Health The Wales Report


Bethan Rhys Roberts is joined by a panel of politicians from the five main parties in Wales to discuss their plans for the health service.

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It's the biggest service run by the Welsh Government -


So how are the parties, those asking for your vote,


going to find answers to some of the challenges facing


Welcome to our first programme of Election Wales 2016.


There's just a month to go before the people of Wales elect 60


Assembly members and a new Welsh Government.


And the issue that will be crucial over the next few weeks


With a total budget of ?7.1 billion, employing more than 70,000 people,


it's facing increasing demand from an ageing population,


with more complex and expensive treatments, and all with


So tonight, we will be asking the five main parties how


they would respond to these challenges over the next five years.


And remember, you too can join the conversation on Twitter -


Before we look for some answers, we've been to one A department


in Glangwili General Hospital in Carmarthen, to ask people


on the frontline the daily challenges they face.


This morning I am on an early shift, we were given hand over, the


department is full, bar one resuscitation bay. Let us have a


look. Because people are living longer, they have complex needs.


They have multi-medical problems, and getting sicker with this, and


sometimes you know, you cannot sustain their care within the


community setting, so hence they end up in the emergency department. It


is becoming more normal unfortunately that we have the


department quite full. Normally the night doctors would have been able


to clear the the. Over the past few months you come in and there are


about ten, 11 beds we are occupied by medical patients, surgical


patients so we are starting the day on a backlog because the department


is full and you have people coming in any way, so it is becoming more


common. It didn't used to be like that, we have having full


departments first thing in the morning. Every day is different.


More recently I found that things are more challenging, mostly because


we are not having the patient throw through the department. It is an A


department. You expect people to come in, go home, come in, move


directly to a superbialty bed. We have the patient staying in because


there is nowhere to put them. They come in, they are seen and there is


no place to off load them, because there are no beds.


From my perspective, one of the main issues that a new Welsh Government


should face is the interface between health and social care. Looks


intact. There are currently too many patients in hospitals round Wales,


who don't require the care that that Acute Hospital is able to provide.


Unfortunately, it takes too long to safely get them back into the


community, there is then a domino-effect, which often leads to


ambulances being parked outside full, emergency units. A new Welsh


Government should address this as soon as possible.


Views from the A Department at Glangwili Hospital there.


Joining me tonight - the health spokespeople for each


For Labour, the Health Minister, Mark Drakeford.


Darren Millar from the Conservative party.


The Liberal Democrats' Kirsty Williams and Caroline Jones


There are of course other parties standing in the Assembly elections -


there's a full list on the BBC Wales Politics website.


After the close of nomination there's will be a full list on the


BBC Wales politics website. So thank you all very much for joining us.


