09/02/2016

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:00:31. > :00:36.Good afternoon. Welcome to the programme and our weekly coverage of

:00:37. > :00:41.questions to the First Minister. Politicians will be debating the ?15

:00:42. > :00:45.billion spending plans for next year later on this afternoon. After the

:00:46. > :00:47.weekly questions session. And our weekly coverage of questions to the

:00:48. > :00:50.First Minister. Politicians will be debating the ?15 billion spending

:00:51. > :00:54.plans for next year later on this afternoon. After the weekly

:00:55. > :00:57.questions session. From the the keep Sunday special campaign. You can

:00:58. > :01:04.follow all the latest on our Twitter feed. Business in the chamber is

:01:05. > :01:11.already underway. Let's take a look at the questions to the First

:01:12. > :01:15.Minister. Good afternoon. The National Assembly of Wales is now in

:01:16. > :01:22.session. Our first item, questions to the First Minister. What is the

:01:23. > :01:29.Welsh Government doing to support the keep Sunday special campaign? It

:01:30. > :01:33.is not a devolved matter and we are awaiting further details on the

:01:34. > :01:36.proposals from the UK Government. It is hugely important that the

:01:37. > :01:42.interests of those who work on a Sunday or protected and that the

:01:43. > :01:49.privileges that they enjoy now continue in the future. It is

:01:50. > :01:53.disappointing for those who have been campaigning to keep Sunday

:01:54. > :01:57.special and in relation to the hundred thousand social workers in

:01:58. > :02:04.Wales who thought that the UK Government had pledged not to tackle

:02:05. > :02:07.-- tamper with Sunday trading laws. They are now doing it through the

:02:08. > :02:11.back door by the Enterprise Bill. What can the Welsh Government do to

:02:12. > :02:17.protect the family life of shop workers in Wales? We take the view

:02:18. > :02:21.that this is an issue that should be devolved. We have argued for it to

:02:22. > :02:26.be devolved. We look forward to a response from the UK Government to

:02:27. > :02:29.that. Should these powers be default we will consult with local

:02:30. > :02:32.authorities, businesses, shop workers and the public and we will

:02:33. > :02:39.listen to what they say and act accordingly. Noting what he said,

:02:40. > :02:43.you will acknowledge that the majority of local authorities would

:02:44. > :02:46.rather like to have these powers so they can interpret them in the best

:02:47. > :02:51.locally. Would you support such a move? I believe these powers should

:02:52. > :02:56.be devolved to the people of Wales and we can decide where these powers

:02:57. > :03:07.should go as is the case in Scotland and Northern Ireland. Will the First

:03:08. > :03:13.Minister make a statement on action to reduce waiting times? We have set

:03:14. > :03:19.up the planned care programme led by clinicians to set up sustainable

:03:20. > :03:23.services in NHS Wales. We have invested an additional ?45 million

:03:24. > :03:25.for the financial year to assist health boards in delivering

:03:26. > :03:34.improvements in between times set out in their medium-term plans. We

:03:35. > :03:38.know and do your tenure, winning plans have doubled here. In South

:03:39. > :03:42.Wales Central there is an especial concern around orthopaedic waiting

:03:43. > :03:48.times and the BBC statistics recently showed considerable wits

:03:49. > :03:52.for Hoops. 197 debut it as opposed to 75 days in England. What comfort

:03:53. > :03:56.can you give to my constituents in South Wales Central as to what

:03:57. > :04:00.action the government will be taking to drive down waiting times so that

:04:01. > :04:03.when they do present at hospital, a consultant is in a position to give

:04:04. > :04:09.them a time they can count on to have the procedure? Let's look at

:04:10. > :04:16.A The number of people spending 12 hours in in the department has

:04:17. > :04:19.fallen, a 23% drop. That is compared to the previous month. We look for

:04:20. > :04:27.the number of people reading in England in Indy has doubled to

:04:28. > :04:32.124,000 people in two years. We know that delayed transfers of care are

:04:33. > :04:37.increasing in England. Diagnostic waiting times are dropping in bills.

:04:38. > :04:43.When the people reading is time for operations and we know that unlike

:04:44. > :04:49.in England we do not have the chaos, Cameron's chaos, of a junior doctors

:04:50. > :04:53.strike. We know that one of the contributors to reading list is the

:04:54. > :04:58.impact upon adult social care which the Tories would separate from the

:04:59. > :05:05.NHS in England. The example is that there has been a 15% cut in spending

:05:06. > :05:10.on adult social care and a 100% increase in bed blocking, increasing

:05:11. > :05:14.from 50,000 a month to 100,000 a month. The Tories would decimate

:05:15. > :05:19.adult social care. Did he agree the position of the Welsh Government of

:05:20. > :05:22.supporting adult social care as part and parcel of NHS treatment

:05:23. > :05:29.contribute to better treatment and better outcomes for all? The

:05:30. > :05:33.tendency of the Tories in England to suggest that somehow there is no

:05:34. > :05:39.connection between health and social care... Can you count down and

:05:40. > :05:45.listen to the First Minister reply. That is you in particular, Darren

:05:46. > :05:50.Millar. Don't cheer. The Tories have a tendency to suggest there is no

:05:51. > :05:54.connection between health and social care. They have cut social care to

:05:55. > :05:56.the bone. They have off-loaded responsibility for providing social

:05:57. > :06:00.care to local authorities to the poorest authorities will have the

:06:01. > :06:05.greatest problem in providing social care. We in Wales spent more on

:06:06. > :06:09.health and social services in England does. 7% more and we will

:06:10. > :06:14.continue to look at those who need care the most. That is an

:06:15. > :06:19.interesting answer to that question because when Plaid Cymru talks about

