Part of 3. Topical Questions – in the Senedd at 4:01 pm on 16 December 2020.
I thank the Member for his question. I think, with respect, we have already addressed that in what we've said. I understand the fears of different service and interest groups, and I understand very well the position the RCN have taken. They're right that they and all of us should be concerned about the reality of staff absences. I've just come from a call with health boards and local government leaders from across the broad south Wales area, and the Aneurin Bevan health board have just confirmed that they have a staff absence rate of 11 per cent. Now, that has a significant impact on our ability to provide services, and if you're having that sort of staff absence, then you can't carry on providing all services.
It also means that it isn't an option for that health board or for others who are facing up to similar challenges to continue opening extra provision with the staff that they have, and so, there are very real challenges. And, again, if you were talking to local government leaders, they'd also be describing the sort of pressures they have with staff absences too, and we know that police and crime commissioners and chief constables are facing similar pressures too. So, that's why we've introduced the framework of action.
It isn't just about individual health boards making a choice for themselves and ignoring other services, because we know that mutual aid is already taking place. Cardiff and Vale health board, for example, are already assisting Cwm Taf Morgannwg health board to manage some of their pressures. We know that cancer services often take place on a regional footprint. There are a range of other specialist services that take place across health board boundaries, and the message that I've been giving and health boards have been reflecting back is that, within the choices they are making to manage local pressures, they are already sighted on the challenges for regional services. Regional services have yet to be affected by any of those choices, but health board chief execs talk regularly about this. There was a conversation yesterday at the NHS board, chaired by the NHS Wales chief executive. There are regular means for people to have those conversations across the services.
I should say, for people to understand the concern about cancer services, cancer services are being maintained where it is safe to do so. It's that point about the safety of the service. So, cancer services are not being downgraded. We are having to manage against the real pressures that we face, and it is entirely possible that, in the near future, I may need to make a national decision about how services are managed. We do know, though, that the position in Hywel Dda is rising, the position is different in Powys, because they commission their secondary care, and we know that the position is slightly different in north Wales too. So, if I were to make a national choice at this point, that might affect people in north Wales, in particular, who might be able to manage some of those services for an extended period of time. But I'm afraid that if coronavirus rates continue to rise in the manner they do, then we will see a time when we may need to go back to where we were on 13 March with a national choice on services. We're not there at this point in time, but I take on board the Member's constructive points. We should not lose sight of the fact that local choices have to be considered within a wider context.