Browse content similar to 08/03/2016. Check below for episodes and series from the same categories and more!
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Welcome to the programme and our weekly coverage | :00:53. | :00:54. | |
of questions to the First Minister. | :00:55. | :00:56. | |
The Plenary session has started early today to allow for a long | :00:57. | :00:59. | |
debate on the Public Health Bill later this afternoon. | :01:00. | :01:02. | |
According to the Order Paper, Carwyn Jones can expect questions | :01:03. | :01:04. | |
on the future of the NHS, the progress of the Swansea Bay city | :01:05. | :01:08. | |
deal and how much money was invested in attracting Aston Martin | :01:09. | :01:12. | |
Don't forget you can follow all the latest on Welsh politics | :01:13. | :01:16. | |
Well, business in the chamber is already underway | :01:17. | :01:21. | |
so let's take a look now at today's questions to the First Minister. | :01:22. | :01:28. | |
Good afternoon. The National Assembly of Wales is in session. The | :01:29. | :01:36. | |
first item this afternoon is question to the First Minister. | :01:37. | :01:41. | |
Questionable one by Darren Millar. Were the First Minister make a | :01:42. | :01:44. | |
statement on the future of the NHS in Wales. | :01:45. | :01:47. | |
It is one of our top priorities that is why we are investing more than | :01:48. | :01:52. | |
ever in the health service. One of the first things a future | :01:53. | :01:56. | |
Wesco, it will have to address is the challenges in our out-of-hours | :01:57. | :02:00. | |
care. The report that has been reported by the public services | :02:01. | :02:05. | |
ombudsman which shows patients are coming to harm. There were also | :02:06. | :02:17. | |
concerned about GB out-of-hours care in North Wales which explained | :02:18. | :02:22. | |
clearly that around 77% of rotors are covered in parts of Wales which | :02:23. | :02:28. | |
leaves 23% without GP cover. What action are you taking to address the | :02:29. | :02:32. | |
problems in North Wales? We are working with the Royal | :02:33. | :02:37. | |
College of the BMA to address those issues. There are 112 GP practices | :02:38. | :02:42. | |
in North Wales. Four of them have served notice they are not able to | :02:43. | :02:47. | |
fulfil their contracts. What then happens is the local health board | :02:48. | :02:51. | |
will work with those practices. If that is not possible other practices | :02:52. | :02:55. | |
are able to take over the practices that are no longer exist. Then the | :02:56. | :03:01. | |
LHP will take it over to make sure services will continue. | :03:02. | :03:07. | |
The Wales converters proposal for scores on the doors to rank Welsh | :03:08. | :03:10. | |
hospitals is the clearest indication yet. -- the Welsh Conservatives. | :03:11. | :03:22. | |
They will follow David Cameron and Jeremy Hunt... | :03:23. | :03:28. | |
Would you agree with me First Minister that the future of the NHS | :03:29. | :03:32. | |
in Wales is dependent not on treating patients as customers or to | :03:33. | :03:36. | |
shop around or create an internal market, but in the spirit of | :03:37. | :03:41. | |
cooperation and investments we have created to ensure that all hospitals | :03:42. | :03:46. | |
can provide a high quality service. Absolutely. I don't think the | :03:47. | :03:51. | |
challenges the NHS is facing can be solved by a sticker on the door. It | :03:52. | :03:57. | |
is ambitious because we look at the my health online website, there are | :03:58. | :04:02. | |
farmer indicators the public can access to see how their hospitals | :04:03. | :04:06. | |
are doing. The Welsh Conservatives are not going to apply this to | :04:07. | :04:10. | |
mental health, GPs, dentists. Why not? The public would ask that. From | :04:11. | :04:16. | |
our perspective we have a service which is more comprehensive. You | :04:17. | :04:22. | |
have tried five times in the seated position. Stop. Have you finished my | :04:23. | :04:32. | |
First Minister? The spirit of collaboration and | :04:33. | :04:36. | |
investment that Lynne Eagle mentioned has led to a situation in | :04:37. | :04:40. | |
North Wales where the Betsi Cadwaladr health board has had to | :04:41. | :04:43. | |
spend millions of pounds in one month on agency staff. What's those | :04:44. | :04:50. | |
that tell us in your view of the condition of the capacity of | :04:51. | :04:53. | |
staffing in health services in North Wales? | :04:54. | :04:58. | |
The health service has always depended on some agency staff. | :04:59. | :05:04. | |
Sometimes when staff are sickly after ensure that that is a | :05:05. | :05:07. | |
temporary service available for the patients. It isn't something that is | :05:08. | :05:13. | |
a permanent fixture. As the majority of staff in the NHS are permanently | :05:14. | :05:24. | |
employed by the NHS itself. First Minister, one of the things | :05:25. | :05:27. | |
that concerns the of North Wales is waiting times. In July 2014, your | :05:28. | :05:37. | |
Minister said, about waiting times in North Wales, Betsi Cadwaladr is | :05:38. | :05:44. | |
an available to provide treatment in the weeks we have laid down. My | :05:45. | :05:48. | |
officials are working closely to make sure it isn't like that in | :05:49. | :05:53. | |
future. Are you therefore concerned that the Betsi Cadwaladr health | :05:54. | :05:58. | |
board has asked for local variation with hospitals in England who state | :05:59. | :06:05. | |
they will only be treated within 52 weeks and if you go to Garbo in | :06:06. | :06:10. | |
hospital, for example, if you are from Hywel Dda are in poets, the | :06:11. | :06:13. | |
agreement between the hospital and the health board is they should be | :06:14. | :06:20. | |
treated within 14 months. If you live in... Sally, 40 weeks. | :06:21. | :06:28. | |
It is up to any health board to ensure that they work within the | :06:29. | :06:32. | |
target as regard the waiting times and of course we expect the English | :06:33. | :06:36. | |
hospitals to ensure that treatment is available for people from Wales. | :06:37. | :06:42. | |
It is true vice versa. The Welsh health board pays for the treatment | :06:43. | :06:46. | |
that people receive in England. The waiting times are reducing. The | :06:47. | :06:53. | |