:06:20. > :06:24.integrating health and social care services neighbour accuses us of

:06:25. > :06:35.wanting to abolish the NHS. Which is a blatant lie. Now, First Minister,

:06:36. > :06:40.in some parts of south Wales Central obtaining a GP appointment can be a

:06:41. > :06:43.long and drawn out process. The issue is particularly acute in the

:06:44. > :06:48.northernmost part of the region where at The Royal College of

:06:49. > :06:54.General practitioners tell us that half of all GPs are nearing

:06:55. > :06:59.retirement. For members who are not aware, that region is in South Wales

:07:00. > :07:07.Central. Access to a GP has not been helped by removal of the out of

:07:08. > :07:10.hours service. One primary care is weak there is an inevitable knock on

:07:11. > :07:17.effect on hospitals by increasing the demand on waiting times and

:07:18. > :07:21.services. First Minister, you have previously admitted that you took

:07:22. > :07:25.your eye of the ball when it comes to education, do you now admit that

:07:26. > :07:31.you have taken your eye off the ball with health and Doctor recruitment

:07:32. > :07:37.as well? The leader of Plaid Cymru things we are into leaderquestions.

:07:38. > :07:42.Overall GP numbers have increased by ten and a half percent between 2004

:07:43. > :07:47.and 2015. There are now over 2000 GPs civic communities across Wales.

:07:48. > :07:51.We note that this is a global market when it comes to attracting doctors

:07:52. > :07:55.and that is why we launched the targeted campaign called meet your

:07:56. > :07:59.future part of our future, external wire Wales is a good place to be a

:08:00. > :08:06.junior doctor. Where our Hammonds, health boards have plans in place

:08:07. > :08:13.where practices have decided to close their doors, salaried GPs have

:08:14. > :08:19.been put in place. I do not accuse Plaid Cymru of trying to dismantle

:08:20. > :08:22.the NHS. I know they want to see an improved public health service, as

:08:23. > :08:26.we did. We do not agree with the structure they want to impose, but

:08:27. > :08:32.we are in the same position in that regard. We have 2000 more GPs since

:08:33. > :08:37.2004 and they are serving our communities well. First Minister,

:08:38. > :08:46.there is a big discrepancy between the referral to diagnostic testing

:08:47. > :08:50.times between cancer patients on the urgent route to the non-urgent route

:08:51. > :08:53.and I wonder what additional support could the Welsh Government put in

:08:54. > :08:59.place for primary care to make sure that, when it GPs are making this

:09:00. > :09:01.decision between urgent and nonurgent referrals, that they are

:09:02. > :09:08.confident they are making both safe and appropriate decisions? I don't

:09:09. > :09:11.see this as a particular issue in South Wales Central, but

:09:12. > :09:15.nevertheless, it is right to say more GPs are referring people at an

:09:16. > :09:18.early stage, quite naturally, if they suspect cancer might be

:09:19. > :09:24.present. The vast majority that is not the case but the referral is

:09:25. > :09:28.made anyway. That diagnosis is made within 20 days. Although for some

:09:29. > :09:32.cancers it can be more difficult to identify what the problem is.

:09:33. > :09:37.Pancreatic cancer is a particular issue because the symptoms can be

:09:38. > :09:42.general and can mimic the symptoms of other illnesses. We note that we

:09:43. > :09:52.outperform England when it comes to 31 day target for urgent cancers and

:09:53. > :10:03.the 62 date timetable for non-urgent care and -- cancers and we want that

:10:04. > :10:06.to continue to be the case. First Minister, at the last National

:10:07. > :10:10.Assembly elections, I party said we would provide more money for schools

:10:11. > :10:15.by targeting additional monies at pupils who need it most. The budget

:10:16. > :10:20.today means that the pupil premium will be worth ?1150 per pupil in

:10:21. > :10:23.April thanks to the Welsh Liberal Democrats and the recent report said

:10:24. > :10:29.that is making a material difference to those children. To qualify for

:10:30. > :10:32.this support, parents must register for free school meals. Would work

:10:33. > :10:38.with the government and take to ensure that every child who needs

:10:39. > :10:42.this support will receive this help? I am not aware of this being a

:10:43. > :10:47.particular issue. It is important that schools are able to community

:10:48. > :10:51.and so parents are aware of the support that is available to them

:10:52. > :10:56.and we have a responsibility to help them. Some families believe there is

:10:57. > :11:00.a stigma in making an application for free school meals and they

:11:01. > :11:03.should be assured that it is not only in their interests, but in the

:11:04. > :11:07.interests of the children to make that application. It will make a

:11:08. > :11:11.material difference to the school budget. The budget this afternoon

:11:12. > :11:15.will also deliver additional funding -- funding for the health service.

:11:16. > :11:19.That will only be worthwhile if it makes a material difference to the

:11:20. > :11:28.outcome for people. What impact we expect from patients in Wales and

:11:29. > :11:30.what fresh and new ideas do you have in each of the additional resources

:11:31. > :11:34.going into the NHS make a genuine difference to patient experience is

:11:35. > :11:41.much more can I recognise what she said about free school meals. There

:11:42. > :11:47.are schools that have pioneered a plastic cards that are preloaded

:11:48. > :11:50.with the money for some pupils but which can be used without money

:11:51. > :11:58.preloaded for those on free school meals. No one knows the difference.

