6. Debate on the Health and Social Care Committee Report: Hospital discharge and its impact on patient flow through hospitals

Part of the debate – in the Senedd at 4:18 pm on 12 October 2022.

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Photo of Joyce Watson Joyce Watson Labour 4:18, 12 October 2022

I thank the Chair for chairing the committee in a collegiate manner and for the report that has come out of that. We can't, of course, look at every aspect in this short time of what is creating the problems, but one of the problems in discharging patients at the appropriate time, quite clearly, is staffing. It isn't of any value at all, whatsoever—quite the opposite, really—for patients to be staying in a hospital unnecessarily. So, it isn't conducive to the patient's physical or mental well-being, and neither is it fair on the hospital staff who, despite their very best efforts, won't be able to give the necessary attention that is required in an overly busy ward to somebody, for example, who might be suffering from a condition like dementia. The report does highlight staffing in the social care sector. It's been mentioned already. It does need urgent addressing. And I do know and understand that the Welsh Government is in that space and that they are trying to come to terms with what they're able to do, like the living wage, like extra training, but nonetheless, we cannot move away from the fact that there is a huge shortage of staff within social care, but also within hospitals as well.

And I did mention, just last week, that we need to address why it is that people—and it's mostly women—are moving out of the profession at a certain age, and it's around the age of 40. What is underneath that? Why are they leaving and leaving us with these shortages? Is it because they themselves have become carers, or is it because they've been in a system for 20 years and they completely want out? We don't know the answers, and the Minister said she would seek that, because that will help us, if we know the answers to those questions, in looking at and forward thinking about managing that turnover of staff, and also what we will need to do in terms of the numbers being trained to fill that gap, if we know that that's the age where most people might consider leaving, or alternatively offering them different contracts, more flexible working, part-time working. We talk often here about agency staff, but very often, if you ask somebody why they've gone to an agency, they will tell you it's a lifestyle choice because they can work the hours they want to work, in the places they want to work. So, we need to examine that, because all of this actually plays a part in what we're talking about here. If you haven't got the staff, wherever those staff are missing from, you cannot and will never solve the problems.

I do want to briefly talk about unpaid carers and the need for respite. We know, and there was evidence again about this, that lots of the facilities they relied on are no longer available to them, either, again, due to staffing shortages, lack of funding from the austerity that we've all endured, or whether other facilities are available but not immediately accessible to them. We've heard an awful lot about step-down community beds, and whilst I support the need for those, ultimately people want to go home. If people don't go home, they deteriorate really quickly, and whether they're in a hospital bed or a community bed, that person is still in a bed. They become very confused very quickly. They become dependent very quickly, even though they go in from an independent state of living. So, it is essential that people go home.

I'm watching the clock; I know I'm going to be out of time. But I do think that it is a massive, massive challenge, and I know that this won't be the only report of its kind. What I do hope is that the next one will show some of the progress that we all want to see.