6. Statement by the Minister for Health and Social Services: Update on Maternity Services and Governance Improvements at Cwm Taf Morgannwg University Health Board

Part of the debate – in the Senedd at 6:12 pm on 13 October 2020.

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Photo of Vaughan Gething Vaughan Gething Labour 6:12, 13 October 2020

Thank you for the variety of questions. I hope that this update is welcomed by women who were previously ignored and did not have their concerns taken seriously. I ordered the independent review by the joint royal colleges on the basis that there was plainly a problem that had not been resolved and could not be satisfactorily resolved if the health board themselves were commissioning a review, because I do not think that would have commanded the confidence of the public, which is essential.

In terms of the concern about if lessons are really being learned, that's exactly why we have an independent panel and an independent assurance process. So, it is not simply the health board marking their own homework. That self-assessment is the sign of a mature and confident organisation that is doing the right thing. But we still need to build confidence and need to have independent oversight, so the work of the independent panel is certainly not completed, and I recognise that in both my written statement and in my statement to the Senedd Chamber today.

Now, in terms of the issues around the Tirion Birth Centre, and the ability to recruit staff to it—it will be re-established on the basis of Birthrate Plus, which is a recognised workforce tool, to make sure it does have adequate staff and it does have sustainability built in to be able to operate safely and to the standard that I would want for any woman going to give birth in any part of Wales. And in committing to establish to Birthrate Plus, that's a national commitment that we have been proud to make in the past, and we have actually done relatively well in terms of recruiting people into the Cwm Taf Morgannwg health board. There was some concern that we would struggle to recruit because of the challenge given the problems in maternity services that led to this report and to the need to have an independent improvement process. And, again, I think it's one of the positive aspects of the panel's oversight. They recognise that progress is being made and it's actually helped them to change the culture positively within units where the recruitment is taking place.

Now, on your point about the learning from the outbreak, I don't think that there is any link to draw between practices identified in this report and the outbreak itself. There will undoubtedly be learning, and, in fact, the chief medical officer has already asked for a lessons learned report to be shared here about the outbreak in the Royal Glamorgan, about the two smaller outbreaks at present in the Prince Charles and Princess of Wales hospitals, and to look back about learning from Wrexham Maelor earlier in the year. But, given the risks that exist with a rising tide of COVID that we will see community transmission coming into a range of our hospitals, I'm afraid that, given the increasing levels of COVID in the community, it is inevitable that we'll see more people testing positive in our hospitals as opposed to those people who are being admitted with confirmed or suspected COVID as well.

In terms of the guidance that we've given to the health service on partners being able to accompany women at various stages in their pregnancy journey, then we've actually recently republicised guidance that's been endorsed by the chief nurse and also a number of the royal colleges. So, I'll make sure that is reprovided to Members so that we can be clear again about the guidance that is in place, because there is no blanket ban on partners accompanying women at various stages of pregnancy, or indeed in the after support, with home visits by midwives in the very, very early days post birth, and indeed health visitors thereafter. There are some challenges in the estate that we have, where there's a challenge about social distancing, and that needs to be worked through between the hospital providing care and, indeed, the woman and her family, but we do have, I think, a pretty clear position that I'll happily remake available to Members.

On your point about the future of emergency medicine, you started off by saying that you were concerned about women who had been previously ignored and had their needs rolled into other issues. I don't think it sits very well for a significant and important statement on maternity services and the improvements made and the improvements still required to try to link in a wholly unrelated area. The questions about emergency medicine have been resolved by the health board because of the successful recruitment that has been made, and I just don't think it's appropriate or does the women that we're supposed to be talking about today any favours to try to relive long-finished arguments.