Browse content similar to 03/11/2015. Check below for episodes and series from the same categories and more!
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Good afternoon. Welcome to the programme and our weekly coverage of | :00:27. | :00:34. | |
questions to the First Minister. After a week away from Cardiff the | :00:35. | :00:36. | |
politicians are back and Carwyn Jones will and the questions on | :00:37. | :00:45. | |
superfast broadband is as well as city regions. You can follow the | :00:46. | :00:49. | |
latest on Welsh politics on our Twitter feed. Business in the | :00:50. | :00:57. | |
Chamber is underway, so let's take a look now at today's questions to the | :00:58. | :01:03. | |
First Minister. Order, order, the National Assembly is in question. | :01:04. | :01:11. | |
Question one. John Griffiths. Will the First Minister make a statement | :01:12. | :01:16. | |
on community volunteering? Volunteers make a vital contribution | :01:17. | :01:20. | |
to our communities, we support volunteers and have given ?6 million | :01:21. | :01:27. | |
to the infrastructure and organisations including ?600,000 in | :01:28. | :01:31. | |
core funding for the Gwent Association for voluntary | :01:32. | :01:36. | |
organisations. I think everybody here would agree that across the | :01:37. | :01:40. | |
length and breadth of Wales volunteers do amazing jobs in so | :01:41. | :01:44. | |
many different ways, and without that contribution many aspects of | :01:45. | :01:49. | |
life in our communities would grind to a halt. Would he agree that we | :01:50. | :01:54. | |
need to reward and support of volunteers. An important way of | :01:55. | :01:59. | |
doing this is the time banking service. It provides free access to | :02:00. | :02:04. | |
leisure, entertainment and other services. We need to support and | :02:05. | :02:10. | |
roll out time bugging across Wales. I find the member for his question. | :02:11. | :02:15. | |
It is a way of recognising people's worth. It is a way of incentivising | :02:16. | :02:22. | |
action and involvement. We have provided a way of incentivising | :02:23. | :02:29. | |
action and involvement. We have 2015 to develop the time banking movement | :02:30. | :02:38. | |
in Wales. First Minister, ahead of Remembrance | :02:39. | :02:42. | |
Sunday it is important that we acknowledge the dedication and hard | :02:43. | :02:46. | |
work of community volunteers across Wales and in my own constituency who | :02:47. | :02:52. | |
tirelessly sell poppies to raise money for the Poppy Appeal this | :02:53. | :02:57. | |
support is vital to the Royal British Legion to give support to | :02:58. | :03:01. | |
service women and their families and reminds us how much has been given | :03:02. | :03:07. | |
by this to this country. We use join me in paying tribute to all those | :03:08. | :03:12. | |
who give their time and energy so that we may remember and support | :03:13. | :03:16. | |
those who have given so much more for our country? | :03:17. | :03:21. | |
Yes, I join the member in those sentiments. It has been a noticeable | :03:22. | :03:25. | |
at this year that there are more poppy sellers than previous years. | :03:26. | :03:30. | |
I've seen many people wearing their poppies. With Remembrance Sunday | :03:31. | :03:38. | |
coming up this Sunday many people's minds will be focused on the | :03:39. | :03:45. | |
sacrifice that has been made. It is encouraging to see more and more | :03:46. | :03:49. | |
poppies sold every year. Julie Morgan. | :03:50. | :03:55. | |
Will the First Minister join me in current graduate in the Cardiff | :03:56. | :03:59. | |
Samaritans which celebrates its 50th anniversary this year. It is one of | :04:00. | :04:05. | |
the oldest continuously operating charities in South Wales. It gives | :04:06. | :04:09. | |
confidential support at all times to people suffering from emotional | :04:10. | :04:12. | |
distress. Yes, I would, and I thank the member | :04:13. | :04:16. | |
for bringing this milestone to my attention. Also my thanks to the | :04:17. | :04:23. | |
Cardiff and district branch of the Samaritans on behalf of the Welsh | :04:24. | :04:27. | |
government. Without the important work they do many people would not | :04:28. | :04:32. | |
have been able to overcome great difficulty in their lives. It is | :04:33. | :04:37. | |
right to say that there are some people who would not be with us now | :04:38. | :04:40. | |
if it wasn't for the advice they were given. | :04:41. | :04:46. | |
Thank you, dirty Presiding Officer, we all know that the public purse | :04:47. | :04:52. | |
continues and that puts more pressure on volunteers to step into | :04:53. | :04:58. | |
the breach. Would you join me in congratulating Conwy County Borough | :04:59. | :05:04. | |
Council when it comes to the remaining with their library | :05:05. | :05:08. | |
permission. Many libraries have now been transferred to the community. | :05:09. | :05:13. | |
There are several examples of that. Would you join with me in | :05:14. | :05:16. | |
congratulating them on that approach. Can we look at that model | :05:17. | :05:22. | |
specifically when looking at the future of libraries? | :05:23. | :05:27. | |
This is a model that has been developed in other parts of Wales as | :05:28. | :05:34. | |
well, for example a library in Neath Port Talbot, volunteers have taken | :05:35. | :05:39. | |
the library at Briton Ferry over. They have actually secured the | :05:40. | :05:44. | |
future of that library. We know with real is serious | :05:45. | :05:48. | |
pressure on the public purse and it's good to see people taking local | :05:49. | :05:53. | |
resources and keeping them open for the benefit of local people. It's | :05:54. | :05:57. | |
good to see the library survive. It's good to see this model being | :05:58. | :06:03. | |
adopted in other areas. First Minister, last Saturday I | :06:04. | :06:08. | |
visited the headquarters of a hospice at home in our breast lift, | :06:09. | :06:12. | |
a charity which is community-based and offers end of life care to -- | :06:13. | :06:22. | |
Aber mistress. It deals with rural hinterland communities. It has | :06:23. | :06:27. | |
already established a high-quality service agenda stands the needs of | :06:28. | :06:32. | |
people at the end of their lives. And the important need for support | :06:33. | :06:37. | |
