7. Statement by the Deputy Minister for Social Services: Rebalancing Care and Support White Paper — Next steps

Part of the debate – in the Senedd at 5:49 pm on 6 July 2021.

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Photo of Gareth Davies Gareth Davies Conservative 5:49, 6 July 2021

Thank you to the Deputy Minister for your statement this evening. Rebalancing care and support is something that all of us in this Chamber can get behind. We started the journey with the Social Services and Well-being (Wales) Act 2014, and the commitment to integrate health and care. It's high time we accelerated the journey towards person-centred care and co-production of health and care.

Whilst there is much in the Welsh Government's White Paper to support, I do have concerns as to whether your proposals for legislation will deliver the aims we all share. I'm also disappointed that there is no substance to today's statement; there is no direction of travel. Deputy Minister, what message does this send to service users, indeed? And what message does it send to service providers? We have yet another Government statement stating things are going to change, but no detail on what or when changes are coming. When will the Welsh Government be able to bring forward the rebalancing care and support Bill? Are we talking a few months or a few years?

I note that there was nothing in the statement regarding the creation of the chief social care officer. This was announced in a written statement last month, yet that is a key plank of your proposals, along with the creation of a national office. Like many of the respondents to your White Paper, I believe that the national office should be independent of Government and so should the chief social care officer. Deputy Minister, do you agree that the post should be filled via a robust public appointments process and how will the Welsh Government appoint someone from within Welsh Government to be a strong voice for the sector and someone who can stand up for the service users and challenge Government?

Aside from the issue surrounding the lack of independence of the national office and the chief officer, the main issue with the White Paper is around the capacity of regional partnership boards. Deputy Minister, you see the regional partnership boards as being central to your proposals for strengthening care, do you feel that, as they currently stand, they have the capacity to deliver improvements to care and complete the integration of health and care?

An Audit Wales report in 2019 highlighted the issues with the integrated care fund and there were also concerns raised that the regional partnership boards were failing to share best practice. Have you addressed the concerns of the Auditor General for Wales and how can you stop regional boards operating in silos? Can you also outline how the regional partnership boards will work alongside the public services boards and how will you avoid duplication of the work?

Finally, what role do you see providers in the independent and private sectors playing in the development of services and how will they interact with the regional boards? I look forward to working with you to deliver co-produced care that focuses upon outcomes and I hope they will soon complete the journey that started nearly a decade ago. Thank you very much.