times people are waiting for treatment of, forbade gnostic tests | :06:54. | :06:58. | |
and that demonstrates that the funding that we have invested in the | :06:59. | :07:05. | |
health service is bearing fruit. That diagnostic tests. | :07:06. | :07:13. | |
In England since 2010, the Tories have caught ?4.6 billion from adult | :07:14. | :07:21. | |
social care, a 31% reduction which has led to a devastating | :07:22. | :07:24. | |
consequences in accident and emergency. Can you confirm the Welsh | :07:25. | :07:28. | |
Labour government will not go down the road the Tories would do if they | :07:29. | :07:31. | |
were in power here? The problem is that the Tories like | :07:32. | :07:41. | |
to protect -- pretend social care and health are two areas that are | :07:42. | :07:45. | |
not related. They are. We know social care is not available it has | :07:46. | :07:50. | |
an effect on delayed transfers of care which is rocketing in England. | :07:51. | :07:54. | |
Money has been siphoned out of social care in England and we know | :07:55. | :07:57. | |
by the fact that has an elder people. They have given up on | :07:58. | :08:01. | |
funding social care. It is up to the council areas. It is an abdication | :08:02. | :08:11. | |
of responsibility by a Tory government in London that'll do | :08:12. | :08:14. | |
exactly the same if it happened in Wales. The people of Wales have to | :08:15. | :08:18. | |
make sure the vulnerable people are looked after, the Welsh Tories would | :08:19. | :08:21. | |
abandon them. Question number two. | :08:22. | :08:27. | |
Will the First Minister make a statement on ambulance response | :08:28. | :08:30. | |
times in the Aneurin Bevan University Health Board area will | :08:31. | :08:35. | |
stop the latest figures for January showed that the response times | :08:36. | :08:39. | |
performance in DNA Lynne Bevan health board area was the best in | :08:40. | :08:42. | |
Wales. 70.2% of red calls were answered | :08:43. | :08:49. | |
within eight minutes. Thank you. I was recently contacted | :08:50. | :08:55. | |
by a family of an eight-year-old lady who lives in my constituency | :08:56. | :09:00. | |
region. This lady was found by her grandson lying on the floor of her | :09:01. | :09:09. | |
bedroom at 4:20pm. She was still in her nightdress so she had fallen the | :09:10. | :09:13. | |
night before. A paramedic arrived 20 minutes later and said she could not | :09:14. | :09:20. | |
be moved because of her severe pain she was in. An ambulance was called | :09:21. | :09:27. | |
which took three hours and 20 minutes to arrive. There is the | :09:28. | :09:30. | |
First Minister think it is acceptable that and his government | :09:31. | :09:35. | |
and eight-year-old lady should be left in severe pain for over three | :09:36. | :09:39. | |
hours waiting for an ambulance? -- 80 years old. | :09:40. | :09:46. | |
We know that the red calls are designed for emergencies. I | :09:47. | :09:50. | |
appreciate what the member said about the lady being in pain, but | :09:51. | :09:55. | |
the judgment is made by the paramedics as to the severity of the | :09:56. | :10:02. | |
person's condition. Where somebody is a emergency, where they are | :10:03. | :10:06. | |
categorised as red, you see Aneurin Bevan Health Board has a good and | :10:07. | :10:12. | |
improving figures. Questions from party leaders. | :10:13. | :10:18. | |
First, Andrew RT Davies. First Minister, today we have had the | :10:19. | :10:22. | |
reports from the Public Service Ombudsman and the findings when he | :10:23. | :10:28. | |
looked that while specific space -- cases. He has called for an | :10:29. | :10:33. | |
independent enquiry into of hours provision and in particular the | :10:34. | :10:35. | |
health of support that could be put in place the junior doctors. I have | :10:36. | :10:40. | |
over this five-year term called time after time for a enquiry into the | :10:41. | :10:46. | |
Welsh NHS. This is a growing bank of evidence that has come forward again | :10:47. | :10:51. | |
today. Will you now in the twilight hours of your government of this | :10:52. | :10:56. | |
Assembly term, commission such an independent enquiry that can | :10:57. | :10:59. | |
celebrate the good practice that is many quarters of our NHS but | :11:00. | :11:04. | |
identify the area of concern that need support and put the packages of | :11:05. | :11:09. | |
support in place sued junior doctors and other staff members do not feel | :11:10. | :11:12. | |
they are left isolated without supervision? | :11:13. | :11:16. | |
You have got to add to my head brass neck over junior doctors. Junior | :11:17. | :11:21. | |
doctors and on strike in England over 48 hours tomorrow. He stands up | :11:22. | :11:29. | |
about work for junior doctors. He raises the issue of the ombudsman's | :11:30. | :11:33. | |
report, yes, we take that seriously. The Minister has asked for a league | :11:34. | :11:43. | |
on a unscheduled care. It is fair to say in terms of background, 12 | :11:44. | :11:47. | |
people have been identified, they were 3 million admissions in the | :11:48. | :11:50. | |
period that was described. One of the people of that 12, that case | :11:51. | :11:56. | |
occurred in the last three years. We have arranged a case of measures | :11:57. | :12:00. | |
that isn't covered in the report. The report, we take seriously and we | :12:01. | :12:09. | |
will describe the actions the Minister is taking. We do not need | :12:10. | :12:13. | |
his junior strike in Wales. You say you got the brass neck with | :12:14. | :12:18. | |
this report recognises premature deaths because people were not | :12:19. | :12:21. | |
getting the help and support they require from the consultant led | :12:22. | :12:24. | |
teams that should been in place supporting the junior doctors and | :12:25. | :12:27. | |
some of the decisions make. I make no apologies for making sure that we | :12:28. | :12:33. | |
route out of work practice where editors and make sure we minimise | :12:34. | :12:36. | |
the nub of premature deaths within the NHS in Wales and in any other | :12:37. | :12:42. | |
part of the UK. You declined the opportunity to instigate an | :12:43. | :12:46. | |
independent enquiry that could potentially look into these areas. | :12:47. | :12:50. | |
