Part of the debate – in the Senedd at 3:59 pm on 24 November 2020.
Thank you, Deputy Presiding Officer. I will deal with the specific points, and then I will come back to the accusation at the end. It's worth pointing out for—. I think that there's an element of misunderstanding in terms of the comments about the musculoskeletal service and its link with orthopaedics. This was actually north Wales that took a lead in the 'physio first' approach and looked at having an approach that rolled out and actually lessened the demand within the orthopaedic service. Where planned, elective operations were then required, it's been good news, and actually, north Wales have led on some of that work and the rest of Wales has benefited from that experience. So, in investing around that service, we have avoided the need for some operations that were unnecessary, and it's also about helping people to manage if they do still nevertheless need to have an operation in the future.
However, the orthopaedic plan that I've referenced, that is about investment for the continuing need for a range of people to nevertheless have surgery. So, this is about how we have a plan that all the centres in north Wales buy into, because at the start of this year I received comments from Members in different parties who had talked to clinicians in different parts of north Wales, who all had a competing plan that they wanted to promote. We're now in a position where we have got some unity in the clinical group. They're prepared to sign up to a common plan, and this is about getting behind that plan. It will not just be about how we make the service more efficient; it will require some capital investment, too, along the way, I think. So, I'm looking forward to a finalised, unified business case that allows us to help north Wales to move on with an orthopaedic plan to deal with the real nature of the need and demand. The musculoskeletal service that's been invested in is a really good example of north Wales taking a lead and looking at how it positively reforms its service.
And then the broader accusations that have been made. I know the Member started by saying that she would 'ordinarily' be 'extremely delighted' with progress out of special measures, and I think there is an issue here that I don't think won't just be recognised within this Chamber, but outside as well, about the refusal to acknowledge good news and progress here. The direct accusation made by the first Conservative speaker was that this was somehow an exercise in straight party politics. That is not the way that the chief exec of NHS Wales gives advice. That is not the way that Healthcare Inspectorate Wales or Audit Wales provide their advice—through the tripartite escalation and intervention arrangements. And Members in this Chamber know that very well. The suggestion otherwise, that this is really nothing more than an exercise in party politics, does not reflect well on any of the Conservative Members who have tried to do so. This is my decision on the basis of clear advice. I'm very pleased to have made this choice, and welcome the progress being made in north Wales.