for their families. Will you join me in praising the hard work of the | :06:38. | :06:42. | |
volunteers of hospice at home Ceredigion, and is subject to daily | :06:43. | :06:47. | |
pressure consider accepting a bit invitation to visit them. | :06:48. | :06:55. | |
I would be pleased to consider the invitation. If a formal invitation | :06:56. | :07:00. | |
goes through the normal channels. What's interesting is that the work | :07:01. | :07:04. | |
that the member describes involves enabling people to stay at home | :07:05. | :07:09. | |
rather than having to go into a hospice. That has been a major | :07:10. | :07:15. | |
change in the NHS. Instead of it being overly hospital-based as a | :07:16. | :07:18. | |
case of stem people are able to stay at home. It is important that their | :07:19. | :07:24. | |
pain is managed in a familiar environment. Of course, that depends | :07:25. | :07:29. | |
on the good work of hospice is at home to give people that option. | :07:30. | :07:40. | |
Question two, Gwyn Price. Will the First Minister outline how the Welsh | :07:41. | :07:43. | |
government is supporting local high-street businesses in my | :07:44. | :07:48. | |
constituency? We have a further cap on the | :07:49. | :07:52. | |
business rates multiply and the extension of small business rates | :07:53. | :07:55. | |
relief as well as the enhancement of the Wales retail scheme. | :07:56. | :08:00. | |
Thank you for that answer. On Saturday the 5th of November we | :08:01. | :08:06. | |
celebrate small business Saturday. Last year over 60 million people is | :08:07. | :08:09. | |
shopped in small businesses on the day, what is the government doing to | :08:10. | :08:14. | |
make sure that small businesses are aided in my constituency? | :08:15. | :08:18. | |
What's more businesses need more than anything else is customers. | :08:19. | :08:24. | |
It's important that if people don't use small businesses they will | :08:25. | :08:28. | |
disappear. Small business Saturday is on the 5th of December. Business | :08:29. | :08:34. | |
Wales proposed to support the activity around that Iran including | :08:35. | :08:38. | |
supporting the SPS UK team when they visit Wales. I know that the | :08:39. | :08:47. | |
businesses marketplace initiative will support small businesses on | :08:48. | :08:52. | |
that Saturday by providing trading experiences in Cardiff market as | :08:53. | :08:58. | |
well as phase two showcase and celebrate micro and small Welsh | :08:59. | :09:05. | |
businesses. The entrepreneurship campaign that was launched as part | :09:06. | :09:10. | |
of an integrated support scheme for small businesses in Wales. | :09:11. | :09:17. | |
Thank you, deputy providing officer. The UK Government has announced that | :09:18. | :09:23. | |
is to allow local authorities in England to keep money they collect | :09:24. | :09:27. | |
from business rates, to boost and create jobs in the areas, what | :09:28. | :09:32. | |
studies has the Welsh government undertaken into the potential | :09:33. | :09:38. | |
benefits of this policy on businesses in Wales, will we be | :09:39. | :09:41. | |
considering the same sort of policy here? | :09:42. | :09:48. | |
There is a large pitfall here. Some local authorities would lose out as | :09:49. | :09:55. | |
a result of such a system in Wales. The element of cross subsidy | :09:56. | :10:00. | |
disappears, we would lose about ?4 million a year. We have to consider | :10:01. | :10:04. | |
allowing local authorities the flexibility they need without them | :10:05. | :10:08. | |
losing out in terms of access to a smaller part of money in times of | :10:09. | :10:14. | |
financial difficulty. Well, First Minister, you are right. | :10:15. | :10:19. | |
Too many people are shopping online. Get out should be called. Many of | :10:20. | :10:24. | |
our high streets are home to historic buildings that fall into | :10:25. | :10:27. | |
disuse or distributor as town centres decline. Could these | :10:28. | :10:35. | |
buildings be used again for a purpose and related to traditional | :10:36. | :10:38. | |
shopping as we have come to know it? | :10:39. | :10:41. | |
Local authorities are taking steps to redesign the mix within town | :10:42. | :10:48. | |
centres. In Bridgend there are too many shop units and not enough | :10:49. | :10:52. | |
offices. It means there are not enough office workers in town to | :10:53. | :10:58. | |
provide footfall for units. We are converting some of the shop units | :10:59. | :11:03. | |
into offices and residential units as well. We need to make sure there | :11:04. | :11:07. | |
are people in town centres in the day and evening. There are many town | :11:08. | :11:12. | |
centres which don't have a footfall any longer. They are open between | :11:13. | :11:16. | |
9am and 5:30pm when there is no one around. They come back when the | :11:17. | :11:22. | |
shops aren't open. We need to look at making sure that footfall is | :11:23. | :11:26. | |
there in the day, that means offices. Businesses need to start | :11:27. | :11:30. | |
thinking about whether you're after open 9am until five or whether 11am | :11:31. | :11:39. | |
until 7pm is a better model. I now call the party leaders to | :11:40. | :11:43. | |
question me First Minister, starting with the leader of Plaid Cymru, | :11:44. | :11:50. | |
Leanne Wood. Plaid Cymru welcomes your statement this morning about | :11:51. | :11:55. | |
cutting waiting times for people with mental health issues from | :11:56. | :12:00. | |
trying to dig a 56 to 28 days. I would like to ask you about child | :12:01. | :12:06. | |
and adolescent mental health services in the community. You will | :12:07. | :12:10. | |
be a way that the repercussions for children and young people waiting | :12:11. | :12:15. | |
too long for mental health treatment can be lifelong. What plans do you | :12:16. | :12:19. | |
have two improvement of health services for children and young | :12:20. | :12:22. | |
people? We have an additional ?800,000 in | :12:23. | :12:28. | |
expanding provision for children and adolescents. Health board proposals | :12:29. | :12:32. | |
have been agreed. They will result in the recruitment of more | :12:33. | :12:36. | |
specialist staff across Wales to work with primary care providers and | :12:37. | :12:40. | |
directly support young people in primary care. That is expected to | :12:41. | :12:45. | |
improve in terms of assessment and treatment. Evidence suggests that | :12:46. | :12:50. | |
