09/02/2016 am.pm


09/02/2016

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Good afternoon. Welcome to the programme and our weekly coverage of

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questions to the First Minister. Politicians will be debating the ?15

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billion spending plans for next year later on this afternoon. After the

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weekly questions session. And our weekly coverage of questions to the

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First Minister. Politicians will be debating the ?15 billion spending

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plans for next year later on this afternoon. After the weekly

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questions session. From the the keep Sunday special campaign. You can

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follow all the latest on our Twitter feed. Business in the chamber is

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already underway. Let's take a look at the questions to the First

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Minister. Good afternoon. The National Assembly of Wales is now in

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session. Our first item, questions to the First Minister. What is the

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Welsh Government doing to support the keep Sunday special campaign? It

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is not a devolved matter and we are awaiting further details on the

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proposals from the UK Government. It is hugely important that the

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interests of those who work on a Sunday or protected and that the

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privileges that they enjoy now continue in the future. It is

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disappointing for those who have been campaigning to keep Sunday

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special and in relation to the hundred thousand social workers in

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Wales who thought that the UK Government had pledged not to tackle

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-- tamper with Sunday trading laws. They are now doing it through the

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back door by the Enterprise Bill. What can the Welsh Government do to

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protect the family life of shop workers in Wales? We take the view

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that this is an issue that should be devolved. We have argued for it to

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be devolved. We look forward to a response from the UK Government to

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that. Should these powers be default we will consult with local

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authorities, businesses, shop workers and the public and we will

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listen to what they say and act accordingly. Noting what he said,

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you will acknowledge that the majority of local authorities would

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rather like to have these powers so they can interpret them in the best

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locally. Would you support such a move? I believe these powers should

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be devolved to the people of Wales and we can decide where these powers

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should go as is the case in Scotland and Northern Ireland. Will the First

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Minister make a statement on action to reduce waiting times? We have set

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up the planned care programme led by clinicians to set up sustainable

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services in NHS Wales. We have invested an additional ?45 million

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for the financial year to assist health boards in delivering

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improvements in between times set out in their medium-term plans. We

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know and do your tenure, winning plans have doubled here. In South

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Wales Central there is an especial concern around orthopaedic waiting

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times and the BBC statistics recently showed considerable wits

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for Hoops. 197 debut it as opposed to 75 days in England. What comfort

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can you give to my constituents in South Wales Central as to what

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action the government will be taking to drive down waiting times so that

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when they do present at hospital, a consultant is in a position to give

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them a time they can count on to have the procedure? Let's look at

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A The number of people spending 12 hours in in the department has

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fallen, a 23% drop. That is compared to the previous month. We look for

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the number of people reading in England in Indy has doubled to

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124,000 people in two years. We know that delayed transfers of care are

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increasing in England. Diagnostic waiting times are dropping in bills.

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When the people reading is time for operations and we know that unlike

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in England we do not have the chaos, Cameron's chaos, of a junior doctors

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strike. We know that one of the contributors to reading list is the

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impact upon adult social care which the Tories would separate from the

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NHS in England. The example is that there has been a 15% cut in spending

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on adult social care and a 100% increase in bed blocking, increasing

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from 50,000 a month to 100,000 a month. The Tories would decimate

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adult social care. Did he agree the position of the Welsh Government of

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supporting adult social care as part and parcel of NHS treatment

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contribute to better treatment and better outcomes for all? The

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tendency of the Tories in England to suggest that somehow there is no

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connection between health and social care... Can you count down and

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listen to the First Minister reply. That is you in particular, Darren

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Millar. Don't cheer. The Tories have a tendency to suggest there is no

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connection between health and social care. They have cut social care to

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the bone. They have off-loaded responsibility for providing social

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care to local authorities to the poorest authorities will have the

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greatest problem in providing social care. We in Wales spent more on

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health and social services in England does. 7% more and we will

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continue to look at those who need care the most. That is an

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interesting answer to that question because when Plaid Cymru talks about

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integrating health and social care services neighbour accuses us of

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wanting to abolish the NHS. Which is a blatant lie. Now, First Minister,

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in some parts of south Wales Central obtaining a GP appointment can be a

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long and drawn out process. The issue is particularly acute in the

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northernmost part of the region where at The Royal College of

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General practitioners tell us that half of all GPs are nearing

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retirement. For members who are not aware, that region is in South Wales

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Central. Access to a GP has not been helped by removal of the out of

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hours service. One primary care is weak there is an inevitable knock on

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effect on hospitals by increasing the demand on waiting times and

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services. First Minister, you have previously admitted that you took

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your eye of the ball when it comes to education, do you now admit that

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you have taken your eye off the ball with health and Doctor recruitment

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as well? The leader of Plaid Cymru things we are into leaderquestions.

