouldn't rely on them alone. So, I'd recommend our second amendment to what is, overall, a very strong motion to the Assembly.
Our amendment 3 speaks about the need to provide a variety of services, and I think Mark Isherwood has acknowledged in his speech that people want different things towards the end of their lives. It is the one thing that is certain that will come to us all, but where we feel most comfortable to spend our last hours and days may be very different from one person to another. Many people choose support at home, and I put on record again my gratitude to the Marie Curie nurses who helped us to take care of my mother at home. Other people don't want that; they don't want to put what they see as a pressure on their family members and their carers. So, we must ensure that there is a variety of services. And, as a representative for Mid and West Wales, I'm particularly anxious that we make sure that those are available across rural communities as well, and there are some excellent hospice-at-home services, the Paul Sartori foundation, for example—