4. Statement by the Deputy Minister for Social Services: Update on the Health and Social Services Regional Integration Fund

Part of the debate – in the Senedd at 3:20 pm on 21 March 2023.

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Photo of Gareth Davies Gareth Davies Conservative 3:20, 21 March 2023

Thank you very much, Deputy Minister, for your statement to the Senedd this afternoon.

I note that the programme for government outlines 10 well-being objectives that all RIF-funded activity should be mindful of and seek to contribute to, including providing effective, high-quality and sustainable healthcare. Well, that would be nice, wouldn't it, as it's been a long time since the NHS, under this Government, has been close to matching that description. But what seems a little odd is how regional integration fund cash needs to be mindful of all 10 objectives. The one I just mentioned should obviously be a part of the context, but others feel as if they speak to completely different areas of policy, like pushing towards a million Welsh speakers and embedding a response to the climate and nature emergency. Is there not a danger that by trying to tick all of these boxes, Deputy Minister, the implementation of this fund becomes subject to mission drift, as the chase to fulfil all the necessary requirements means it becomes less effective and watered down, effectively, at meeting the most important and relevant goals of all?

Indeed, integrating health and social care makes a lot of sense in theory. By bringing both together we get a far more efficient system that should prove to be cost-effective over time. However, as we've seen elsewhere on regional scales, COVID has thrown a big spanner into the works, making it incredibly difficult for the practice to live up to that theory. This is most evident in delayed discharges. While this aims to make the whole health and social care system smoother, without addressing this issue it will simply be a case of throwing more good money after bad. Finding the right reform is not easy, but is the Minister really confident that this regional integration fund will actually mean change or will it be more of the same?

Finally, the regional integration fund obviously engages with the Labour and Plaid policy ambition of a national care service. If this fund is as effective as the Minister believes it can be and should be, is there a need for such a national service? Is a national care service even achievable? There is supposed to be an integration plan ready by the end of this year, but its actual implementation won't happen overnight. With less than half of the Senedd term left to run, is it not the case that the regional integration fund is actually the end goal here? Because a national care service will never see the light of day under this Welsh Government. Thank you very much.