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Overall GP numbers have increased by ten and a half percent between 2004

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and 2015. There are now over 2000 GPs civic communities across Wales.

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We note that this is a global market when it comes to attracting doctors

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and that is why we launched the targeted campaign called meet your

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future part of our future, external wire Wales is a good place to be a

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junior doctor. Where our Hammonds, health boards have plans in place

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where practices have decided to close their doors, salaried GPs have

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been put in place. I do not accuse Plaid Cymru of trying to dismantle

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the NHS. I know they want to see an improved public health service, as

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we did. We do not agree with the structure they want to impose, but

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we are in the same position in that regard. We have 2000 more GPs since

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2004 and they are serving our communities well. First Minister,

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there is a big discrepancy between the referral to diagnostic testing

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times between cancer patients on the urgent route to the non-urgent route

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and I wonder what additional support could the Welsh Government put in

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place for primary care to make sure that, when it GPs are making this

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decision between urgent and nonurgent referrals, that they are

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confident they are making both safe and appropriate decisions? I don't

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see this as a particular issue in South Wales Central, but

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nevertheless, it is right to say more GPs are referring people at an

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early stage, quite naturally, if they suspect cancer might be

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present. The vast majority that is not the case but the referral is

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made anyway. That diagnosis is made within 20 days. Although for some

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cancers it can be more difficult to identify what the problem is.

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Pancreatic cancer is a particular issue because the symptoms can be

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general and can mimic the symptoms of other illnesses. We note that we

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outperform England when it comes to 31 day target for urgent cancers and

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the 62 date timetable for non-urgent care and -- cancers and we want that

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to continue to be the case. First Minister, at the last National

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Assembly elections, I party said we would provide more money for schools

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by targeting additional monies at pupils who need it most. The budget

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today means that the pupil premium will be worth ?1150 per pupil in

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April thanks to the Welsh Liberal Democrats and the recent report said

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that is making a material difference to those children. To qualify for

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this support, parents must register for free school meals. Would work

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with the government and take to ensure that every child who needs

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this support will receive this help? I am not aware of this being a

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particular issue. It is important that schools are able to community

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and so parents are aware of the support that is available to them

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and we have a responsibility to help them. Some families believe there is

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a stigma in making an application for free school meals and they

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should be assured that it is not only in their interests, but in the

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interests of the children to make that application. It will make a

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material difference to the school budget. The budget this afternoon

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will also deliver additional funding -- funding for the health service.

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That will only be worthwhile if it makes a material difference to the

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outcome for people. What impact we expect from patients in Wales and

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what fresh and new ideas do you have in each of the additional resources

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going into the NHS make a genuine difference to patient experience is

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much more can I recognise what she said about free school meals. There

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are schools that have pioneered a plastic cards that are preloaded

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with the money for some pupils but which can be used without money

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preloaded for those on free school meals. No one knows the difference.

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When I was in school, those on free school meals had a different

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coloured ticket. This will help us remove this stigma. The leader of

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the Liberal Democrats is right that the stigma still exist. We want to

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see diagnostic times gone down, in the waiting time going down, waiting

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times for operations gone down, to see the timetables but in place for

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cancer treatments improve and to see ambulance response times improve as

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well. It is important that as more money goes in, that people can see

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the output delivered at the end. One part of the NHS but does frustrate

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people, and a problem you promised action on is accessing their GP when

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they wanted. For many people, a three wait for appointment is not

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uncommon. When you look at Liberal Democrat plans to invest in a

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properly funded access to GPs scheme that would incentivise GPs to

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broaden the primary health care team so they can only see people they

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need to see and would you accept that spending money on expensive

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locum cover to provide support when AGP retires is not an efficient use

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of NHS money? First of all, there is a difference between a look and a

