11/11/2015 The Wales Report


11/11/2015

The programme discusses the challenges facing the NHS in Wales with the man at the helm, Health Minister Mark Drakeford.


Similar Content

Browse content similar to 11/11/2015. Check below for episodes and series from the same categories and more!

Transcript


LineFromTo

A special edition from the Senedd in Cardiff Bay.

:00:00.:00:07.

As we approach an election campaign, in which the state of the NHS

:00:08.:00:10.

in Wales is sure to be prominent, we talk to the man in charge,

:00:11.:00:13.

the Health Minister Mark Drakeford, about the challenges that lie ahead.

:00:14.:00:17.

Hello and welcome once again to the The Wales Report.

:00:18.:00:33.

This week we're at the Senedd, the home of the National Assembly

:00:34.:00:36.

for Wales, to talk about the state of the biggest and

:00:37.:00:38.

most expensive public service in the land - the National Health Service.

:00:39.:00:41.

These winter months always bring a surge in demand for health care

:00:42.:00:44.

and this is happening in a climate of acute financial pressure.

:00:45.:00:47.

So what are the challenges in the months ahead?

:00:48.:00:50.

In a moment, I'll be talking to the Minister Mark Drakeford.

:00:51.:00:52.

But first, we asked two health experts for

:00:53.:00:54.

their analysis and their recommended priorities for the Minister.

:00:55.:01:06.

The NHS in Wales. A budget of ?5.5 billion a year, implying 70,000

:01:07.:01:14.

people. Saving lives every day and doing a remarkable job, but

:01:15.:01:21.

seemingly always facing a crisis. On unlimited demand, but not unlimited

:01:22.:01:27.

money. For several years the NHS has not had enough money to deal with

:01:28.:01:32.

the pressures it has. An ageing population, more expensive drugs and

:01:33.:01:39.

so on. It is experiencing a tight financial situation and health

:01:40.:01:42.

boards are struggling to balance the books. There is pressure all over

:01:43.:01:46.

the health service and there is a danger that one we go into the

:01:47.:01:55.

winter the pressures will increase. Tonight there is a warning that

:01:56.:01:59.

there could be a crisis on the front line of the medical service in the

:02:00.:02:05.

GP service. A number of factors is cannot continue to provide services

:02:06.:02:13.

under the current contracts we have. There is economic austerity,

:02:14.:02:22.

underinvestment in general practice and our premises. This coupled with

:02:23.:02:27.

the stress means that many have had to hand their contract back. It

:02:28.:02:32.

means that these practices are being managed by the health board which is

:02:33.:02:42.

more costly. Three years ago the health service said that the less

:02:43.:02:45.

there is major investment, it will collapse. We need to provide more

:02:46.:02:53.

care in the community, close to people's is. Some progress has been

:02:54.:02:58.

made, but not enough. This is becoming really quite acute now for

:02:59.:03:01.

two reasons. One, the current pattern of health care is

:03:02.:03:06.

inefficient. Secondly, there are question marks over the quality of

:03:07.:03:12.

care that can be provided. Can we stop all of those hospitals and

:03:13.:03:15.

departments across the country? There is real concern now that we

:03:16.:03:19.

cannot do that, so major change is required. And a key part of this

:03:20.:03:27.

reorganisation will be an effective partnership between health and

:03:28.:03:33.

social care. It is crucial that health and social care communicate

:03:34.:03:36.

because so many of the health patients need social care. You can't

:03:37.:03:42.

support people at home if those two agencies are not coming together. We

:03:43.:03:46.

are probably wasting a lot of money because of this dislocation of

:03:47.:03:52.

services. Patients spending too long in hospital, or ending up in

:03:53.:03:55.

hospital when we could have prevented it. It is a major priority

:03:56.:04:00.

for the next year. And the problems don't end there. Wales's biggest

:04:01.:04:09.

help old is being kept in special measures for another two years. We

:04:10.:04:13.

are now just getting into the winter where demand can stretch the service

:04:14.:04:23.

to breaking point. Minister, one we spoke a while ago, we spoke about

:04:24.:04:30.