around one third of young people referred have no mental illness if I | :12:51. | :12:55. | |
can put it that way, a further third have low level difficulty which do | :12:56. | :13:01. | |
not meet treatment thresholds. Expanding primary care means more | :13:02. | :13:05. | |
young people can be assessed and receive appropriate treatment | :13:06. | :13:08. | |
without onward referral being needed. This helps to free up time | :13:09. | :13:12. | |
for those in more need of the services that the agency provide. It | :13:13. | :13:19. | |
is important that we have different ways of helping young people with | :13:20. | :13:25. | |
mental health issues. Some will not need specialist treatment, but we | :13:26. | :13:28. | |
are working with the health minister to make sure that treatment is | :13:29. | :13:32. | |
available. I accept that there needs to be a | :13:33. | :13:37. | |
range of treatments, but perhaps you can shed light on official figures | :13:38. | :13:43. | |
that show that between 2009 and 2014 there was a reduction in spending on | :13:44. | :13:47. | |
child and adult mental health services in primary care of ?2 | :13:48. | :13:52. | |
million, leaving the overall spend on those crucial services at ?5.1 | :13:53. | :13:58. | |
million. I am aware that the mental health measure in 2012 we | :13:59. | :14:01. | |
categorised some funding streams, and that might mean official | :14:02. | :14:06. | |
statistics don't tell us the full picture, can you give us an | :14:07. | :14:10. | |
assurance that there has not been cut in funding for community mental | :14:11. | :14:14. | |
health services for children and young people over this period? And | :14:15. | :14:19. | |
are you prepared to publish the details and make them available in | :14:20. | :14:25. | |
the library as soon as possible? Varies no reason why that shouldn't | :14:26. | :14:29. | |
be done. In terms of the investment we made in mental health services | :14:30. | :14:37. | |
and, of course, the 7.6 million that has gone in, we will see new | :14:38. | :14:41. | |
services developer for our young people with new services developer | :14:42. | :14:47. | |
for our young people with we will issue guidelines outlining our | :14:48. | :14:51. | |
expectations that all referral should be undertaken within 48 hours | :14:52. | :14:56. | |
by the 1st of April next year. While routine assessment should be taken | :14:57. | :15:01. | |
place within 28 days. That is currently different to the situation | :15:02. | :15:02. | |
that has existed. I'm still not clear as to whether or | :15:03. | :15:12. | |
not you have provided an assurance as to whether or not there's been | :15:13. | :15:18. | |
been cut. Almost two thirds of children are now wait longer than | :15:19. | :15:24. | |
ten weeks for treatment to begin. You have made a welcome announcement | :15:25. | :15:28. | |
to create a more ambitious target for adults experiencing mental | :15:29. | :15:31. | |
health problems and I welcome that but will you now committed to | :15:32. | :15:35. | |
tackling these appalling waiting times for treatment? And will you | :15:36. | :15:48. | |
agree to set appropriate targets and back this up with a firm commitment | :15:49. | :15:50. | |
to an annual real terms increase in funding for child and adolescent | :15:51. | :15:52. | |
mental health services? We will look to allocate the money that is | :15:53. | :15:57. | |
required for child and mental health services. It partially depends on | :15:58. | :16:03. | |
the budget that we see from the government. However, we know we want | :16:04. | :16:06. | |
to see improvement in this area and as I said earlier, we have issued | :16:07. | :16:15. | |
guidelines on our website that referrals should take place within | :16:16. | :16:20. | |
48 hours and routine assessments within 28 days. They are taxing | :16:21. | :16:28. | |
targets but we expect to meet them. First Minister, two months before | :16:29. | :16:34. | |
the commission of public service and government delivery publish an | :16:35. | :16:38. | |
independent report, why did you instruct Sir Paul Williams as to how | :16:39. | :16:44. | |
you wanted his proposals laid out presented and delivered? Unless the | :16:45. | :16:49. | |
reader of the opposition gives more detail, I cannot comment. In e-mails | :16:50. | :16:55. | |
we have had released to us, it clearly shows that an October, 2013, | :16:56. | :17:03. | |
an e-mail sent by him on your behalf stated that you would prefer a | :17:04. | :17:07. | |
series of options for proposals to reorganise local government. The | :17:08. | :17:11. | |
e-mail went on to say that you wanted no heavy steer in favour of | :17:12. | :17:17. | |
any particular option. Remarkably, you said that once the report was | :17:18. | :17:20. | |
finalised, only you and your permanent secretary should be given | :17:21. | :17:26. | |
a copy. Nobody else, not even your local government minister. That | :17:27. | :17:32. | |
e-mail went on the 27th of December. The commission was supposed to | :17:33. | :17:38. | |
independently review public services in Wales. Why did you instruct it to | :17:39. | :17:44. | |
spend ?130,000 commissioning report, and then Pinzi proposals? I am at a | :17:45. | :17:50. | |
loss to understand what the Leader of the Opposition is trying to say. | :17:51. | :17:55. | |
-- and then bin the proposals. I did not want to give them the heavy | :17:56. | :18:09. | |
steer, that is the whole point. I took the view of the Williams | :18:10. | :18:13. | |
Commission that I wanted them to be independent, and to come up with an | :18:14. | :18:17. | |
option, if they could, but they had a free hand to deliver another | :18:18. | :18:19. | |
option. There was no steer, as the e-mail confirms. The principle of | :18:20. | :18:22. | |
the Williams Commission was to be independent. It was left to get on | :18:23. | :18:25. | |
with its work and come forward with proposals. These e-mails clearly | :18:26. | :18:29. | |
show that your officials, and yourself, were supporting the work | :18:30. | :18:36. | |
of the commission, and directing how you wanted the final report to | :18:37. | :18:42. | |
resemble your own thoughts on local government reorganisation. The issue | :18:43. | :18:47. | |
is quite clear, that you and your officials were directing what | :18:48. | :18:51. | |