:11:59. > :12:03.When I was in school, those on free school meals had a different

:12:04. > :12:06.coloured ticket. This will help us remove this stigma. The leader of

:12:07. > :12:11.the Liberal Democrats is right that the stigma still exist. We want to

:12:12. > :12:14.see diagnostic times gone down, in the waiting time going down, waiting

:12:15. > :12:19.times for operations gone down, to see the timetables but in place for

:12:20. > :12:23.cancer treatments improve and to see ambulance response times improve as

:12:24. > :12:30.well. It is important that as more money goes in, that people can see

:12:31. > :12:36.the output delivered at the end. One part of the NHS but does frustrate

:12:37. > :12:40.people, and a problem you promised action on is accessing their GP when

:12:41. > :12:47.they wanted. For many people, a three wait for appointment is not

:12:48. > :12:52.uncommon. When you look at Liberal Democrat plans to invest in a

:12:53. > :12:56.properly funded access to GPs scheme that would incentivise GPs to

:12:57. > :13:01.broaden the primary health care team so they can only see people they

:13:02. > :13:06.need to see and would you accept that spending money on expensive

:13:07. > :13:12.locum cover to provide support when AGP retires is not an efficient use

:13:13. > :13:17.of NHS money? First of all, there is a difference between a look and a

:13:18. > :13:22.salaried GP. Most GPs are looking at the salaried model more favourably

:13:23. > :13:26.than the contract model. They want the flexibility. They are not

:13:27. > :13:31.interested in buying into a practice. More GPs want the

:13:32. > :13:37.flexibility of being salaried. You do not have the bike in as a partner

:13:38. > :13:43.in order to be seen as a proper GP. In terms of access to GPs, it does

:13:44. > :13:47.vary, that is true. There are some GP surgeries were appointments can

:13:48. > :13:51.be made and can be seen that day. There are others who are not as

:13:52. > :13:55.efficient. There is a challenge there and we have improved on the

:13:56. > :14:00.situation is regarding being able to access GPs at evenings and weekends,

:14:01. > :14:03.but there is a challenge for some GP practices to catch up with the best

:14:04. > :14:08.practice of others. There is no reason why there should be that

:14:09. > :14:13.level of discrepancy. We are talking about independent contractors but

:14:14. > :14:25.that will make sure that accessing England's and -- accessing GPs in

:14:26. > :14:27.evenings will be better. The budget is laid for debate this afternoon

:14:28. > :14:31.and flung from that debate, the draft local government settlement

:14:32. > :14:34.has been laid for consideration. I see on the forward outlook that they

:14:35. > :14:39.did for that to come to the assembly is March the 8th. Are you confident

:14:40. > :14:42.that the draft settlement that is being made available to local

:14:43. > :14:46.authorities, the length and breadth of Wales, will be the settlement we

:14:47. > :14:50.will be voting on here unfortunately it, or do you see that there will be

:14:51. > :14:54.changes to mitigate for the devastating impact of some of those

:14:55. > :14:59.cuts to local authorities? Despite the Tory cuts imposed on us, we are

:15:00. > :15:05.confident that the local government settlement will be fair in that

:15:06. > :15:10.context. I take it from that that would be the settlement before dawn

:15:11. > :15:14.on March the 8th and there will be no leveller stabiliser put in for

:15:15. > :15:19.local authorities such as temperature were Monmouthshire that

:15:20. > :15:24.devious Draconian cuts in their services come up to 4%? Another

:15:25. > :15:28.thing you have in your budget First Minister is higher education and 32%

:15:29. > :15:33.cuts to higher education here in Wales are being made by your

:15:34. > :15:38.government if this budget passes, that will put a dramatic amount of

:15:39. > :15:43.pressure on part-time courses on access to higher education and,

:15:44. > :15:48.above all, research, research in universities. We know there is less

:15:49. > :15:54.money around, but what will your government be doing to assist

:15:55. > :16:00.universities making sure that there is access to

:16:01. > :16:07.There is support for part-time courses, given that you have chosen

:16:08. > :16:12.to cut 32% out of the support to higher education. The Leader of the

:16:13. > :16:15.Opposition is trying to pre-judge the Budget Statement. He will have

:16:16. > :16:22.to wait to see what is announced. I have to say to him that he has

:16:23. > :16:27.declared that he wishes to see local government cut by 12%, he's declared

:16:28. > :16:33.it. It's there in writing. In the document, that his party produced as

:16:34. > :16:36.an alternative draft Budget. And he has not changed his position since

:16:37. > :16:40.then. When he was asked this question on the radio, he said, "We

:16:41. > :16:44.haven't crunched the numbers yet." It is not his question session, I

:16:45. > :16:47.understand that. There will come a time when the people of Wales will

:16:48. > :16:50.want to know what cuts his party proposes to make to local

:16:51. > :16:54.government. He can't run from that question forever. At the moment,

:16:55. > :17:00.it's 12%. That is the cut he wants. That is an equivalent of a 38%

:17:01. > :17:05.increase in council tax. The second thing he mentions is higher

:17:06. > :17:10.education. Well, he wants to triple tuition fees for students, to impose

:17:11. > :17:13.a tax on students along the same lines as England. We have seen the

:17:14. > :17:17.cuts in higher education in England. We are not going to sell our

:17:18. > :17:20.students down the river. And we are not going to put our students in a

:17:21. > :17:28.position where they leave college with enormous levels of debt. That

:17:29. > :17:31.is exactly what he and his party wants to do. You have offered no

:17:32. > :17:37.answers whatsoever, First Minister. You referred back to a Budget that

:17:38. > :17:41.was offered in 2011 - I accept, you won that election, you formed the

:17:42. > :17:44.Government. We are now in 2016. If our budget had come forward, there

:17:45. > :17:53.would not have been ?1 billion worth of cuts to the Welsh NHS, that you

:17:54. > :17:57.are trying to back pedal. Well done to you, First Minister. I

:17:58. > :18:03.have asked you legitimate questions today on the Budget that will be

:18:04. > :18:08.before us later and in that Budget you have also got an increase in

:18:09. > :18:14.your central services budget of ?7.5 million. Yet, you are taking ?32

:18:15. > :18:19.million out of HE. That is a fact. That is there in black and white.

