North Denbighshire Community Hospital

1. Questions to the First Minister – in the Senedd on 17 January 2023.

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Photo of Darren Millar Darren Millar Conservative

(Translated)

3. Will the First Minister make a statement on the delivery of the north Denbighshire community hospital? OQ58958

Photo of Mark Drakeford Mark Drakeford Labour 2:04, 17 January 2023

I thank the Member for that question, Llywydd. Successive Welsh Governments have supported the local health board's ambition to take forward plans for a north Denbighshire community hospital. Escalating costs and falling capital budgets mean that the plan has to be considered in the context of health and social care investments across the whole of north Wales. 

Photo of Darren Millar Darren Millar Conservative

Thank you for that response, First Minister. I want to be the first to acknowledge the fact that the Welsh Government has indeed supported this project historically, and I would like to see this project delivered.

I met just last week with the leader of Denbighshire County Council and, as you will know, one of their key priorities is the delivery of this project, not just because of the impact that it will have on nearby Glan Clwyd hospital, and the communities that it will serve between Abergele and Prestatyn, but also because of the enormous regeneration impact that this project can have in the town of Rhyl, which, again, has been a focus of the Welsh Government in the past. I appreciate that money is tight. I acknowledge fully that the costs of the project have risen. But, given the importance of this project, given the pressure that's currently out there that the NHS is facing, particularly in north Wales and at Glan Clwyd, can I implore the Welsh Government and for you personally to intervene, to take another look at this project, because I think it is important, for the people of north Denbighshire and beyond, that it is delivered? 

Photo of Mark Drakeford Mark Drakeford Labour 2:06, 17 January 2023

Well, Llywydd, I thank Darren Millar for the way in which he put that question and for his recognition of the context within which decisions about the scheme have to be taken. I'm keen to assure him that the Welsh Government continues to be directly engaged in all of this. The health Minister herself met with the health board and the local authority in the run-up to Christmas. That meeting agreed that two pieces of work needed to be carried out. The health board does need to undertake a prioritisation exercise. There are schemes right across the whole of north Wales, and just as the Member has this afternoon, absolutely in line with his responsibilities, spoken up for his community and his constituency, so we receive similar letters and representations on the part of many other schemes across the whole of north Wales. So, the board must decide where its own priorities lie. And secondly, in that meeting, it was also agreed that the whole scheme should be put in front of the regional partnership board, for them to discuss it as well. 

Now, the Minister's senior officials wrote yesterday to the health board again, and to the local authority, asking them for an update on those two pieces of work. Because, for the Minister to be able to consider the business case again, that can only happen when we have those two very important pieces of contextual information. But I want to provide an assurance to Darren Millar, Llywydd, that the Minister has been directly involved, remains directly involved, and, as soon as we have those replies, she will be able to consider the whole position once again.

Photo of Carolyn Thomas Carolyn Thomas Labour 2:08, 17 January 2023

I've also been meeting with the leader of Denbighshire and officers and I was shocked now at the cost—due to inflationary pressures, it could be an £82 million capital build. I understand that capital funding has been cut by 11 per cent over the next few years, and that the borrowing limit for Wales has been restricted as well by the UK Government. We do need to do something, as Darren Millar has said, and I know the leader of Denbighshire is also really concerned. I understand it's a complex issue. So, First Minister, do you agree with me that it is also a social care issue, as well as an NHS issue, and that we should look at the borrowing cap from UK Government being lifted, so that we can do more work like this, as it's really needed in Wales for capital projects such as this one? Thank you. 

Photo of Mark Drakeford Mark Drakeford Labour

Well, Llywydd, the Member makes some important points, and it is exactly because of those points, that this is a community hospital where social care will be a very important part of the context within which it works, that the regional partnership board has been asked to consider the project. So, I agree with the point she made there. 

On the borrowing limit points, I would have hoped that this would be something where we might have common cause across the Chamber here. In 2016, we reached an agreement with the UK Government as to how we would take on our fiscal responsibilities. It set out the borrowing limit of the Welsh Government, the operation of the Welsh reserve. Those figures have never been updated. Our budget is 40 per cent larger in cash terms than it was in 2016, but we're managing it with the same limits that were right for 2016. If they were simply uprated in line with inflation, if their real value didn’t change, but their real value was sustained, then that would give us some additional flexibility around borrowing limits and how we manage the Welsh Government’s money in a sensible way. I think that’s all we’re suggesting. It’s what the Institute for Fiscal Studies suggested in their report on the operation of the fiscal framework. I’m quite sure that, in the very long list of things that UK Government has to think about, this is probably not near the top of it, but it’s just a sensible thing that they could do that would make a difference in sensible use of public money.