Hywel Dda University Health Board

1. Questions to the Minister for Health and Social Services – in the Senedd on 11 March 2020.

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Photo of Paul Davies Paul Davies Conservative

(Translated)

8. Will the Minister make a statement on how the Welsh Government will improve health services in the Hywel Dda University Health Board area over the next 12 months? OAQ55197

Photo of Vaughan Gething Vaughan Gething Labour 2:28, 11 March 2020

Our priority is to ensure the people of Wales, including those in west Wales, receive health services that deliver the best possible outcomes for patients. Achieving the vision that we set out in 'A Healthier Wales' will help to deliver that priority.

Photo of Paul Davies Paul Davies Conservative 2:29, 11 March 2020

Minister, to improve services in the Hywel Dda University Health Board area, it's essential that vital services are as accessible as possible to local people, and that includes services being based at Withybush hospital. Can you therefore tell us what discussions you've had with Hywel Dda University Health Board about the provision of services at Withybush hospital, as well as any discussions you've had regarding the creation of a new hospital in west Wales, as the people I represent want to see essential services like the A&E department being maintained at Withybush hospital?

Photo of Vaughan Gething Vaughan Gething Labour

Well, this is a question about the delivery of the healthier west Wales plan. You'll recall the significant engagement that took place with both staff and the public, and then actual front-line members of staff presenting options to the health board for the future. And, within that, the community health council chose not to refer the possible options in. So, there is now an agreed strategy within west Wales about what that will mean. That will both be about—as we've seen the parliamentary review recommending in broad terms—some services needing to be concentrated to provide better services, better quality of care, and other services being delivered on a wider range and basis, including within the community.

You'll have seen, for example, some of the concerns people had about having a midwifery-led unit on the Withybush site; actually, there is no evidence, despite hundreds and hundreds of births, that it has compromised the care of women or their babies. We still, though, do continue to invest in the Withybush site; for example, the more than £3 million to complete improvements to wards 9 and 10 at Withybush hospital. So, there will continue to be an important role for the Withybush site to play in the future.

In terms of the new hospital option, I'm looking to receive a business case from the health board that sets out where they are and, as and when that's received and advice is provided to me about whether to support the next stage of that, I will, of course, make that clear. So, those are plans the health board are developing. I have a decision-making role, but I do look forward to—sooner rather than later, I hope—receiving that case to allow us to make a determination. And you and other people within west Wales will then get to see something about the vision for the future in terms of deliberately reshaping healthcare within west Wales and, indeed, the significant investment that will be required to make that happen.