3. Will the Minister make a statement on the resumption of services in the Hywel Dda University Health Board area? OQ55587

Yes. We recognise the challenge of delivering essential services and routine surgery during the COVID-19 pandemic. Management information indicates that treatment activity is around 40 to 50 per cent of that pre the COVID pandemic. Face-to-face out-patient activity is around just over half but it is increasing each month. We continue to see changes in the delivery of services, with virtual review in both new and follow-up out-patient appointments significantly increasing by a factor of 700 per cent, when comparing March 2020 to our current understanding of September 2020 figures. 

Minister, I'm pleased, of course, to hear that the resumption of services is actually increasing, but I have been contacted by a constituent who is desperately waiting for her son to receive dental treatment and has been told by the local health board that the approximate waiting time is 81 weeks, despite being added to a priority theatre list. Now, I'm sure you'll agree with me that an 81-week wait is just completely unacceptable. Therefore, can you tell us what discussions the Welsh Government is having with health boards about exploring other avenues for patients to receive treatment, such as outsourcing, so that constituents like mine are not facing an 81-week wait? 

In terms of the specifics, I think it would help—and I'd be happy to look at this—to have the specifics of the matter that the Member raises from his constituent, to understand the detail behind that and to be able to provide a more useful answer about that constituent. I want to be helpful in being able to do so. 

On the broader point about the waits that exist, there isn't huge capacity within the independent sector here in Wales, and the challenge is, as we move through the pandemic, how the independent sector is already looking to maximise the work that it undertakes individually, and, indeed, we still have provision with the independent sector to help us as part of our winter protection plan and the ability to have surge capacity. It will take a significant period of time to recover all of the activity that has been delayed as a result of the COVID pandemic. As I said in answer to earlier questions, the NHS Confederation report for England sets out a very similar picture in that nation about the range of activity and the length of time it will take to recover.

I think that the objective view would be that everyone would understand that that is what has happened, with the significant loss of life that has already taken place and the risk for even more significant loss of life if we don't take measures to ensure that we don't suffer in the next phase of the coronavirus pandemic. But that does have a consequence for the rest of our national health service activity. The objective view may be on the one hand, but if you're somebody who is waiting a long period of time, and living with discomfort, for activity, that may not be of much comfort to you individually. That's why, in terms of recovery, once we get through the survival part of the pandemic and understanding of what we're going to be able to do to provide, hopefully, a vaccine or effective antiviral treatment, we will then have a significant task ahead of us in Wales and in every other UK nation to understand how we successfully recover that. And that's why, as I say, I think it will take pretty much a full Welsh Parliament term to get back on top of that. That's not scaremongering; that's me being straight and honest with people about the level of challenge we can all face up to.