8. Welsh Conservatives Debate: The impact of COVID-19 on health services

Part of the debate – in the Senedd at 5:30 pm on 25 November 2020.

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Photo of Andrew RT Davies Andrew RT Davies Conservative 5:30, 25 November 2020

There is always a debate and discussion to be had about what money is available for the NHS, and we do know that considerable consequentials—. And I accept those consequentials have come not because we're a special case and we're deserving, but because of spend that has gone on in other parts of the United Kingdom that has activated the Barnett formula. There's £1.6 billion worth of money sitting in the Welsh budget already, unspent and unallocated. And today, with the comprehensive spending review, additional moneys will be arriving in the finance Minister's hands, which, I hope, will be passed to the health Minister, so that extra capacity can be commissioned and can be created, and these new ways of working can be ingrained in the NHS to start addressing the terrible wait that many people across Wales face—the 0.5 million people across Wales that are on an NHS waiting list today. It is important that where that allocation is made, sufficient support staff support is put in place to make sure that the staff, whatever level they are within the NHS, whether they're the porters, the cleaners or the consultants and the neurologists, are there and thought of, because without the staff, you will not have an NHS that delivers. And what we want to see is an NHS that hasn't just been turned into a COVID recovery NHS and is an NHS for us all, whatever part of Wales we live in.

It is a fact that the recent Royal College of Nursing staff survey highlighted that 34 per cent of staff—nurses in particular—felt undervalued by the Welsh Government. That was the highest figure of any Government in the United Kingdom, I might add. And 75 per cent of staff believed that they'd seen an increase in the stress levels. So, a staff strategy to make sure that the retention of staff is at the heart of what our health boards do will be critical to making sure that we deliver a staffing structure that can respond to the COVID crisis, as well as the reopening and re-engineering of services across the whole of the Wales NHS. And building on that staff support, we need to make sure that we have the testing resources in place to make sure that where hospital infections—. Sadly, my own regional area, where the Cwm Taf health board covers, has seen a massive spike in hospital-acquired infections. We need a greater energy behind the testing regimes within our hospitals and with our care settings, so that we can get back to a functioning environment within those hospitals and within the care homes. And with the rapid testing that is now available, this really does seem to be a game changer in what we can be doing. I would urge the Minister to make sure that those tests are made available to the Welsh NHS.

But, above all, the central leadership that the Welsh Government can provide, with the civil service here in Cardiff, and the access to resource, has to be driven and engineered to make sure that the health boards are driven in their planning to make sure that the services are re-engineered and reopened. And it is only that central resource—that capacity of that central resource—that will allow this to happen. We need to make sure we have a strong public health messaging campaign so that people know that the NHS is open and ready for you should you need it. Because with the messaging and what we've gone through in the last six to seven months, it is a fact that many people are—to put it bluntly—frightened to engage with services, and that shouldn't be the case. We need to be constantly repeating the message that the NHS is there for you, to get that diagnosis, get that treatment and, ultimately, get back to a normal way of life. Regrettably, Macmillan have pointed out that, on cancer services, for example, other than a brief campaign in June, there hasn't been a joined-up and co-ordinated campaign here in Wales, unlike in other parts of the United Kingdom, when it comes to cancer services. So, there is work to be done in that particular area. Above all, what I'd also like to see is a cancer delivery plan delivered by the Welsh Government, which, regrettably, they've declined to do, according to a written answer to me. We do know that the current cancer plan is coming to an end at the end of December this year, and the answer that I received yesterday indicated that there's still not the formatting of its successor plan to be put in place.

So, when we're looking at developing a more central model to, ultimately, support the NHS here in Wales to deliver on waiting times, deliver on support staff support, deliver on resources, and then we look at one critical part of the health service—the cancer departments within our hospitals—their own delivery plan will be coming to an end in December, and there is no successor plan in place at the moment from the Welsh Government. The Government do need to step up to the plate and get on top of this, because, as I said, when it comes to cancer services, we know for a fact that time is of the essence. And that is why I call for support this afternoon for the motion as tabled. It is a fact that all parts of the NHS, in any part of the United Kingdom, are facing long waiting times. We are not disputing that, and we don't blame the Government for a moment for suspending those services back in March. But, reactivating those services has been slower here in Wales than in other parts of the United Kingdom, and it is that slowness that has exacerbated the waiting times, which the figures that I mentioned at the beginning of this debate have highlighted graphically—first of all last week, when they were first published, and again by repeating them here in the debate this afternoon. I hope that Members will be able to support the motion as tabled, unamended, so that it has the most potency and ultimately drives home the seriousness of the challenge that we face. Thank you very much, Deputy Presiding Officer.