If it is a no from you, the electorate can make up their minds | :12:51. | :12:54. | |
in the election campaign. However, First Minister, if we move onto | :12:55. | :13:00. | |
another area questioning. If we move on to a different areadot-mac a no. | :13:01. | :13:09. | |
One of the key infrastructure projects you have identified as | :13:10. | :13:13. | |
needing to deliver the Welsh economy is the M4 relief road. Time and | :13:14. | :13:17. | |
again you have stood there and said it is in critical part of the | :13:18. | :13:20. | |
infrastructure to develop a 21st-century economy in Wales. Will | :13:21. | :13:25. | |
you make sure that you, like us, committed to delivering the M4 | :13:26. | :13:30. | |
relief road in the next Assembly term? | :13:31. | :13:35. | |
Yes. Let's come back to the issue raised earlier and that is what he | :13:36. | :13:39. | |
devised which is the fact that if he had been anywhere near power in | :13:40. | :13:46. | |
Wales we would have a junior doctor strike in Wales. There is nothing | :13:47. | :13:51. | |
worse in terms of care, in terms of premature deaths and having a | :13:52. | :13:55. | |
situation where doctors are not in hospitals. That is exactly what his | :13:56. | :13:59. | |
government in London has delivered for the people of England and we | :14:00. | :14:02. | |
will not allow that to happen in Wales. | :14:03. | :14:05. | |
With the greatest respect, mortality rates are higher in Wales than they | :14:06. | :14:09. | |
are in England. It is a clear identifiable strands there a greater | :14:10. | :14:14. | |
number of premature deaths in the weekend. If you want to stand by and | :14:15. | :14:18. | |
let that to continue that is your prerogative. Have that discussion | :14:19. | :14:22. | |
with relatives that have lost loved ones in hospital. Have that | :14:23. | :14:25. | |
discussion with medics who are in the position of not having the | :14:26. | :14:29. | |
support they require when the ad on call at the weekend and out of | :14:30. | :14:33. | |
hours. Time and again you have refused to support that independent | :14:34. | :14:36. | |
enquiry. Another point I have raised with you that would help A | :14:37. | :14:42. | |
provision would put consultants on the walls to make sure that is | :14:43. | :14:48. | |
consultant cover. The Royal college of emergency medicine have | :14:49. | :14:50. | |
identified a staffing level that is required for consultants. If you | :14:51. | :14:56. | |
take the advice we have received, I appreciate it mess be boring for the | :14:57. | :15:01. | |
Labour Party, but premature deaths is an important is you. The royal | :15:02. | :15:09. | |
college of emergency medicine having had a clear bench line of staffing | :15:10. | :15:16. | |
for emergency departments. How well that is 15% of that bench line. They | :15:17. | :15:22. | |
are not meeting their staffing requirements. What action he going | :15:23. | :15:26. | |
to take to make sure you get consultants in place to support | :15:27. | :15:29. | |
junior doctors in cars 2-mac department to make sure we get on | :15:30. | :15:33. | |
top of the situation? -- A departments. | :15:34. | :15:42. | |
We don't need your personal comments. The First Minister is | :15:43. | :15:49. | |
capable of answering. The NHS depends on senior doctors, on junior | :15:50. | :15:54. | |
doctors, nurses. We have seen what has happened to innocent numbers in | :15:55. | :15:59. | |
England, we have seen the fact that the UK Government has abused the | :16:00. | :16:05. | |
medical profession to the extent they go out on strike. If the Leader | :16:06. | :16:10. | |
of the Opposition turned round and condemned what his party has done in | :16:11. | :16:13. | |
England I would have more respect for him and the position he has | :16:14. | :16:18. | |
taken but the reality is that we have a situation in Wales where we | :16:19. | :16:21. | |
work with the medical profession and the nursing profession. We do not | :16:22. | :16:25. | |
work against them or provoke them to go out on strike. He only has two | :16:26. | :16:30. | |
seat the response of the medical profession in England who say that | :16:31. | :16:35. | |
morale is low, many junior doctors want to leave England, they will be | :16:36. | :16:39. | |
welcome in Wales, they want to come to a system where we spend more per | :16:40. | :16:44. | |
head than England does, more on mental health, to better on cancer. | :16:45. | :16:49. | |
We recognise the challenges, not everything is perfect, we accept | :16:50. | :16:54. | |
that, but we do not have lots of trust in special measures, a ?2 | :16:55. | :16:58. | |
billion deficit, which is what his party have delivered in England. We | :16:59. | :17:02. | |
will have in Wales and NHS that is free at the point of delivery, free | :17:03. | :17:08. | |
from privatisation, a nHS that is well funded and not the chaos in | :17:09. | :17:22. | |
England. Now we move to the leader of the Welsh Liberal Democrats. | :17:23. | :17:26. | |
Kirsty Williams. You are correct to say the Tories have declared war on | :17:27. | :17:31. | |
junior doctors in England. Applications to work abroad surged | :17:32. | :17:35. | |
by 100% on the day Jeremy Hunt announced his contract for junior | :17:36. | :17:40. | |
doctors. We do need to take advantage of that, getting those | :17:41. | :17:44. | |
medics to practice here in Wales. If we are to be successful we need to | :17:45. | :17:48. | |
assure junior doctors there will be supervision and support and training | :17:49. | :17:52. | |
opportunities for them here in Wales. Could you outline clearly | :17:53. | :17:57. | |
what steps you will take in response to the report to ensure that junior | :17:58. | :18:01. | |
doctors in Wales will be a steward adequate cover, supervision and | :18:02. | :18:08. | |
training? The Minister has asked the clinical staff to look at. We take | :18:09. | :18:15. | |
the report seriously and there are cases mentioned in the report that | :18:16. | :18:19. | |
deserve full investigations, we accept that. Against the context of | :18:20. | :18:25. | |
12 cases over 3 million admissions in five years, one case mentioned in | :18:26. | :18:30. | |
the report is from the last three years, we have had steps in place | :18:31. | :18:34. | |
