05/02/2014 The Wales Report


05/02/2014

Serious concerns that the body monitoring standards in the Welsh NHS is not up to the job and poet Gillian Clarke on why a love of literature is key to improving literacy.


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Tonight on the Wales Report: Monitoring standards in the NHS but

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is the Welsh system up to the task? Bridging the skills gap among Welsh

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workers, but does the new strategy go far enough?

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And National Poet, Gillian Clarke, on why a love of literature is the

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key to improving literacy standards in Wales. Stay with us for the Wales

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Report. Good evening and welcome to the Wales Report where we take a

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look at the issues affecting lives in Wales and question some of those

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making the decisions. A series of scandals in the NHS has raised

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serious concerns about patient safety in hospitals. In Wales there

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are concerns that the organisation monitoring standards, Health Care

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Inspectorate Wales, is not up to the job. The Wales Report has been told

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that in the next few weeks the National Assembly's Health and

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Social Care Committee is going to call for reform of the Inspectorate

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following criticism from people inside and external stakeholders.

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The underlying concern is that patients' safety is being put at

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risk as Helen Callaghan reports. Weak management and poor

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communication. Just two of the failings that led to an increase in

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cases of the C.difficile log. The man running Wales 's biggest

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hospital has offered an unreserved apology to the families of people

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who died while waiting heart surgery. Scandals have shaken our

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faith in the professionals who look of reds. When things go wrong we

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want to know who has been watching over them. Here, Health Care

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Inspectorate Wales is the chief regulator. Part of the Welsh

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Government, it is meant to act independently to ensure all services

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and to standard. It has had the responsibility since 2004. It is the

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organisation 's 10th birthday this year. You won't find too many people

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here that the offices ready to celebrate. Just recently they have

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been on the receiving end of a series of devious and inane

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criticisms. Ash Celia and stinging criticisms.

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There has also been criticism on how the Inspectorate works with other

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watchdogs. That includes Wales 's community health councils. They

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regularly inspect services and collect data about patient

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experiences which they can share with HCIW. They are worried about

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the Inspectorate ability to use it. There is a lack of the source and an

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intelligence Blackall where we can provide the data and we need to

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ensure we do that in a reliable way that in a form the Inspectorate can

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use. When it gets to HIW, we don't have the perception it is being used

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effectively. There are concerns if their information is not being acted

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upon, problems could be missed. One would assume that if you are not

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utilising the intelligence we give you, a heads up the service is not

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as effective as it should be, people would suffer as a result. Another

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persistent complaint about Health Care Inspectorate Wales is following

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its own investigations is taking too long to publish reports and action

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plans. Looking at the websites, we found that after an inspection on a

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spot check, on average there was at least a five-month wait before any

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report came out. In some cases it was a year before anything was

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published. Mental health charity, Hafal said it is vital the reporter

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then as soon as possible. It takes a long time for the reporter come out.

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There is a chance problems will continue to occur in the particular

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agency where the problem occurred or elsewhere because they haven't

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learned their lesson. It is important we learn quickly what

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happens. Recent scandals demonstrate in adequate scrutiny of health

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services can jeopardise patient safety. When it emerged hundreds of

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patients died needlessly at a hospital in midst of a chip,

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England's health regulator was heavily criticised for failing to

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uncover what is going on. Hospital in Staffordshire. In Wales when

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questioned by the assemblies Health Committee during an enquiry into the

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Inspectorate 's work, HIW Chief Executive admitted a similar -- if a

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similar situation arose year, it could go and detected. My concern at

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the moment in terms of being able to give you the assurance you want, is

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I am not convinced that we have sufficient coverage in terms of

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testing for me to be able to give you that assurance. Doctor

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Chamberlain said given more resources she would like all major

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hospitals in Wales to receive at least two unannounced inspections

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every year. She confessed currently inspections and only being carried

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out once every three years. I think it is about one in three. We quite

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away. -- we're quite away. The Inspectorate did issue a statement

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saying it recognises that external scrutiny and challenge is critical.