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salaried GP. Most GPs are looking at the salaried model more favourably

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than the contract model. They want the flexibility. They are not

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interested in buying into a practice. More GPs want the

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flexibility of being salaried. You do not have the bike in as a partner

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in order to be seen as a proper GP. In terms of access to GPs, it does

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vary, that is true. There are some GP surgeries were appointments can

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be made and can be seen that day. There are others who are not as

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efficient. There is a challenge there and we have improved on the

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situation is regarding being able to access GPs at evenings and weekends,

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but there is a challenge for some GP practices to catch up with the best

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practice of others. There is no reason why there should be that

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level of discrepancy. We are talking about independent contractors but

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that will make sure that accessing England's and -- accessing GPs in

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evenings will be better. The budget is laid for debate this afternoon

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and flung from that debate, the draft local government settlement

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has been laid for consideration. I see on the forward outlook that they

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did for that to come to the assembly is March the 8th. Are you confident

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that the draft settlement that is being made available to local

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authorities, the length and breadth of Wales, will be the settlement we

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will be voting on here unfortunately it, or do you see that there will be

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changes to mitigate for the devastating impact of some of those

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cuts to local authorities? Despite the Tory cuts imposed on us, we are

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confident that the local government settlement will be fair in that

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context. I take it from that that would be the settlement before dawn

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on March the 8th and there will be no leveller stabiliser put in for

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local authorities such as temperature were Monmouthshire that

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devious Draconian cuts in their services come up to 4%? Another

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thing you have in your budget First Minister is higher education and 32%

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cuts to higher education here in Wales are being made by your

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government if this budget passes, that will put a dramatic amount of

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pressure on part-time courses on access to higher education and,

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above all, research, research in universities. We know there is less

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money around, but what will your government be doing to assist

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universities making sure that there is access to

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There is support for part-time courses, given that you have chosen

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to cut 32% out of the support to higher education. The Leader of the

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Opposition is trying to pre-judge the Budget Statement. He will have

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to wait to see what is announced. I have to say to him that he has

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declared that he wishes to see local government cut by 12%, he's declared

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it. It's there in writing. In the document, that his party produced as

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an alternative draft Budget. And he has not changed his position since

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then. When he was asked this question on the radio, he said, "We

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haven't crunched the numbers yet." It is not his question session, I

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understand that. There will come a time when the people of Wales will

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want to know what cuts his party proposes to make to local

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government. He can't run from that question forever. At the moment,

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it's 12%. That is the cut he wants. That is an equivalent of a 38%

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increase in council tax. The second thing he mentions is higher

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education. Well, he wants to triple tuition fees for students, to impose

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a tax on students along the same lines as England. We have seen the

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cuts in higher education in England. We are not going to sell our

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students down the river. And we are not going to put our students in a

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position where they leave college with enormous levels of debt. That

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is exactly what he and his party wants to do. You have offered no

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answers whatsoever, First Minister. You referred back to a Budget that

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was offered in 2011 - I accept, you won that election, you formed the

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Government. We are now in 2016. If our budget had come forward, there

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would not have been ?1 billion worth of cuts to the Welsh NHS, that you

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are trying to back pedal. Well done to you, First Minister. I

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have asked you legitimate questions today on the Budget that will be

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before us later and in that Budget you have also got an increase in

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your central services budget of ?7.5 million. Yet, you are taking ?32

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million out of HE. That is a fact. That is there in black and white.

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Why do you need ?7.5 million in the central services budget as an

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increase for you being in Government, yet you are prepared to

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take 32% out of HE? As I said to him, the Budget Statement will come

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later. There will be opportunities to ask questions at the appropriate

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time. It wouldn't be right for the statement to be pre-judged. He keeps

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on saying that the figures I referred to are old. Fine. Where are

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

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cut in local government, 30% cut in economy and transport, huge cuts in

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housing, huge cuts in central services. He talks about ?1 billion

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cuts from the Health Service. That is not true. We spend more on health

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than England does per head. That is clearly untrue. He never says where

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it would come from. In the cloud cuckoo land that exists over there,

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money grows on trees! There is no question of making difficult

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decisions. There is no question of having to make cuts to pay for

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priorities. Money grows on trees, ?1 billion can be found at the drop of

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a hat. The reality is, the people of Wales need to have a prudent and

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realistic Government and not one, as the opposition would be, that is

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away with the fairies. PRESIDING OFFICER: We move to the

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leader of Plaid Cymru, Leanne Wood. Diolch, Llywydd. A fortnight ago,

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First Minister, I asked you to reverse your plans to make savage

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cuts to the funding of our universities. You declined and you

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essentially told universities to put up with those cuts. Now, you further

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rejected claims that there would be job losses as a result of those cuts

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to the university sector. Can you confirm now, this afternoon, that

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there won't be a last minute U-turn on university funding when your

:20:16.:20:21.