Let us try and start. On a note of consensus this evening. Would you


all acknowledge that the well NHS is facing erincreasing demands, ever


decreases resources or finite resources and whoever wins next


month has to make big choices, and say no to some things. Darren


Miller? It is important to recognise there are pressures across the whole


of the United Kingdom and those pressures are also here in Wales,


but it is not true to say that we need necessarily cut the National


Health Service budget. My party has maintained a commitment which has


knots been seen from any of the other parties that with need to


envest more. What we have seen is a government over the past few years


which has cut the NHS budget in real terms. But tough decisions to be


made. Very tough decisions. Caroline Jones would you agree? Yes, but we


need further investment into the NHS. We know that staff morale on


the front line services is at an all time low and people are wanting to


do their jobs, in the best possible way they can. Their care about their


job but they are unable to because their hands are tied with an ageing


population. Kirsty Williams, you can promise the earth but there will be


some things you have to say to the people of we'll, we can't deliver


that. There are big decisions ahead of us, and how we plan the NHS, to


service properly for the next 10-20 year, which is why party has been


saying that job can't be just left to politician, we believe in setting


up a cross-party, a non-party commission, to engage with the


staff, and with the people of Wales to decide what Health Service we


need. Now we persuaded the Welsh Government that commission should be


set up but unfortunately it failed because of the partieses who didn't


want to join in. I hope after the election we can create that space


that allow us to have that conversation about what kind of


Health Service we want as we go forward. What I am looking for is


honesty at the outset, that the NHS in Wales can't do everything, and we


have to be straight, and you as politicians have to be straight with


the people of Wales about that. Yes, but the NHS also needs to work more


effectively and that is the responsibility of the next Welsh


Government, it is not to day to day micro manage the NHS but to take the


big decisions that Kirstie has alluded to, and that is why I think


that the next Government has to start on a major programme of health


and social care, integration, and a proper workforce plan for the future


generation of NHS workers, if we don't do that, if whoever is in


Government doesn't do this, it will let down the NHS in not taking the


big decisions it needs. Mark Drakeford you are here as somebody


with great experience of running the NHS. There has to be honesty. Of


course there has, the pressures in the NHS are real and the product of


our great success in people living longer and better, the answer


doesn't lie in the hands of the NHS, that is for sure, unless we invest


in the round in social care as you heard in ta clip, as well as the


NHS, we don't provide people with a service they need, neither is the


honesty all about politicians, it is about a conversation with the


public, about what the public expect. And how they interact with


the Health Service, as well and Kirstie's idea of a forward looking


inquiry involving the public, asking them some of these questions is a


very important idea. I will come on to that but let us look at hospitals


in particular, because we looked there at A Mark Drakeford, the


head of the Royal College of Emergency medicine in Wales said in


January, that absolutely every emergency department in Wales is on


the edge. Now that is quite an indictment, isn't it. Is he right?


He wasn't right, because here we are in April and those emergency


departments are all still there, all still working and have worked every


day since January. Just about. No, no. Much more than just about. It


has been a tough winter, the second half has been particularly tough,


but no emergency department in Wales has ever closed its doors, we


continue to see huge numbers of people, in the month of February,


for every single minute of every hour of every day, two people turned


up at A departments in Wales. So the demand is enormous, but the


system copes. And that is really important for the people who work in


it. That is as good as it gets you just cope. The system is just


coping, and it is operating on the good will of the doctor, nurses and


other staff in the NHS who go above and beyond what I think can be


reasonably expected of them on many occasions. The minister is correct.


Departments haven't closed but they haven't been able to meet the


Government's targets about how long people should wait in an A


department and that is because as we heard in the film, there is a lack


of flow through our hospital system and alike of beds, and a lack of


beds in our community, so people can... Let us look what you are


offering instead. Darren Millar how would you fix A departments? We


have lost one in five beds in our hospitals and that has caused


problems at hospital front doors and it manifests with ambulances cueing


up outside. We have seen that this week, in Wales and that is not good


enough. What would we do? Invest in Community Hospitals to give extra


bed capacity so people can be discharged into them, that is one


idea, I think that would make a huge difference, the other thing, is


re-invest and re-open a number of minor injury units bah because you


can't choose well, which is what patients are being asked to do if


you don't have a choice. If you can't get appointments. Nigel Farage


a year ago blamed a lot on health tourism in terms of pressures on


Britain's hospitals. Was he right, do you agree? We do have an issue


with health tourism. It costs the UK almost ?3 billion a year. That is


not true. Not the case. Some of that is obviously associated with Wales,


what we would like, last year 12333 hours were lost with ambulances


waiting outside the A departments. Not because of health tourism.


Certainly not. I am not talking about that, that was in three month,


we are talking about A as well. I am telling you that 12333 hours were


lost with hospitals outside, they couldn't get in because of the bed


blogging, because we have closed the cottage hospitals, which are


fundamental to our environment. Elin Jones let us hear your solution for


A hospitals across Wales. The solutions for A lie in the


community, yes, community beds have been closed right throughout Wales


and that is putting an extra pressure on A and acute hospitals,


there is no doubt about that. I think as was said in by one of the


doctors in the film, we have to tackle health and social care


integration, that is where many patients get caught in turf war


between health and social care, who pays, who is responsible for the


care of the elderly, where people are staying on hospital wards for


too long. . So we have to integrate that properly, and if we just tinker


at the margins we will always continue... You are advocating a


huge overhaul, the biggest ever arguably overhaul of the NHS in


Wales. Is now really the time to do that? Now is absolutely the time. We


have outlined already all the pressures in the NHS. If we carry


on, if we carry on the way we are doing, then we will continue to have


the... Explain what will happen... How doors haven't closed over


winter, that is how bad it is, we have a Health Minister thinking that


is a good enough response, because what... Across our border doors have


closed this Wales they have not. We need as we started off by saying, we


need to take some of the big decisions that fashion the future of


the NHS to meet the demands of the 21st century and elderly patients


what we need to do, is to integrate 21st century and elderly patients


health and social care, break down the barriers between those


reorganisation costs. ?10 million seems a cheap ticket. What I would


say is that if we carry on as we are doing, we will carry on having the


problems into the future it is not... Kirsty Williams... We need


another reorganisation of the Health Service like a hole in the head.