and that is measured in the report, to deal with the issues raised | :18:35. | :18:40. | |
there. Yes, the 12 cases are concerning, of course they are. It | :18:41. | :18:44. | |
is not evidence of a systemic failure in the system. We wait to | :18:45. | :18:50. | |
see what clinicians say. I believe that the report from the ombudsman, | :18:51. | :18:55. | |
and he is entitled to and it is his duty to carry out such thematic | :18:56. | :18:59. | |
reports, but I believe this is evidence that we do need wholesale | :19:00. | :19:03. | |
change in the way we inspect our health services and an important | :19:04. | :19:08. | |
element of that would be to establish a new health watchdog that | :19:09. | :19:12. | |
is completely independent of Welsh Government and that is properly | :19:13. | :19:15. | |
resourced and able to do its job without fear of repercussions. Would | :19:16. | :19:21. | |
you commit yourself to establishing a stand-alone health Inspectorate | :19:22. | :19:24. | |
system here in Wales independent of your government who could | :19:25. | :19:27. | |
investigate such matters as identified by the ombudsman? I do in | :19:28. | :19:33. | |
principle. I would not agree that the Inspectorate is leaned on in any | :19:34. | :19:38. | |
way or isn't able to deliver a judgment that it feels is fit. | :19:39. | :19:43. | |
Perception is important and these are issues which we are keen to have | :19:44. | :19:47. | |
that in the course of the next assembly. In terms of what has | :19:48. | :19:52. | |
happened since 2012, if I could inform the assembly, we are the only | :19:53. | :20:00. | |
nation to review all deaths in hospitals, we implemented a national | :20:01. | :20:03. | |
early warning system to identify deteriorating patients at all times | :20:04. | :20:07. | |
and there have been significant improvements in sepsis and stroke | :20:08. | :20:12. | |
care and outcomes. That has been put in place before this report came | :20:13. | :20:17. | |
out, but they take the point the leader of the Liberal Democrats | :20:18. | :20:21. | |
makes about the need to look carefully at the perception of | :20:22. | :20:25. | |
independence of the Inspectorate. When the Inspectorate was set up we | :20:26. | :20:29. | |
did not have the legislative powers we do now but if it is good enough | :20:30. | :20:32. | |
to have an independent inspector for education, I am sure you'll agree | :20:33. | :20:36. | |
with me it is equally important to have that in the field of health | :20:37. | :20:40. | |
care. The announcement says the cases highlighted do not appear to | :20:41. | :20:45. | |
be independent cases and a systematic review would reveal any | :20:46. | :20:48. | |
inconsistencies in quality of care. I am sure you would agree with me | :20:49. | :20:52. | |
that in order to learn lessons from this report and many of the | :20:53. | :20:57. | |
strategic challenges facing our NHS in Wales into the future, it is time | :20:58. | :21:03. | |
to put patients, not politics, first. Would you recommit to support | :21:04. | :21:09. | |
our idea of a cross-party commission look into the future of our NHS that | :21:10. | :21:12. | |
will look at issues around staff and that we can develop a quality care | :21:13. | :21:18. | |
environment for all Welsh patients? We agreed. It was the other parties | :21:19. | :21:22. | |
who would not agree. In an ideal world. I dare say it will not happen | :21:23. | :21:27. | |
before an election but we were in agreement with the Liberal Democrats | :21:28. | :21:30. | |
on this. A cross-party commission would have been a good idea but that | :21:31. | :21:33. | |
didn't find favour with the other parties. The eater of Plaid Cymru. I | :21:34. | :21:44. | |
am slightly concerned that you appear to dismiss research because | :21:45. | :21:49. | |
it looked at just 12 cases. I am sure that you are well aware of the | :21:50. | :21:53. | |
difference between qualitative and quantitative research and | :21:54. | :21:57. | |
qualitative research of this nature should not be dismissed. I want to | :21:58. | :22:01. | |
ask you about your manifesto for the last election because you promised | :22:02. | :22:06. | |
then that people would be able to access local GP services in the | :22:07. | :22:10. | |
evenings and on Saturday mornings. Why is it then that not one single | :22:11. | :22:15. | |
surgery offering appointments after 6:30pm in four health board areas | :22:16. | :22:22. | |
and there are only two surgeries offering appointments on Saturday | :22:23. | :22:26. | |
mornings across the whole of the country? Can you tell us what you | :22:27. | :22:31. | |
failed to meet this election pledge? If you look at what we have done | :22:32. | :22:35. | |
with GP surgeries, there has been an increase in the number of open | :22:36. | :22:39. | |
through their core hours. This has been an increase in the number of GP | :22:40. | :22:43. | |
surgeries we have opened beyond half six and an increase in the number of | :22:44. | :22:48. | |
open on weekends. That is something we want to see improved in the | :22:49. | :22:52. | |
future. They are independent contractors in the sense we can | :22:53. | :22:57. | |
order them to do it. A number of surgeries, in fairness, or doing it | :22:58. | :23:03. | |
themselves. Two Saturdays are doing it on Saturdays. You have clearly | :23:04. | :23:06. | |
failed to meet your pledge. You said GP services will be available on | :23:07. | :23:10. | |
evenings and Saturday mornings and statistics show that simply has not | :23:11. | :23:15. | |
happened. If getting a date and appointment is difficult enough and | :23:16. | :23:20. | |
an evening and weekend appointment is impossible and all too often | :23:21. | :23:25. | |
people end up giving up giving up trying and going to the instead and | :23:26. | :23:30. | |
we all know about the problems with waiting times in a day. Do you | :23:31. | :23:34. | |
accept that doctor shortages and nursing shortages are impacting upon | :23:35. | :23:38. | |
patient care or are you in denial that this is a problem? 82% of GP | :23:39. | :23:45. | |
practices are open before daily core hours, it pay them to have 6pm. He | :23:46. | :23:52. | |
asked the question, if you want the answer... 97% of practices offer | :23:53. | :24:01. | |