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It is expected that further scrutiny is likely to come in the next few

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weeks when the Health Committee publishes its findings following its

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enquiry into the Inspectorate. The Wales reporter understands it might

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make uncomfortable reading for the inspect threats. We have been told

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the committee is likely to recommend the Welsh Government carries out a

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root and branch review of high be inspected at operates. Many argue

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that radical change is exactly what is needed if patients are to get the

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regulator they deserve. The lesson of bad things that have happened,

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both in England and in Wales, is that we need a robust and reliable

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and trusted regulator. Helen Callaghan reporting. Joining

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me now from our Westminster studio is the MP for Cynon Valley, Labour's

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Ann Clwyd. She has been campaigning to improve standards in hospitals in

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Wales and England. She produced a comprehensive report last year on

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the way ahead. Thank you very much for joining us. How you concerned

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are you? I don't think it is fit for purpose. The Health Care

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Inspectorate Wales which is supposed to be the regulator says itself it

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can't manage, it can't assure people that is not a mid Staffordshire

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situation in some Welsh hospitals, the fact they have and be sourced --

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and the resort and all the organisations that have given

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evidence have lots of criticisms. They are calling for the Chief

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Executive of hospitals in Wales. I have been concerned about several

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issues in the NHS in Wales because of the hundreds of letters I

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received from people in Wales. What to say to be worse, especially

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workers in the NHS, who would save -- say you are them and bring --

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scaremongering? I am simply quoting from the health spectre that Wales

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which for some time has not been able to act effectively as a

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regulator. That is a concern. What happened in mid Staffordshire is the

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people who were supposed to regulate weren't able to do their job, did

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not do their job. That is why you have a new commission in England

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because the body that was in being beforehand simply did not do the job

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and stop I am afraid that is the same situation in Wales. If the

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Inspectorate Chief Executive herself said she can't promise that isn't a

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similar situation in Wales, that is a cause for concern. I have had

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whistle-blowers get in touch with me. I would like more to get in

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touch with me. I would protect their identities. I had the consultant

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sending me an e-mail saying he wanted to tell me he no longer

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wanted to work in the NHS in Wales because he could not give his

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patients the care they needed. Did he offer any views why he wasn't

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able to provide the standard of care? Was it a question of

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resources? Is it how the health service is managed? He was not able

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to give people, patients were being referred all being referred to

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late. He wasn't able to carry out the diagnosis that he wished to

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carry out. He could not give people the scans he thought they should

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have. I have had several others say similar things. You have only got to

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look at what is going on, I think there is a cover as far as some of

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the figures are concerned. I made these points to the First Minister,

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I made them to the Minister for health in Wales. I have been

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pressing on all these things for a long time. In that sense, the

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arguments people have for merging these two Inspectorate in Wales, the

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health care is that and then the care inspected the is, what should

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happen? I am not a person who can say what reorganisation should be

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taking place. I am saying there should be a keyhole style inspection

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in Wales of the hospitals with the highest mortality rates. Once you do

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that, you can put some hospitals, if the need to be put, into special

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measures. That is imperative. A proper health inspected it which is

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better resourced, not run on the same lines? A proper health

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inspected it. Look at the Care Quality Commission in England. That

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has been criticising itself. We should have a chief inspector of

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hospitals as the do in England. In fact, Professor Sir Mike Richards is

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making sure the report that I wrote a few months ago on complaints and

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the way to deal with complaints, is actually being put into practice. I

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will be checking up on that in six months time. Just a final point, you

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mentioned you have been in touch with the First Minister, have the

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responses from the Welsh Government team satisfactory? To be frank, no.

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I am still waiting for a reply. I have had a holding reply. I visited

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Carwyn Jones, the First Minister, at the end of November. I wrote to him

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on December the 3rd, I have had a holding reply and two months have

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gone by. I don't consider that satisfactory. We hope to get answers

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in the next few weeks. Thank you very much for joining us.

