Part of the debate – in the Senedd at 5:43 pm on 10 March 2020.
Diolch. I formally move the amendments tabled in my name. The point of these amendments is to give the Welsh Ministers the duty to secure quality in health services through the guidance principle. They seek to support recommendation 2 of the committee, which requests that the Minister issues statutory guidance. In Stage 1 evidence, stakeholders highlighted that the Bill was simply not strong enough in setting out what that duty of quality is and how it would be measured.
These amendments have been drafted with the support of the Welsh Government and the Minister, and we're grateful to the Minister for this. They essentially say that Welsh Ministers must issue guidance to NHS bodies. Although we have tabled this, I would also be grateful if the Minister would confirm that the proposed guidance will include how the duties of local health boards, NHS trusts and special health authorities are assessed, as well as a demonstration of improved outcomes and how innovations and improvements can be implemented across Wales. It's about growing those small shoots, isn't it?
At Stage 2, I also mentioned that assessments are key planks to the duty of quality. They enable the relevant health authorities to provide us with uniform information about their quality indicators, and this is also how they move from what was criticised as an aspirational duty by the chair of the Welsh NHS Confederation management board to a very real and enforceable duty.
At Stage 2, the Minister noted that he agreed about the importance of setting out how NHS bodies can demonstrate an improved outcome as a result of taking steps to comply with the duty, and he shared the desire to see how innovations and improvements designed in one area could be spread and scaled across Wales. As I said at that Stage, we believe that getting the guidance right before the duty of quality comes into effect is essential. We're still not quite clear yet how that guidance will help health authorities to achieve the set levels of expected improvement, so again I would be grateful if the Minister would outline a little bit more detail on that guidance, especially given that he expects the guidance on the duty of quality to include the need to consider how a body works in partnership delivering services in an integrated way to secure improvements. And as we all know, partnership, co-production and collaboration are a very important part of raising the level of quality and the level of candour within our health boards. Thank you.