4. Statement by the Minister for Health and Social Services: Coronavirus (COVID-19)

Part of the debate – in the Senedd at 1:25 pm on 3 June 2020.

Alert me about debates like this

Photo of Vaughan Gething Vaughan Gething Labour 1:25, 3 June 2020

However, out of this crisis, we have also been able to embrace innovation. There's much greater use of technology that has been deployed over the past 10 weeks. In the two-week period from 19 to 26 May there were 977 more remote consultations across the NHS using the new NHS Wales video consultation service. Using these new ways of working to the NHS, we can still do much more, with a growing proportion of consultations being able to be conducted virtually. Equally importantly, 97 per cent of patients and 85 per cent of clinicians rated this new way of working as 'excellent', 'really good', or 'good'. We've also seen a rise in the number of out-patient follow-ups that have been able to be conducted by telephone. That shows how, in our response to the pandemic, we're using existing tools and services to deliver care in more efficient ways. So, we're changing the way in which we're delivering services, and using our resources differently.

For example, Swansea Bay University Health Board established a health-board-wide centre to co-ordinate the flow of patients, including rapid discharge, community step-up, and any additional surge or super-surge capacity within their field hospitals. They also have an out-patient modernisation group planning the re-activation of services. And these are developing new models of care and ways of working that have been taken in response to COVID.

My officials will be meeting with each of the organisations over the next weeks to review their plans and support them to ensure implementation. The operating framework contained a number of commitments for the Welsh Government as enablers to support implementation. Examples of some of that action being taken forward include the digital priorities investment fund that I announced last September. It's been used to accelerate new digital programmes and initiatives. This includes the acceleration of video consultation across the whole of Wales, infrastructure and devices to enable remote working, and a new digital system for contact tracing, all of which have been rolled out in weeks. A programme to make Microsoft Teams and Office 365 available to all NHS staff, which started last autumn, has been compressed from three years to one. I will also bring forward a new digital system for use in intensive care units, a new digital platform for eye care, and accelerating an upgrade to our digital pathology services. The pace at which organisations have worked together to deploy new digital technologies has been impressive. 

The Wales Critical Care and Trauma Network has developed draft advice on critical care during the next phase of the pandemic and restarting NHS services, alongside newly published guidance. There's an ongoing communications campaign being developed to encourage patients to access those essential services, and funding has been provided for the establishment of field hospitals, private sector capacity, and, indeed, our student workforce.

Using the feedback and review of quarter 1, we will move towards a continuing framework approach for quarter 2. This will include understanding the next steps in planning over the summer months and for winter contingency into quarter 3. I will of course keep Members updated on progress. I have also provided Members with more detail on quarter 1 plans in a written statement that I issued earlier today.

Monday this week saw the launch of our national NHS Wales test, trace and protect service. Contact tracing is an essential next step in our fight against COVID-19. It will help us to prevent transmission of the virus, protect the public, and quickly identify and take action to control clusters and outbreaks. The new national service began, as planned, on Monday 1 June. So, anyone who has tested positive for coronavirus in Wales will now be contacted and asked for the details of all the people they have had contact with while they have had symptoms.

As I have previously said, our approach is to build and grow our local contact tracing capacity. The reality is that a national plan will only work if we make full use of the existing local knowledge, skills and expertise that has been built up over many years within health protection teams in our local authorities and health boards. This partnership approach has enabled us to quickly bring together a Wales-wide workforce of over 600 contact tracers to start the new national service. Regional plans, jointly agreed by local government and health board partners, will enable us to rapidly scale up the workforce, if and when necessary. This follows a successful two-week pilot exercise across four health board regions in Wales. A key focus of the pilots was to ensure that staff received the high-quality training, guidance and support that they need to be able to do this highly important and challenging role effectively.

Since Sunday, Public Health Wales have reported 208 positive cases, all of which have been transferred to our contact tracing teams. Where appropriate, people have been interviewed and, on average, this is identifying a further three to four follow-up contacts per positive case. The early feedback also indicates that individuals contacted by our tracing teams are engaging positively. So far, the signs are encouraging, but we should not, and must never take the public support for granted. So, for now, the focus is on the next few weeks, within which we can make a difference, and to strike the right balance between all four areas of harm as we try and aim to help keep Wales safe.