Hywel Dda University Health Board

Part of 4. Topical Questions – in the Senedd at 3:46 pm on 8 January 2020.

Alert me about debates like this

Photo of Vaughan Gething Vaughan Gething Labour 3:46, 8 January 2020

Well, I understand why a range of questions have been asked by Angela, but I think a number of the conclusions she reached are significantly unfair and I think she should return again to them. I'll happily go through why I think that is. It's very easy to say this is all about planning and about the inability to deliver and the plans aren't imaginative enough. Actually, I think that's significantly unfair, because, if you look at the plans for this winter, they are different, they have learnt from last winter. Planning for winter started in spring last year to learn the lessons—what had taken place last winter, what had been successful. That's why this winter we've increased capacity in a number of areas. It's why we've rolled forward the Red Cross commitments, it's why the Care and Repair scheme has carried on as well. It's also why they've built in deliberately additional capacity together with partners across local authorities. The easiest thing to say is, 'You can be more imaginative and you could do more'. Actually, there's a finite number of things that you can do with a finite list of resource, and that isn't just money, that's people.

And, actually, in terms of your comments about social care, social care already works seven days a week. And, actually, the period between Christmas and new year isn't the particular problem period, because we already see hospitals seeing people leave over that period of time, and the challenge is at this point in the next two weeks. And, actually, the challenge really is about capacity within the wider social care system, in domiciliary care and in residential care. In west Wales in particular, but in other parts of the country—not just Wales but across the rest of the UK too—the fragility of parts of domiciliary and residential care is a real problem and a real limiting factor in being able to get people out of hospital and into their own home, whether that home is a street in a community that you or I live in or it's a residential care facility as well. So, there's a real challenge about how we do that and that's why the longer term reform is so important for the future, because, in terms of coming back to next year, that is about how successful can we be to commission capacity that is sustainable and of the quality that all of us would wish for our own families when we're providing for the wider public.

That is also why, though, I think it's entirely right that the health board have announced that they're going to do an objective deep dive into the decisions taken over this weekend and in the last few days. That doesn't mean to say that those decisions are wrong on the information available, but it is about wanting to learn in the here and now and not wait to review this in six months' time, but to learn, with a small bit of distance, objectively how were those decisions taken, are there things we could have done differently, so that actually it's not for next year, but for next week and next month to learn that. And that is absolutely the right thing to do. In fact, if they weren't doing that there'd be criticism in this Chamber for not undertaking that process at a near point to the events in time. 

I think the leadership of the health board, together with front-line staff, are doing the right thing. And it is an exceptional period of time with an exceptional response from our staff. I look forward to a de-escalation taking place and you and others being able to look at your constituency and see that elective surgery has returned to more normal levels. But I'm not going to criticise the health board for errors where I don't think it's fair to criticise, and that's why I don't agree with the range of conclusions that Angela Burns has reached.