Part of the debate – in the Senedd at 3:06 pm on 1 February 2022.
Thank you for your statement this afternoon, Minister; it's good to see you in person after several weeks of more Zoom meetings than you can count. Integrating care should be about the outcomes, so why are we integrating care if not to provide top-quality care to every citizen of Wales? Healthcare needs and social care needs are so intertwined, both on a patient level and an organisational level. Minister, how will this new fund and new models of delivering care ensure better, more timely care for patients? How will co-produced plans with regional partnership boards address the shortage in care provision?
One only has to look at the dropping-off points outside our accident and emergency departments across the country to see the impact the crisis in social care is having on our NHS. In health committee last week, as part of our inquiry into hospital discharge, we took evidence that highlighted and underlined the impact delays were having. The Royal College of Emergency Medicine pointed out that during the past year, excessive waits at A&E may have contributed to nearly 2,000 excess deaths; 1,946 Welsh patients died because they couldn't be treated in time. Minister, how soon will the people of Wales see improvement and an end to these totally preventable deaths?
I welcome the emphasis being placed upon prevention, but that will not help the tens of thousands of people waiting for treatment today. We currently have hundreds of patients who are medically fit for discharge but can't be released home or into a care facility, simply because they have no care package available. I was shocked to learn that for a number of patients the delays have been measured in years, not weeks. Minister, do you agree with me that it's a damning indictment of where we are when local authorities are putting out adverts calling for volunteers to provide homecare services?
Successive Governments have so undervalued the caring profession that it's little wonder we struggle to fill vacancies. Without carers, we can't provide care packages; without care packages, we can't discharge patients; and without discharge we can't admit new patients. So, Minister, do you believe that regional partnership boards will be able to eliminate delayed transfers of care, or DToCs? Will they be able to address the staffing crisis?
Forgive me if I do sound a bit sceptical, but regional partnership boards have hardly covered themselves in glory in recent times. The auditor general found issues with the integrated care fund and raised concerns that regional partnership boards were failing to share best practice. Do you believe that regional partnership boards have delivered value for money? Minister, what safeguards will be in place to ensure that this new fund fares better than previous funds? How will this expenditure be managed and monitored? I welcome the position on developing new models of care and providing care closer to home, so how will regional partnership boards bring care closer to home? Will they adopt a hospital-at-home approach as suggested by the Royal College of Physicians and supported by my party?
And finally, Minister, you state that the fund will support the identified priority population groups. What about others with complex needs? Would they not benefit from such a step change in care? Thank you very much.