Part of the debate – in the Senedd at 4:36 pm on 15 September 2020.
Thank you for that series of questions I'll run through. I think it's important to recognise what I am saying about the comparison with February. Of course, we're in a better position in terms of our preparation and understanding, with the practical experience and learning from the last six months or so. That's not the point that I'm making; I think the Member knows that isn't the point that I'm making, but in terms of the position in February about the profile and the rise in cases, so without action where we could end up find ourselves. In terms of learning from where we were, I think it's fair to say that with the knowledge we have now and the same facts, we would act differently. So, that's why I'm saying it's really important that people take account of their own choices, because otherwise the Government may have different choices to make where we may need to make choices earlier than the time period in which we did in the first wave. And that is the learning that I think Members are urging us to take on board. The Government will meet its responsibilities, but I think it is really important that people don't forget their own personal responsibility as well. That's what saw us come out of lockdown through the summer and suppress the virus, and it's what's been the most significant factor in seeing a rise in case numbers as well.
It may be helpful if I re-set out what's happened with the lighthouse labs, the UK testing programme. You'll recall that most of the criticism at the early stage was that Wales didn't take part early enough in the lighthouse labs testing programme, and that was because we couldn't see and understand the data flowing through it. Scotland and Northern Ireland took part earlier; we waited until we could understand the data, and that's now regularly flowing through to our test, trace and protect teams. They've always been able to see data from the lighthouse labs and NHS Wales labs, and that's put us in a very good position for our highly successful contact tracing service.
The challenges we've seen are that the lighthouse labs process was working well until about three weeks ago, to be fair. We've all seen the well-advertised challenges, and that's really because not so much that they can't undertake the sampling, but they're unable to deliver the testing of those samples to get the results back to people, and that's the problem that we see. And Matt Hancock today has acknowledged in the House of Commons that it'll take a matter of weeks for that to be resolved. That was a discussion we had in meetings of health Ministers of all four nations on Friday. We then saw the challenges in the testing programme with reductions over the weekend. And again, to be fair to Matt Hancock, after myself and other health Ministers contacted him, there was an improvement over the weekend, and we then mobilised some of our own resources as well.
As well as us thinking about how we redeploy NHS Wales resources, which we are doing, and I'll have more to say over the next week or so on what we're doing, especially around mobile testing units, we also need the UK programme to get back on an even keel because it's a UK-funded and delivered programme of testing in each one of the four nations. There isn't an additional consequential of extra money or extra staff that are waiting to be found to come and deliver additional tests aside from this. And the successful return to the level of predictability and testing turnaround we saw through most of the summer would benefit all four nations. That is what we are looking to see happen.
When it comes to the use of NHS Wales resources, we built them up to be able to deal with extra pressures that we know we're going face through the autumn and the winter. So, it's a collaborative effort of the Welsh programme that we've taken Welsh Government resources to fund, and indeed the lighthouse programme as well, and seeing that come back to the levels of performance we saw up until about three weeks ago.
On the challenge about COVID tests in asymptomatic populations in domiciliary care and residential care, we've carried on with a regular testing programme now from the first weekly programme to every two weeks. Typically for staff in residential care, we've increased the frequency again in Caerphilly, and we're looking to do so again in RCT because of the challenges there about an increase in community transmission.
So, we are looking to deliver a regular programme, and, again, the challenges that you allude to in terms of that testing programme for our staff are again part of the lighthouse lab challenges that we're seeing, and that's again about the turnaround in those tests and, again, there's been a lot of commentary across the UK about that. We're again looking at whether we can use NHS Wales resources in areas of highest transmission and to try to—[Inaudible.]—faster and more predicable turnaround for a limited period of time.
On the domiciliary and residential care, they are again a priority—those staff—for the flu vaccination programme, because they are, by definition, working with groups of vulnerable people. And when it comes to non-COVID treatment and harm, it's one of the four harms we recognise in our national approach, and it's again set out very clearly in the winter protection plans. So, again, we've set out in the plan what we're doing to see that continue as much as possible throughout the period of the winter and, indeed, the message that myself and the NHS chief exec have given about the need to not just to restart those, but to see further plans for those in the quarter 3 and quarter 4 framework. Because I recognise that the harm that comes from a national lockdown—it's not just the economic harm, which almost always has a health consequence as well, but it's potentially the harm to those other forms of non-COVID treatment that may not go ahead and take place, either because we have to pause those, because we're seeing more people coming to hospitals with COVID, or, indeed, because the public, as they have done in the first wave, choose not to take part because they're more concerned about acquiring coronavirus.
So, there aren't simple and straightforward answers here. The plan we set out today talks about how we'll balance those priorities and, again, look to make and deliver further improvement. And you can expect to hear more from the Government over the winter about what we have and have not managed to do successfully in our unfinished fight with coronavirus.