the challenges you are facing. What things are you pleased about in

:04:31.:04:34.

terms of progress? I am glad that those people who work writing its

:04:35.:04:41.

obituary, it turned out to be untrue. The health service today

:04:42.:04:46.

goes on seeing more people than ever before, more quickly than ever

:04:47.:04:51.

before, more successfully than ever before. Despite all the pressures,

:04:52.:04:55.

and they are real, the health service goes on being a modern

:04:56.:05:00.

miracle, doing things in the lives of people that would have been

:05:01.:05:05.

unthought of a few years ago. Because of the persistent focus now

:05:06.:05:09.

on financial pressure, I have noticed more reports about spending

:05:10.:05:13.

per head. People are saying that spending per head on health in Wales

:05:14.:05:19.

is less than it is in the UK, even if it is a small amount. That

:05:20.:05:24.

spending has gone down by about ?100 over the last year. Why is that? We

:05:25.:05:32.

took a strategic decision to protect spending across the whole of the

:05:33.:05:36.

system, health and social care together. If you look at them

:05:37.:05:43.

together, Wales spends 5% more per head than they do in England.

:05:44.:06:01.

Hospitals in England can't release patients because social care there

:06:02.:06:15.

has been underfunded. Here, we have emphasised supporting the system in

:06:16.:06:20.

the round and I think that has been one of our strengths over the last

:06:21.:06:24.

18 months. The way you are describing it there makes it sound

:06:25.:06:30.

as if these two components are working smoothly together, but

:06:31.:06:36.

experts tell us that progress has been disappointing and slow. Is that

:06:37.:06:41.

fair? We certainly need to do more and we need to do it more quickly

:06:42.:06:46.

than we have done. People argue that we need service change, and other

:06:47.:06:51.

reorganisation. That has never been my beer. My view is we have to do

:06:52.:06:56.

practical things to bring these two services into closer alignment.

:06:57.:06:59.

There are some very practical things we have done in Wales. We have a

:07:00.:07:08.

successful intermediary care funds where joint decisions are made. The

:07:09.:07:14.

new social services act allows me to mandate budgets between the two

:07:15.:07:19.

services. I do use those powers and there are very practical things we

:07:20.:07:22.

can do to do some of the things we know need to be done, but because in

:07:23.:07:28.

Wales we have a planned system, a system that is not fragmented into

:07:29.:07:33.

lots of competing parts, we have a much better chance of making the

:07:34.:07:36.

systems work together than they do elsewhere. On the Paul's budget --

:07:37.:07:44.

on the combined budgets you mentioned, why have you not use

:07:45.:07:48.

those powers already and to what extent would use them? We have not

:07:49.:07:53.

had the power up until now. We have the power to bring horses to water,

:07:54.:07:59.

but not to make them drink. That is what the social services act will

:08:00.:08:05.

allow us to do. And you will use it straightaway? I will be using it

:08:06.:08:17.

straightaway, all across Wales. In what circumstances would you use it?

:08:18.:08:23.

For the commissioning of residential care services, for example. It is

:08:24.:08:34.

quite wrong in some parts of Wales that different health boards have to

:08:35.:08:38.

compete with each other. If we had a single budget in which health care

:08:39.:08:46.

and social Claire could combine their budgets, it would be better

:08:47.:08:51.

for the people who need it and for the public purse. It is an admission

:08:52.:08:56.

though that people have been failing to make those decisions on a

:08:57.:09:01.

constructive basis if you are forcing them. There is more we have

:09:02.:09:06.

to do to explain to organisations that sometimes doing things in a way

:09:07.:09:12.

that simply looks good from your perspective may not look right from

:09:13.:09:17.

the perspective of the system as a whole. Patients flow across the

:09:18.:09:21.

system as a whole every single day. It's about getting organisations to

:09:22.:09:27.

rise above their own narrow interests to serve the interests of

:09:28.:09:31.

the whole system. Last time we met we discussed that you needed to go

:09:32.:09:38.

into quite a comprehensive range of reorganisation for hospitals. When a

:09:39.:09:43.

few years ago the First Minister said that the system would collapse

:09:44.:09:47.

without reorganisation, the alarm bells rang, but nothing has really

:09:48.:09:54.

happened. Where are you on that? I don't agree that nothing has

:09:55.:09:58.

happened. When I became health minister in 2013I was asked what

:09:59.:10:01.

might top priorities would be. One of my top three was to bring the

:10:02.:10:08.

organisations that were causing anxiety in North West and South

:10:09.:10:12.