appointments at any time between 5pm and 6:30pm and on at least two | :24:02. | :24:05. | |
weekdays. 79% offer appointments at any time between 5pm and 6:30pm | :24:06. | :24:18. | |
every day, up from 62%. We have seen an increase in the number of GPs in | :24:19. | :24:22. | |
Wales, the highest ever. We have more nurses than ever and, so, it is | :24:23. | :24:28. | |
to be acknowledged that we have been recruiting doctors successfully over | :24:29. | :24:33. | |
the past five years. The number of GPs went down last year and the | :24:34. | :24:36. | |
full-time equivalent numbers should service levels have not gone up. You | :24:37. | :24:41. | |
fail to recognise the impending crisis. You feel to prevent it. You | :24:42. | :24:48. | |
said earlier in answer to the leader of the Conservatives that morale is | :24:49. | :24:52. | |
low amongst junior doctors in England. Well, morale is low amongst | :24:53. | :24:58. | |
doctors here in Wales. You have previously talked about protests | :24:59. | :25:02. | |
outside hospitals in England, while we have seen here, in Wales, your | :25:03. | :25:08. | |
own ministers and backbenchers protesting at hospitals against | :25:09. | :25:12. | |
centralisation plans. The Royal College of GPs want another 400 GPs | :25:13. | :25:18. | |
in Wales by 2020. The BMA wants to see an increase in trading places | :25:19. | :25:24. | |
for GPs. Several reports on care provided in your hospitals have | :25:25. | :25:27. | |
recommended more doctors and nurses and there is the report we have | :25:28. | :25:31. | |
heard about from the ombudsman out today. Over the past year, your | :25:32. | :25:35. | |
government has announced an increase in training places for nurses and | :25:36. | :25:39. | |
other health professionals, but you have not increased the number of | :25:40. | :25:46. | |
places for doctors. Plaid Cymru has published detailed proposals to | :25:47. | :25:49. | |
bring an extra 1000 doctors to the Welsh NHS. I hope you have read or | :25:50. | :25:54. | |
plan, he added the last time I questioned you about this. Can you | :25:55. | :25:58. | |
tell us, why has there been an increase in the number of training | :25:59. | :26:04. | |
places for doctors in Wales? I am confused. The proposal was it was to | :26:05. | :26:10. | |
train 1000 doctors, now it is to bring 1000 doctors to Wales. The | :26:11. | :26:13. | |
reality is that bring 1000 doctors to Wales. The | :26:14. | :26:52. | |
the market for doctors is just in Wales or the UK, it is worldwide. | :26:53. | :26:57. | |
People will come here as they have done for 50 years. The trick is to | :26:58. | :27:00. | |
make sure the NHS is seen as a system in which doctors can prosper | :27:01. | :27:05. | |
and stop it must be well funded and offer the service to patients in | :27:06. | :27:09. | |
that country and must not be under threat of privatisation. On | :27:10. | :28:41. | |
that country and must not be under that. The Swansea Bay city region | :28:42. | :28:43. | |
port have been working with local authorities and the evidence of that | :28:44. | :28:49. | |
is the bid itself. It requires joint working between a number of | :28:50. | :28:53. | |
different bodies and now we await the UK Treasury to respond to the | :28:54. | :28:59. | |
bid on the 16th of March. We hope with regard that and the Cardiff | :29:00. | :29:03. | |
city region that the Treasury will give sufficient commitment to enable | :29:04. | :29:10. | |
the two bids to proceed. The City Deal is very important for the | :29:11. | :29:15. | |
Swansea city region and will bring trend is visited. They cannot act in | :29:16. | :29:19. | |
isolation. They need to work with other government policies. Can you | :29:20. | :29:22. | |
say to what extent the City Deal fits into other government | :29:23. | :29:28. | |
priorities for the Swansea city they region, in particular in terms of | :29:29. | :29:33. | |
transport? Would you extend the Metro concept further west into the | :29:34. | :29:37. | |
Swansea city area a pie in the transport links to make the best of | :29:38. | :29:42. | |
that initiative? Yes, that is part of it. Clearly, the ability to move | :29:43. | :29:46. | |
easily around the region in order to access employment is important. The | :29:47. | :29:50. | |
City Deal proposal that has been put forward will seek the city region | :29:51. | :29:55. | |
become a giant test-bed that innovates and commercialises smart | :29:56. | :30:00. | |
Internet-based solutions that will transform the local economy, | :30:01. | :30:03. | |
transform the energy sector and the health sector in the same point | :30:04. | :30:06. | |
internet has transformed the telecoms industry. It is a very | :30:07. | :30:11. | |
ambitious bid and, inevitably, the transport system in the region could | :30:12. | :30:14. | |
be important for conductivity in the region but also beyond. | :30:15. | :30:18. | |
First Minister, last week the Joseph Rowntree Foundation published a | :30:19. | :30:28. | |
report which expressed concern that smaller cities and towns were losing | :30:29. | :30:32. | |
out to the capital within the city region. What can the city region | :30:33. | :30:40. | |
board to do to make sure areas benefits from the Swansea Bay city | :30:41. | :30:42. | |
region? It is vital to ensure that the whole | :30:43. | :30:49. | |
region is considered as a region rather than the city of Swansea and | :30:50. | :30:53. | |
other adjacent towns. Llanelli is extremely important as are the towns | :30:54. | :30:59. | |
and villages around Llanelli itself. In order to develop the area | :31:00. | :31:06. | |
economic league which ensures that investment comes to every part of | :31:07. | :31:13. | |
that region, Swansea is the largest city in that area but that doesn't | :31:14. | :31:18. | |
mean everything has to go to Swansea. Elin Jones. What are the | :31:19. | :31:26. | |
Welsh Government's priorities for improving public services in | :31:27. | :31:28. | |
Ceredigion? To ensure that services, first-class | :31:29. | :31:35. | |
services are delivered in a most efficient and effective way in line | :31:36. | :31:38. | |
with the needs and preferences of the local communities. The post | :31:39. | :31:45. | |
office intends to close the Crown Post Office in Aberystwyth and this | :31:46. | :31:50. | |