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Is there a skills shortage in the Welsh workforce? 11.4% of the

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working age population in Wales have no qualifications, that's a higher

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proportion than the UK average. Wales also ranks poorly in education

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indicators such as the international league tables PISA and the warnings

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are clear, that an under-skilled workforce is damaging the Welsh

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economy. Speaking on this programme last month the economist and Welsh

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Government adviser, Gerald Holtham, had this message.

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Our educational standards are slipping behind those of the rest of

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the UK and certainly behind the best places in Europe. We have got to

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turn that around. EV want technical businesses here, large companies

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here, what they want is a trained workforce. Youth unemployment in

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Wales is also high there are currently 3,545 young people aged

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between 16 and 24 claiming unemployment benefits for a year or

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more. Some in the business community say that while they are happy to

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provide training, schools in Wales should do more to prepare young

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people for the world of work. The private sector should be involved. I

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think it is the responsibility of the education sector to provide a

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workforce that is numerous and literate and has the basic skills

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the private sector needs. Last week the Welsh Government launched a ten

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year strategy to boost skills in the workplace. I'm joined now by the

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Deputy Minister for Skills, Labour's Ken Skates. This figure of over 11%

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of the working age population in Wales without qualifications, when

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is that likely to come down to the English average? We are driving down

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those figures by getting people who need the skills, to give them the

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skills and we have the essential skills in the workplace programme

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and earlier today I was with a home care service giving them the pledge

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because that employer has done the right thing and recognise many

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employees need essential skills and literacy, numerous and ICT. Skills

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they did not pick up at school. Yes, ICT skills are constantly

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changing because we need to up skilled people in that domain to

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make sure the gap in the market can be addressed and plugged.

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Basic numerous ER literacy are things which employers should not be

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having to teach. You could ask that question of any government anywhere

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in the world. What we are doing and precious few are doing is taking

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action, we are implementing the long-term plan to lift up the

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essential skills. You have no choice because standards are so low.

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Employers need to engage with government.

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With European money we are funnelling -- funding essential

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skills across Wales. When can people see results, based the international

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league tables and the school results and Baron Barris in some cases.

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When will we see measurable results? We are already seeing results,

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skills training is increasing between us and England. We are

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seeing a vast improvement in terms of employability of young people.

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We measure that by the amount of young people not in education,

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employment or training. Wales has developed -- delivered the

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sharpest fall in the proportion of young people... We recognise it has

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been stubborn and too high and we have set a target of 9% to be

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sustained by 2017 for that group of 16 to 18-year-olds.

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We are pushing that figure down dramatically.

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Why are we in a position in 2014 where Wales which has had such a

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wonderful track record in vocational training where we are taking

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emergency measures to catch up, what's gone wrong?

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They are sustainable measures. The policies we are implementing in

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tandem with employers and learning providers will last the test of

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time. Traditionally the Welsh economy has been based around heavy

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industry, that industry was decimated in the 1980s and

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communities were based around strong ethics of community learning, based

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around the workplace. That was troubled by the experience of the

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1980s. We are having to put together many communities to reinvigorate the

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sense of learning. Let's spell out the consequences of

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not getting to where you want to get to. One of the warnings we reported

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on was people want to invest in Wales, they will look at the quality

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of education and the basic skills, if we don't get to a better place,

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the consequences are dire. You have justified why we have

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implemented this strategy. We have worked hand-in-hand with

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employers, further education and universities and the trade unions,

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and the CBI, to make sure we take collective responsibility to drive

:17:58.:18:00.

up skills in society so we can capture a higher proportion of those

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jobs because we need to recall that over the past decade we have seen a

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deep crease in the number of lower skilled jobs in the Western world.

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This is part of the trend in the Western world. We need to make sure

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we lift the average level of skills up so we capture higher-level

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skilled jobs. I mentioned the International table

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results which has caused banks to. Will that improved by 2016 and how

:18:29.:18:33.

important is it that Wales moves up the table in terms of literacy and

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numerous sea and science? The Minister for education and First

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Minister say it is vital we raise standards.