Wales to a proper conclusion. We have succeeded in doing that in all

:10:13.:10:16.

three places. Though the turmoil we were seeing in parts of West Wales,

:10:17.:10:22.

I have put those service changes into effect. The South Wales

:10:23.:10:25.

programme is now agreed and is being implemented, and even in Betsy

:10:26.:10:34.

Cadwell, changes that have caused local anxiety, people should see

:10:35.:10:40.

changes in the primary care service. We will see the promises

:10:41.:10:52.

that have been made, to fruition. We have to deliver on those promises to

:10:53.:10:57.

gain the confidence of the local population further changes that are

:10:58.:11:02.

inevitable in our health service. What are those changes?

:11:03.:11:12.

Alongside that, the concentration of some of our hospital services, the

:11:13.:11:18.

more special services, in fewer places than we tried to provide them

:11:19.:11:24.

now. It is a twin track approach. With that approach in mind and given

:11:25.:11:29.

that you set those goals clearly, how is the Health Board like Betsy

:11:30.:11:32.

going to achieve these things are given the fact that you have is

:11:33.:11:39.

extended the period of crisis or a special measures? The first thing it

:11:40.:11:42.

has to do is regain the trust of its local population, that is where

:11:43.:11:45.

things went badly wrong in the run-up to the decision to put the

:11:46.:11:49.

border into special measures. Decisions were being made in a way

:11:50.:11:54.

that simply alienate it to many people within the local population

:11:55.:11:59.

and there is a huge effort going on now to regain that trust. Why was it

:12:00.:12:04.

necessary to extend the period by such a long time? Special measures

:12:05.:12:07.

are not something that you will be able to turn around in the matter of

:12:08.:12:17.

100 days. Measures tell you that these processors corner over years.

:12:18.:12:22.

Two years we think is what it will take in order to rebuild some of the

:12:23.:12:26.

capacity of that board, some of the trust with its local population and

:12:27.:12:30.

to make some of the important decisions that will be necessary to

:12:31.:12:34.

put that board on an even keel for the future. When the initial period

:12:35.:12:39.

started there was a suggestion that's there were some painful

:12:40.:12:42.

decisions to be made which could be made within months and then things

:12:43.:12:46.

could return to what you might call normality, we are not in that

:12:47.:12:51.

position so what does it tell us about the stewardship and the

:12:52.:12:55.

oversight here in Cardiff -- Cardiff Bay? What it tells us is that when

:12:56.:13:03.

things go wrong in a Health Board, the cliff that health boards might

:13:04.:13:08.

be going out to be steep indeed and the movement from being in control

:13:09.:13:12.

and having a decent relationship with your local population can

:13:13.:13:17.

evaporate very quickly. The repair of that takes a lot longer than its

:13:18.:13:24.

loss. That is what we are learning in that contacts. I am wondering

:13:25.:13:31.

whether a double edge thing. You want important decisions to be taken

:13:32.:13:35.

and you do not think the system is working as it is clearly, are you

:13:36.:13:39.

then created a problem because lots of doctors are saying to me, levels

:13:40.:13:45.

of recruitment in some areas are in a pretty bad state and if you put a

:13:46.:13:49.

pretty bad state and if you put aboard to be a very attractive place

:13:50.:13:53.

to work in a pretty bad state and if you put aboard into special

:13:54.:13:55.

measures, it is not going to be a very attractive place to work again

:13:56.:14:05.

and damage you can end with people not deciding to invest their futures

:14:06.:14:08.

in that part of Wales, it is a con recession I have had in the past in

:14:09.:14:12.

