Part of the debate – in the Senedd at 5:54 pm on 2 November 2021.
Minister, can I thank you for your statement this afternoon? Of course, as the world focuses on our climate emergency—and that's what it is—I think it's right that we discuss this in the context of health and social care. So, in that regard, I welcome the statement today.
At the beginning of your statement, Minister, you referred to NHS Wales as the largest public sector emitter, contributing up to about 40 per cent of public sector carbon emissions. I was looking at some recent research by Ipsos MORI, and what that research found was that, largely—and this is taken across the UK, not just in terms of the Welsh NHS—the net-zero ambition for the NHS is welcomed across the UK, but there's a lack of awareness from the public. So, once explained to them what the NHS's ambitions are, then it's got a great deal of public support and little opposition. What was particularly, I suppose, relevant to this research was that addressing climate change was low down on the public's priorities for the NHS. So, it's not in other areas, but it is in this particular area. So, I wonder, Minister, what you can do and what the Welsh Government can do to highlight and emphasise the sustainability agenda in the context of the Welsh NHS.
Minister, so often I see statements and discussions in this Chamber around these areas are very much focused on new buildings, and I'm very conscious of existing NHS stock and buildings as well. I can see there was a consultant in Ysbyty Gwynedd recently talking about temperatures reaching 30 degrees in some parts of the hospital. He referred to old single-glazed windows that lacked insulation that were installed in the 1980s. So, yes, the point he's making is those high temperatures and I suppose it's the cost, isn't it, of the air conditioning systems, and then in the colder winter months, it's the cost of that loss of energy out of inappropriate windows. I think of hospitals in my own constituency like Newtown. That building was built before the NHS was even created, so I wonder in that regard if you could perhaps just widen your thoughts in terms of responding to the need to update existing NHS buildings and stock in the context of what I've just said.
And then, the final issue I'd raise as well is in regard to the travelling for appointments. You talked in your statement about digital appointments or telephone appointments. All good, of course; that's very appropriate, especially for rural areas of Wales, but then you also go on to say, 'where appropriate', because sometimes people need to have that face-to-face appointment. But, of course, in the rural parts of Wales then people might have to take a three-hour round trip. Actually, if you're travelling from the middle of Wales, you might have to travel to Telford for an appointment; it can't be done face to face. But that appointment could be done locally if it's for a specialist treatment and, of course, you can't—you have to travel for specialist treatment—but so often, many of my constituents, for example, take a three-hour round trip, have to do it in a car because there isn't public transport available for an appointment that actually could be done locally because it's not a specialist type of treatment. So often in Government's thinking, rural-proofing comes later down the agenda. It's that, 'Come forward with a policy and then let's now see how we can rural-proof this', but I would suggest that rural-proofing needs to be right at the centre of Government thinking at the very outset. So, perhaps you could just give us your thoughts on that particular thought as well, Minister.