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My concern is that we improve employability skills, these are

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often attitudes, making sure people have the right attitude to the

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workplace, their work ready and they have the basic skills. It is no good

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at educating the population, you need to make sure the population are

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able to apply what they learn to the world of work so we are looking at

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schemes like the using gauge meant framework to give young people a

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guarantee of a suitable place post-16. It doesn't just recognise

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their skills Peter Lines their skills and hopes and missions with

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where they want to be -- but lines. In two, three, four years time?

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Are we going to see measurable improvements because we can talk

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about aspirations endlessly. Give us a sense of what the goals are, how

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can we measure success? 2017, we will reduce the proportion of young

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people who are not in education, employment or training to 9% and

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keep it at that level or lower. Minister, thank you for coming in.

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The events organised to celebrate the centenary of Dylan Thomas' birth

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are well underway. Wales' National Poet Gillian Clarke believes that

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encouraging people to read more books and poetry by native authors

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is the key to tackling poor literacy levels. We caught up with her at a

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poets' retreat organized by Literature Wales on the theme of

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another great Thomas -- RS Thomas. The cat and see. It is a matter of a

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black cat on their clifftop in March. His eyes anticipate the

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petals. The formal equation of a domestic per with the cold interiors

:20:43.:20:49.

of the Seas mirror. I became a poet partly because I bet

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a beautiful poem called the cat and the sea and after doing Shelley,

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Wordsworth, Tennyson, Shakespeare, this man called Thomas had this

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beautiful poem. I was knocked out. I read it again and again. How has he

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done that, how has he done it? I can remember owing to schools years ago

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grumbling that there were no Welsh poets studied in Wales and teachers

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said there aren't any good enough. Can you believe it? I would like to

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see everybody reading something, some of the people here are for a

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retreat. One man said I knew nothing about poetry and I have never

:21:45.:21:48.

written and he has been so engaged in it. I would like to solve the

:21:49.:21:57.

literacy problem in Wales, we used to be the best in Britain. What has

:21:58.:22:07.

happened? There is no time for the most important thing in education

:22:08.:22:13.

and that is creativity. No success has ever been had in chemistry. In

:22:14.:22:21.

mathematics. In any thing unless creativity and imagination have been

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at the core. It couldn't be more important. It is very exciting for a

:22:25.:22:30.

child to discover characters from their life on the page. And scenes

:22:31.:22:36.

from their life on the page. I would like to see all children doing some

:22:37.:22:41.

writing every week in school. I would like them reading every day, I

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want them to read whole books and not just chapters. We need to be the

:22:48.:22:52.

best in Britain where we are lagging behind. I want all of the children

:22:53.:22:56.

reading better than English children. If you were all excited

:22:57.:23:00.

about what we read and write we would feel proud of ourselves and we

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would be better at dealing with the other educational things. I want

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people to feel affirmed. There is a challenge. Joining me now is

:23:16.:23:18.

Leighton Andrews, the Labour AM for the Rhondda and a former Education

:23:19.:23:21.

Minister and performance poet Claire Potter. Thank you for coming. There

:23:22.:23:30.

was a question in the middle of that piece, we were the best in Wales,

:23:31.:23:37.

what's gone wrong? I think we were not as focused as we should have

:23:38.:23:41.

been on the standard in schools over the last decade. We took our eye off

:23:42.:23:46.

the ball. It has been excepted by others and in terms of creativity we

:23:47.:23:51.

introduced the foundation phase enabling young people to learn

:23:52.:23:55.

through doing, it enables them to act creatively -- creatively and has

:23:56.:24:02.

been welcomed by not just those in education but those beyond in terms

:24:03.:24:05.

of what it allows young people to do. What is your experience, what I

:24:06.:24:14.

can people saying? They left poetry and experience and I find we begin

:24:15.:24:20.

with a poem but we connect it to their own lives and characters

:24:21.:24:25.

meaningful to them. What I'm hearing from teachers if that was

:24:26.:24:28.

