8. Debate: The General Principles of the Health and Social Care (Quality and Engagement) (Wales) Bill

Part of the debate – in the Senedd at 4:03 pm on 26 November 2019.

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Photo of Vaughan Gething Vaughan Gething Labour 4:03, 26 November 2019

Thank you, Deputy Presiding Officer. I'm happy to move the motion before us today and the debate on the general principles of the Health and Social Care (Quality and Engagement) (Wales) Bill, which I introduced on 17 June this year.

I'd like to place on record my thanks to all stakeholders and members of the public who engaged with us and contributed to our thinking. The Bill reflects the findings of the parliamentary review from 2017, which found that there needs to be a continuous focus on quality across the board and a strengthened citizen voice. It reinforces our priorities set out within 'A Healthier Wales', our long-term plan for health and social care. It outlines how quality will be key to making the health and social care system in Wales both fit for the future and one that achieves value. The Bill's objectives address four issues designed to ensure that the citizens of Wales are placed at the heart of high-quality services.

The first is the duty of quality. This goes to the heart of what we are trying to achieve. The duty is more than just cultural change. It requires NHS bodies and Welsh Ministers to think and act differently by applying the concept of quality and improved outcomes, not just to services being provided, but to the whole process and across all functions, within the context of the well-being and health needs of our population.

The Bill introduces a duty of candour that will support increased openness, transparency, and the continuing development of a learning culture across our NHS. The Bill also modernises and strengthens the way in which the voice of the citizen is heard. We will replace existing community health councils with a new citizen voice body that, for the first time, will operate across both health and social care. And finally, it introduces a power for Welsh Ministers to appoint vice-chairs to NHS trusts, putting them on the same footing as local health boards.