The thing that was left in my head after this inquiry was the term 'the invisible service', and that's already been mentioned by others—the extent to which the work that these nurses do largely goes unseen unless it is not done or unless it goes wrong—and also the evidence that they gave about the level of responsibility of a nurse on her or his own in a family home, in a nursing home, perhaps, where they don't have the whole support network of nursing staff that's available to nursing staff who are working in hospital settings.

Now, like many others, I'm sure, I was very glad to see the Minister accept nine out of the 10 recommendations, until I read in detail what he was saying in response to those recommendations. And I'm afraid that what he was telling us was that much of what we were asking for, what the nursing staff were asking for, was already happening. Well, as Dai Lloyd has said, it's difficult sometimes when you have conflicting evidence, but, when I have nurses before me and I have senior managers before me, I am inclined to believe the front-line staff, who may know better what's going on on the ground.

I was particularly concerned that the Minister's response only highlights additional resourcing, or possible additional resourcing, for one of the recommendations that he accepts. Because if we are to meet his aspiration—an aspiration, I think, shared across this Chamber and across Wales—of moving more services into the community, we will have to have a larger, better supported, better resourced workforce, and that doesn't come for nothing.

I want to turn briefly to the recommendation that the Minister decided to reject, and that is recommendation 4, which is that the Welsh Government should produce and publish a strategy for extending the Nurse Staffing Levels (Wales) Act 2016 to all settings, including community and district nursing. Now, while I appreciate it's more difficult to do that—. It's relatively straightforward to know how many nurses at what level of skill are needed to support a particular set of patients in a particular ward because it's relatively easy to work out what their level of need is—the patients' level of need. And it's been difficult to do that, and this, of course, feeds into the points that Angela Burns has already made about the issues with information.

But if we are serious about treating community services with the same level of respect as we treat services that are provided in hospitals, if we are serious about providing community nursing staff with the same level of respect and the same level of support, then surely we must move to make those assessments, to work out the acuity, the sickness, of the patients that they're dealing with and the skills that they need and the time that they need, and, therefore, the level of community and district nursing that is safe for that particular population. And it is beyond me to understand why the Minister does not agree. I would have been perfectly happy to see him say that this will take a longer time, perhaps, than we as a committee were asking for, but simply to suggest that it's not necessary is a real matter of concern.

I want to highlight one particular aspect that I think the Minister may be taking moves towards addressing, and that is issues around terms and conditions for nurses employed by GP practices rather than directly by the health boards. It's very clear to me that the terms and conditions for some of those nurses have not kept pace with the terms of those nurses who are directly employed. A particular concern that's been raised with me by individual nurses in my own region is that they often don't have time for learning. Now we know that's a problem across the whole sector, but, if you're perhaps one nurse on your own, employed by a rural GP practice, it can be incredibly difficult for you to be released to increase your skills. I think the work the Minister highlighted the other day in terms of making sure that GP practices are reporting what levels of staffing they've got now may help with that, but I think it's really, really important that we protect the terms and conditions of that very important group of nursing staff.

I think there's an element of agreement about the issues that face us. The question now has to be how quickly and how effectively we can move to address those issues. It's a word I find myself using again and again, and not one that I particularly want to use, but I'm afraid that there are elements of the Government's response to this report that do appear complacent to me and, more seriously, appear complacent to the nursing workforce. Our nursing workforce staff deserve better than that. Our community nursing workforce deserve better than that from us all, and, very importantly, so do their patients.

I am sure that we all agree with the Minister that we need to grow our community services, but unless we properly resource and respect our community nursing workforce we won't be able to do that.