6. Statement by the Deputy Minister for Health and Social Services: The Rebalancing Care and Support White Paper

Part of the debate – in the Senedd at 5:45 pm on 9 February 2021.

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Photo of Jenny Rathbone Jenny Rathbone Labour 5:45, 9 February 2021

Thank you very much, Deputy Minister, for your commitment to decisions about local services being made with local people, because I think that has to be our starting point. Unless we have democratic accountability and proper engagement with the people who need the framework, the services that we need to provide them, then we really are not looking at the jigsaw that I like to refer to, which is the well-being goals infographic. We really do need to be addressing all the well-being goals when we're thinking of older people, not just younger people. I really do think that we have a challenge to address the preventative agenda to ensure that older people are living well longer. So, I very much welcome your aspiration to ensure that people are able to live for as long as possible in their own homes. I'm just wondering, if we really do have locally run services, whether regional partnership boards are able to really manage those and are really focused on local communities.

I was very interested in the pilots that we did into the neighbourhood nursing teams. Now we have the report, and we also have a commitment to roll out those neighbourhood nursing teams across the whole of Wales. I would be distressed to hear that we aren't going to have a joined-up health and social care set of teams who are going to be locally managed rather than always having to refer back to some bureaucratic organisation. I don't see how else they're going to be sensitive and responsive to the needs of local communities. I think it's right to base them in local government, but I do think that is a work in progress; it's not a given that just because they're local government services they are really focusing on the individual needs of very local communities. One of the most important things about the neighbourhood nursing teams was the use of artificial intelligence to do some of the tasks that otherwise take huge amounts of management time, i.e. matching up the constantly changing needs of local communities with the skills of the multidisciplinary team. So, I wondered how a decent and much more modern information technology system will enable these self-managed teams to be able to have the most responsive services that citizens want. There's no time to go into more detail now. I very much look forward to responding to the White Paper.