will mean that they will not be a Crown Post Office services between | :31:51. | :31:55. | |
the M4 corridor and the A55. Big unity in Aberystwyth and the | :31:56. | :32:00. | |
surrounding area oppose this intention in timely. Would you agree | :32:01. | :32:03. | |
with me that it is important public services are available within a | :32:04. | :32:09. | |
reasonable distance of travel for all communities in Wales and that is | :32:10. | :32:12. | |
a responsibility of the post office to ensure that as any other public | :32:13. | :32:18. | |
service? Yes, I do. I believe that I agree with the member that the Crown | :32:19. | :32:27. | |
Post Office at Aberystwyth. Aberystwyth is important to mid | :32:28. | :32:30. | |
Wales. It is the largest towns in mid Wales and it is therefore | :32:31. | :32:34. | |
important that the Crown post office exists in the towel. -- the towns. | :32:35. | :32:43. | |
It has affected badly and it is important. Post offices have two | :32:44. | :32:51. | |
exists within the rural towns. There have been concerns in Cardigan | :32:52. | :32:58. | |
on the delivery of health and social service care. On this forthcoming | :32:59. | :33:04. | |
Thursday, Hywel Dda health board is running a drop-in event to consult | :33:05. | :33:08. | |
with the local community on plans for the new facility which will be | :33:09. | :33:14. | |
there not only for the residents of Cardigan and Ceredigion but also for | :33:15. | :33:17. | |
those in Carmarthenshire and Pembrokeshire. Given the integral | :33:18. | :33:27. | |
role of the central on delivering packages, do you agree that | :33:28. | :33:29. | |
accessibility by public transport is for these new facilities is of great | :33:30. | :33:34. | |
importance? Will you join me and calling upon members of the public | :33:35. | :33:38. | |
in that area to attend the event to voice their concerns about this | :33:39. | :33:42. | |
matter and other matters pertaining to the new development? | :33:43. | :33:47. | |
The development itself is an excellent development for Cardigan. | :33:48. | :33:51. | |
The business case was approved in June last year the health board is | :33:52. | :33:54. | |
progressing with the full business case which is expected to be | :33:55. | :34:00. | |
received in April. It is crucial that the public are fully engaged | :34:01. | :34:04. | |
with the proposals as they develop and transport is an important issue | :34:05. | :34:07. | |
that the health board will be to consider. | :34:08. | :34:11. | |
Question number five. Were the First Minister make a statement of the | :34:12. | :34:13. | |
importance of community pharmacies in Wales. | :34:14. | :34:18. | |
We recognise how important community pharmacies are in Wales. We continue | :34:19. | :34:24. | |
to invest in developing the role of community pharmacies as part of | :34:25. | :34:27. | |
improving primary care. Including our announcement yesterday that | :34:28. | :34:33. | |
seven at ?50,000 or be spent to access patient records. I for one | :34:34. | :34:41. | |
agree that pharmacies is an excellent incident. Can further | :34:42. | :34:53. | |
service be given to pharmacies? The great opportunities, where | :34:54. | :34:59. | |
pharmacists and able to provide treatment for people there is no | :35:00. | :35:07. | |
need for them to go to GP. It means that they can administer flu | :35:08. | :35:14. | |
vaccines, they can bring smoking cessation programmes, emergency | :35:15. | :35:17. | |
supply of medicines, a review of medicines. These are the issues that | :35:18. | :35:21. | |
would have been done by a GP in days gone by. The GPs can deal with more | :35:22. | :35:31. | |
serious cases. It is part of the choose well message. Go first of all | :35:32. | :35:36. | |
to the pharmacy, the GP and so forth. | :35:37. | :35:42. | |
First Minister, community pharmacists have been helping | :35:43. | :35:45. | |
patients with the inconvenience of renewing prescriptions for some time | :35:46. | :35:49. | |
by arranging to reorder and collect and deliver drugs to patients. Will | :35:50. | :35:55. | |
your government reconsider the possibility of allowing committee | :35:56. | :35:58. | |
pharmacies to dispense for more than one month at a time to patients with | :35:59. | :36:02. | |
certain stable chronic conditions. We're not talking about wasted drugs | :36:03. | :36:07. | |
at all. That would reduce the impact of missed appointments and GP | :36:08. | :36:10. | |
appointments. That is available now. They are | :36:11. | :36:17. | |
releasing time for GPs to deal with mossy decision is. | :36:18. | :36:23. | |
Question six. How much money has the Welsh Government invested in | :36:24. | :36:28. | |
attracting Aston Martin to St Athan? The financial terms are commercially | :36:29. | :36:32. | |
confidential. I can tell members we will be investing in a new road | :36:33. | :36:38. | |
that'll be key to providing access to the occupiers at St Athan. We | :36:39. | :36:42. | |
will be working with the company in order to ensure the building is | :36:43. | :36:46. | |
three fitted. Thank you. I can understand your | :36:47. | :36:51. | |
reluctance to answer due to the sensitivity but it is taxpayers | :36:52. | :36:56. | |
money. Could I ask you how many of the seven at 50 skilled jobs will go | :36:57. | :37:02. | |
to current workers in Wales? -- seven and 54 stop I can accept posts | :37:03. | :37:12. | |
will be important but I do hope this will create jobs for people here in | :37:13. | :37:15. | |
Wales. That is the idea. It was the same | :37:16. | :37:19. | |
with General Dynamics in Merthyr yesterday. The reason why these | :37:20. | :37:25. | |
companies invest in Wales is nothing to do with money. They had better | :37:26. | :37:30. | |
financial offers to go elsewhere. They were impressed by what they | :37:31. | :37:34. | |
described as the passion, professionalism of the Welsh | :37:35. | :37:36. | |
Government and the team that brought in the investment. But also any | :37:37. | :37:42. | |
investor needs to be sure that the skills, the pipeline of skills in | :37:43. | :37:49. | |
for -- include in the local area. It is made clear to me by Aston Martin | :37:50. | :37:53. | |
and general Dynamics yesterday they are confident the skills they need | :37:54. | :37:58. | |
