Accident and Emergency Services at the Royal Glamorgan Hospital

Part of 3. Topical Questions – in the Senedd at 3:40 pm on 29 January 2020.

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Photo of Huw Irranca-Davies Huw Irranca-Davies Labour 3:40, 29 January 2020

Diolch, Llywydd. The Royal Glamorgan Hospital serves my constituents from Llanharan and Gilfach Goch and Evanstown areas, though the Princess of Wales Hospital in Bridgend, which also now falls within the Cwm Taf Morgannwg University Health Board footprint, is also of vital importance to those and other constituents. So, whilst none of us, as responsible Members of the Senedd, can ignore the implications of the imminent retirement, earlier than expected, of the sole permanent consultant at the Royal Glam, and the subsequent reliance on locums, my constituents do have questions, which require some frank answers. 

How did we arrive at a situation where there is only one permanent consultant at the Royal Glam? And why has the health board been unable to recruit additional consultants over a lengthy period? This has not come out of the blue. The implications for the Royal Glam are significant and immediate, as it seems untenable to run a fully functioning A&E with the appropriate degree and depth of expertise on locum-only provision. Locums are a vital part of A&E, but the depth and breadth of expertise required in modern A&E requires numbers of full-time specialist consultants. So, can I ask, for my constituents, whether attempts have been made to source additional A&E consultants across the wider health board footprint, or even in neighbouring health boards, to sustain the service there temporarily, while further efforts at recruitment continue?

And, of course, lurking in the background is the original south Wales programme for A&E, which goes back some years now, and it was never put into place. So, can I ask whether this is, through accident or design, an attempt to belatedly put into place the south Wales programme, and, if that is so, whether the proposals in that plan are up to date to take account of the current pressures in the system and future pressures, including the development of thousands—thousands—of new homes in the east of my constituency, as well as thousands more in the Pontypridd area, west of Cardiff? Is that programme in any way part of this, and, if so, isn't it the case that some of those calculations will, indeed, be out of date? And, on that basis, what assessment has been made of the impact of the fresh proposals not just on Royal Glam, but on the Princess of Wales in Bridgend and the Prince Charles in Merthyr Tydfil, which have their own A&Es, which are under, of course, intense pressure at the moment?

And, finally, Minister, can you urge to the health board that they have to continue their engagement—frank, honest engagement, open engagement—with the public, not only with elected leaders, to get through this? It may be that they've now found themselves in an invidious position, but the only way through this is to be honest and open and constantly engaged with constituents, who genuinely have fears over what may come.