What we need, what we need, what we need is a relentless focus on


service delivery for patients, anything that distracts us from that


will let patients and staff down. It is fanciful to suggest a


reorganisation is going to cost 10 million. The last one Plaid Cymru


undertook in admin costs alone it was 21 million. We need to focus on


services. We the need closer working between the NHS and social care,


that is crucial, and that is why, that is why we have... Caroline


that is crucial, and that is why, Jones Before any planning can be


done we need a full scale inquiry. How will that help patients waiting


now? This is going to take time but obviously we need to know what is


wrong before we can fix it. We do not need another reorganisation. We


have had two already and it is not going to be third time lucky for the


NHS. We need to be able to focus on service delivery. Plaid Cymru is


advocating for a massive reorganisation of local government


at the same time which will distract reorganisation of local government


them from delivering core services like social services. It is not


going to work and it is important we get to grips with the NHS structural


reform. Except your party is advocating a directly elected


commissioner. That is reorganisation. Do you back more


elected commissioners? We do because we want to end the situation at the


moment which allows for cronyism to take place, where ministers appoint


members to health boards. Instead we want them to be appointed by the


people and we think that is the right way. On these health boards at


the moment, the people that are appointed, the chairs, the vice


chairs, 75% of those people will have a political affiliation with


the Labour Party. But briefly, Caroline Jones, how many more


elected representatives, how does that help waiting lists? It doesn't.


At the moment, it isn't helping people. What elections bring our


accountability. It brings transparency and accountability.


Let's look at hospital reorganisation and where we are at


right now. Two and a half years ago, Carwyn Jones said that health


services would collapse unless hospitals were reorganised. Where


are you on that and are you honestly, with the mood of the


night's debate, are you honestly happy with progress? We have had a


series of reorganisation is during this assembly term. I have had a


series of difficult decisions put on my desk and I have never shied away


from them. I have made a decision every time I was asked to do.


Undoubtedly there is more to follow. The health service is always in a


process of change. More closures? What we don't need is a massive


upheaval of the organisation and we do not need elected interference in


the decisions that clinicians and people who work in the industry need


to do. So more people who work in the industry need


not been closures. There is to be a moratorium, so that you -- you do


not need a moratorium is that nothing can ever improve. Have you


been ambitious and brave enough in your reforms of the NHS? Health


service your reforms of the NHS? Health


because you have to take the public with youth and the public is often


attached to what they know and you were asking people to make a leap of


faith into something that will be better in the future. I think we


have succeeded in doing that in many parts of Wales. We will have to go


on having a discussion. We know that. If you want the very best


on having a discussion. We know results for people, particularly in


specialist services, sometimes you have to be willing to draw that


expertise together into one place where you can offer the very best to


people all the time, every day. And you asked for an honest discussion


about the challenges facing the health service, and nobody here


should pretend to the public that you can simply leave the


should pretend to the public that service in our spec where nothing


will change because that way is a guarantee, not that things will


improve, but that they will go backwards. That is all very credible


but the problem with that is that most of the reorganisation proposals


that have been put in front of people in our communities have been


based on centralisation away from various hospitals on the basis that


the staff is not there to run many of those services and there is a


recruitment issue in needing to run those services. And herein lies one


of the other pressures within the NHS, and that is the fact that we


have too few doctors, too few nurses in Wales, certainly the lowest


number of doctors in the western EU. More doctors and nurses than ever


before. We need to be able to resource the NHS sufficiently, to


plan the future of the workforce, to train more of our own doctor and


nurses. We need to be able to do that in order to retain hospital


services in communities throughout Wales. We will come onto recruitment


but in terms of hospital reorganisation, you have to make


unpopular decisions as ministers and stick to them. And when the placards


come out, you have to stick by that. And you have to follow through on


your commitment. One of the reorganisations promised by the


government was the building of a new hospital for the south-east of


Wales. We have been promised and promised that hospital as part of a


reorganisation process. But it is yet to be built. When services


change in West Wales, patients were told, we will move your services and


when you get to the hospital there will be new facilities available.