exist in the local area. I think most of the jobs will go to local | :37:59. | :38:07. | |
people. We welcome the arrival of Aston Martin and the jobs it will | :38:08. | :38:13. | |
bring. I have never had an Aston Martin myself! It is important that | :38:14. | :38:27. | |
we should establish a private-sector led investment Council which can | :38:28. | :38:32. | |
feed better to government Eadie quests are private industry to make | :38:33. | :38:34. | |
more of these new developments successful in Wales. We do that | :38:35. | :38:40. | |
already. The evidence of that is shown by the fact we have had record | :38:41. | :38:46. | |
foreign investment was up Aston Martin is one example, General | :38:47. | :38:48. | |
Dynamics is another. There are others in the pipeline. Wales is | :38:49. | :38:53. | |
seen as the place to come. What is important is we are seen as a place | :38:54. | :38:57. | |
where high skilled, well-paid jobs come. The argument I always have | :38:58. | :39:03. | |
about the policies of the late 80s and 90s is was this, jobs were | :39:04. | :39:06. | |
brought, they were low paid and unskilled and they went elsewhere. | :39:07. | :39:17. | |
Unemployment fell in the 90s but GDP went down as well. We are seen as | :39:18. | :39:25. | |
being in the forefront as a country that can attract high skilled | :39:26. | :39:30. | |
investment. It is Iturbe to the people of Wales themselves that they | :39:31. | :39:35. | |
are seen by so many investors around the world as the sort of people who | :39:36. | :39:38. | |
can provide the skills that are needed for those companies to | :39:39. | :39:42. | |
prosper. Question number seven. FN Jenkins. | :39:43. | :39:47. | |
Were the First Minister provide an update on the Welsh Government's | :39:48. | :39:53. | |
involvement in the Rhondda internal project. -- tunnel. They took over | :39:54. | :40:02. | |
what was once described as the burdensome state of the railways and | :40:03. | :40:08. | |
now it is the historical agency railways Estates. We're working with | :40:09. | :40:17. | |
them to establish the legal, safety and environmental liabilities with | :40:18. | :40:19. | |
transfer of ownership. We're working with them to discuss it. | :40:20. | :40:29. | |
Thank you. I'm asking about that because the members of the society a | :40:30. | :40:32. | |
big concern there has been toing and froing between the vast government | :40:33. | :40:36. | |
and the highways department. It is the has the Oracle part of the | :40:37. | :40:40. | |
department that we would be talking to in terms of that estate. During | :40:41. | :40:47. | |
those discussions, are you minded to take over responsibility because | :40:48. | :40:50. | |
from talking to the Society of things can fall in place as planning | :40:51. | :40:54. | |
permission for other types of access for the ADF when that ownership is | :40:55. | :41:02. | |
you has been sorted. They would like to timeline from you, First Minister | :41:03. | :41:06. | |
of the wee need to establish the liabilities. | :41:07. | :41:10. | |
We don't know what they are get. You won't buy a house without a | :41:11. | :41:13. | |
structural survey. What we're working with highways on doing is to | :41:14. | :41:19. | |
understand what the structure of the tunnel is like, what the liabilities | :41:20. | :41:26. | |
might be. Once that is understood the next age will be to consider | :41:27. | :41:29. | |
whether there should be a formal request for transfer. We can't do | :41:30. | :41:35. | |
that without knowing what the liabilities will be. It is important | :41:36. | :41:41. | |
that you go into this with our eyes open and that is why we are working | :41:42. | :41:47. | |
with highways in order to have those liabilities understood. | :41:48. | :41:53. | |
The Welsh Government support for the feasibility of the Bath survey has | :41:54. | :41:58. | |
been welcomed. These are just the first steps in the process which | :41:59. | :42:01. | |
will see the connection opportunities. Were the Welsh | :42:02. | :42:10. | |
Government to continue to work with members of the Rhondda internal | :42:11. | :42:15. | |
society in acknowledging what he said about the late ability is. This | :42:16. | :42:23. | |
project can be taken forward. We will work with the society. I | :42:24. | :42:30. | |
know that they work... The Minister has asked Sir strength for | :42:31. | :42:42. | |
expertise. -- Sustrans for expertise. That cooperation will | :42:43. | :42:49. | |
continue. This was on the order paper so | :42:50. | :42:54. | |
hopefully you have had a bitter briefing. You need to make the | :42:55. | :42:58. | |
assessment of the liabilities, everybody understands that. Can you | :42:59. | :43:02. | |
give a time frame for when those assessments will be concluded and | :43:03. | :43:06. | |
the government will be in a position to give concrete answers are | :43:07. | :43:09. | |
perfectly legitimate customers because they just find themselves | :43:10. | :43:14. | |
unable to bid for grants without secure knowledge about the ownership | :43:15. | :43:17. | |
of the potential for securing a stake in the tunnel. | :43:18. | :43:22. | |
We can't give a timescale until we know what the liabilities are. We | :43:23. | :43:28. | |
understand what highways England give us. Because it is a disused | :43:29. | :43:34. | |
railway asset the tunnel has no monetary value. There are bound to | :43:35. | :43:40. | |
be levels of liability. In terms of the transfer, Berardi number of | :43:41. | :43:43. | |
implications that need to be considered before we take this | :43:44. | :43:47. | |
further. Highways England considered thereat liability costs although | :43:48. | :43:50. | |
they haven't told us what those costs are. Those costs are | :43:51. | :43:54. | |
underwritten by the Secretary of State. If they were to be | :43:55. | :43:57. | |
liabilities it follows those costs would need to be underwritten by the | :43:58. | :44:02. | |
Welsh Government. We need to have that figure in place. As soon as the | :44:03. | :44:08. | |
figure is in place we will give greater clarity and a timescale. | :44:09. | :44:16. | |
Question number eight. Will the First Minister make a statement on | :44:17. | :44:18. | |