South West Wales where I say if you want people to come and work in your

:14:13.:14:15.

hospital what you do not want is someone who does not know the area

:14:16.:14:19.

well but might be looking at an advert to put that hospital's name

:14:20.:14:23.

into Google and all they see as turmoil around the future of our

:14:24.:14:28.

hospital. We know from our experience elsewhere that you can

:14:29.:14:33.

repair that damage, you can turn the corner, you can gain reputation as

:14:34.:14:37.

well. There are wonderful things that go on in Betsi Cadwaladr

:14:38.:14:41.

everyday, it's cancer services are the best in Wales, some of its

:14:42.:14:45.

primary care is among the most innovative that we have in Wales. We

:14:46.:14:50.

have to find a way of getting past the immediate problems to find that

:14:51.:14:55.

meant as opportunities there are forever anyone wanting to invest

:14:56.:14:58.

their future in that part of our health service. It is important to

:14:59.:15:02.

underline recruitment is not just a problem there, there is a

:15:03.:15:07.

recruitment problem for nurses and GPs across Wales and what is the

:15:08.:15:13.

reason? Why is Wales unattractive for some health professionals? What

:15:14.:15:18.

are you picking up? We need a little bit of context. There are more

:15:19.:15:21.

people working in the Welsh NHS than ever before, more doctors, 2000

:15:22.:15:28.

GPs... We have a recruitment problem in some parts of Wales but we have

:15:29.:15:33.

22,000 nurses for the first time ever, the highest number we have

:15:34.:15:38.

ever had. We have a plan for dealing with our recruitment problems in

:15:39.:15:41.

primary care in particular. It is this. That the future of primary

:15:42.:15:45.

care will not look like it has in the past, the role of the GP remains

:15:46.:15:50.

absolutely pivotal. We have to do more to free up the time of the GPs

:15:51.:15:55.

we have to do the things that only GPs are able to do, lots of what GPs

:15:56.:16:02.

do today can just as clinically and competently and successfully be done

:16:03.:16:07.

with an advanced practice nurse, a clinical pharmacist, and advanced

:16:08.:16:10.

practice paramedic... We have to think of primary care in the future

:16:11.:16:14.

as using the talents and abilities of the whole primary care team and

:16:15.:16:20.

allowing GPs them to concentrate on those complex cases were only

:16:21.:16:23.

someone with the training and ability to weigh up the case in

:16:24.:16:29.

around like the GP has. I think we have had a great deal of success

:16:30.:16:33.

working with the GP community in Wales to recognise that way forward

:16:34.:16:38.

and as a result we have in parts of North Wales now teams of people

:16:39.:16:41.

working in primary care in a way that we have never seen before. I

:16:42.:16:46.

was chatting to one GP outside Cardiff recently, here's my age, he

:16:47.:16:51.

is looking at retirement eventually, his message was a bit depressing

:16:52.:16:55.

because he is a committed GP and he was saying lots of GPs of his

:16:56.:16:58.

generation feel that they have been under intense pressure, they are not

:16:59.:17:02.

valued, partly by the Welsh Government and they feel they are

:17:03.:17:06.

under a lot of pressure and they are looking to take early retirement and

:17:07.:17:10.

on top of that, it is then difficult to get young GPs in. That is not the

:17:11.:17:14.

constructive picture that you seemed to be painting. I absolutely

:17:15.:17:19.

recognise the pressures that GPs feel every day with a number of

:17:20.:17:23.

people coming through their door and it is true that the new generation

:17:24.:17:27.

of people coming into general medicine are not necessarily

:17:28.:17:32.

attracted to the sort of models of primary care, the contractor model

:17:33.:17:36.

that we have had in the past. I am very keen to do all we can to help

:17:37.:17:42.

people who do not want to go on working full-time in the way that

:17:43.:17:47.

they have bought 30 years or more to continue to make a contribution to

:17:48.:17:51.

the Welsh NHS, maybe working part-time on a part of the job that

:17:52.:17:56.

is particularly interesting to them, to take up a diabetes specialism, we

:17:57.:18:02.

have huge numbers of people who need primary care medicine in diabetes

:18:03.:18:04.

and we have people who worked for a long time who may be willing to go

:18:05.:18:08.