But those facilities were not ready at that time. And that undermines


faith in the change process, when one of the promises that is made, if


they accept the change it is often counterintuitive for people to think


that if they travel further away, the service will be better. If the


government does not follow through on its promises, it makes further


change much more difficult to achieve. It is all very well at


tackling the government and its record, but let's look at your


record in Westminster. Junior doctors are on strike today over the


border. Is that the model that you are offering for Wales? And could


you guarantee that you would not tinker with contracts if you win in


make that we are certainly not going to be offering cuts, closures and


downgrades. But let me deal with the question directly. Let me deal with


the question directly. We have no plans whatsoever to change the


junior doctor contract here in Wales. But what we want to see... Is


it a mistake, what your party is doing in England? What we do want to


see is seven week care in our NHS. At the moment, we do not have that.


How do we achieve that? Extra investment, more doctors and nurses.


We do not have that at the moment. Yes, you are quite right, doctors do


work seven days a week, particularly the emergency services, but what we


do not see often is elective care over those weekend periods. Let me


pin you down here, Darren Millar, on how much you would commit to the NHS


in Wales. In terms of overall percentage of the NHS budget, we are


looking at 45% going on the budget. What would you put? It is not about


percentages, it is about new investment. We know that over the


next few years as a result of record investment, there will be ?800


million extra at least coming to Wales. People talk in percentages a


lot of the time, why is it not about percentages? Because it is about


money and investment. I will not set an arbitrary percentage as to how


much of the gut budget -- how much of the budget will be involved. Why?


Because we do not know what the budget will be. But we do know that


the Conservatives have given a clear commitment that there will be ?800


million more invested. Would it be more or less than the percentage


currently spent? And we will have ?800 million more to invest over and


above what is there at the moment. So if we look at England, you told


us to look at Wales in terms of how Labour run the NHS, look at Wales.


Should we look at England for a model of how you would run the NHS


year? Let's compare England and Wales. If you look at waiting times,


Wales lags behind. If you look at patient outcomes for cancer and


stroke, Wales lags behind. Absolutely untrue. We need to make


sure we level playing field. Look at cancer drugs and you are seven times


less likely to get access to cancer drugs if you are Welsh than if you


were English. Give us your vision, just your vision. To make it clear,


we would invest money, extra money, each and every year at least at the


rate of inflation into the Welsh NHS. That would mean that over the


next assembly, over the next fortnight years, ?800 million more


would go into the NHS. So we should not look at England as an example?


We have different policies here than in England. Caroline Jones, give us


a flavour of what the NHS would look like in the UK. More privatisation?


Absolutely not. But that is what Nigel Farage said. He didn't. I


would not support any party that believed in privatisation. Nine


years ago I suffered from cancer and so I would not support any party.


The other parties like to say that we would privatise but we wouldn't.


Although we have a pretty good example at the moment of issues that


are privatised. We have agency nurses, and the cost of agency


nurses is, we could employ over 200,000 full-time nurses. How much


would you spend on the NHS? It is about managing the budget. Of course


we would spend more. Let's reinvent hospitals to prevent a bed lock in.


I think there would be a major incentive to prevent bed blocking.


Man-hours lost every month by ambulances locked outside. That is


not good use of time. That money would be reinvested. In terms of


looking ahead, would it be more of the same from Labour or are you


offering something very new in this election? We offer a combination of


stability, because we will not have reorganisation, but reform as well.