Budget is presented later on? That will become clear when the Budget is

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presented. Well, that is an interesting answer, First Minister.

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I'm not quite sure whether or not this means that you continue to be

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in denial about the impact of your proposals, so perhaps some evidence

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from Cardiff University might be helpful to you. They said, "In

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2015/16, direct funding was proposed to sustain undergraduate dentistry

:20:53.:20:58.

and medicine." Further erosion or loss of this funding will put at

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risk the education of doctors and dentists within Wales for Wales.

:21:05.:21:09.

These subjects cost more than ?15,000 per student per year and

:21:10.:21:16.

clearly cannot be delivered from the residual fee of ?6,230. At the time

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when the health budget has been increased, reducing investment in

:21:21.:21:25.

the next generation of doctors and dentists would be contradictory.

:21:26.:21:28.

Cardiff University, therefore, believes that there will be

:21:29.:21:32.

far-reaching consequences to your cuts to the higher education sector.

:21:33.:21:37.

Do you accept that? No. Cardiff University is not the only

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university in Wales. It also has ?300 million of the reserves. I

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don't think it is unreasonable, when a sector has ?1.3 billion in

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reserves in total, that they have to manage what will be small decreases

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in their budget. Cardiff has ?300 million. So, yes, it is challenging.

:21:57.:22:00.

It was challenging for further education last year. It's been

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challenging across Government, but it is not asking too much for higher

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education, whether income having expanded significantly since 2012 to

:22:09.:22:12.

be able to manage what is in the context of things quite a small

:22:13.:22:16.

budget cut. First Minister, Cardiff University is not the only

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university in Wales and not all universities have the same levels of

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reserves as Cardiff University might have. I reiterate to you today,

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First Minister, drop those planned cuts, support Welsh education,

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support a secure future for our NHS service. You are consistently

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refusing to give us a vision for higher education in this country.

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Why? You don't have one, do you? The only thing that we have had

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confirmed is that you want to make a ?41 million cut, which is a 32% cut

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to Welsh universities. Why are you meeting out Tory cuts to a sector

:22:57.:23:02.

that this country relies upon for its future prosperity as well as its

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future health professionals? Unless the leader of Plaid Cymru has a

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crystal ball, she has no way of knowing what is going to be in the

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Budget Statement. PRESIDING OFFICER: Order. Order.

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Order. Order. First Minister? The shouting in that regard gives it

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away. The statement is later, that is when you get the answers, OK? The

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statement is later. There will be a debate, you will get a chance to ask

:23:38.:23:40.

those questions then. There are many in the university sector who

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disagree with the tuition fee grant and with your proposals which is to

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make sure that people who stay in Wales get their fees paid, which is

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what you have always said in the past. It's not. It's not Plaid

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Cymru's policy. We will wait to see what... I am accused of not having

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vision for universities. We don't know what Plaid Cymru's policy is.

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The Budget Statement will make it clear. If you had not ruled

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yourselves out of the Budget discussions at the beginning, you

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

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leaders' questions are now finished. We move back to questions on the

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paper. Question three, Lindsay Whittle. What is the current Welsh

:24:21.:24:24.

Government policy on funding for hospices in Wales? We continue to

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support the development of end of life and specialist palliative care

:24:31.:24:34.

services, including hospices in Wales, that includes ?3 million

:24:35.:24:37.

worth of funding to support the new St David's Hospice in Newport. Thank

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you. Could you please explain why over the past five years Welsh

:24:43.:24:46.

