Part of 1. Questions to the Minister for Health and Social Services – in the Senedd at 2:02 pm on 4 November 2020.
Those are fair concerns, and to be fair, the Member has regularly asked questions in this area. So, when we talk about COVID-related patients, we talk about all those people with confirmed COVID as well as suspected. The reason for that is it changes the way the health service needs to treat those people once they know that they're a suspected case. That has an impact on the number of staff and on the equipment that people do and don't use.
We're treating everyone who's admitted—we're testing everyone who's admitted, rather, and we're finding that the levels of positive cases from people admitted very neatly tracks community transmission positivity rates. So, we're seeing some people come in with symptoms who are being admitted because we think they might have COVID and we're also seeing other people who we're picking up in that testing programme when people are admitted.
We're also doing some work—and, again, the ONS work is helpful in this—on understanding the numbers of people where the primary cause is COVID, and those where COVID is an underlying cause or a potential one. I'll take on board and I'll go back and I'll consult with the chief medical officer about the value of the suggestion from the Royal College of Pathologists, not in terms of understanding whether it's a useful thing to do, but understanding the real-world impact of doing that in the way that our staff would be deployed in potentially undertaking an extra amount of activity because all of these things have to be balanced in turn. We have a much better line of sight now, thanks to a much bigger testing programme, on the levels of community prevalence, the ability to understand who's coming into our hospitals and our ability to plan and deliver non-COVID care as well. What I wouldn't want to do is to undermine our approach to be able to deal with those issues by undertaking an extra area of activity that wouldn't deliver that wider benefit, and, again, it's another neat example of balancing all of the potential benefits together with the potential harms from any course of action.