7. Will the Minister provide an update on COVID-19 lockdown restrictions in Rhondda Cynon Taf? OQ55605

Thank you for the question. Following a sharp increase in cases in Rhondda Cynon Taf, new restrictions were introduced on 17 September to reduce the spread of coronavirus and protect public health. Welsh Ministers reviewed these restrictions on 24 September, and at that time we agreed to retain the restrictions for at least another seven days.

Minister, thank you for that answer. Residents in my constituency will be extremely concerned by the news of the major COVID-19 outbreak at the Royal Glamorgan Hospital, which has sadly led to the death of eight patients, with a further six in intensive care, Minister. I'd like to express my sadness and shock at this news, but, of course, our thoughts are right now with their families.

I met with the health board chair today, and support the action being taken by the health board to ensure this outbreak is fully contained. Minister, could you update me on the latest position from the Welsh Government perspective, and in particular, can you give details of the support being provided by the Welsh Government to help control the outbreak? Could you also provide any details of the implications for those who have had operations postponed? And finally, Minister, I'd be grateful for a general update on how the local lockdown in Rhondda Cynon Taf is progressing in respect of infection rates, and with the Royal Glamorgan outbreak in mind, do you see a need for further testing resource to be targeted on RCT?

Thank you for that series of questions. In terms of the actions that the health board are taking, my understanding is they had a meeting with local partners, crucially the local authority, yesterday, where they discussed and agreed the range of measures being taken, and I do think it is a sensible safety precaution to minimise routine care when they are experiencing an outbreak of infection. That does mean that people will have procedures delayed and rescheduled at a later date, but that is in the best interest of those patients—not to admit them onto a sight for routine procedures where we understand there is an outbreak where harm is being caused. And that is a temporary measure while the outbreak is being brought under control.

At this point in time, the chief exec of NHS Wales is in regular contact with the health board to have a proper understanding of the measures that are being taken, and the oversight, as indicated earlier, for the measures and the control measures to understand what is happening, with both the staff testing that's in place, to understand if there's a need to do more. As a result of the staff test results, we get to see where the outbreak actually is, and to see how well contained it is. So, we're learning and applying the measures from the Wrexham Maelor Hospital. 

In terms of your broader point about measures within the community, I think it's important to reflect that whilst we haven't seen the same reduction in cases that we have seen, fortunately, in Caerphilly—and Newport is also making good progress—there is some cautious evidence to think that we may be seeing a plateau. It's still at a very high level, but we'll want to understand if that really is the case, and that will give us some further hope for the future. But the evidence of Caerphilly is that it is possible to see a reduction in rates, and that this is not a one-way escalator to further and further restrictions. We'll continue to measure and weigh whether there is a need to do more to help control the spread of the virus across the RCT area. 

The key point is that it's in the hands of people in their communities to look after each other, and the rules are there for the benefit of everyone. If we get a high level of adherence to that, then we can expect to see a reduction in the spread of coronavirus and the harm that we know it has already caused and is likely to cause. We'll continue to review matters on a regular basis; that includes a provision of testing services. We've actually seen a fall in the number of people taking up the testing services available, so the concern that the health board have is not that we don't have enough access to testing, but that actually there are people who should be getting a test who are not. So, again, it's an appeal for people to use the testing resources that are available within RCT, and we'll continue to review how and where they're provided to make sure they're readily accessible for the communities that need to access them. 

Minister, it's obviously a very serious event in the Royal Glamorgan. This is September—when we face the pressures of winter in late November, December and January, we could be under more severe pressure yet. Now, I know, throughout Wales, part of the management of the COVID risk has been moving some operations to other facilities—cancer operations, for instance, to the Vale Hospital and in Cardiff to Spire. And cancer treatment is going on, as I understand it—emergency treatment will continue at the Royal Glamorgan, but all other elective care has now stopped. Cancer patients in particular have to be protected from infection—you can have a very bad outcome if they've been operated on and are under immunosuppressant drugs. So, can you assure us that zoning hospitals, or moving certain care to specific sites, is going on and will be a way of ensuring that higher levels of cancer care can be delivered than otherwise when we face these sorts of emergencies?

Yes, I'm happy to provide that direct assurance—that is exactly what the health board are planning for with their partners. They've not just worked with the local authority partners about the need to have people leave the hospital to create more space in general terms, but in terms of your broader and more specific point about cancer services, they're already working with other partners too to see what can be moved to make sure that treatment continues as far as possible. So, I'm happy to provide the direct assurance the Member looks for.

I'm deeply concerned about the outbreak of, and the deaths from, COVID-19 at the Royal Glamorgan Hospital and what this will mean for both patients and staff. My sympathies, obviously, go to all of those who've been affected.

Many elective surgeries have already been postponed during the pandemic, and now the backlog is set to get worse. Emergency patients will now be transferred by ambulance to other hospitals, thereby adding a potentially crucial delay to them receiving life-saving treatment.

I want to know what the Government can do to bring this crisis within the hospital to a swift end and create a safe environment for patients and staff. You can improve on testing. Can you boost testing capacity on site so that we can track and trace the virus better? Can you improve the turnaround time for results so that people get those results quicker? The staff need improvements in testing and faster testing, so what can you do to help with that? Finally, do you have any confidence left in the lighthouse labs now? 

I think there's a range of things to run through, hopefully to provide some reassurance to the Member and any people watching. When it comes to outbreaks and outbreaks management, you'll have seen from the previous outbreak in Wrexham Maelor that we actually ran the tests through for the staff and for patients when an outbreak had been declared through our Public Health Wales labs, and they provided a very fast turnaround. The tests for an outbreak are prioritised, so they do have very, very fast turnarounds, so you can expect the 90 per cent plus that we achieved in Wrexham to be turned around within a day.

So, we're actually using NHS Wales tests for this, for the management of the outbreak, and that's exactly what they're intended for, with that additional capacity and the surge capacity that exists in our system. That should provide reassurance for staff and, indeed, for people going onto the site as well. If they do still require treatment and that is the right place for them to have their treatment, then they should be tested. Again, they can expect that to happen through Public Health Wales labs as well.

When it comes to the assurance about people being transferred to other sites, then people will be transferred by professionals within our Welsh ambulance service trust, and they can expect to receive a high quality of care. We're in the fortunate position that there are hospitals that are relatively near to the current site for the Royal Glamorgan, and I don't think that there's a basis for people to be concerned that life-saving treatment could be unduly delayed by that transfer. It's, as ever, a balance, in that if people need to be transferred away from that site, it's because there's a risk to those people in otherwise admitting them, and that's the risk that has to be balanced and the judgment that has to be made. I'm confident in the leadership of the health board; I'm confident in the way they have worked with partners to do so. I believe that we can look forward to the outbreak being brought under control. Certainly, there is no lack of testing or the availability for testing on site for people who really do need to get tested, and I think we demonstrated that with the previous response to the Wrexham Maelor outbreak.