on working if they can make a particular contribution in that sort

:18:09.:18:13.

of medicine or training, the future generation of GPs and the other

:18:14.:18:17.

thing we have to do is to help the profession to generate new models of

:18:18.:18:23.

employment. More salaried GPs in future, I am sure, more GP practices

:18:24.:18:28.

working together in federations, some very interesting models in

:18:29.:18:33.

parts of Wales of GPs coming together to form social enterprises,

:18:34.:18:36.

collectives, where they shared some of this burden over a wider number

:18:37.:18:40.

of practices and individuals, there are things we can do, we are very

:18:41.:18:48.

committed to doing that and we are very lucky that although individuals

:18:49.:18:50.

think these pressures very much, our relationship with our profession and

:18:51.:18:55.

the general practitioner community in Wales is genuinely constructive

:18:56.:18:57.

and I think we share ambitions and we have discussions about means

:18:58.:19:05.

towards those ends, but in Wales, in comparison with other parts of

:19:06.:19:09.

England in particular, my aim as Health Minister is to tell our

:19:10.:19:14.

people how much they are valued, how much the solution to the future lies

:19:15.:19:20.

in dialogue and discussion, rather than confrontation. One final point,

:19:21.:19:23.

I must mention junior doctors because they have been on the

:19:24.:19:27.

headlines, a lot of people have been making the distinction between how

:19:28.:19:30.

junior doctors are dealt with in Wales and in England where it has

:19:31.:19:33.

been hugely controversial with the new contract, what is your message

:19:34.:19:37.

to junior doctors in Wales and are you telling them that they have a

:19:38.:19:43.

better run in Wales? My message to junior doctors, outside Wales as

:19:44.:19:51.

well as in Wales, is that we want you to make your future part of our

:19:52.:19:54.

future. We see you as a tremendous asset, we see you as people we want

:19:55.:19:58.

to invest in, we see you as people who we want to have a dialogue

:19:59.:20:02.

with, to shape the future which cannot be the same as the past,

:20:03.:20:08.

change is inevitable, but our way of bringing about change is through

:20:09.:20:12.

discussion and dialogue. I absolutely do not want to be in a

:20:13.:20:16.

position where our staff in Wales, in which they feel that my attitude

:20:17.:20:21.

to them is one of dictation and confrontation. That is absolutely

:20:22.:20:25.

not the way we do things in Wales. Hopefully we will have another

:20:26.:20:28.

update in a few months but thank you for talking to us.

:20:29.:20:36.

Well, if the debate about health provision in Wales is

:20:37.:20:38.

familiar, the state of another vital public service is not so prominent.

:20:39.:20:41.

The state of the media in Wales, broadcasting, print and online, is

:20:42.:20:44.

not a cause for national celebration if you look at the latest analysis.

:20:45.:20:47.

Yes, we all know about Dr Who and Sherlock and Casualty,

:20:48.:20:50.

all made in Wales, but we're talking about coverage of Welsh life

:20:51.:20:53.

and what kind of voice the people of Wales have in the media.

:20:54.:20:56.

A report by the Institute of Welsh Affairs released today has found

:20:57.:20:59.

that coverage of Wales is shrinking, both on screen and in print.

:21:00.:21:01.

The Welsh Government says it's a cause for deep concern.

:21:02.:21:04.

It was the BBC to spend more money on English and which programmes in

:21:05.:21:08.

Wales and in a moment I will be talking to James Purnell. Before

:21:09.:21:10.

that, Angela Graham who chairs the Media Policy Group for the Institute

:21:11.:21:13.

of Welsh Affairs offers her analysis. I start every day with

:21:14.:21:19.

Radio Wales Sport. I read the western mail at breakfast and then

:21:20.:21:24.

check out Wales online, I use iPlayer to give me the options and

:21:25.:21:31.

the eye player it gives me the ITV Wales many as well. Despite all

:21:32.:21:38.

these choices, we face a future of many media in Wales, but less media

:21:39.:21:44.

contents about Wales. In commercial radio, as digital audio broadcasting

:21:45.:21:49.

spreads, local news could disappear from the airwaves as big groups take

:21:50.:21:56.

over. Newspaper sales are declining and there are fewer journalists. Is

:21:57.:22:01.

this a brave new world driven by the potential of social media or a

:22:02.:22:05.

weakened press sector, less able to keep as well informed and hold power

:22:06.:22:12.

to account. Surely in broadcasting, especially television, Wales is

:22:13.:22:16.

doing really well, making big network shows like Sherlock,

:22:17.:22:26.

