Diolch, Llywydd. I formally move the amendments tabled in my name. These amendments consider the Minister's concerns at Stage 2 about the implications of extending safe staffing levels to all clinical staff. This is despite the Chair of the Health, Social Care and Sport Committee stating that, in the committee's view,

'it is impossible to separate out the issue of quality from the provision of appropriate staffing levels—they are inextricably linked.'

And we still firmly believe that is the case. The Minister has instead relied on the health and care standards on workforce levels, and, at Stage 3, the Minister promised to update them. To that end, amendments 36 and 37 are intended to place that promise on the face of the Bill. 

Amendment 36 places a duty on Welsh Ministers to carry out a detailed review of the standards at least once every term, meaning that we will have an opportunity to, first of all, analyse how effective the standards are at ensuring safe staffing levels. I cannot impress upon the Minister enough how important it is that we have this commitment across all clinical staff since the Mid Staffs report's findings. Indeed, the Royal College of Physicians UK said that, in 2018, more than one in five of their census respondents reported that gaps in trainee rotas occurred so frequently as to cause significant problems in patient safety. It is therefore essential that workforce planning is undertaken across the board. As such, health boards need to ensure workforce levels are planned and accounted for, and not to just rely on safe staffing for nurses. Secondly, we need to be fully aware of evolving changes to NHS pressures in population age, which will increase incidences of comorbidity and complex conditions. And we also have to recognise the technological advances, which may have a further impact on staffing levels. It cannot therefore be left for five years between updates and reviews to this important document. 

Amendment 37 ensures that Ministers must have regard to the views of stakeholders when updating and reviewing these standards. I do note, Minister, and you've already mentioned it tonight, that you've invited the British Medical Association Cymru and the Royal College of Nursing Wales to reviewing and updating the health care standards in the first instance. However, we believe this should be an ongoing duty, so that healthcare professionals are taken seriously throughout the review process. 

It is extremely heartening, Llywydd, to see such a wide range of Welsh healthcare representatives bodies, including BMA Cymru, RCN Wales, the Royal College of GPs Wales, the Association of Medical Research Charities Wales, the RCP Wales, the Royal College of Surgeons of Edinburgh, the Royal College of Surgeons, and the Royal College of Midwives Wales, calling on the National Assembly to support amendments that ensure the duty of quality in the Bill is underpinned by guidance that includes reference to workforce planning, and that health and care standards are appropriately and regularly reviewed, and that reporting by NHS bodies of the steps taken to comply with the duty of quality includes workforce planning. I therefore urge all Members to support these amendments.