2. Questions to the Minister for Health and Social Services – in the Senedd on 7 July 2021.
1. Will the Minister make a statement on the Welsh Government's plans to reform social care? OQ56719
The Welsh Government published a summary of the consultation responses to our White Paper, 'Rebalancing care and support', on 29 June. The White Paper set out proposals to reform social care and to improve well-being. Our programme for government includes commitments to take forward these proposals, in partnership with the sector.
Thank you for that update, and thank you for the White Paper. May I encourage you, please, not to wait for the UK Government to do something? They've made pledges in the past, but have delivered nothing. Wales was in the vanguard with the national health service—Tredegar, Wales, and you in the Labour Party, to be fair. If Nye Bevan had waited for the Tories, then we wouldn't have had a health service. So, please take action now.
Minister, I'd like to ask a pressing issue with regard to the social care system, which can be resolved now, and this is a personal issue to me. In response to my colleague Gareth Davies last week, you said there hadn't been a blanket ban on care home visits. Technically, that might have been true, but the reality was very different and I can say that from a personal point of view, because my father, who was a Member here for two terms, is a resident of a care home nearby here in Cardiff Bay. He has advanced dementia. I'll never forget that Tuesday before the Scottish game, going there and being told by a tearful receptionist that the care home had been closed half an hour earlier, and it was closed then until August. Of course, it was then closed again for the second wave, and it's been closed again now for the last two months because of positive COVID tests by residents and care home workers, despite them all having two jabs, despite not showing any symptoms and despite not being hospitalised.
Deputy Minister, I appreciate it's very difficult; I appreciate the need to protect residents like my father, but we want to see our loved ones. I know the concerns about the delta variant, I know the concerns about the third wave, but, please, could you look again at the Public Health Wales guidance towards visiting care homes, so people like me and many others can visit their loved ones? Diolch yn fawr.
Diolch. And I thank Rhys ab Owen for that very heartfelt question. To start with his opening comments about not waiting for the UK Government, we would prefer a solution for England and Wales, but I absolutely agree we can't wait forever. We'd like a joint solution because of the interface with the benefits system and the taxation system. So, that's why we'd like that. But we have been waiting a long time, and I absolutely acknowledge that.
In terms of the care home visits, those have been some of the most difficult decisions that have been made, and it is a really difficult situation. I absolutely understand how hard it must have been in terms of visiting his father, who I knew well, and worked with when he was a Member here. What we have tried to do is we have tried to balance the safety of the residents with their need to see their family, and of course with the family's need to see the residents. Throughout the whole of the pandemic, at every stage, our guidance has not had a blanket refusal for any visits—there has always been the scope for visits when the situation is very difficult or desperate. So, there always has been that option.
At the moment, the guidance is clear that two visitors can go in to visit a care home resident. There is no approved list of people who can go in now; it has opened up more than that. But obviously, individual care homes are interpreting the guidance as they think is safest for their residents. I think the important thing really is to look at how this is being interpreted in individual care homes. But certainly, we do want families to be able to see their loved ones, and we want loved ones to see their families, because obviously, that is the essence of family life. I know how awful it has been for so many residents and their families.
Thank you, Deputy Minister, for your comments so far. May I add my support to the learned Member for South Wales Central in regard to care home visits as well? It's certainly a frustrating experience for many individuals at the moment. Minister, during the pandemic, we have seen the importance and the incredible work of many care workers, who have gone above and beyond to provide an exceptional service of support to some of the most vulnerable, particularly those on the front line in care homes, and carrying out domiciliary care support as well. I think the pandemic has highlighted the value and importance of our social care workers, but also the opportunities to enhance careers in the sector, by upskilling these workers, who could perhaps in turn relieve some of the pressures that are on our health service. As part of your review and reform of plans for the social care sector, I'd ask what views you have in regard to the remit of those front-line social care workers. What support would you provide to see them upskilled and to see this important workforce enhanced? Diolch yn fawr iawn.
Diolch. I think the pandemic has really highlighted the importance of social care workers, and I think many of the public were not aware of the value of the work that they do. So, I think we have to use this opportunity to make sure that we do use every opportunity to upskill them, as the Member said, and also to ensure that they get a better reward for what they're doing. That is why, of course, we are bringing in the real living wage for social care workers. We have set up the social care fair work forum, which is a group made up of trade unions, employers, and other relevant organisations. That group will be looking at all these issues related to social care workers. Because as well as wanting to raise the amount of money they earn, we want to see the job of a social care worker valued and seen as the really important work that it is. That group will be looking at all these issues, and certainly, training on the job and other types of training is one very important part of that. I think this is the opportunity to try to see that social care workers—their professional standing improves, and there is a much greater awareness of the job that they do.