Casualty and Dr Who. But look for Wales itself on the network and you

:22:27.:22:31.

find very little. In the Ingush language, drama arts and

:22:32.:22:34.

entertainment made for Wales about Wales are disappearing from the

:22:35.:22:39.

schedules for BBC Wales. It means the people of Wales are becoming

:22:40.:22:45.

harder to see and harder to hear. ITV Wales has been cut to its lowest

:22:46.:22:49.

output ever at just 90 minutes a week of non-news programming. S4C's

:22:50.:22:55.

funding has been cut by a quarter. In the last five years, the BBC in

:22:56.:22:59.

Wales has been cut of more heavily than in Scotland and in Northern

:23:00.:23:03.

Ireland. Under the current license the deal, all the BBC is promising

:23:04.:23:11.

is that Wales will be cut less than anywhere else. As a strategy, that

:23:12.:23:16.

is not good enough. The BBC centrally must show that it has a

:23:17.:23:21.

plan to deal with the media circumstances particular to Wales.

:23:22.:23:24.

Rhetoric about making money work harder or guilt tripping us that

:23:25.:23:28.

network quality will suffer if Wales gets more funding simply is not

:23:29.:23:33.

enough. The market has not delivered what Wales need from its broadcast

:23:34.:23:37.

media, robust public service broadcasting is essential and the

:23:38.:23:42.

BBC is the cornerstone of that in Wales. That was Angela Graham with

:23:43.:23:45.

her thoughts on where we are an James Purnell is with me now. Thanks

:23:46.:23:50.

for talking to us. You have come to Cardiff for people want you to say

:23:51.:23:53.

that the BBC is committed to spending more money on

:23:54.:23:56.

English-language programmes and what is the answer? We recognise that

:23:57.:24:02.

there is a need and we agree with Angela that people in Wales want to

:24:03.:24:06.

see more Welsh content going on all of our services and they want to see

:24:07.:24:08.

more content about Wales as well. The context is difficult, the BBC's

:24:09.:24:15.

finances were cut, we have had to find 40% savings in the last ten

:24:16.:24:18.

years and we will have to find another 20%, there is not a magical

:24:19.:24:22.

part where we can find the money so we will have to work really

:24:23.:24:25.

creatively with everyone in Wales, look at the money we spend on our

:24:26.:24:30.

network services, on BBC One and BBC Two to address those needs in a way

:24:31.:24:34.

that we can do within the reduced funding. Let us be clear when the

:24:35.:24:39.

first Minister of Wales want ?30 million spent on English-language

:24:40.:24:42.

programmes, you're basically saying that is not possible? We have said

:24:43.:24:46.

that we will cut Wales less than anywhere, we are having to cut our

:24:47.:24:49.

money quite significantly. I think it is good but very hard to find an

:24:50.:24:55.

net increase of ?30 million but what we do totally agree with is to say

:24:56.:24:59.

it is right that Wales needs to have its culture and politics reflected

:25:00.:25:04.

within Wales and to the whole of the UK and we want to look at our

:25:05.:25:07.

money, see how we can spend more efficiently and creatively to

:25:08.:25:11.

achieve that. One example would be, there has been a huge success story

:25:12.:25:15.

in Wales in the last ten years with Who, Sherlock, if some of those

:25:16.:25:23.

programmes could be covering and betraying Wales as well, like Gavin

:25:24.:25:29.

Andrews a seeded, that would be a way of hitting both birds with one

:25:30.:25:33.

stone, so we need creative solutions. That is piggybacking

:25:34.:25:41.

other stuff, it is not creating new streams of programming which are to

:25:42.:25:47.

do with innovative ways of betraying Wales within Wales and beyond Wales.

:25:48.:25:51.