mobile phone provision in rural areas. | :44:19. | :44:24. | |
Following an agreement with the United Kingdom government, ie no | :44:25. | :44:34. | |
that things and now progressing. The mobile phone operators are planning | :44:35. | :44:40. | |
improvements to data coverage and voice coverage in Wales by 2017. | :44:41. | :44:44. | |
Learn to make sure that is what happens. Although rural areas such | :44:45. | :44:50. | |
as Anglesey pay exactly the same as everyone else in the British Isles | :44:51. | :44:55. | |
for their mobile phone signal, the service is often second-rate and to | :44:56. | :44:59. | |
be honest many pay more for a mobile phone in areas such as Ynys Mon. | :45:00. | :45:07. | |
Some pay for two phones. Some pay for a box to boost the signal, | :45:08. | :45:11. | |
others have to pay roaming charges because the signal from Ireland is | :45:12. | :45:14. | |
stronger than the signal available on Anglesey. The daily Post is | :45:15. | :45:21. | |
running a campaign to try and improve mobile signal in North Wales | :45:22. | :45:24. | |
and they revealed some figures yesterday on 4G coverage. The | :45:25. | :45:31. | |
Netherlands is 83%, Britain 53% and Wales is on 20%. Given that | :45:32. | :45:35. | |
connectivity is so important in rural areas is what has prevented | :45:36. | :45:40. | |
the Welsh Government from encouraging the mobile phone | :45:41. | :45:44. | |
providers to do more to provide enhanced signal in rural areas and | :45:45. | :45:46. | |
in Ynys Mon. The signal comes from Ireland, so | :45:47. | :46:02. | |
you pay roaming charges because of that. This is not a devolved issue, | :46:03. | :46:09. | |
however, we have been pushing the UK Government and the mobile providers | :46:10. | :46:12. | |
to ensure that people receive the service they should. If you look at | :46:13. | :46:18. | |
Anglesey, it is flat. You would imagine it would be easy to get a | :46:19. | :46:24. | |
signal to most of the communities on Anglesey. Despite this, and this is | :46:25. | :46:30. | |
not right, there are some areas where there is a signal, but it is a | :46:31. | :46:34. | |
very weak one. It is not possible to receive download, although it is | :46:35. | :46:40. | |
possible to make a phone call. Now the agreement has been signed by the | :46:41. | :46:45. | |
UK Government and the providers, we look forward to ensuring that the | :46:46. | :46:51. | |
United Kingdom government insiders that things change for the better in | :46:52. | :46:58. | |
the majority of Wales. I understand the mobile network operators have | :46:59. | :47:02. | |
written a joint letter to the Welsh Government urging you to review the | :47:03. | :47:05. | |
planning framework to facilitate the roll out of mobile infrastructure. | :47:06. | :47:12. | |
They have expressed the view that if the necessary mobile infrastructure | :47:13. | :47:17. | |
is to be rolled out across rural Wales, they must be permitted to do | :47:18. | :47:21. | |
so by local planning authorities through more flexible planning | :47:22. | :47:25. | |
regulation, which will allow an increase in permitted development to | :47:26. | :47:29. | |
a height of 25 metres and a five metre height in non-protected areas. | :47:30. | :47:33. | |
I would be grateful for an update on this and your view on it. I do not | :47:34. | :47:40. | |
accept the situation is worse than in England. It is important | :47:41. | :47:45. | |
operators learn to share as well. Learn to share masts. To have a | :47:46. | :47:49. | |
separate mast for every operator is inefficient. In other countries they | :47:50. | :47:53. | |
are shared and I would urge them to do that. Now we look to see the UK | :47:54. | :47:57. | |
Government ensuring the agreement reached with operators becomes | :47:58. | :48:03. | |
effective for most people in Wales. It is not just the masts as well. | :48:04. | :48:09. | |
One issue that has been raised is the strength of the signal. There | :48:10. | :48:13. | |
have been many occasions when members will have had experience of | :48:14. | :48:19. | |
this, when you have phone reception but you cannot download data. I am | :48:20. | :48:26. | |
not an expert in the technical aspects but it is not just a | :48:27. | :48:29. | |
question of masts being in place a question of the strength of the | :48:30. | :48:33. | |
signal, prompting must think strong enough with the bandwidth is strong | :48:34. | :48:38. | |
enough to make sure people can use the signal for downloading | :48:39. | :48:40. | |
information as well as phoning and texting. The mobile infrastructure | :48:41. | :48:47. | |
project was meant to deliver hundreds of masts across the UK to | :48:48. | :48:53. | |
prevent this problem. The government in Westminster have scrapped that | :48:54. | :48:57. | |
programme, having built just 40. Having dealt with them and the | :48:58. | :49:01. | |
companies, forgive me if I am cynical that this agreement will | :49:02. | :49:04. | |
make a difference to my constituents. You say this is not a | :49:05. | :49:09. | |
devolved issue, but economic development and public services are | :49:10. | :49:13. | |
a devolved issues and mobile telephony and good signals are | :49:14. | :49:16. | |
crucial to the delivery of both. What steps will the Welsh Government | :49:17. | :49:22. | |
take to ensure that all communities in Wales have access to decent | :49:23. | :49:29. | |
mobile phone coverage? Economic development is devolved, but | :49:30. | :49:32. | |
telecoms are not. There is an obligation on the UK Government to | :49:33. | :49:37. | |
make sure that mobile phone coverage improves across the whole of the UK. | :49:38. | :49:41. | |
We expect to see the UK Government deliver that by next year. If that | :49:42. | :49:48. | |
is not delivered then we will consider what steps to take next. We | :49:49. | :49:55. | |
now move to item to... That was questions to the First Minister, the | :49:56. | :49:59. | |
penultimate session at this assembly term. If you want more coverage of | :50:00. | :50:03. | |
the assembly you can go online to our Senedd live page. That is it for | :50:04. | :50:11. | |
now. For all the latest political news watch Wales Today at half six | :50:12. | :50:21. | |
on BBC One Wales. As for AMPM, from all this on the programme, goodbye. | :50:22. | :50:26. |