everyone else thought was an independent commission. Do you not | :18:52. | :18:54. | |
recognise that this is now calling into question any findings of the | :18:55. | :18:58. | |
Williams Commission, as brought forward in the final report? That is | :18:59. | :19:06. | |
an example of someone who asked a question and then realised it was a | :19:07. | :19:10. | |
mistake. Let me make it clear that the Williams Commission asks whether | :19:11. | :19:13. | |
there would be options and my preference was that there should be | :19:14. | :19:21. | |
an option. It was for them to make a decision and they were given a free | :19:22. | :19:24. | |
hand in that. If anyone can point out to me what is wrong with that, I | :19:25. | :19:29. | |
am open to suggestions but this is a scenario where an independent body, | :19:30. | :19:32. | |
with a member of the Conservative Party sitting on it, was not | :19:33. | :19:38. | |
directed in any way by government. There is no point shouting now. They | :19:39. | :19:46. | |
were not given any steer as to what they should be doing. They were left | :19:47. | :19:54. | |
to provide an independent report in any way they saw fit. They were | :19:55. | :19:57. | |
given no heavy steer, as suggested by the e-mail. A perfectly proper | :19:58. | :20:01. | |
way to do this. Can I return to the issue of mental health? You will be | :20:02. | :20:04. | |
aware that the Welsh Liberal Democrats have long campaigned for | :20:05. | :20:07. | |
parity between physical and mental health. The government announcement | :20:08. | :20:15. | |
today that waiting targets will be taken from 52 to 28 days is very | :20:16. | :20:27. | |
welcome. Can you confirm that a patient awaiting therapy will | :20:28. | :20:32. | |
receive that therapy within 28 days? We expect to see that. Thank you for | :20:33. | :20:39. | |
that clarity and commitment. As the government will be aware, setting a | :20:40. | :20:46. | |
target is one thing and meeting it is quite another. Given that your | :20:47. | :20:48. | |
own government's review found that some people are waiting up to two | :20:49. | :20:52. | |
years to access psychological therapy, how many extra | :20:53. | :20:54. | |
professionals and extra patient appointments will be created in | :20:55. | :21:05. | |
order to fulfil your promise that you have made in this chamber that | :21:06. | :21:07. | |
people needing psychological therapy will receive it within 28 days? As I | :21:08. | :21:10. | |
said, and I will give the answer, health proposals have been agreed | :21:11. | :21:12. | |
and they will result in the recruitment of more specialist staff | :21:13. | :21:15. | |
across Wales to work with primary care providers and support young | :21:16. | :21:19. | |
people in primary care as well. Of course, we expect that to improve | :21:20. | :21:25. | |
overall waiting times. I am glad for the clarity. It is really important | :21:26. | :21:29. | |
for someone who has had the courage to go to the primary health care | :21:30. | :21:33. | |
professional today to discuss a mental health issue to know that if | :21:34. | :21:36. | |
they need to have psychological treatment, that they will receive | :21:37. | :21:40. | |
that within 28 days. I think that is a massive step forward if the | :21:41. | :21:44. | |
government is able to achieve that. As we heard earlier, there are over | :21:45. | :21:49. | |
3000 young people in Wales currently on a waiting list. I accept that for | :21:50. | :21:55. | |
many of those young people, they do not need to be in that service at | :21:56. | :21:59. | |
all. Indeed, it is a positive and negative thing to be in that service | :22:00. | :22:03. | |
and to have that label if that child does not need it. But there are many | :22:04. | :22:09. | |
people in that service on a waiting list that desperately need a | :22:10. | :22:12. | |
professional intervention and they need it quickly. Given what you have | :22:13. | :22:19. | |
said about improvements to assessment times, why does the | :22:20. | :22:24. | |
government think that it is acceptable for young people to wait | :22:25. | :22:29. | |
after an assessment for 112 days for treatment, when you expect adults to | :22:30. | :22:36. | |
only way to 28 is now? What we expect with the recruitment of new | :22:37. | :22:39. | |
staff is that we will see waiting times improve. But it is also | :22:40. | :22:45. | |
important to ensure that those who do not need specialist treatment get | :22:46. | :22:52. | |
it quicker and get appropriate treatment in other ways. We're | :22:53. | :22:57. | |
looking to do that as well, as a mission to the leader of Plaid | :22:58. | :23:03. | |
Cymru. But an urgent referral in 48 hours is important, in terms of | :23:04. | :23:07. | |
being able to plan for the treatment and care of a young person, and | :23:08. | :23:15. | |
assessment within 20 days is a significant improvement, something | :23:16. | :23:21. | |
that we are determined to see through, given the findings we have | :23:22. | :23:28. | |
put in place. They're in mind that mental health in England and Wales | :23:29. | :23:31. | |
has been ring fenced since 2009, but we want to make sure that there are | :23:32. | :23:32. | |
more professionals involved in providing specialist advice to | :23:33. | :23:35. | |
children and young people. Will the First Minister make a statement on | :23:36. | :23:48. | |
the services in Wales East? We are looking to improve the access to | :23:49. | :23:50. | |
health services in that area. The United Kingdom Cancer coalition, ten | :23:51. | :23:59. | |
years on, report is tracking how far lung cancer outcomes and services | :24:00. | :24:04. | |
have progressed over the last decade. They say that Wales have the | :24:05. | :24:10. | |
second worst lung cancer survival rate in Europe. How can these issues | :24:11. | :24:17. | |
be addressed, First Minister, in a relatively short period? We have | :24:18. | :24:23. | |
already announced a significant investment, which will help many | :24:24. | :24:28. | |
people. Radiotherapy is showing itself to be very promising when it | :24:29. | :24:31. | |
comes to the treatment of bone cancer. And we know that the key to | :24:32. | :24:38. | |
lung cancer is the future development of gene therapy | :24:39. | :24:42. | |
targeting the individual, and we are fortunate to have the Centre for | :24:43. | :24:47. | |
