Part of the debate – in the Senedd at 6:32 pm on 25 January 2023.
The Welsh NHS is facing pressures that 'cannot be coped with' and that's not me saying that; that's the Welsh NHS Confederation. And I'll be honest, it's no different in England, so, actually, we can't take any lessons from the Conservatives across there. We must work together here to acknowledge that, actually, we, as a small country of only 3 million people, can actually do something differently. We can actually resolve this together.
I found myself listening to this and actually reflecting on debate in the Senedd, and I feel that this is an adult, grown-up debate, and that's what our debates are. For those of us who've been in the other Chamber, as it were, that never happened. We never had the chance to put points across that were intervened with, where we could ask questions. And so, I do know that the health Minister probably again is feeling under siege, but this is an important issue, which we do need to debate, because we do need to hear ideas and also to be able to reflect the experiences of our constituents and places and people who we've spoken to. So, in that nature, I hope that the three points that I make this evening would be taken in that vein.
Firstly, the crisis in our social care sector here in Wales, which we've heard from Rhun ap Iorwerth about, we need to do more around that. National leaders in the NHS have directly stated that the pressures in our social care sector are driving up the demand for urgent care. It's happening at both ends. The preventative work that we want our social carers to do isn't happening, and the supportive work, and that means that people are going into crisis, and then, when they're coming out, there is just not enough for them there. So, I do hope that we'll be able to look at that issue—and I know I've raised this with the health Minister before.
We would like to see, in the Welsh Liberal Democrats, the implementation of the recommendations of the Holtham commission and work with professionals to introduce those reforms towards the creation of a single, national care service for Wales. Unless we move and work together in a more unified way, then it's going to be impossible to grapple with many of those issues.
The second issue for me—and again Rhun ap Iorwerth did mention this—is looking at the backlog of elective surgery. I've also met with the Royal College of Surgeons and heard about their proposals for surgical hubs, and I know that that's been mentioned by Russell George as well and also by the health Minister. I want to see this happening across Wales. It's happening in pockets, as I understand. The health Minister mentioned Abergele hospital, and there are other examples. But we need to see this being fairly and consistently applied across Wales, so that we can remove and reduce that pressure on our emergency care in our general hospitals.
And my final very brief point is this, and it is a question, which is why we have these debates and these discussions. I note that the Government amendment commits to a workforce plan to be delivered by the end of January. I've worked out that there are only six or seven days left until the end of January, so my question, a really positive question, I hope, is: could you tell us when the workforce will be delivered, because that's so important and touches on some of the areas that have been highlighted?
I just guess I come back to this issue of 'let's all work together'. Rhianon Passmore, you said a valid point, which is that these are needed conversations, and I guess that's how I see these debates and discussions in the Siambr. They are about us working together, listening to each other, not thinking that we've got the solutions because, actually, people come from places where those things are not happening. This is a real difficult issue and we need to work together to make sure that we do the best for the people we represent. Diolch yn fawr iawn.