Government funding for hospices in Wales has fallen from 24% of their

:24:47.:24:52.

running cost to just 19%? Surely despite any stress on budget - and I

:24:53.:24:57.

know it is tough - such a vital service provided by hospices surely

:24:58.:25:01.

must be safeguarded and not threatened. I would urge you to

:25:02.:25:05.

reconsider that. It would be extremely costly for the NHS if any

:25:06.:25:09.

of the charities went into liquidation due to lack of funding,

:25:10.:25:13.

as most of the service delivery would need to be picked up through

:25:14.:25:18.

our core NHS services. The fact that we are funding the hospices in

:25:19.:25:23.

Newport is a sign of our commitment. We are the only country in the UK to

:25:24.:25:37.

provide 24/7 support. An additional ?1 million was announced in 2015/16

:25:38.:25:41.

to support the delivery of the "end of life" care plan, in addition to

:25:42.:25:46.

that funding and over ?900,000 of that new money will be used to

:25:47.:25:49.

expand hospice at home provision across Wales. The remaining money

:25:50.:25:55.

will be used to fund "end of life" care initiatives. Thank you,

:25:56.:26:12.

Presiding Officer. On the same day Marie Curie launched the daffodil

:26:13.:26:16.

appeal, hospices are essential. "End of life" care, the focus of this

:26:17.:26:24.

care is helping people to live well until they die. We need to ensure

:26:25.:26:28.

that regardless of where you live in Wales, you will be able to access

:26:29.:26:33.

hospices' care. Therefore, First Minister, will you ensure that

:26:34.:26:38.

hospices receive sustainable funding? Yes. Which is why I

:26:39.:26:42.

referred to the point I made earlier on. We have ensured that funding

:26:43.:26:47.

remains. We have put extra money into care and we haven't cut funding

:26:48.:26:52.

for social care as the member's party has done in England. Social

:26:53.:26:56.

care has been hammered in England. We know that the responsibility has

:26:57.:27:00.

been passed on to local authorities who are ill-placed to fund that

:27:01.:27:04.

social care. We will not do that in Wales and we will continue to fund

:27:05.:27:09.

social care at the level people expect.

:27:10.:27:11.

PRESIDING OFFICER: Question 4, Gwenda Thomas. Diolch, Llywydd. Will

:27:12.:27:15.

the First Minister make a statement on the development of businesses

:27:16.:27:19.

that export? Yes, increasing exports from Wales is a key priority for the

:27:20.:27:22.

Welsh Government. We offer a range of measures to support Welsh

:27:23.:27:28.

exporters, including free one-to-one advice, help to find new customers

:27:29.:27:33.

and help to access overseas markets. Thank you for that, First Minister.

:27:34.:27:36.

I note that it comes to Wales this

:27:37.:27:50.

month. If we leave the European Union, trading with this economic

:27:51.:27:54.

bloc will be made far more difficult? There is no question

:27:55.:27:57.

about it. We have seen the difficulties the Prime Minister has

:27:58.:28:00.

had in negotiating a new settlement thus far. I support his position

:28:01.:28:05.

that he wants us to stay in the EU. No-one else's party seems to. I

:28:06.:28:09.

support his position. The reality is, that if we don't get access to

:28:10.:28:17.

the European market, that is tariff free and open, Welsh business will

:28:18.:28:22.

suffer. The idea that if the UK left the EU, the EU would fall over

:28:23.:28:27.

itself to put forward a favourable deal for the UK is madness, frankly.

:28:28.:28:31.

It isn't going to happen. Why on earth would the European Union want

:28:32.:28:36.

to do that for a UK that had just left the European Union? From my

:28:37.:28:39.

point of view, certainty is important for business. The Prime

:28:40.:28:42.

Minister made the point, the Scottish Referendum created

:28:43.:28:44.

uncertainty in Scotland. It did. The same thing is happening with this

:28:45.:28:47.

referendum. The fact there is going to be a referendum is creating

:28:48.:28:51.

uncertainty in the UK, it needs to be resolved, although June is not my

:28:52.:28:55.

preferred date, nor others in the Chamber either. The reality is, if

:28:56.:29:00.

you have access to a market of 500 million, if you can sell to those

:29:01.:29:05.

people, anything you do to interfere with that access is bound to be bad

:29:06.:29:10.

for manufacturers, for tourism and for farmers.

:29:11.:29:15.

PRESIDING OFFICER: I had occasion to have a chat with you last week,

:29:16.:29:18.

