Part of the debate – in the Senedd at 3:03 pm on 8 February 2022.
Diolch yn fawr, Russell. I think it is worth pointing out that access in Wales is quicker. What you will know is that they have gone a slightly different direction in England, unlike the way we've gone in Wales, Scotland and Northern Ireland. What that has meant is that, actually, whereas in Wales people are being seen quicker, there is a much longer wait for those clinics, those COVID clinics. Let's remember, I think there is about 90 of them, which is not that many, if you think about the size and the scale of England. So, I think what would matter to the patients is how quickly they're seen and making sure that they're having an assessment that then directs them to the right support. That's the system that we've set up in Wales, and there seem to be many people who are satisfied with that system.
I'm obviously reluctant to comment on any individual cases, but what I will say is that at the beginning of COVID, of course, we were all learning, we didn't know much at all about long COVID, and we're still learning about long COVID, but, obviously, the service that was available then is very, very different from the service that is available now, and that £5 million that only went into the system in July is already reaping the benefits. So, clearly, there are people who may have felt very frustrated because they were before this programme started, but, obviously, that is available to them as well.
I am very happy to publish the report, which of course is an independent assessment of what we have put forward.FootnoteLink I think we have to be really careful, because, obviously, we all hear anecdotal reports, but, actually, what's more important for me is listening to data that is broader, but, having said that, I think it is worth listening to direct experience from people. That's what I was able to do last week in Swansea, where I must say that the response from the people who were in receipt of the service was extremely positive.
The multiprofessional, multidisciplinary approach is one that we think is working very well here in Wales, and only around 3.5 per cent of the people who come into the system are referred on to secondary care. So, that's the danger with a kind of clinic approach, that you're actually getting people to go and see specialists who don't necessarily need to see that kind of specialist, and the question is what kind of specialist do they need to see. Because the symptoms for COVID are very, very different in every individual; some have problems with fatigue and they've lost their sense of smell, they have definitely breathing, difficulty concentrating, but some have much more complex issues around heart issues or lung issues that obviously need far more specialist services.
In terms of health and care staff, obviously, there's a very clear concentration on that because of the sense of responsibility particularly towards those who've maybe contracted COVID during their employment. I'm pleased to say that the unions and the NHS are working together to make sure.
And just in terms of defining symptoms, it is difficult, because the symptoms are very, very different for lots of people. We're still learning, but what we did do very early in the programme was to give training to GPs to make sure that they were aware in terms of what to look out for and then where they could refer on to.