:18:20. > :18:22.Why do you need ?7.5 million in the central services budget as an

:18:23. > :18:34.increase for you being in Government, yet you are prepared to

:18:35. > :18:37.take 32% out of HE? As I said to him, the Budget Statement will come

:18:38. > :18:41.later. There will be opportunities to ask questions at the appropriate

:18:42. > :18:46.time. It wouldn't be right for the statement to be pre-judged. He keeps

:18:47. > :18:50.on saying that the figures I referred to are old. Fine. Where are

:18:51. > :18:57.the up-to-date figures? There aren't any. So, again, I remind people, 12%

:18:58. > :19:00.cut in local government, 30% cut in economy and transport, huge cuts in

:19:01. > :19:04.housing, huge cuts in central services. He talks about ?1 billion

:19:05. > :19:08.cuts from the Health Service. That is not true. We spend more on health

:19:09. > :19:15.than England does per head. That is clearly untrue. He never says where

:19:16. > :19:19.it would come from. In the cloud cuckoo land that exists over there,

:19:20. > :19:21.money grows on trees! There is no question of making difficult

:19:22. > :19:26.decisions. There is no question of having to make cuts to pay for

:19:27. > :19:32.priorities. Money grows on trees, ?1 billion can be found at the drop of

:19:33. > :19:38.a hat. The reality is, the people of Wales need to have a prudent and

:19:39. > :19:41.realistic Government and not one, as the opposition would be, that is

:19:42. > :19:46.away with the fairies. PRESIDING OFFICER: We move to the

:19:47. > :19:50.leader of Plaid Cymru, Leanne Wood. Diolch, Llywydd. A fortnight ago,

:19:51. > :19:54.First Minister, I asked you to reverse your plans to make savage

:19:55. > :19:59.cuts to the funding of our universities. You declined and you

:20:00. > :20:03.essentially told universities to put up with those cuts. Now, you further

:20:04. > :20:09.rejected claims that there would be job losses as a result of those cuts

:20:10. > :20:15.to the university sector. Can you confirm now, this afternoon, that

:20:16. > :20:21.there won't be a last minute U-turn on university funding when your

:20:22. > :20:25.Budget is presented later on? That will become clear when the Budget is

:20:26. > :20:29.presented. Well, that is an interesting answer, First Minister.

:20:30. > :20:34.I'm not quite sure whether or not this means that you continue to be

:20:35. > :20:38.in denial about the impact of your proposals, so perhaps some evidence

:20:39. > :20:52.from Cardiff University might be helpful to you. They said, "In

:20:53. > :20:58.2015/16, direct funding was proposed to sustain undergraduate dentistry

:20:59. > :21:04.and medicine." Further erosion or loss of this funding will put at

:21:05. > :21:09.risk the education of doctors and dentists within Wales for Wales.

:21:10. > :21:16.These subjects cost more than ?15,000 per student per year and

:21:17. > :21:20.clearly cannot be delivered from the residual fee of ?6,230. At the time

:21:21. > :21:25.when the health budget has been increased, reducing investment in

:21:26. > :21:28.the next generation of doctors and dentists would be contradictory.

:21:29. > :21:32.Cardiff University, therefore, believes that there will be

:21:33. > :21:37.far-reaching consequences to your cuts to the higher education sector.

:21:38. > :21:41.Do you accept that? No. Cardiff University is not the only

:21:42. > :21:46.university in Wales. It also has ?300 million of the reserves. I

:21:47. > :21:51.don't think it is unreasonable, when a sector has ?1.3 billion in

:21:52. > :21:56.reserves in total, that they have to manage what will be small decreases

:21:57. > :22:00.in their budget. Cardiff has ?300 million. So, yes, it is challenging.

:22:01. > :22:03.It was challenging for further education last year. It's been

:22:04. > :22:08.challenging across Government, but it is not asking too much for higher

:22:09. > :22:12.education, whether income having expanded significantly since 2012 to

:22:13. > :22:16.be able to manage what is in the context of things quite a small

:22:17. > :22:21.budget cut. First Minister, Cardiff University is not the only

:22:22. > :22:24.university in Wales and not all universities have the same levels of

:22:25. > :22:30.reserves as Cardiff University might have. I reiterate to you today,

:22:31. > :22:34.First Minister, drop those planned cuts, support Welsh education,

:22:35. > :22:40.support a secure future for our NHS service. You are consistently

:22:41. > :22:45.refusing to give us a vision for higher education in this country.

:22:46. > :22:49.Why? You don't have one, do you? The only thing that we have had

:22:50. > :22:56.confirmed is that you want to make a ?41 million cut, which is a 32% cut

:22:57. > :23:02.to Welsh universities. Why are you meeting out Tory cuts to a sector

:23:03. > :23:07.that this country relies upon for its future prosperity as well as its

:23:08. > :23:10.future health professionals? Unless the leader of Plaid Cymru has a

:23:11. > :23:13.crystal ball, she has no way of knowing what is going to be in the

:23:14. > :23:27.Budget Statement. PRESIDING OFFICER: Order. Order.

