Part of the debate – in the Senedd at 4:59 pm on 3 December 2019.
Thank you, Dirprwy Lywydd, and I'd also like to thank the Minister for his statement and for the advance copy. It is very welcome that there is clearly some positive news.
I'd like to ask the Minister some specific questions—none that don't relate to matters raised in his statement, but, if there are some that are too specific to be dealt with in this format, perhaps the Minister could write to me with the detail if I'm drilling down too far.
I want to ask, first of all, about what specific evaluation is being done of the effect of the campaign itself. You can sort of see the effect of the campaign in increased recruitment, but is the Minister undertaking any specific work to sort out whether—is it the campaign, is it a combination, as I suspect it might be, of the campaign and some other factors? I have to say it appears to me that it certainly is being effective, but there's obviously a considerable investment being made, and it would be useful to know what evaluation the Minister and his officials were undertaking about the specific impact of the campaign itself.
The Minister talks in his statement about the percentage increase in nursing, midwifery and physiotherapy training places, and all of those, of course, are very welcome. Now, I wonder if the Minister can tell us today how confident he is that this increase in places is going to meet the future need. I appreciate that some of this may come into the work that's being done by Health Education and Improvement Wales and Social Care Wales around workforce strategy, but a raw increase in training placements, if we're not sure that those are linked both to the present need and the future need, might, of course, risk us training that workforce and members of that workforce then having to go elsewhere to look for work if the roles are not there for them.
The cross-party group on stroke today heard that there are no doctors currently in higher training places in stroke services today. Now, I'm basing my question, of course, on what they say, and it may be that that information is out of date, but, obviously, if that is the case, it puts a huge strain on stroke care service delivery, and I wonder if the Minister can look into this situation and find out if it is the case and what steps he can take to rectify this particular issue.
The Minister's statement refers to recruitment to core psychiatry training going up from 33 per cent to 100 per cent. Again, of course, that's good news, but 30 per cent of what to 100 per cent of what? I wonder if the Minister would be prepared to share with us what the raw data is so that we can see the actual numbers of people in training. I also wonder if he has any information about the training places for clinical psychologists and whether we are successful in filling those places, and, again, whether they specifically meet the need.
The Minister's statement makes reference to work experience, and I wonder if the Minister accepts the findings from the Medical Schools Council project on widening access that teachers' and key influencers' first port of call for advice and guidance for medical school applications and that, sometimes, their knowledge of admissions, the role of the doctor, et cetera, can be patchy and not up to date—. And I wonder if the Minister would be prepared to have some further conversations with the Minister for Education about how we can ensure—again, the statement does have some positive things to say about this—that schools are able to give accurate advice to young people who may be considering careers in the health service more broadly. I'm particularly thinking that assumptions are not made about the appropriateness of children from less prosperous backgrounds, less prosperous areas, applying for medical training.
There's a very specific point about the national workforce reporting system to capture staff information in general practice. That's obviously an extremely sensible way to proceed, but Angela Burns has already mentioned the pressures on GP practices, and I wonder what the Minister and his officials are able to do to ensure that the collecting of this information doesn't put another additional burden on GP practices. I should be clear that I very much support the information being collected. What information is he sharing with GP practices so that people understand why the information is important, because it's certainly the case that people are much more likely to collect and report regularly on statistics if they know what we're going to do with them? Clearly, it's vital for workforce planning.
Just finally, Deputy Presiding Officer, the Minister talks about retention in his statement, and he mentioned it again in some of his responses to Angela Burns. This is obviously crucial, because the last thing we want to do is to train staff and then lose them. So, I wonder if the Minister can tell us whether he's confident today that we will have the new workforce strategy that will address this in detail shortly. There's been some delay. We'd all want to say it's much better to take more time and do the work properly, but it would be good to be reassured that that's going to happen. And on this day, international day of disabled people, the Minister will be very aware that we lose a lot of staff from the NHS because of disabilities that they acquire during their service in the NHS. Can he reassure us that the issues relating to retention in the workforce strategy will specifically address that issue and, if we have, perhaps, a nurse who's been working in a very physically demanding environment, how confident are we that local health boards are taking the appropriate steps to find alternative work that uses those skills so that we don't lose those very skilled professionals? Thank you.