Reform alongside investment. And reform alongside partnership with


the staff who work in the NHS. The Tory recipe is privatisation and


confrontation. Absolutely rubbish. Our recipe would be partnership with


staff. That is why we do not have strikes in the Welsh NHS. Continuing


investment and reform alongside it. We have to do something differently


in the NHS if we want it to be able to go on doing the things that it


does that are so valuable. That is the recipe we offer, a combination


of making sure that we keep the ship steady as it goes, because that is


really important in difficult times, and also that we do things


differently so we are fit for the future. Thank you all very much for


now. Let's pause there a moment and take


a quick visit to a GP surgery to get a sense of some of the pressures


in primary care. Where are the challenges confronted


here? We have been to is Beech


House Surgery in Denbigh. I'm working increasingly harked here


in Beech House to look after my patience. And I feel that this is


getting increasingly difficult overtime. I think the difficulty is


that if you have 50 patients to see in a day, which can happen here on a


busy day, especially in the middle of winter, it is very difficult to


be able to give the care that you want to to every patient sat in


front of you, because of time pressure. At this practice, it is


very good. You get an appointment very quickly, without a problem. My


sister lives not far from here. If she needs an appointment and she


cannot get an appointment, it might not be for three weeks. So it is


variable. Some of the main difficulties are problems with


recruitment and retention of GPs. In certain parts of North Wales, we


cannot deny that there is a crisis in general practice. The changes


that I would like to see in the NHS in Wales over the next five years is


to put a greater focus on primary care. We all know that we are seeing


90% of patients contracts getting only 80% of the budget -- 8% of the


budget. It is important for patients to get primary care in their


community, close to their homes, but this has to be properly funded in


order to do an excellent job. Dr Fiona Godlee is there. Let's look at


GP recruitment specifically. Elin Jones, one of your manifesto pledges


was 1000 extra doctors. Where will they come from? 1000 extra doctors


over the next ten years because we have too few doctors are head of


population compared to most of the European Union. That is why we need


to recruit more doctors. Perhaps we need to look at financially


incentivising rural areas where it is difficult to recruit doctors. But


where are you getting them from? Fundamentally, we have to trained


more doctors in Wales. There are too few young people able to access


Welsh medical schools at this point. We need to increase places in Welsh


medical schools and make sure that more younger people are able to


train to be doctors in Wales and that means that they will end up


more likely to serve the NHS in Wales rather than leaving Wales to


have to go to get medical education and possibly never returning. We


fundamentally need to start from day one of the next government


increasing the training places for doctors in Wales. And Kirsty


Williams, it is particularly an issue in rural areas. How would your


party persuaded doctors to go and work in rural Wales? We need to look


at incentive schemes but we also need to make several places


attractive places to do medicine. I think we can create innovative


careers were GPs can mix their time between general practice and


hospital medicine, making it an attractive job to do. We also have


to recognise that GPs are a precious resource. It is not unusual for


people to wait three weeks to get a GP appointment in many rural parts.


We have to recognise that they are a precious resource and it takes a


long time to get them working. We need to recognise that GPs are


working as part of the team and that is why we want to see more nurses in


our community and we also want to have direct funding for GPs, to


allow them -- allow them to employ more nurses or pharmacists,


physiotherapists, councillors. One in four Welsh people suffer from a


mental illness and that takes up a lot of time. Often they do not have


services to refer people onto. Actually, we want to create a fund


that will allow surgeries to expand my meaning that GPs see the people


that need to see them. Other health care professionals are able to help


solve people's problems. I wouldn't disagree with anything


that has been said about incentivising people to come to work


in Wales. We, we do have problems, it is not just confined the rural


areas, we have problems in urban area, we have seen in Prestatyn and


Wrexham and North Wales, as was features in the film, there are real


pockets of pressure and frankly the Welsh Government has been burying


its head in the sand too long, it has be a number of years that the


Royal College has be a number of years that the


immediate to train more doctor, there is a crisis merging, that is


upon us and frankly, the Welsh Government hasn't done enough to


address it. Training takes a long time, where would you get more


doctors tomorrow, where would your party get them? We would offer


incentives for people to come to Wales, we would say how wonderful


Wales is, what it has to offer, and we would hope that people would be


encouraged enough... Financial incentives? I don't know about that.


I don't think so. Tell them it is a nice place to do other stuff? Yes,


we have to promote our country. It is beautiful. Would you attract


doctors from abroad? As well as recruitment, we have to look at


retention and at the moment... Would you attract doctors from abroad?


Well, where would they come from? Because we would be depleting other


areas, maybe of these service, that are very much needed in their own


country, having trained in their country and you know, those services


are required there, are we completing, ethical about taking


doctors from other countries? completing, ethical about taking


are the type of thing that we have to look at. You have acknowledged


that recruitment is a huge issue, why do you think so few want to work


in Wales? Let us get the record strange straight, we have more


doctors working in Wales than any other time in our history. That is


have a a very low base. It is not from a low


have a a very low base. It is not more consultants working in


hospitals and the number of GPs we have in the workforce in


hospitals and the number of GPs we year went up again.


hospitals and the number of GPs we level. But you know that the NHS,


OK, if you are challenging that, the NHS Wales workforce would say that


you need to, 30% more GPs just to catch up with England. That is not


the case at all. You asked for a sensible discussion, in Wales we


have 6.5 GPs for every 10,000 of the population, in England they have


6.6. So it is nonsense to say there is a 30% difference. Difference. It


is nothing like it whatsoever. What we have to do, because every year,


there are 3% more appointments with GPs in Wales than the year before,


over a single assembly term, that means you have nearly a fifth


increase in the demand for GP appoints so we have to


increase in the demand for GP but Kirstie got the answer right.