:23:28. > :23:31.Order. Order. First Minister? The shouting in that regard gives it

:23:32. > :23:37.away. The statement is later, that is when you get the answers, OK? The

:23:38. > :23:40.statement is later. There will be a debate, you will get a chance to ask

:23:41. > :23:44.those questions then. There are many in the university sector who

:23:45. > :23:47.disagree with the tuition fee grant and with your proposals which is to

:23:48. > :23:50.make sure that people who stay in Wales get their fees paid, which is

:23:51. > :23:55.what you have always said in the past. It's not. It's not Plaid

:23:56. > :24:00.Cymru's policy. We will wait to see what... I am accused of not having

:24:01. > :24:04.vision for universities. We don't know what Plaid Cymru's policy is.

:24:05. > :24:08.The Budget Statement will make it clear. If you had not ruled

:24:09. > :24:12.yourselves out of the Budget discussions at the beginning, you

:24:13. > :24:15.might have had a say in all of this. PRESIDING OFFICER: Thank you,

:24:16. > :24:20.leaders' questions are now finished. We move back to questions on the

:24:21. > :24:24.paper. Question three, Lindsay Whittle. What is the current Welsh

:24:25. > :24:30.Government policy on funding for hospices in Wales? We continue to

:24:31. > :24:34.support the development of end of life and specialist palliative care

:24:35. > :24:37.services, including hospices in Wales, that includes ?3 million

:24:38. > :24:42.worth of funding to support the new St David's Hospice in Newport. Thank

:24:43. > :24:46.you. Could you please explain why over the past five years Welsh

:24:47. > :24:52.Government funding for hospices in Wales has fallen from 24% of their

:24:53. > :24:57.running cost to just 19%? Surely despite any stress on budget - and I

:24:58. > :25:01.know it is tough - such a vital service provided by hospices surely

:25:02. > :25:05.must be safeguarded and not threatened. I would urge you to

:25:06. > :25:09.reconsider that. It would be extremely costly for the NHS if any

:25:10. > :25:13.of the charities went into liquidation due to lack of funding,

:25:14. > :25:18.as most of the service delivery would need to be picked up through

:25:19. > :25:23.our core NHS services. The fact that we are funding the hospices in

:25:24. > :25:37.Newport is a sign of our commitment. We are the only country in the UK to

:25:38. > :25:41.provide 24/7 support. An additional ?1 million was announced in 2015/16

:25:42. > :25:46.to support the delivery of the "end of life" care plan, in addition to

:25:47. > :25:49.that funding and over ?900,000 of that new money will be used to

:25:50. > :25:55.expand hospice at home provision across Wales. The remaining money

:25:56. > :26:12.will be used to fund "end of life" care initiatives. Thank you,

:26:13. > :26:16.Presiding Officer. On the same day Marie Curie launched the daffodil

:26:17. > :26:24.appeal, hospices are essential. "End of life" care, the focus of this

:26:25. > :26:28.care is helping people to live well until they die. We need to ensure

:26:29. > :26:33.that regardless of where you live in Wales, you will be able to access

:26:34. > :26:38.hospices' care. Therefore, First Minister, will you ensure that

:26:39. > :26:42.hospices receive sustainable funding? Yes. Which is why I

:26:43. > :26:47.referred to the point I made earlier on. We have ensured that funding

:26:48. > :26:52.remains. We have put extra money into care and we haven't cut funding

:26:53. > :26:56.for social care as the member's party has done in England. Social

:26:57. > :27:00.care has been hammered in England. We know that the responsibility has

:27:01. > :27:04.been passed on to local authorities who are ill-placed to fund that

:27:05. > :27:09.social care. We will not do that in Wales and we will continue to fund

:27:10. > :27:11.social care at the level people expect.

:27:12. > :27:15.PRESIDING OFFICER: Question 4, Gwenda Thomas. Diolch, Llywydd. Will

:27:16. > :27:19.the First Minister make a statement on the development of businesses

:27:20. > :27:22.that export? Yes, increasing exports from Wales is a key priority for the

:27:23. > :27:28.Welsh Government. We offer a range of measures to support Welsh

:27:29. > :27:33.exporters, including free one-to-one advice, help to find new customers

:27:34. > :27:36.and help to access overseas markets. Thank you for that, First Minister.

:27:37. > :27:50.I note that it comes to Wales this

:27:51. > :27:54.month. If we leave the European Union, trading with this economic

:27:55. > :27:57.bloc will be made far more difficult? There is no question

:27:58. > :28:00.about it. We have seen the difficulties the Prime Minister has

:28:01. > :28:05.had in negotiating a new settlement thus far. I support his position

:28:06. > :28:09.that he wants us to stay in the EU. No-one else's party seems to. I

:28:10. > :28:17.support his position. The reality is, that if we don't get access to

:28:18. > :28:22.the European market, that is tariff free and open, Welsh business will

:28:23. > :28:27.suffer. The idea that if the UK left the EU, the EU would fall over

:28:28. > :28:31.itself to put forward a favourable deal for the UK is madness, frankly.

:28:32. > :28:36.It isn't going to happen. Why on earth would the European Union want

:28:37. > :28:39.to do that for a UK that had just left the European Union? From my

:28:40. > :28:42.point of view, certainty is important for business. The Prime

:28:43. > :28:44.Minister made the point, the Scottish Referendum created

:28:45. > :28:47.uncertainty in Scotland. It did. The same thing is happening with this

:28:48. > :28:51.referendum. The fact there is going to be a referendum is creating

:28:52. > :28:55.uncertainty in the UK, it needs to be resolved, although June is not my

:28:56. > :29:00.preferred date, nor others in the Chamber either. The reality is, if

:29:01. > :29:05.you have access to a market of 500 million, if you can sell to those

:29:06. > :29:10.people, anything you do to interfere with that access is bound to be bad

:29:11. > :29:15.for manufacturers, for tourism and for farmers.

