Part of the debate – in the Senedd at 3:51 pm on 21 September 2021.
Diolch yn fawr, Peredur, and thanks very much, and I think you’re absolutely right to draw attention to the fact that there have been a lot of missed appointments during the pandemic, and that could be storing up issues for the future. One of the things that we’d like to do is, by moving this care from secondary into primary—it means that people can get that support closer to home, which I know is something that you’re interested in, and I think that’s absolutely right.
I think when it comes to things like cataracts, I think, actually, a case can be made for people travelling a bit further to get specialist support—I think that there will be a few changes that we’re going to have to make if we are serious about making inroads into those very, very long waiting lists. I know that’s something that they do in Cuba very effectively. I’m not saying that we’re going to model everything on the Cuban health system, but I thought it was very interesting that it is possible to do very high volume with very specialist people away, often necessarily, from hospital centres. So, I think it’s certainly a model that’s worth investigating further.
You’re absolutely right to draw attention also to the fact that the situation is likely to become more difficult in future, partly because we’ve got an ageing population. So, certainly, the figures that I’ve seen in terms of demand for services in the next 20 years—we’re likely to see: an increase of 16 per cent in terms of the number of people having issues with glaucoma; a 47 per cent increase in terms of age-related macular degeneration; 50 per cent with issues with cataracts; and an 80 per cent increase in demand in terms of diabetic retinopathy. So, we have to make these changes because we simply will not be able to keep up with that demand unless we do something differently, and this is all part of—. What we’re trying to do is to transform services. We can’t go back to the way we’ve always done it because we simply won’t be able to keep up with the demand. So, I’m very pleased to see that.
In terms of postcode lottery, what we’re trying to do by bringing this support into people’s communities so that they can have it in their local opticians, and they are then referred—. I met a man in Swansea recently, when I visited the hospital there, who had been referred directly by his optician into the health board itself. So, there are ways of doing this that would make life easier for those people living in communities so we do take away that postcode lottery that is sometimes the case at the moment.
In terms of the qualification and apprenticeship, I think the apprenticeship levy is something that is determined by the number of people who are engaged, so that’s perhaps more difficult for us to organise, and is something that’s organised by the UK Government, so we just need to bear that in mind. But, certainly, I think there is scope for us to see what more we can do, going through that apprenticeship route. So, I’ll see if we can look if there’s any scope for us to do more in that area.
And I’m afraid that your third point I didn’t quite get, so I’ll come back to that at another point. If you’re happy to write to me, I’d be grateful.