Thank you very much, Dirprwy Lywydd. Thank you to my fellow members of the committee, and thank you to the researchers and the clerking team. This is a very important report. We're getting to the heart of issues that are holding our health service back at the moment.

We're talking about patient flow through the health service. If there isn't that easy flow through the system, you have a problem. We'll start at the back door of the hospital, when a patient is ready to leave the general hospital after receiving treatment. I've sat in huddles in Ysbyty Gwynedd twice—the morning meetings where staff come together to assess where they are at the beginning of another busy day—one of the statistics discussed is how many patients are ready to leave on a medical basis, medically fit for discharge. It's striking to find that 80 or more beds in the hospital are being used by patients who don't need to be there. The same is true in general hospitals across Wales. That means a problem at the front door: cancelling treatments because there aren't beds available, perhaps, and longer waiting lists then; it means that patients arriving through the emergency department can't move from the emergency department to the ward if needed, because the ward is full. The emergency department is full, which means that an ambulance can't unload a patient; they're queuing outside the hospital; they can't respond to calls. It's a vicious cycle, isn't it, and through our work as a committee, of course, we tried to understand why this block is happening at the back door, this delay in discharging patients—why that is happening.

Now, the focus in recent years has turned to care services. There are robust recommendations in this report to this end: how to ensure that the NHS and social services departments in local authorities work better together to integrate health and care; how to ensure that integration funding is spent effectively; and how to support care staff, to pay them properly, and to support them so that we can recruit. I won't go into the details of that; they are comprehensive recommendations in the report. The Welsh Government, as we've heard from the Chair, agrees to the vast majority of the recommendations. It's a matter for us to hold the Government to account and to scrutinise progress.

There are five of the recommendations that are only being accepted in principle, and I want to turn to one of those, namely recommendation 8:

'The Welsh Government should set out how it will work with health boards and other partners to increase the availability of more appropriate step-up/step-down facilities across Wales'.

The lack of that step-down provision is a huge problem. The capacity isn't there. It has become increasingly clear to me that we can't depend on the care sector to provide that capacity and that, indeed, it's not fair for us to ask them to provide that capacity. And I'm afraid that what we're seeing here is the result of decades of poor policy. I've seen figures that suggest we had around 20,000 hospital beds in Wales at the end of the 1980s. There are very specific statistics by 1997, where there were just under 16,000. Just over 10,000 beds, that's how many we have now. What we've seen is a purposeful deliberate programme of closing community hospitals, closing beds, decreasing capacity. And now, are we genuinely meant to be surprised that there is a capacity problem, that there's a poor flow of patients through the system? The Government is turning to the care services, and says that that sector needs to be accepting patients more quickly. I'm afraid, as I've said, that we are asking them to do something that is impossible to do. Does that take away from the recommendations of the committee? No, it doesn't, not at all. We need to strengthen the care sector, we do need to fund it properly and we need to support care workers.

But by closing all of those beds, Labour and Conservative Governments, here and in Westminster, were helping to create the problem that we have today. People are living longer. More people need treatment. And no matter how much we would wish, entirely correctly by the way, for people to receive care at home, to go home as soon as possible after receiving treatment and so on, it's common sense that there are still more people who will need just that little bit of additional care after having hospital treatment—exactly the kind of treatment that can be provided in a community hospitals. So, I'd like to hear from the Minister a commitment to a new programme of creating that capacity. She'll say that there's no funding available, I'm sure, but we're talking here about beds that are so much cheaper than beds in general hospitals. We're talking about taking the pressure away from that expensive end of the NHS. Let's create a programme that will generate that capacity, rather than just asking for care services to do what I think is impossible.