:29:16. > :29:18.PRESIDING OFFICER: I had occasion to have a chat with you last week,

:29:19. > :29:27.Andrew RT Davies, please don't keep muttering. If you want to speak, I

:29:28. > :29:30.will call you. The latest Welsh Government published figures for

:29:31. > :29:36.exports to the third quarter of 2015 show that in the year to the third

:29:37. > :29:41.quarter of 2015 six of the 12 UK Nations and Regions saw an increase

:29:42. > :29:49.in exports but Wales had the second largest fall at 8.6% rising to 16.8%

:29:50. > :29:55.trade exports to other EU countries. How do you respond to the statement

:29:56. > :29:58.in the CBI Business Manifesto that the Welsh Government should develop

:29:59. > :30:02.enhanced export support for medium-sized businesses? Well, the

:30:03. > :30:07.reduction is down to petroleum, which is a significant amount of

:30:08. > :30:14.exports for us. Whenever there is a slowdown in the refineries, it does

:30:15. > :30:18.affect our expor figures, we have seen that in the past. We have seen

:30:19. > :30:21.George Osborne get his excuses in already, saying if things go badly,

:30:22. > :30:27.it's the fault of China and the fault of the world economy. Well,

:30:28. > :30:32.the reality is this: We export nearly half of what we manufacture

:30:33. > :30:36.and produce to the European Union. To lose access to that market is a

:30:37. > :30:42.disaster for business and for our economy. The converse is, that the

:30:43. > :30:46.European Union only exports 10% of what it produces to the UK. We are

:30:47. > :30:50.far more reliant on our export market in the EU than the other way

:30:51. > :30:53.around. And it is important that we remember, as we look to the

:30:54. > :30:58.referendum that will take place this year, that what is at stake here is

:30:59. > :31:02.hundreds and thousands of jobs in Wales. And the decision should be

:31:03. > :31:17.taken based on a dose of economic reality and not on some nationalism.

:31:18. > :31:25.The First Minister will be aware that I have been: four steps to be

:31:26. > :31:30.taken to increase the percentage of public contrast in Wales awarded to

:31:31. > :31:34.Welsh companies and a Plaid Cymru government would legislate to move

:31:35. > :31:38.in that direction. Would the First Minister agreed that promoting Welsh

:31:39. > :31:40.companies by ensuring that more public contracts are awarded as a

:31:41. > :31:45.means of ensuring those companies can grow stronger and develop in

:31:46. > :31:53.their own ability to export and that the Welsh economy would have a

:31:54. > :31:57.double benefit in that regard? That has happened, of course. A grip many

:31:58. > :32:00.companies have had the chance to bid for contracts and a good number of

:32:01. > :32:04.Welsh companies are able to win those contracts, as opposed to what

:32:05. > :32:10.happened in the past. What I cannot agree with in that regard is

:32:11. > :32:15.legislating on this. It is not legal to set legal targets with regard to

:32:16. > :32:20.how much business should be given to local companies. That is against

:32:21. > :32:25.European law. What is important is ensuring that we continue to promote

:32:26. > :32:32.and assist companies so they are in a situation to take advantage of the

:32:33. > :32:36.contracts when they come up. My region faces potential economic

:32:37. > :32:40.devastation with the loss of many hundreds of jobs at Tata Steel. The

:32:41. > :32:45.membership of the European Community is crucial in terms of trying to

:32:46. > :32:49.regenerate that particular area. Can you confirm Woodward through

:32:50. > :32:55.government is doing to do to get those losses and develop the export

:32:56. > :32:58.led industries in the area? We have been in correspondence with European

:32:59. > :33:02.Commission, people are a few that there needs to be stronger tariff

:33:03. > :33:06.barriers against imports from outside. We are in the process of

:33:07. > :33:09.putting together a financial package which will not be enough, it will

:33:10. > :33:16.need to be supported by a bigger package from the UK Government and

:33:17. > :33:21.that process is ongoing. What support is the Welsh Government

:33:22. > :33:25.giving to help pancreatic cancer patients in Wales? As part of the

:33:26. > :33:30.cancer delivery plan, we are taking forward a number of pieces of work

:33:31. > :33:35.that will improve the recognition of symptoms for cancers including

:33:36. > :33:39.pancreatic cancer and once symptoms are identified, to a book rack that

:33:40. > :33:45.-- rabid active edge rapid access to treatment. Pancreatic cancer has the

:33:46. > :33:49.worst survival rate of 21 most common cancers in Wales. The

:33:50. > :33:55.National Institute of care and in excellence has said the cancer

:33:56. > :34:01.drug... It should not be funded by the NHS in England due to the cost.

:34:02. > :34:05.With the First Minister pressure hydraulic cancer sufferers in Wales

:34:06. > :34:10.that this life extending drugs will continue to be available on NHS in

:34:11. > :34:18.Wales? Yes. It was recently agreed that we would continue discussions

:34:19. > :34:21.with the manufacturer to explore options regarding continued access

:34:22. > :34:27.to the drug and it will continue to be available in Wales in the

:34:28. > :34:32.interim. Will the First Minister make a statement on mental health

:34:33. > :34:37.services in North Wales? On the 29th of January, the deputy minister

:34:38. > :34:41.published the improvement framework and that set up our expectations for

:34:42. > :34:46.improvement in each of the areas identified and a special measures,

:34:47. > :34:52.including her constituency. Support and access for under 18-year-olds

:34:53. > :34:56.experiencing severe mental health problems is seen as almost

:34:57. > :35:03.inaccessible in my own constituency. Young sufferers have too weird for

:35:04. > :35:08.up to two years to access some services. Such a delay at such a

:35:09. > :35:12.vulnerable time in the lives of our youngsters is quite unacceptable.