Cancer genetics, hosting a Nobel Prize winner, putting Wales at the | :24:48. | :24:50. | |
forefront of research into this terrible disease. First Minister, of | :24:51. | :24:58. | |
course these serious conditions are often picked up following routine | :24:59. | :25:04. | |
appointments with the GP. Last week, a family member wanted a routine GP | :25:05. | :25:09. | |
appointment. They rang the surgery and of course it was eight o'clock | :25:10. | :25:14. | |
in the morning. 59 times, they rang the number before 830. Only to find | :25:15. | :25:22. | |
out that the appointments had gone. I have to say, it took some tenacity | :25:23. | :25:27. | |
on the part of the family member. How do you rate the accessibility of | :25:28. | :25:31. | |
nonurgent GP appointments in south-east Wales? Bid in mind that | :25:32. | :25:37. | |
most GPs are independent contractors, I am aware of surgeries | :25:38. | :25:41. | |
where it is possible to book online evening before and possible to get | :25:42. | :25:47. | |
through easily. There are other surgeries where GPs need to ensure | :25:48. | :25:54. | |
that there is consistency of services. There is no reason why GPs | :25:55. | :25:59. | |
shouldn't be able to offer appointments. There is no reason why | :26:00. | :26:03. | |
they should not be able to offer the ability to order a repeat | :26:04. | :26:11. | |
prescription online as well. I've seen good examples of this in | :26:12. | :26:15. | |
Caerphilly, and in my own patch at Bridgend. I encourage all GPs to | :26:16. | :26:20. | |
actually make sure that they are as accessible as they can beat and not | :26:21. | :26:25. | |
just rely on saying that that is the way things were done 20 years ago. | :26:26. | :26:29. | |
That is not a way that things need to be done now. The cornerstone of | :26:30. | :26:34. | |
your plans for south-east Wales health care is the long promised | :26:35. | :26:39. | |
specialist critical care centre. The failure to deliver the project to | :26:40. | :26:43. | |
date, something that was promised to be done before the last election | :26:44. | :26:47. | |
which should be open now and accepting patients, is having a | :26:48. | :26:50. | |
knock-on effect as to where people are getting secondary care and is | :26:51. | :26:59. | |
impacting the ability to recruit and retain trainee GPs in South Powys. | :27:00. | :27:01. | |
They need to undertake an application for paediatrics at the | :27:02. | :27:04. | |
Royal Gwent Hospital, travelling from rural Powys all the way to | :27:05. | :27:09. | |
Gwent to undertake that part of the training, where previously they | :27:10. | :27:13. | |
would only have had to travel to low Hall. This makes it a less | :27:14. | :27:19. | |
attractive proposition to recruit trainee GPs to practices in South | :27:20. | :27:25. | |
Powys. When will the SCCC be delivered? I can confirm that the | :27:26. | :27:32. | |
health board submitted a business case for the SCCC to ourselves on | :27:33. | :27:36. | |
the 15th of October. It was accompanied by an updated programme | :27:37. | :27:40. | |
business case which will look at the wider health care provision for the | :27:41. | :27:45. | |
area and both of those cases are now with the Welsh ministers and will | :27:46. | :27:53. | |
receive full consideration. Will the First Minister outline how the Welsh | :27:54. | :27:56. | |
government is helping to raise awareness of pancreatic cancer in | :27:57. | :28:00. | |
Wales? Pancreatic cancer is a dreadful disease and it is usually | :28:01. | :28:06. | |
detected very late. The survival rate past five years is less than 4% | :28:07. | :28:13. | |
as a result of that. In awareness of -- and awareness of Greta cancer is | :28:14. | :28:20. | |
essential for early diagnosis. -- pancreatic cancer. It is pancreatic | :28:21. | :28:30. | |
Cancer awareness month and I have just posted an event with pancreatic | :28:31. | :28:35. | |
Cancer UK today to market. It was clear how devastating this illness | :28:36. | :28:42. | |
is. A recent study found that 71% of respondents in Wales could not name | :28:43. | :28:46. | |
a single symptom on prompted and while survival rates for most forms | :28:47. | :28:53. | |
of cancer have been surviving, survival rates for pancreatic cancer | :28:54. | :28:56. | |
remain low, shockingly so, for the past 40 years. Will you join me in | :28:57. | :29:01. | |
recognising the hard work of pancreatic Cancer UK and the | :29:02. | :29:05. | |
supporters in Wales of raising awareness of this awful illness. | :29:06. | :29:23. | |
It can be difficult to diagnose because the symptoms can be very | :29:24. | :29:31. | |
nonspecific. We are encouraging people, with VCs someone with a | :29:32. | :29:36. | |
condition that isn't resolving, but is difficult to pinpoint, to refer | :29:37. | :29:43. | |
them on for further investigations. My sister-in-law was 44. She was | :29:44. | :29:49. | |
diagnosed, it was very difficult to get that diagnosis. It is a disease | :29:50. | :29:55. | |
that is untreatable when it passes a certain stage. Many will know people | :29:56. | :30:02. | |
who were diagnosed and didn't have much time left. Early diagnosis is | :30:03. | :30:08. | |
absolutely critical. I understand that it is difficult to diagnose but | :30:09. | :30:14. | |
if an unusual pattern is presented in someone bent... | :30:15. | :30:24. | |
Thank you. And thank you for the work my colleague did this afternoon | :30:25. | :30:30. | |
presenting that event for us. I think everyone in the Chamber knows | :30:31. | :30:34. | |
somebody with cancer, don't they? In one form or another it touches all | :30:35. | :30:40. | |
our lives. I wonder if the time has come for us to look more closely at | :30:41. | :30:46. | |
the introduction of on-screen comps for GPs when people go and consult | :30:47. | :30:54. | |
them. And also whether more sophisticated diagnostic tools could | :30:55. | :30:59. | |
be introduced into our GP practices. Our dentists can perform | :31:00. | :31:03. | |
x-rays and put them up on the screen. That don't seem to have a | :31:04. | :31:09. | |
problem taking mobile stands out. Has the time come for technology to | :31:10. | :31:13. | |
help us with diagnosing these more difficult diseases. | :31:14. | :31:21. | |
It is difficult to know because, of course, with many diagnoses a | :31:22. | :31:26. | |
