4. Statement by the Minister for Health and Social Services: Access to Primary Care Services

Part of the debate – in the Senedd at 3:53 pm on 28 March 2023.

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Photo of Rhun ap Iorwerth Rhun ap Iorwerth Plaid Cymru 3:53, 28 March 2023

(Translated)

May I thank the Minister for her statement? Perhaps the most significant thing is the fact that a piece of research has been commissioned by the Minister recently to try and better understand what people's experiences are in accessing primary care services, and what does good access mean to them. It's very important, I think, that we should understand this, because so often the patient experience as it's reported to me and many of us, I'm sure, as Members of this Senedd, is very different to what we're told officially.

For example, constituents will often ask me, 'Why don't GPs see people face to face?' Well, of course, GPs do see patients face to face, and indeed GPs continued to see people face to face throughout the COVID period, but there is this perception that it's more difficult to access a face-to-face appointment now. Therefore, I'd like to hear from the Minister about the work that's being done in order to provide clarity to people on the kinds of services that they can expect face to face within their surgeries, so that they do have a realistic idea of what exactly the expected standards from Government are at the moment.

I agree entirely with what the Government is trying to do in terms of talking about primary care in its broadest definition. People still talk about 'going to see the doctor', but very often they are accessing a health service, and that's why it is so important that people understand all of the services available through pharmacies and so on. I'd like to hear from the Minister about the kind of investment that the Government is making or considering in order to tackle that educational challenge, which clearly needs to be overcome, because it's only if people understand the different ways that they can access health services will they start to take advantage of those services available in alternative ways and more sustainable ways.

One other concern that I have, in turning to the dentistry element of the Minister's statement, is that the Government, whilst admitting there are challenges, is trying to give the impression that services, generally speaking, are in a good place in dentistry at the moment. Having spoken to dentists and many dental patients, I don't feel that that is a realistic reflection. I truly believe that there is a crisis in dentistry in Wales at the moment. We've touched upon that here in the Senedd Chamber a number of times in recent weeks and indeed in recent years. I would ask for a change of tone from Government in discussing dentistry. The First Minister once again during First Minister's questions today emphasised the million people who've had access to dental services over the past year. Of course, there are positive statistics that can be referenced to, but unless we realise that we are in a period of crisis, then I fear that that urgency in the Government response won't be there.

And finally, following the Minister's reference to the community health councils in her response to the Conservative spokesperson, I have one specific question on the North Wales Community Health Council. We know that we are in a very challenging period in terms of health and care provision across north Wales. Betsi Cadwaladr health board has been put back in special measures. I would argue that it's more important than ever that we have a community health council that truly understands that community and can respond swiftly, for example making no-notice visits and so on. So, isn't there a strong argument for enabling the North Wales Community Health Council to continue for the time being whilst we are still facing these challenges in Betsi Cadwaladr?