8. Finance Committee Debate: The Welsh Government's spending priorities for 2023-24

Part of the debate – in the Senedd at 4:36 pm on 13 July 2022.

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Photo of Mike Hedges Mike Hedges Labour 4:36, 13 July 2022

Thank you, acting Presiding Officer. The priorities in every budget are the same: to improve health, support local government, improve the environment and reduce carbon emissions, improve educational attainment, improve the economy and improve the quality of life for people in Wales and reduce or preferably end poverty. Well, we have all these debates as we all have different ways as to how we want to achieve it. 

Within health, I'm calling for the prioritisation of health improvement and primary care. Primary care is the point of contact for all non-A&E entry into the health service, and a better resourced and funded primary care sector would reduce the need for hospital care. As we've seen, year on year, when the health boards get the money, primary care and GP practices get a smaller and smaller proportion of the cake. We know that the following improves health: wash your hands often, and we saw during COVID that this led to a huge reduction in gastric problems; sleep for seven to nine hours every night; maintain good posture; eat a healthy, balanced diet; drink plenty of fluids; be more active; minimise stress levels; and reduce pollution. 

The health effects of obesity, which is probably the biggest problem that we're facing at the moment and one that we look away from when we should be looking at it, are: high blood pressure, additional fat tissue in the body that needs oxygen and nutrients in order to live; diabetes—obesity is a major cause of type 2 diabetes, which is a major cost to the health service and we could be doing something to try to reduce that expenditure, and it's not about not treating people with type 2 diabetes, it's getting fewer people to have type 2 diabetes; heart disease—hardening of the arteries is present 10 times more often in obese people, and whereas we've seen a continued reduction in smoking, unfortunately, obesity is going in the opposite direction. Obesity is now the second biggest cause of cancer and, I would guess, when we get the next list out of major causes of cancer, it'll take over as No. 1. I think we really have got to treat obesity as the most important thing that we are facing. 

The Welsh Government needs to promote a healthy lifestyle and thus reduce the number of people will health conditions. Is it any surprise that people with a poor diet living in cold, damp conditions are more prone to ill health? The Attlee Government, which I often speak highly of, from 1945 to 1951, realised the link between housing and health, but unfortunately this has not been followed by any subsequent Government. We need to build high-quality council houses across Wales to improve people's lives and health. Is it any surprise that people living in cold, damp conditions that are very expensive to heat are themselves more and more likely to suffer ill health and become a cost to the health service, whereas if they lived in a decent place of accommodation and they were well fed and well looked after, they wouldn't?

Improving the environment and providing green spaces and better air quality improves health and also improves the life of those who are living in the area. We need to take action now. Can I give a non-budget suggestion? It is that local development plans designate all land in a council area, including areas of tree planting, agriculture and land to promote biodiversity—that it actually designates every inch on the map, rather than saying, 'This is for housing, this is for developing businesses', saying, 'This is here. We think you can grow trees here, we think you can have agriculture here, we think that this has to be protected', not because it's in a green wedge, not because it's an area of outstanding natural beauty or any other reasons we have, a site of special scientific interest, or any of the other reasons we have, but because we think this is important for the environment, without having to go through any stages of designating anything else. 

Successful areas, including the UK, have high-quality universities, a steady supply of new graduates, a critical mass of technology companies and research and development taking place, with large numbers of start-up companies. Can the Welsh Government's economic policy target things like life sciences, ICT and financial services? As I regularly say, we need more Admiral insurance and fewer LGs. As I've said previously, and as Plaid Cymru—in fact, yourself, acting Presiding Officer—raised yesterday, too many Welsh graduates do not stay in Wales due to a lack of opportunity, not a lack of will to stay in Wales, but a lack of opportunities to find employment here. Creating a highly educated workforce is the best economic driver we have.

Things that can be done include: use universities as drivers of growth; development of science parks; universities' schools of entrepreneurship open to everyone; build a food processing industry as Arla have achieved in Denmark; get the added value from food processing, not just the value of the agricultural products; understand the importance of services provided by local government. Local government services are important to people, from parks to social services to road maintenance to education. These services are essential to the well-being of local people. 

There are areas that we can cut back on, and I would say that we need to look at some of the money we spend on economic development that achieves neither of those words.