Andrew RT Davies, please don't keep muttering. If you want to speak, I

:29:19.:29:27.

will call you. The latest Welsh Government published figures for

:29:28.:29:30.

exports to the third quarter of 2015 show that in the year to the third

:29:31.:29:36.

quarter of 2015 six of the 12 UK Nations and Regions saw an increase

:29:37.:29:41.

in exports but Wales had the second largest fall at 8.6% rising to 16.8%

:29:42.:29:49.

trade exports to other EU countries. How do you respond to the statement

:29:50.:29:55.

in the CBI Business Manifesto that the Welsh Government should develop

:29:56.:29:58.

enhanced export support for medium-sized businesses? Well, the

:29:59.:30:02.

reduction is down to petroleum, which is a significant amount of

:30:03.:30:07.

exports for us. Whenever there is a slowdown in the refineries, it does

:30:08.:30:14.

affect our expor figures, we have seen that in the past. We have seen

:30:15.:30:18.

George Osborne get his excuses in already, saying if things go badly,

:30:19.:30:21.

it's the fault of China and the fault of the world economy. Well,

:30:22.:30:27.

the reality is this: We export nearly half of what we manufacture

:30:28.:30:32.

and produce to the European Union. To lose access to that market is a

:30:33.:30:36.

disaster for business and for our economy. The converse is, that the

:30:37.:30:42.

European Union only exports 10% of what it produces to the UK. We are

:30:43.:30:46.

far more reliant on our export market in the EU than the other way

:30:47.:30:50.

around. And it is important that we remember, as we look to the

:30:51.:30:53.

referendum that will take place this year, that what is at stake here is

:30:54.:30:58.

hundreds and thousands of jobs in Wales. And the decision should be

:30:59.:31:02.

taken based on a dose of economic reality and not on some nationalism.

:31:03.:31:17.

The First Minister will be aware that I have been: four steps to be

:31:18.:31:25.

taken to increase the percentage of public contrast in Wales awarded to

:31:26.:31:30.

Welsh companies and a Plaid Cymru government would legislate to move

:31:31.:31:34.

in that direction. Would the First Minister agreed that promoting Welsh

:31:35.:31:38.

companies by ensuring that more public contracts are awarded as a

:31:39.:31:40.

means of ensuring those companies can grow stronger and develop in

:31:41.:31:45.

their own ability to export and that the Welsh economy would have a

:31:46.:31:53.

double benefit in that regard? That has happened, of course. A grip many

:31:54.:31:57.

companies have had the chance to bid for contracts and a good number of

:31:58.:32:00.

Welsh companies are able to win those contracts, as opposed to what

:32:01.:32:04.

happened in the past. What I cannot agree with in that regard is

:32:05.:32:10.

legislating on this. It is not legal to set legal targets with regard to

:32:11.:32:15.

how much business should be given to local companies. That is against

:32:16.:32:20.

European law. What is important is ensuring that we continue to promote

:32:21.:32:25.

and assist companies so they are in a situation to take advantage of the

:32:26.:32:32.

contracts when they come up. My region faces potential economic

:32:33.:32:36.

devastation with the loss of many hundreds of jobs at Tata Steel. The

:32:37.:32:40.

membership of the European Community is crucial in terms of trying to

:32:41.:32:45.

regenerate that particular area. Can you confirm Woodward through

:32:46.:32:49.

government is doing to do to get those losses and develop the export

:32:50.:32:55.

led industries in the area? We have been in correspondence with European

:32:56.:32:58.

Commission, people are a few that there needs to be stronger tariff

:32:59.:33:02.

barriers against imports from outside. We are in the process of

:33:03.:33:06.

putting together a financial package which will not be enough, it will

:33:07.:33:09.

need to be supported by a bigger package from the UK Government and

:33:10.:33:16.

that process is ongoing. What support is the Welsh Government

:33:17.:33:21.

giving to help pancreatic cancer patients in Wales? As part of the

:33:22.:33:25.

cancer delivery plan, we are taking forward a number of pieces of work

:33:26.:33:30.

that will improve the recognition of symptoms for cancers including

:33:31.:33:35.

pancreatic cancer and once symptoms are identified, to a book rack that

:33:36.:33:39.