wonderful. If only I had the time do that. There are constraints of

:24:29.:24:34.

targets and league tables and teachers are under pressure so they

:24:35.:24:38.

don't have the space to think creatively and do what they are

:24:39.:24:43.

passionate about. How does that process of engaging

:24:44.:24:51.

with a vehicle like poetry will translate directly into better

:24:52.:24:55.

literacy standards as measured by international organisations which

:24:56.:25:01.

have been causing us problems? If you go into a school with a poem,

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you don't just teach the poem, you ask the children how it connects and

:25:06.:25:10.

relates and then they write so when we look at grammar and punctuation,

:25:11.:25:14.

it is not in isolation or something far removed. They come to understand

:25:15.:25:19.

in their work which is important to them if they use a comma or a; they

:25:20.:25:24.

are understanding the meaning because it connects to them. And

:25:25.:25:32.

Tuohy focus too much on tight measures on rigorous measures -- do

:25:33.:25:37.

we focus too much and should we let the season -- system to be more

:25:38.:25:41.

flexible? We don't have league tables for primary schools. Let's be

:25:42.:25:47.

clear, what Claire is doing is fantastic and it is going on across

:25:48.:25:52.

Wales. Children's authors, children writing reviews of films. I brought

:25:53.:25:58.

a film club in to boost literacy and numerous sea. There is a huge amount

:25:59.:26:04.

of creativity going on. Gwyn Thomas pot-macro Centenary was last year

:26:05.:26:13.

and Rachel is judging one for schools. --'s. The question then is

:26:14.:26:23.

when can we see that commendable activity translating into better

:26:24.:26:27.

performance and a less in harassing showing for Wales in the league

:26:28.:26:33.

tables? You don't want a simplistic crude alignment of creative it --

:26:34.:26:38.

creative activities. It does broaden people's understanding and I asked

:26:39.:26:46.

Di Smith to carry out a full review of the arts and education engaged

:26:47.:26:52.

and I produced age in this report well written report last summer

:26:53.:26:57.

which Hugh Lewis is looking at about how we bring that in.

:26:58.:27:03.

Finally, engaging and people, are we promoting the right kinds of poets

:27:04.:27:09.

and authors, there was a big Dylan Thomas industry, it is a big

:27:10.:27:16.

momentum, we saw RS Thomas, very little mention of him, Gwyn Thomas

:27:17.:27:23.

concentrating on the right authors and poets? I would say no. When I

:27:24.:27:29.

taught at a school in Cardiff I was surprised and was still using the

:27:30.:27:33.

same texts I was taught at school if you years ago. We need to rethink

:27:34.:27:39.

that and more Welsh authors to make it more relevant and more real in

:27:40.:27:45.

our language so it is more accessible. Examples. Nigel Jenkins,

:27:46.:27:53.

RS Thomas, Gillian Clark. RB in the right place? The opportunity is

:27:54.:27:58.

there, we invested as a Welsh government taking the novels of

:27:59.:28:02.

Wales into Welsh secondary schools. It is in the curriculum. The issue

:28:03.:28:06.

is are the teachers sufficiently equipped with a knowledge of Welsh

:28:07.:28:11.

literature in various forms from drama to poetry to teach that in the

:28:12.:28:15.

curriculum, it is a question we should look at but the opportunity

:28:16.:28:20.

is there. That is a different debate for another time. Thank you for

:28:21.:28:23.

coming in. That's it for this week's programme.

:28:24.:28:26.

We'll be taking a break next week, but in the meantime you can get in

:28:27.:28:30.

touch with us about the issues discussed tonight, or indeed

:28:31.:28:33.

anything else. E-mail us at [email protected] and we are

:28:34.:28:36.

on Twitter. Thanks for watching. Good night. Nos da.

:28:37.:28:38.

Serious concerns that the body monitoring standards in the Welsh NHS is not up to the job and national poet of Wales Gillian Clarke on why a love of literature is key to improving literacy standards.


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