Part of the debate – in the Senedd at 4:48 pm on 3 December 2019.
Good afternoon, Minister, and thank you for today's statement and for the advance sighting of it. I think there are some very good signs being shown in the 'Train. Work. Live.' campaign, and I especially welcome the efforts to improve the recruitment of young people and to increase the training places across all the healthcare professions.
Now, one of the aims was to attract a more diverse demographic into the profession. A campaign was launched at the beginning of this year, featuring Richard Desir, as a male nurse, to try to attract more than the 12 per cent of male nurses we currently have, and I wondered if you could outline how this campaign is progressing and whether more male nurses have been recruited and whether in fact nurses have been recruited from a better or wider spread of ages. Additionally, could you outline whether or not there have been any successes in attracting nurses back into the profession who have previously left?
Now, I'm sure you will know the Royal College of Nursing has outlined there are severe gaps in the nursing workforce, noting that, every week, nurses in Wales give the NHS extra hours to the value of 976 full-time nurses. Now, last year, 2018-19, NHS Wales spent over £63 million on agency nursing, which is a rise of some 24 per cent from last year, and that's the equivalent of over 2,600 newly qualified nurses. Now, I do acknowledge the recent announcement of more nursing training places, but it is a question about whether or not those additional training places would actually cover that level of vacancy rates over the long term, and I wonder if you can give us a view for your anticipation for how that shortage in nurses would be covered and how long you may think it would take to do so.
Last week, the Scottish Government launched their 'What did you do today?' campaign to recruit more health staff, and I would like to know if you've had any discussions with your Scottish counterparts surrounding their attempts to make health a more attractive career path for young people, and is there anything we might learn from them.
I'm very pleased to hear that specific areas of GP recruitment have been a success, particularly—and I'm highly partisan, as you'll probably know—the Pembrokeshire area, but are there any plans to expand this further, focusing specifically on other counties or other particular areas? Because, whilst these new training places are good news, I do remain concerned about the ability of Welsh health boards to retain existing GPs. Figures from the Royal College of GPs highlight that 31 per cent of GPs say that they are very stressed and they cannot cope at least once a week, 23 per cent of GPs say they're unlikely to be working in general practice in five years' time, and 72 per cent of GPs say they expect working in general practice to get worse in the next five years. So, I think what this is signalling is that there's a real disaffection and concern over their working habits amongst the GP profession. So, whilst it is very welcome that you've managed to fill all the places you have available, that we've recruited in some of the traditionally hard-to-recruit areas, I just wanted to have a clear understanding of your long-term strategy to turn around this situation to retain the GPs we have, to improve their conditions in such a way that we aren't having this potential threat of people leaving.
Finally, I do remain concerned that gaps remain in a lot of the diagnostic workforce across the board and I just wondered if you could provide an update on Health Education and Improvement Wales's workforce strategy and how it specifically plans to address the gaps in the diagnostic workforce. I'm sure we all agree that, if we can diagnose people earlier, we can probably get to them, have better outcomes in terms of health and less cost to the country. What are you doing to increase clinical training places in line with present and future patient needs? And—this is an ask, actually, from some of the cancer charities—will the Welsh Government commit to a comprehensive audit of diagnostic staff numbers in the Welsh NHS? When I took a look at that situation, I thought that actually wasn't an altogether unreasonable ask and I wonder if HEIW might be addressing that. Thank you.