Part of the debate – in the Senedd at 3:45 pm on 17 January 2023.
Thanks very much. First of all, on the issue of agency workers, I think it's really important we put this into a context. So, 65 per cent of what we spend in the NHS is spent directly on staffing, and, of that, about 6 per cent is spent on agency workers. That's too much, and we need to bring it down. But what was clear to me—. I spent a bit of time in Withybush hospital on the weekend. Friday night, I was in Withybush with nurses, looking at what they're doing, and it was really interesting, because 50 per cent of the nurses on duty there—50 per cent—were agency nurses. So, we can take that away, but you'd have to shut the hospital; let's be absolutely clear. The interesting thing for me was that actually most of those agency workers had come from outside of Wales. So we're not talking generally about people who are NHS workers in Wales who go to an expensive agency; these were people who were coming in. I think it's really important that people understand that this is not something that is easy, because I'm not in the business of shutting hospitals, and if we try and go too quickly on this, that's going to be the consequence. I can't be doing that.
This is a time when we've got 7 per cent of NHS workers off sick, so we have to backfill that. These are not things that you can plan in advance. We didn't know we were going to have flu and COVID and everything else. We can plan to an extent, but actually there's just not enough people who are on bank to fill those spaces. [Interruption.] We have got an agency; it's called the bank. That's what it's called. You need to go and look at how the actual system works. We have banks. So we do use people from banks, but there's not enough of them. And don't talk to me about hiding from our responsibilities. We know that we have choices, and we have made choices.
I'm going to ask you to write these figures down, because it's really important that you understand how difficult it is to get to the amounts of money that you would want to put on the table to get to a consolidated—. Don't forget, this is not a one-off payment. This is not money that you can find this year—. But if you want to increase the pay of NHS workers by 1 per cent, you have to find £55 million, okay? So, in Wales, the number of people who pay the additional rate is 9,000. It's 9,000 people. If you put that up by 1p, you'd make £3 million. That's how much you'd get. So, you're miles away from the £55 million that you would need to get to a 1 per cent increase. So, you look then at the people who earn between £50,000—[Interruption.] Stop moaning; listen to me. If you look at the people who earn between £50,000 and £150,000, and you put their income tax up by 1p, you'd get to £33 million. Again, miles away from the £55 million for 1 per cent. So the only place you've got to go to get anywhere near—anywhere near—the 1 per cent, let alone the 17 per cent that the RCN are asking for, is the basic rate taxpayers. If you raised it by 1p, you'd get to £237 million, so that would be an increase of about 4.5 per cent. Asking the poorest members in Wales, who are up against it at the moment—. That's your approach; that's what you want to do. And, yes, we are making some political decisions, because we think people are struggling with the cost of living crisis at the moment. So, I think it's really important that people understand quite how difficult this is, because we have made a political decision, and we are not going to raise income tax for the poorest people in Wales at the moment.
It's really important also that people understand—. I'm not going to give a running commentary on the discussions, but you will understand that what we get in Wales in terms of increases in health is directly proportionate to what happens in England. What was really interesting is that, in 2008, we'd got to a point where we had met the EU average of the 14—. So, we compared ourselves to the 14 richest parts of the EU, and we'd met the EU average. But, between 2010 and 2019, in Britain, we saw an increase of 15 per cent. In the EU, it rose by 21 per cent. In Germany, it was by 39 per cent. The UK spent £40 billion less on healthcare than the European average. That meant that money didn't come to us, which means we couldn't put up the payments. And the answer is that, actually, austerity is a deliberate policy of the Tory Government over 10 years, and that is why nurses are so frustrated. And we understand that. We understand that. Because it's not today; it's an accumulation of 10 years of austerity, and that is your responsibility.