1. What steps is the Welsh Government taking to ensure Wales is equipped to deal with future pandemics? OQ55394

Diolch, Llywydd. I thank the Member for that question. The Welsh Government leads a set of local resilience arrangements and participates in UK-wide networks that, together, focus on public protection and pandemic preparedness. 

Thank you, First Minister. I'm sure that you will agree that we were woefully unprepared for COVID-19. Despite SARS and MERS, our pandemic planning was still based upon an outbreak of influenza. However, our planning still neglected to prioritise testing capacity. This current pandemic has shown that those countries that had testing capacity early on made it through the initial outbreak relatively unscathed.

Leading virologists have warned that other unknown viruses could threaten us in future as climate change and population growth force humans into closer contact with wildlife. As with this coronavirus, we have to test and isolate the infected, and we can't afford to quarantine everyone. First Minister, what plans does your Government have to ensure that Wales has sufficient lab capacity to conduct tens of thousands of reverse transcription polymerase chain reaction tests on a daily basis? Thank you.

Llywydd, I thank Caroline Jones for that question, and I agree with what she said about the changing nature of the threats that we see on a global scale and the need for us to be alert to them. It is why we have our own Wales response plan. It's why we work through our local resilience forums, and then that we are linked into the UK structures as well. The four nations' chief medical officer meetings, the fact that emergency planning leads meet as a group across the four nations: all of those things mean that we are playing our part in the efforts that are needed across the United Kingdom to be well prepared for the future and to put those things in place that will make us resilient for any future events of this sort that we may need to face.

Good morning, Llywydd. Good morning, First Minister. Picking up on Caroline's point, of course, none of us were prepared for this pandemic, and I think that we, as a world, have learned some very significant lessons about what happens when you impinge on nature and how we can all respond. And, of course, the point that Caroline has raised about the testing capacity is vitally important, and I know that you acknowledge that. But whilst we may have been caught on the hop in terms of the general pandemic, we have had now months to start getting our testing regime in place and working. Yet, figures produced yesterday show that little over a fifth of the daily testing capacity in Wales has been utilised, and for the seventh week in a row there was a slow-down on testing for healthcare workers. Additionally, we are still waiting 48, sometimes 72, hours for tests to come back. And the point made before, which I think we'd all agree with, is that we need to get people back into the workplace, back out into their real lives, as soon as possible if they're self-isolating because people around them or they have symptoms. 

So, First Minister, what are you going to be able to do to ensure that we have a comprehensive and responsive testing regime that can move forward, that can deliver for Wales? How will you change things to improve it? How will you ensure that this testing regime is fit for any purpose that might be thrown at us with any other pandemics that may come our way?

Llywydd, I thank Angela Burns for that. Well, we have a comprehensive testing regime in place in Wales. We have more tests available today than at any time previously, with just under 15,000 tests available in Wales every day. The fact that sometimes fewer people are being tested simply means there are fewer people needing a test. It's not our ambition simply to test people who don't need testing. There are fewer, sometimes, healthcare workers needing testing—that's why the numbers are down. There are fewer people being tested in care homes, but that's because we have a regime of testing everybody every week who work in care homes.

In terms of the way in which tests are turned around, we need to improve the proportion of tests that are completed within 24 hours, but the number of tests that are turned around within 24 hours is higher than it's been at any point in the pandemic. That's because more tests are being carried out. So, when the proportion of tests completed within 24 hours was at its highest, we completed between 200 and 300 a day within 24 hours. Now, when the proportion is lower, we're carrying out 1,700 a day within 24 hours because there are far more tests being carried out. And in north Wales, in the two pandemics, we have been turning around the huge majority of tests within 24 hours.

I think that our test, trace and protect system has demonstrated that it's been able to mobilise and to provide the service that is needed in those contexts, and I think that's something that we ought to be glad about. I think we ought to give a bit of credit to those people who worked so hard to make sure that those arrangements are in place and working effectively.

First Minister, it is being reported today that the US Government has secured virtually all the stocks of one of the two drugs that are shown to currently help COVID-19 patients. The White House said that it had bought up more than 500,000 courses of remdesivir, an antiviral that trials suggest helps some patients spend less time in hospital. This includes all of the supplies that will be manufactured this month, as well as 90 per cent of those due in August and September. Such unilateral deals obviously have implications for patients in Islwyn and across Wales, so what assessment has the Welsh Government made of the effective supply of medicines in this global pandemic?

I thank Rhianon Passmore for that important question. She's right to point to the challenges that there are in securing effective supplies of medicines. There is increased demand for medicines around the globe, but there has been falling production capacity because India and China, where many medicines are produced, have had to stand back from production because of the impact of coronavirus in their own countries. The continuity of supply of medicines is a reserved matter, it isn't a matter that is devolved to Wales, but we have been working hard with the other four nations to make sure that there are plans in place to understand demand, to allocate available stock, to increase supply where required.

We face, as I know Rhianon Passmore will know, the additional difficulty of leaving the European Union without a proper deal. Ninety per cent of these medicines come into the United Kingdom across the short strait between Calais and Dover. If there were to be disruption to those supplies, the UK Government previously planned to rely on air freight, but air freight isn't moving in the COVID crisis. So, there are real issues arising from coronavirus that we are all grappling with, but there are avoidable difficulties that are looming on the horizon as well. And as the body responsible for continuity of supply of medicines, it's really incumbent on the UK Government not to add to the difficulties we are already facing and the challenges that coronavirus itself has produced.