You asked for consensus, Kirstie got the answer right. What we have to do


is diversity -- diversify a primary care team.


is diversity -- diversify a primary A physiotherapist and so on, so what


we have to do, is to broaden the base of people who are able to offer


appointments at primary care, those people are available today, not


being trained so they become available in ten years' time. That


way... In Prestatyn which I think Darren Millar mentioned, we have a


new service opened which does this. Just to be clear, are you saying


that patients, are you saying that patients are doing to the wrong


place? No, what I am saying is that when patients go to the right place,


to primary care, 90% of contacts are in primary care, insped of ex


pegging that the GP will be your first port of call there are others


who we can just as clinically deploy, those people will be under


the oversight of a GP. Why isn't that happen something if you are


saying they are ready, it is not, clearly we saw the pressures on A


earlier. A year ago we had no clinical pharmacists in Wales, today


we have a 50 because we have put money into clusters a. Is more money


for primary care, is that the answer? You are talking about


cutting 300 million. Making sure that the primary care get their fair


share of the totality of the NHS budget is, because the Royal College


of GPs have said clearly the amount of money that, the share of money


going to the primary sector has been reducing in the past few years. To


be clear, on your manifesto would you cut the health budget? No. ?300


million savings. We have said that the additional funding for the NHS


and social care that comes into Wales from the UK Treasury will be


completely ring-fenced for the purposes of the NHS. Where will you


make the savings? Of course there are savings. This Health Minister


had to make savings in the NHS, and any Health Minster will have to do


that. Where does the money come from? Where there is waist in the


NHS and we all hear of it all the time, we know it is there. Where


will it come from? From within the NHS on inefficient practise, better


precurement of... Why have we waited until there is a crisis, whys was


there no forward planning? You were in Government for five years. All of


it will be ring-fenced and put to front line service, that is the


priority that Plaid Cymru has put in its manifesto. Our time is nearly


up. Let us close back where we began. Is there an acknowledgement


we have to be more grown up when it comes to this debate and this


campaign and that being straight with the people is absolutely key


throughout this campaign? If you were to do that, how would you be


straight with the people, and their responsibility to towards the NHS,


Caroline Jones? Their responsibility towards the NHS, I find that the


current Government is very sensitive to any form of criticism. What would


you do? What would I do? I think we need to go back to basics, to have


transparency by asking doctors and nurse what they feel the failures


are and them not being afraid to answer the question, because at the


moment is survey shows that 60% of those that are raising concerns are


bullied and harassed after, so they are in fear of reprisals and can't


speak their mind. Darn your message to patients. We have had enough


broken promises from previous Governments and they have included


junior partners with the Liberal Democrats and Plaid Cymru in the


past. What we need is better resourced NHS which is more


accountable to the people, where patients are more responsible for


their own care and the way they use NHS resources, I think that is


something that can be delivered and we can work with other parties to


deliver that. We have worked with them on mental Health Services, and


I think that shows that we have opportunities to do that in future.


Kirsty Williams. We have to get President Obamary care right. If we


don't get it right we will continue to see those pressures in our


hospital service, so we need better access to GP, we need to ensure that


there are more nurses working in Wales, we have had tremendous


success, the first part of Europe introducing a law to ensure there is


the right number of nurse, we want to have that in our community and we


immediate to address the issue of the disparity between how we treat


fiscal health and mental health. Plaid Cymru is to take the


decisions, that means proper workforce planning for the NHS and


social care workforce but full health and social care integration


so that we break down the barriers and we put the patients back at the


centre of NHS planning. We need a new bargain between the


system and the patient, the system has to be more open to people, to


hear their views, to take their views seriously to regard people as


equal partners in the business of bringing about improvement, and at


the same time patients have responsibilities, a huge amount of


what the Health Service does today is to deal with harms that need


never have happened and that includes type 2 diabetes in many


cases, we all have a responsibility to do more, to look after our own


health, if we want the NHS to be there for us, when things happen to


us, over which we have no control at all.


In our next Election Wales 2016 I'll be travelling Wales to ask


the Leaders of each of the five main parties their vision for Wales.


But in two weeks' time we'll be looking in detail at another big


issue in this election - education and what the parties


have to offer pupils, parents and students.


If you'd like to get in touch ahead of that or you'd like to be


in the audience for our special debate with the Welsh Party leaders


With a month to go until polling day, Bethan Rhys Roberts is joined by a panel of politicians from the five main parties in Wales to discuss their plans for the health service.

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