:35:13. > :35:19.Also, though there has been a recent review, it has not made a difference

:35:20. > :35:23.to my constituency. It has not been any change. Indeed, the borough

:35:24. > :35:28.council cannot even access videos of those requiring treatment and

:35:29. > :35:32.intervention. This is a huge girl on the part of your government and you

:35:33. > :35:37.are letting our most vulnerable youngsters down at a time when they

:35:38. > :35:43.are really troubled. What are you doing to address this? We have

:35:44. > :35:49.provided an 18% increase for mental health services. ?7.6 million at the

:35:50. > :35:52.service change and development programme is being supported by

:35:53. > :35:56.Professor Dame Sue Bailey and there will be the recruitment of an

:35:57. > :36:06.additional 130 members of staff who will improve services and reduce

:36:07. > :36:10.waiting times. First Minister, someone from outside my constituency

:36:11. > :36:14.approached me to help them with a case because they knew I had done

:36:15. > :36:20.work on mental health and this woman had been waiting for years and had

:36:21. > :36:24.told her GP that she had considered committing suicide and it was only

:36:25. > :36:27.when I as an Assembly Member raised this with the GB locally that and

:36:28. > :36:31.nothing actually happened in terms of providing assistance to stop that

:36:32. > :36:37.could have been a media story where she could have done what no one in

:36:38. > :36:41.this room would have wanted her to do. What sort of work are you doing

:36:42. > :36:45.with GPs not to ask them to undertake training but to require

:36:46. > :36:48.them to take training so there will not be further tragedies in Wales

:36:49. > :36:55.when people do not actually get the treatment that they need in good

:36:56. > :37:00.time? Additional funding will be used to ensure that psychological

:37:01. > :37:07.treatment is available quickly and early intervention with regard to

:37:08. > :37:15.ensuring that psychosis is dealt with and to fund an emergency

:37:16. > :37:18.service for children and young people, especially in those

:37:19. > :37:25.emergency departments in the hospitals. The funding will be

:37:26. > :37:30.there, but it is also available across Wales. It will ensure that

:37:31. > :37:36.services are able more quickly than was the case in the past and there

:37:37. > :37:41.will be more staff available to give that assistance when it is required.

:37:42. > :37:49.First Minister, you referred to earlier intervention. Your education

:37:50. > :37:53.minister has acknowledged the importance of educational

:37:54. > :37:59.psychologists in ensuring that the training in Cardiff will remain in

:38:00. > :38:08.place and we are moving to wards implementation of new legislation in

:38:09. > :38:10.terms of SDN. There are problems in North Wales in terms of

:38:11. > :38:14.inconsistencies between local authorities on the fact that a

:38:15. > :38:19.quarter is provided to schools in terms of the amount of hours that

:38:20. > :38:23.educational psychologist can work in every school and there has been no

:38:24. > :38:28.review since 2004 into this situation in Wales when

:38:29. > :38:31.responsibility was passed to the local education authorities. Would

:38:32. > :38:36.you be willing to look at this and reviewed a new so we can consider

:38:37. > :38:41.this as part of new legislation? I will write to the member with regard

:38:42. > :38:45.to that. It is an important part is that there should be consistency in

:38:46. > :38:48.the education system and I will ensure I do write to the member to

:38:49. > :38:54.set out the stance of the government. We'll be First Minister

:38:55. > :38:59.make a statement on the progress NHS has made toward the Welsh Government

:39:00. > :39:04.struggle of a planned? The annual report published last month

:39:05. > :39:07.demonstrates the progress made. It includes increased awareness

:39:08. > :39:14.raising, improved interventions, improved hospital care and improved

:39:15. > :39:18.discharge and rehab services. This has improved survival rates and

:39:19. > :39:23.improve -- reduced longer term disabilities. The recent

:39:24. > :39:28.publications of the report shows that there are 1000 fewer people

:39:29. > :39:32.buying Judah stroke than ten years ago. What does this tell us about

:39:33. > :39:35.the continued dedication and then his best stuff and the role they

:39:36. > :39:45.play in delivering this service? It tells us a huge amount. We have an

:39:46. > :39:49.excellent track record. We have a system of intelligent targets so

:39:50. > :39:54.that data is readily accessible to clinicians who can make improvements

:39:55. > :39:58.to stroke services at a local level. Our paramedics, of course, are

:39:59. > :40:01.highly skilled in the rapid identification of stroke patients

:40:02. > :40:08.and our nursing staff have been working very hard to make sure that

:40:09. > :40:11.those who present at hospitals with strokes are offered treatment as

:40:12. > :40:16.rapidly as possible because we know that has a huge impact on their

:40:17. > :40:22.ability to survive and to avoid long-term disability. It is very

:40:23. > :40:26.welcome but there have been improvements in sport -- stroke

:40:27. > :40:30.outcomes, but we are still at the bottom of the UK league table even

:40:31. > :40:34.though we have made progress. What additional support you provide to

:40:35. > :40:40.Welsh health boards so they can get up to the UK average and possibly

:40:41. > :40:46.beyond that? Working with the voluntary sector particularly, that

:40:47. > :40:53.is important to help those who have been victims of stroke. Also,

:40:54. > :40:59.helping to improve early diagnosis. We have what's called the faster

:41:00. > :41:03.process. That enables call takers and ambulance control to identify

:41:04. > :41:09.people who may have had a stroke Lisa paramedics can get to them

:41:10. > :41:12.early and to ensure that they get to clinicians who have used the