consultant radiologist is needed to read the extreme properly. GPs have | :31:27. | :31:31. | |
some training as part of their general medical training, but would | :31:32. | :31:36. | |
GPs be comfortable, feeling they're able to do that, or would they | :31:37. | :31:41. | |
rather refer to a radiologist? I can't answer that question that's | :31:42. | :31:48. | |
for GPs to answer. We have seen cancer referrals increased greatly | :31:49. | :31:52. | |
in Wales, happily, most of those referrals have led to a resort where | :31:53. | :31:57. | |
no cancer is present. But, better to be safe than sorry. GPs, to be | :31:58. | :32:03. | |
fair, have understood this and are referring people. But what might be | :32:04. | :32:08. | |
missed in parts is not being missed in the future. As with any illness, | :32:09. | :32:14. | |
diagnosis is not an easy thing, it can take some time to diagnose the | :32:15. | :32:19. | |
cancer and even longer to work out a treatment plan. These things are | :32:20. | :32:25. | |
best left to oncologists, but GPs have a critical role being able to | :32:26. | :32:32. | |
refer. Question five, Alan Jones. Will the First Minister make a | :32:33. | :32:36. | |
statement on progress in relation to the availability of superfast | :32:37. | :32:42. | |
broadband in Kennedy Gam? -- Kerry Dion? Before they roll-out began | :32:43. | :32:50. | |
there was no access to superfast broadband in the area so the work is | :32:51. | :32:58. | |
progressing well, and there are 16,615 premises in the local | :32:59. | :33:01. | |
authority area now able to access superfast broadband that is almost | :33:02. | :33:09. | |
half of Ceredigion. We want to ensure that everyone will have | :33:10. | :33:16. | |
access by 2017. This Sunday and area in my | :33:17. | :33:19. | |
constituency was the brightest and sunniest place in Britain since | :33:20. | :33:23. | |
records began. Although the weather was very good there, be broadband is | :33:24. | :33:31. | |
terrible! I had a meeting last week which is served by an exchange where | :33:32. | :33:37. | |
we got written confirmation from Beattie that they would deal with | :33:38. | :33:43. | |
the 96% of homes that received superfast broadband under the | :33:44. | :33:48. | |
contract with the government. Now we understand they won't benefit under | :33:49. | :33:54. | |
this programme you are an from receiving that confirmation. Is it | :33:55. | :33:58. | |
fear that a community like this is misled in this way by BT and will | :33:59. | :34:04. | |
you raise this issue with BT and give the people of this area and the | :34:05. | :34:11. | |
other communities assurance that confirmation will be honoured? Yes, | :34:12. | :34:18. | |
of course, I will write to the member once the details are | :34:19. | :34:24. | |
available. We know that 68 properties in Aberystwyth are now | :34:25. | :34:32. | |
part of broadband superfast broadband. 53% in Bow Street had a | :34:33. | :34:42. | |
good proportion. That is no help to the people in the area the member is | :34:43. | :34:49. | |
speaking about. Will the first minute make statement on his | :34:50. | :34:52. | |
economic priorities for south-east Wales? Supporting jobs is | :34:53. | :35:02. | |
important. Support for skills development and transport and ICT | :35:03. | :35:07. | |
infrastructure. Thank you, First Minister. We recently celebrated | :35:08. | :35:13. | |
back to the future day. In 1955 you could jump on a train in Monmouth | :35:14. | :35:18. | |
and travel down one of the world's most beautiful railways and then | :35:19. | :35:23. | |
connect to the national network at Chepstow. 60 years later Monmouth is | :35:24. | :35:29. | |
not on the Metro map. It is a key component of the future in | :35:30. | :35:33. | |
Monmouthshire, are you looking at ways we can get Monmouth and | :35:34. | :35:40. | |
outlying areas back on the map? , I can't be held responsible for the | :35:41. | :35:45. | |
Beeching cuts, but I take the point that until quite recently it was | :35:46. | :35:50. | |
possible to see wagon station from the area but it has been moved now. | :35:51. | :35:56. | |
There is no reason why Monmouth can't be part of the South East | :35:57. | :36:02. | |
Wales Metro. It cannot be part of the network, whether it is light | :36:03. | :36:08. | |
rail or through faster bus connections, it is not just about | :36:09. | :36:13. | |
heavy rail. I am more than happy to work with the council to see how the | :36:14. | :36:17. | |
Metro network can be extended to Monmouth and indeed, some other | :36:18. | :36:25. | |
parts of Montgomeryshire as well. There is no reason why it can't | :36:26. | :36:31. | |
happen. First Minister, I am sure you will agree that the priorities | :36:32. | :36:38. | |
in south-east Wales are similar to those in my constituency. People | :36:39. | :36:41. | |
need enough to live on. Will the First Minister agree with me that | :36:42. | :36:48. | |
many families in the Pontypridd constituency alone will phase | :36:49. | :36:53. | |
attacks by the tax credit system. The Tories have no mandate, having | :36:54. | :36:58. | |
said before the election they would not cut tax credits, they now have | :36:59. | :37:02. | |
no mandate to inflict this poverty on the people of Wales. Quite | :37:03. | :37:09. | |
right. We all saw the Prime Minister saying he would not cut tax credits. | :37:10. | :37:16. | |
We were told that that wasn't going to happen. The issue of tax credits | :37:17. | :37:24. | |
was not resolved. We say to people that we want to see people in work | :37:25. | :37:29. | |
that pays and when we say actually, it won't pay as much as it did | :37:30. | :37:38. | |
before. In the Economist this week, not exactly a left-wing paper, it | :37:39. | :37:44. | |
makes the point that if tax credits go many families will suffer as a | :37:45. | :37:48. | |
result of that. The message being given by the UK Government is, if | :37:49. | :37:53. | |
you work hard, but your wages are low, we were penalised you for it. I | :37:54. | :38:00. | |
would like to see more businesses taking advantage of the | :38:01. | :38:03. | |
infrastructure in Wales as opposed to crossing the border and bridges. | :38:04. | :38:08. | |
Is it possible to give us more details progress on how you are | :38:09. | :38:13. | |
strengthening and improving Cardiff airport, and how we are promoting | :38:14. | :38:20. | |