That is what was achieved in the past, we are not in a position any

:25:52.:25:56.

more. In the past we had growing money and now we do not, our funding

:25:57.:26:01.

is going down significantly. You made the point clearly on money, I

:26:02.:26:04.

am wondering whether the BBC is really understanding the kind of

:26:05.:26:10.

ecology that we have, which is different to Scotland, if we make

:26:11.:26:15.

that comparison. The BBC is shouldering a heavy burden. Other

:26:16.:26:21.

parts of the media in Wales, print and with ITV are considerably weaker

:26:22.:26:25.

than elsewhere, shouldn't the BBC be stepping up and making an exception

:26:26.:26:31.

of Wales? I think that is right. There is less plural media in Wales,

:26:32.:26:36.

whereas 20 years ago, there would have been quite a lot of people

:26:37.:26:39.

playing in this area and it is now mainly the BBC, I do agree that we

:26:40.:26:44.

have a responsibility to address this need and I guess what I am

:26:45.:26:48.

saying is we have to do it in a way which is created, but I would love

:26:49.:26:52.

us to have another ?30 million from the funding settlement, but we do

:26:53.:26:56.

not have that. We are sitting down with everyone, all of our partners

:26:57.:26:59.

to see if our money can work harder. On the other side of the coin, that

:27:00.:27:04.

media ecology is working incredibly well. Wales now has one of the

:27:05.:27:08.

world-class centres for drama production. It has not been all bad

:27:09.:27:12.

news, there has been a lot of good news in the last few years. Now we

:27:13.:27:16.

need to make sure that in the next few years we address this need of

:27:17.:27:22.

covering Wales. To what extent are you able to say, are replaying the

:27:23.:27:33.

right role. Our ITV doing enough, are you being assertive in that

:27:34.:27:38.

way, accepting that people are having a go at their level of

:27:39.:27:42.

spending. I think it is right that we face a greater scrutiny than

:27:43.:27:47.

others. It is true that ITV used to do 12 hours a week and that is now

:27:48.:27:51.

down to five hours a week. If they did more, if Channel 4 did more, if

:27:52.:27:56.

we could have other new entrants into the market, as has happened in

:27:57.:28:01.

Scotland, that would help as well, but that would not remove the need

:28:02.:28:05.

for the BBC to play its role in addressing that.

:28:06.:28:10.

On that point, there is a strong view that says your licence payers

:28:11.:28:20.

in Wales are not getting a fair deal. If you look at the level of

:28:21.:28:24.

English-language rogue ramming, they are not getting the provision they

:28:25.:28:29.

were getting before. Really, despite the financial pressure that you talk

:28:30.:28:33.

about, even within that, you have a duty to do more than you are doing?

:28:34.:28:39.

That is a fair point about English-language programming, but

:28:40.:28:43.

the BBC is now the main player and it may have gone down, but we are

:28:44.:28:48.

providing most of the content. More widely, if you look at what Welsh

:28:49.:28:52.

audiences think about the BBC, they are the most positive in the whole

:28:53.:28:56.

of the UK. Welsh audiences watch more BBC, listen to more radio than

:28:57.:29:05.

anywhere in the BB is -- in the UK. We spend more per head in Wales than

:29:06.:29:10.

we do anywhere else in the country. We are committed to Wales, we spend

:29:11.:29:18.

more per capita, but there is this need about English-language

:29:19.:29:20.

programming and we are to talking people about how we can address it

:29:21.:29:21.

next time round. If you'd like to get

:29:22.:29:25.

in touch with us, email us or follow us on social media -

:29:26.:29:28.

the hashtag is TheWalesReport. We'll be back next week, but

:29:29.:29:32.

until then, thanks for watching.

:29:33.:29:35.

Huw Edwards asks the questions that matter to you about your job, your health, your future. Calling to account the decision-makers here in Wales and beyond our borders too, each week the team bring you in-depth reports on pressing issues that matter to the lives of everyone living in Wales.

The programme discusses the challenges facing the NHS in Wales with the man at the helm, Health Minister Mark Drakeford.


Download Subtitles

SRT

ASS