5. Statement by the Minister for Health and Social Services: A Healthier Wales Transformation Fund Progress Report

Part of the debate – in the Senedd at 4:47 pm on 14 January 2020.

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Photo of Helen Mary Jones Helen Mary Jones Plaid Cymru 4:47, 14 January 2020

I'm grateful to the Minister for his statement and to see the progress that's been made in this important area. I welcome what the Minister has to say about the next stage, looking at more cross-regional working and looking at national scaling up. I won't, Dirprwy Lywydd, trouble the Assembly with some of the questions that have already been answered with regard to points that Angela Burns has made, but I would like to explore a little further with the Minister this whole scaling up and rolling out issue, because this has, I think, been one of our problems in Wales, not just in the health and social care system; that successive Welsh Governments have invested quite a lot of money in innovative programmes, where they've come up with some really good projects and really positive working, but we seem to fall down at that point when we need to translate that into a national programme and national transformation.

Now, the Minister quite rightly in his statement refers to initial progress being a bit slower than he'd expected, and that's understandable, I think, and he mentions that there were recruitment and procurement issues. I wonder if the Minister can tell us this afternoon a little bit more about what some of those were, or if it's more appropriate if he writes to us, because I think it's very important that we understand what those are in order to be able to scrutinise how the work moves forward. Because if there were recruitment and procurement issues in the early stages, one would expect that those will re-occur or may re-occur when upscaling and moving towards national programmes takes place. So, I'd be interested to hear a little bit more about what those actually were.

The Minister also refers to the clarity that he's always given, in fairness, that this is a one-off set of money, that it's to give people an opportunity to innovate, and that he will expect long-term delivery of the learning through core budgets. I think we would all expect that. But I wonder if the Minister can tell us a a little bit more about how he intends to work with the national health bodies and, indeed, of course, very importantly, the regional partnerships and social services to ensure that that actually does happen.

I fully appreciate that the Minister is not in a position yet to tell us what lessons have been learned from the programme, because the evaluations aren't finished, so it would be foolish of us to be asking for that. But I would imagine that there are some issues beginning to emerge, there are some patterns beginning to emerge. I very much welcome, by the way, the Minister's commitment, when you've got a whole year of evaluations, to share those with committee members, I'm sure we'll all be very grateful to see those, and it might be useful to have a statement to the Assembly at that time, in case there are Members who are not on the health committee who also want to contribute.

So, if we can hear a little bit more about what the barriers have been, a little bit more about the Minister's thinking in terms of, when the lessons are learned, how that's going to be driven through the system, because the Minister's statement itself says that that can be difficult. And the Minister refers to the transformation funding team being available to support regions as they develop the bids for the next round, which is obviously very helpful. Does the Minister intend that that support will then be in place, or some sort of similar support, when we come to the perhaps more difficult point where the transformation funding money is over, the lessons are learned, and that needs to be mainstreamed, if you like, needs to become part of core business. Because that is, as I've said, where we've tended to fall down in the past.

This is a really important innovation. The Minister knows he's had cross-party support for what he's trying to do with it. But we need to make sure that this is not going to be another one of those excellent innovative programmes that then hits the buffers when health bodies, and indeed social services and all those who sit around on the partnership boards, need to change the way they look at their core budgets when this very welcome pot of money has run its course.