Improving the Health Service

Part of 1. Questions to the First Minister – in the Senedd at 1:32 pm on 21 January 2020.

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Photo of Mark Drakeford Mark Drakeford Labour 1:32, 21 January 2020

Well, Llywydd, let me agree with something that the Member said at the start of her question, because nine of the last 11 months in the Welsh NHS have been the busiest months of that sort on record. So, she is right to say that the pressures in the Welsh NHS are relentless; that the demand grows all the time. But she then goes on simply to focus on the supply side, as though the answer to the health service is just continually to ratchet up the services that are provided, in pursuit of ever-growing demand. And that is not an answer to the health service. We do all of that. We go on every year. We have a record number of professionals working in the health service in Wales. We now have more people working in the NHS in Wales than in the whole of the British Army. More than 92,000 people are employed to provide the service that Angela Burns refers to. As a result of winter pressure planning, there will be 400 more beds, or bed-equivalent services, available in this winter than there otherwise would have been. 

The Member referred to the services that are there to keep people out of hospital. My understanding, from management information, is that we will have seen a fall in delayed transfers of care in December of last year because of the enormous efforts that are made by our local authorities to provide those services. But when you have a rising tide of people coming through the door; when those people are often elderly, where their needs are often complex, where they do need to be in hospital—. I agree completely with what Angela Burns said, but only somebody who needs to be in hospital should be in hospital. But the number of over-75-year-olds presenting at the front door of the Welsh NHS, who then need—and genuinely need—a hospital bed, has been at the highest it has ever been over this winter.

So, wherever we can, we need services that divert people from the highest level of intensity in the hospital sector, deescalating need, using community pharmacies before you go to the doctor, all of those things—they are all happening in the Welsh NHS, but they happen against a pattern of demand that means you have to run even faster simply to stand still.