3. Statement by the Minister for Health and Social Services: Launch of the new Health and Social Care Regional Integration Fund

Part of the debate – in the Senedd at 3:30 pm on 1 February 2022.

Alert me about debates like this

Photo of Alun Davies Alun Davies Labour 3:30, 1 February 2022

I'm grateful to you, Deputy Presiding Officer. Minister, I'm worried, and I hope you can reassure me. You're allocating £144 million a year for the next five years. That's over £700 million, and we don't know what we're going to get for it. That worries me. It worries me, because your starting point is that you're replacing previous funds, and I don't know what was delivered by those previous funds. The last plan available to us in Gwent was published for 2018-19. It didn't contain a single target, a single objective, or a single timescale.

Now, if we're to hold the Government to account for delivering on these matters, we need to know those things in advance, and we need to understand what the Government is seeking to achieve. We can all see the problem. It's the easiest thing in the world to describe the problem, and Members have this afternoon: you can see the ambulances outside the hospitals; you can see the people suffering; you can see the people who need the help and support. We can all describe the problems, but is the solution to all of those problems more committees and throwing money at those committees? I'm yet to be convinced, and I'm yet to be convinced because we've tried it before and it hasn't worked. And we've tried it before, and we've set these outcomes frameworks before, but what we've done is not set clear targets about what we want to achieve, but count what happened. And when you count what happened, you simply say, 'Well, we've done all of these different things.' And individual examples, local examples, are all very good, and it's not a criticism of any of those people who are working hard to seek to achieve different things locally—that's all admirable, to be supported—but it's not a policy, and it's not an ambition, and it's not a framework for policy, and it's not a framework for ambition.

So, my concern is that we have a broken system, but is yet another committee the way of repairing it? Twenty years of doing this has told us it isn't. And I'm concerned that we've got £700 million going into a system that desperately needs support, and before Mike Hedges corrects me, I mean the whole system not just the health part of it. It all needs support, but it needs support on the front line. What it doesn't need is another hierarchy that won't deliver on the front line.