the use of this airport as opposed to crossing over to Bristol? In | :38:21. | :38:26. | |
September numbers are 21% up on the previous September. We have similar | :38:27. | :38:32. | |
increases in July and August. I saw the planes coming over my house | :38:33. | :38:38. | |
every five minutes, it was good to see the airports at capacity. It was | :38:39. | :38:48. | |
good to see them busy. We are seeing companies continue to thrive at | :38:49. | :38:51. | |
Cardiff airport. Discussions are taking place with other airlines in | :38:52. | :38:58. | |
terms of long haul flights. Taking it into public ownership was the | :38:59. | :39:02. | |
right thing to do. We were shocked at the state of it when we took it | :39:03. | :39:06. | |
over, we now have an airport that is moving in the right direction, we | :39:07. | :39:11. | |
are seeing great growth in passenger numbers and that is something we | :39:12. | :39:17. | |
expect to see continue. What measures is the Welsh government | :39:18. | :39:21. | |
taking to improve the economic outlook for South Wales Central? We | :39:22. | :39:27. | |
support economic growth for new and existing businesses, infrastructure | :39:28. | :39:31. | |
improvements and supporting Wales as they business and tourism | :39:32. | :39:35. | |
destination. We've just had a successful rugby World Cup. The | :39:36. | :39:40. | |
rugby ball was taken out of Cardiff Castle Wall last night. It was a | :39:41. | :39:49. | |
hugely successful event. It was a huge economic opportunity for | :39:50. | :39:52. | |
businesses the length and breadth of South Wales Central. But they were | :39:53. | :39:58. | |
significant transport issues relating to key matches on road and | :39:59. | :40:03. | |
rail. What measures will be Welsh government be undertaking to assess | :40:04. | :40:08. | |
what changes, if any, they think are appropriate with operators like a | :40:09. | :40:11. | |
Riva trains Wales and the Severn Bridge tolls to ensure a better flow | :40:12. | :40:17. | |
of traffic in and out of the capital city so people don't leave with a | :40:18. | :40:21. | |
negative impression of the journey in and out of Cardiff? First of | :40:22. | :40:28. | |
all, the tunnels don't help in terms of traffic. In terms of the Severn | :40:29. | :40:33. | |
Bridge, there is no reason why those bridges need have told at all in | :40:34. | :40:39. | |
terms of toll barriers. In Dublin there not to toll bridges that are | :40:40. | :40:45. | |
relic Tronic and run by cameras. The Irish government converted them into | :40:46. | :40:51. | |
tolls where you have two pre-pay. You prepay on a website beforehand | :40:52. | :40:55. | |
and you pay within 24 hours of going through. They could all be | :40:56. | :41:02. | |
electronic decontrol. In terms of trains, we made, the difficulty is, | :41:03. | :41:11. | |
given the rail structure we have now there is not much spare capacity. | :41:12. | :41:18. | |
They used to be able to bring rolling stock in for rugby | :41:19. | :41:21. | |
internationals and run them as games are on. That's lack isn't there in | :41:22. | :41:26. | |
the same way, we see situations where Network Rail close the tunnel | :41:27. | :41:30. | |
down and train operators find that they can't get to London, | :41:31. | :41:36. | |
particularly, as quickly as is normal. Trains are drumming | :41:37. | :41:40. | |
properly, this is what happens when you have a system that doesn't have | :41:41. | :41:45. | |
sufficient public control. 20 years ago there was no problem. British | :41:46. | :41:50. | |
rail were able to handle numbers going through Cardiff station. Yes, | :41:51. | :41:55. | |
there are more people now, but the capacity isn't there. Unless we | :41:56. | :41:59. | |
continue to work with sporting authorities like the Welsh Rugby | :42:00. | :42:01. | |
union to make sure they don't have the same experience in the future. | :42:02. | :42:07. | |
The same thing happened in Twickenham. People were left | :42:08. | :42:10. | |
stranded there because the station couldn't cope with the numbers at a | :42:11. | :42:16. | |
particular time. Salt needs to be given to how the British rail system | :42:17. | :42:20. | |
copes with big events. We don't seem to do as well as we should. The | :42:21. | :42:27. | |
Metro clearly is an important piece of infrastructure for the economic | :42:28. | :42:30. | |
outlook of my region, part of that is going to be the development of | :42:31. | :42:34. | |
new station so that people can get the Metro. The plan includes a list | :42:35. | :42:44. | |
of this nation is in my region which might potentially be considered in | :42:45. | :42:48. | |
the future, however, it says that the planning and assessment of those | :42:49. | :42:53. | |
stations is going to take from 2015 to 2020 and beyond, there is no | :42:54. | :42:57. | |
commitment to build a single brick. When will they be built? The Metro | :42:58. | :43:03. | |
has already started in terms of phase one. We are hoping to see | :43:04. | :43:12. | |
another one in 2017. The difficulty is that many of the powers required | :43:13. | :43:18. | |
are default. Particularly in terms of light rail and buses. We don't | :43:19. | :43:25. | |
have the full range of powers that we want, but there is no reason to | :43:26. | :43:30. | |
suspect that they want to prevent the Metro taking shape. The next | :43:31. | :43:35. | |
thing for us will be looking at individual lines and deciding what | :43:36. | :43:39. | |
the best mode of transport is. The building is still there, it is still | :43:40. | :43:44. | |
usable as a station, that is anybody's guess. The eastern part of | :43:45. | :43:49. | |
Cardiff is not well served by the rail network, how cannot be | :43:50. | :43:54. | |
resolved? How do we make sure that if new stations are built on a | :43:55. | :43:58. | |
connected to public transport networks. These form part of our | :43:59. | :44:03. | |
thinking not just in terms of creating the metric system but | :44:04. | :44:08. | |
making sure it is future proof. Thank you, Willie first minute and | :44:09. | :44:13. | |
make a statement on how the Swansea city region's economy is being | :44:14. | :44:18. | |
improved? We are supporting jobs and growth in every part of Wales. We | :44:19. | :44:22. | |
are making good progress in identifying... What role do you see | :44:23. | :44:30. | |