:41:13. > :41:18.information they have received through the audit process. It is

:41:19. > :41:22.true to say that a multidisciplinary dream have led the way in planning

:41:23. > :41:29.improvements to services and that is why we see outcomes in prison. I

:41:30. > :41:33.welcome the fact that progress has been made in Wales generally

:41:34. > :41:40.speaking on this issue although there has been some retrograde steps

:41:41. > :41:44.over the past 12 months in my local health board. We all want to see

:41:45. > :41:47.people surviving and overcoming stroke, but in doing that, of

:41:48. > :41:53.course, people have greater care needs in the months following a

:41:54. > :41:58.stroke and much of that burden falls on social services, as much as it

:41:59. > :42:02.does on the health service. What are you doing to ensure that we have

:42:03. > :42:06.better reports after six months than we currently have in terms of the

:42:07. > :42:12.way people did with the impacts of a stroke? The first thing is to ensure

:42:13. > :42:15.the diagnosis happens quickly, that paramedics can go to the person

:42:16. > :42:25.quickly and that they are taken to a specialist unit so they receive the

:42:26. > :42:30.treatment as quickly as possible. Of course, one thing that affect people

:42:31. > :42:33.following a stroke is bad they change the way they look at their

:42:34. > :42:39.own lives, their spirit can be affected and it is important that

:42:40. > :42:44.having that psychological and social help will help them on that path to

:42:45. > :42:51.recovery. Working with families, working with the third sector, we

:42:52. > :42:55.talked about that already, to ensure that there is a comprehensive,

:42:56. > :43:00.holistic, system around the person to allow them to get better.

:43:01. > :43:04.Treatment is important, but that is a first step in what is important

:43:05. > :43:12.that we were with the third sector and with families to ensure that

:43:13. > :43:15.that improvement continues. Will the First Minister provide an update on

:43:16. > :43:19.the support available to communities affected by the development of the

:43:20. > :43:23.solar farms? This is a matter for the local planning authority but we

:43:24. > :43:26.will encourage any developer to consider best practice around

:43:27. > :43:31.community involvement on supply chain opportunities and benefit

:43:32. > :43:40.arrangements so that communities can benefit most. Construction work on a

:43:41. > :43:44.38,000 panel solar farm has started just outside the village in my

:43:45. > :43:48.constituency. The developer have had minimal discussions with the

:43:49. > :43:51.community today to discuss committee benefits and have proven extremely

:43:52. > :43:55.difficult to contact and communicate with. What support is the Welsh

:43:56. > :43:59.Government able to offer to communities during the negotiation

:44:00. > :44:02.period for community benefits to ensure they are not short-changed

:44:03. > :44:05.and receive the full entitlement of benefit they are owed under the

:44:06. > :44:12.registrar of community and economic benefits? It would be easy for us as

:44:13. > :44:17.a government to facilitate this if the levy was devolved, it is not.

:44:18. > :44:24.The difficulty is that section 106 is the current procedure for interim

:44:25. > :44:28.committee benefits, but it bumps up against other issues and it puts

:44:29. > :44:33.limits on what we can do to develop community benefits. My view is that

:44:34. > :44:36.this is a planning levy and should be devolved. That is not the view of

:44:37. > :44:40.the UK Government. It means we cannot have a copper heads of

:44:41. > :44:44.approach to developing a process on community benefit to section 106 and

:44:45. > :44:51.a replacement we would like to put in place. Last summer saw the

:44:52. > :44:55.opening of the first Welsh local authority owned and run solar farm

:44:56. > :45:00.in Wrexham. Much of the groundwork was done under the leadership of my

:45:01. > :45:05.friend and colleague. The farm has nearly 9000 solar panels over 43

:45:06. > :45:11.acres and has the effect of reducing the carbon footprint by 1300 tonnes

:45:12. > :45:15.of CO2 per year. As with the not for profit Robin Hood energy company

:45:16. > :45:19.which has been rolled out in Nottinghamshire, I would argue that

:45:20. > :45:23.those facilities show the opportunity that renewable energy

:45:24. > :45:26.offers communities and local authorities working in partnership.

:45:27. > :45:31.Did you agree with me we should work towards a greater roll-out of such

:45:32. > :45:35.partnerships between local communities and principal local

:45:36. > :45:36.authorities and what can the Welsh Government do concretely to

:45:37. > :45:44.facilitate this? Yes, I do. The member makes it sound

:45:45. > :45:49.like his colleague is digging holes for the new facility!

:45:50. > :45:59.LAUGHTER The member is right. We know that

:46:00. > :46:02.they have great potential, not just to contribute to renewable energy,

:46:03. > :46:09.not just to contribute to a reduction in our carbon footprint,

:46:10. > :46:15.but also to put money into our local economy as well. We would have a

:46:16. > :46:19.full range of options to promote those schemes further.

:46:20. > :46:22.PRESIDING OFFICER: Thank you. STUDIO:

:46:23. > :46:23.There we are, that was First Minister's Questions.

:46:24. > :46:24.If you want more more coverage of the National Assembly,

:46:25. > :46:26.you can go online to BBC Wales's Senedd Live

:46:27. > :46:36.But that's it for First Minister's Questions.

:46:37. > :46:38.Don't forget for all the latest political news, watch Wales Today

:46:39. > :46:42.later today at 6.30pm on BBC One Wales and Newyddion

:46:43. > :46:53.As for am.pm, though, from all of us on the programme, goodbye.

:46:54. > :46:58.We will be back in a fortnight's time. Half-term next week.

:46:59. > :47:00.Hopefully, see you in a fortnight. Bye-bye.