6. Debate on the Health and Social Care Committee Report — 'Waiting well? The impact of the waiting times backlog on people in Wales'

Part of the debate – in the Senedd at 4:03 pm on 29 June 2022.

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Photo of Jane Dodds Jane Dodds Liberal Democrat 4:03, 29 June 2022

Can I start by thanking, firstly, the committee, Russell George in his chairing, and participants for their work in bringing this report forward? It's a really important report. Thank you so much. And can I welcome the Government's planned care programme and response to the report as well, published earlier this year?

Firstly, I want to draw attention specifically to Powys Teaching Health Board, within the region I represent. I understand that Powys is actually the exception to growing waiting lists and has managed to decrease its waiting list backlog over the last two years by around 5,000 individuals awaiting treatment. But that does stand in contrast to other health boards, whose waiting lists are, on average, around 26 times longer than Powys's. So, I would like to commend Powys there.

In June 2022, we had a new record of over 700,000 people in Wales awaiting diagnosis or treatment, and, as you will know, Minister, this is around one in five people waiting for treatment. This doesn't include what we guesstimate to be around 550,000 potentially missing referrals, identified in a Wales audit report, that are likely to come forward in the coming months, which, of course, we welcome, and we want to encourage those people to come forward.

According to this report, the current waiting list is yet to peak, and will only return to pre-pandemic levels by 2029 if the Government's objectives are achieved. I am concerned that the five ambitions outlined in the programme do not reflect the real capacity pressures and limitations on capital funding of the NHS, but I want to emphasise that we know, from the committee report, that it isn't all about finances, and it isn't all about money. With the anticipated increase in the number of patients waiting for treatment, and an already exhausted workforce, and our NHS bursting at the seams, may I ask you what steps have already been taken and will be taken in the next five months for this objective to be achieved? 

Another issue I would like to raise, which I know has already been raised, is carers' mental health. As the committee report demonstrated, the long waiting times severely affect patients and carers' health conditions and financial security. I fully support the Government's financial resilience plan for carers, outlined in a response to the report, but I do worry that carers have not been given full consideration by the Government. Carers have to face the uncertainty about whether their loved ones will receive the urgently needed treatment soon enough. They're not being communicated the expected waiting time for the treatment, nor any assistance available to them, which leaves them feeling isolated and abandoned, which my colleague Heledd Fychan touched on as well. They're often forced to leave their employment or education, and become an almost professionalised workforce, administering medication, perhaps with no regular medical and health support. As Mind Cymru stresses, it is essential that the Government does not leave our carers without consistent access to clinical, emotional and well-being support throughout this period.

So, to summarise, I wonder if you could respond to the following. Beyond the additional financial support, how will you ensure sufficient support for carers to also 'wait well'? What steps are being taken to identify individuals who should be formally recognised as carers, so that they do receive the support that they are entitled to? The goal of no-one waiting longer than a year for an out-patient appointment by the end of 2022 is a tall order, and I wonder how the Government has progressed towards this target. And, finally, Minister, NHS Wales, as I understand it, has had to return to Welsh Government almost £13 million in March. What changes are being made in the type and scope of funding being made available to health boards to ensure that they have the right resources to deliver against the plan? Diolch yn fawr iawn.