for the successful universities in the area to further develop the | :44:31. | :44:31. | |
local economy? The universities have been very | :44:32. | :44:40. | |
successful. Two weeks ago I was at the opening of the campus, a | :44:41. | :44:43. | |
remarkable investment that would not have happened without European | :44:44. | :44:46. | |
money. That is something we need to emphasise. And also the support of | :44:47. | :44:52. | |
the UK Government. It has had the effect of drawing in some of the | :44:53. | :44:55. | |
best academics and it will draw in the best students. And of course | :44:56. | :45:02. | |
there is a proposal for a new campus on the site, which is a componentry | :45:03. | :45:06. | |
and ambitious the parliament which shows that the investment is going | :45:07. | :45:10. | |
into Swansea to strengthen not just the city's academic ability but its | :45:11. | :45:18. | |
economy as well. Thank you, Deputy Presiding Officer. I am sure you | :45:19. | :45:25. | |
would agree that for the benefits to be felt across Swansea, the Welsh | :45:26. | :45:28. | |
government should do everything in its power to help local employers | :45:29. | :45:35. | |
make the most of local skills within the workforce. Will the First | :45:36. | :45:40. | |
Minister back calls to scrap the age restrictions on the jobs growth bill | :45:41. | :45:46. | |
scheme so that all members of the community in Swansea have the chance | :45:47. | :45:52. | |
to benefit... You must related to Swansea. To have a chance to benefit | :45:53. | :46:02. | |
in growth of the local economy and do not end up exempt from the | :46:03. | :46:12. | |
current scheme because they are too old. I have listened to four years | :46:13. | :46:17. | |
of the Tories criticising jobs growth Wales. And now they are | :46:18. | :46:25. | |
taking it on court. We work with employers to make sure that they | :46:26. | :46:28. | |
understand the skills and experience that older workers can bring and we | :46:29. | :46:33. | |
also know that young people, especially given they have been | :46:34. | :46:36. | |
hammered by the UK Government at the moment, need an extra leg up, and | :46:37. | :46:42. | |
extra support. That is what this is designed to do, to give that | :46:43. | :46:45. | |
experience at the work environment at a time where everything else that | :46:46. | :46:50. | |
my generation took for granted, and the Prime Minister's generation took | :46:51. | :46:54. | |
for granted, is being removed from them. We will stand by young people | :46:55. | :46:57. | |
as we have always stood by older people. It has already been | :46:58. | :47:06. | |
indicated that the opening of the new campus at Swansea University is | :47:07. | :47:11. | |
a mechanism by which we can look forward to new opportunities in | :47:12. | :47:15. | |
particularly in research and abandonment. What discussions has | :47:16. | :47:20. | |
the government had with the community to attract businesses into | :47:21. | :47:23. | |
this development so that we can develop the high end business skills | :47:24. | :47:29. | |
that we need in the economy? I am aware that the University is in his | :47:30. | :47:40. | |
constant news see -- constituency. I have two examples. The Wales coating | :47:41. | :47:48. | |
and printing centre supports that. And of course, specifically, the | :47:49. | :47:51. | |
academic and industrial consortium led by Swansea University, with BASF | :47:52. | :47:58. | |
has strategic partners. And of course, we support Pacific as well. | :47:59. | :48:08. | |
TRANSLATION: First Minister, the Milford Haven enterprise on the part | :48:09. | :48:11. | |
of the Swansea based city region is the only region in Wales were you | :48:12. | :48:20. | |
have to pay a toll to go from one part of another, ?75 over the | :48:21. | :48:25. | |
bridge. If you look at the trunking of the bridge, are you going to | :48:26. | :48:30. | |
abolish the tolls? That is an interesting question. There has been | :48:31. | :48:35. | |
a toll there for many years, and that is something that we would | :48:36. | :48:38. | |
consider if that is the direction of the road, whether it should be a | :48:39. | :48:41. | |
trunk road or not. We would have to consider the costs of the bridge | :48:42. | :48:45. | |
itself, as regards maintaining the bridge and then, of course, we will | :48:46. | :48:50. | |
take a decision. First Minister, one of the threats to the Swansea Bay | :48:51. | :48:54. | |
region is the current state of the British Steel industry. There are | :48:55. | :48:59. | |
concerns about Tata, which is weathering the storm so far. Can I | :49:00. | :49:05. | |
ask what the UK Government and your government are doing in terms of | :49:06. | :49:07. | |
trying to mitigate the costs that threaten the future of that plan to? | :49:08. | :49:12. | |
Much has been done. The Minister has written to UK ministers five times | :49:13. | :49:16. | |
this year. -- the future of that plant. We have continued to press | :49:17. | :49:23. | |
the UK Government for resignation of the compensation package as soon as | :49:24. | :49:27. | |
possible. -- recognition. These costs are brutal as far as the | :49:28. | :49:31. | |
industry is concerned. We have raised that time and time again with | :49:32. | :49:34. | |
the government to ensure that British high energy manufacturers do | :49:35. | :49:40. | |
not face the penalty of high energy costs, like they are facing at the | :49:41. | :49:47. | |
moment. I can say to the Minister, we are working with the UK | :49:48. | :49:54. | |
Government to look at things like... Wires British Steel not being used | :49:55. | :50:00. | |
in British projects? -- why is British Steel. We will be holding a | :50:01. | :50:04. | |
meeting our self to be chaired by the Minister. And then we will look | :50:05. | :50:10. | |
to continue with the discussion. I understand there is a competitive | :50:11. | :50:13. | |
council meeting in Brussels and was government will be represented on | :50:14. | :50:20. | |
Monday. STUDIO: That was first ministers questions. If you want | :50:21. | :50:23. | |
more coverage of the National Assembly, go online to the Senedd | :50:24. | :50:30. | |
live page. But that is it first ministers questions. Don't forget, | :50:31. | :50:36. | |
all the latest political news at 6:30pm tonight. But from all of us | :50:37. | :50:38. | |
on the programme, thank | :50:39. | :50:41. |