-- rabid active edge rapid access to treatment. Pancreatic cancer has the

:33:40.:33:45.

worst survival rate of 21 most common cancers in Wales. The

:33:46.:33:49.

National Institute of care and in excellence has said the cancer

:33:50.:33:55.

drug... It should not be funded by the NHS in England due to the cost.

:33:56.:34:01.

With the First Minister pressure hydraulic cancer sufferers in Wales

:34:02.:34:05.

that this life extending drugs will continue to be available on NHS in

:34:06.:34:10.

Wales? Yes. It was recently agreed that we would continue discussions

:34:11.:34:18.

with the manufacturer to explore options regarding continued access

:34:19.:34:21.

to the drug and it will continue to be available in Wales in the

:34:22.:34:27.

interim. Will the First Minister make a statement on mental health

:34:28.:34:32.

services in North Wales? On the 29th of January, the deputy minister

:34:33.:34:37.

published the improvement framework and that set up our expectations for

:34:38.:34:41.

improvement in each of the areas identified and a special measures,

:34:42.:34:46.

including her constituency. Support and access for under 18-year-olds

:34:47.:34:52.

experiencing severe mental health problems is seen as almost

:34:53.:34:56.

inaccessible in my own constituency. Young sufferers have too weird for

:34:57.:35:03.

up to two years to access some services. Such a delay at such a

:35:04.:35:08.

vulnerable time in the lives of our youngsters is quite unacceptable.

:35:09.:35:12.

Also, though there has been a recent review, it has not made a difference

:35:13.:35:19.

to my constituency. It has not been any change. Indeed, the borough

:35:20.:35:23.

council cannot even access videos of those requiring treatment and

:35:24.:35:28.

intervention. This is a huge girl on the part of your government and you

:35:29.:35:32.

are letting our most vulnerable youngsters down at a time when they

:35:33.:35:37.

are really troubled. What are you doing to address this? We have

:35:38.:35:43.

provided an 18% increase for mental health services. ?7.6 million at the

:35:44.:35:49.

service change and development programme is being supported by

:35:50.:35:52.

Professor Dame Sue Bailey and there will be the recruitment of an

:35:53.:35:56.

additional 130 members of staff who will improve services and reduce

:35:57.:36:06.

waiting times. First Minister, someone from outside my constituency

:36:07.:36:10.

approached me to help them with a case because they knew I had done

:36:11.:36:14.

work on mental health and this woman had been waiting for years and had

:36:15.:36:20.

told her GP that she had considered committing suicide and it was only

:36:21.:36:24.

when I as an Assembly Member raised this with the GB locally that and

:36:25.:36:27.

nothing actually happened in terms of providing assistance to stop that

:36:28.:36:31.

could have been a media story where she could have done what no one in

:36:32.:36:37.

this room would have wanted her to do. What sort of work are you doing

:36:38.:36:41.

with GPs not to ask them to undertake training but to require

:36:42.:36:45.

them to take training so there will not be further tragedies in Wales

:36:46.:36:48.

when people do not actually get the treatment that they need in good

:36:49.:36:55.

time? Additional funding will be used to ensure that psychological

:36:56.:37:00.

treatment is available quickly and early intervention with regard to

:37:01.:37:07.

ensuring that psychosis is dealt with and to fund an emergency

:37:08.:37:15.

service for children and young people, especially in those

:37:16.:37:18.

emergency departments in the hospitals. The funding will be

:37:19.:37:25.

there, but it is also available across Wales. It will ensure that

:37:26.:37:30.

services are able more quickly than was the case in the past and there

:37:31.:37:36.

will be more staff available to give that assistance when it is required.

:37:37.:37:41.

First Minister, you referred to earlier intervention. Your education

:37:42.:37:49.

minister has acknowledged the importance of educational

:37:50.:37:53.

psychologists in ensuring that the training in Cardiff will remain in

:37:54.:37:59.

place and we are moving to wards implementation of new legislation in

:38:00.:38:08.

terms of SDN. There are problems in North Wales in terms of

:38:09.:38:10.

inconsistencies between local authorities on the fact that a

:38:11.:38:14.

quarter is provided to schools in terms of the amount of hours that

:38:15.:38:19.

educational psychologist can work in every school and there has been no

:38:20.:38:23.

review since 2004 into this situation in Wales when

:38:24.:38:28.

responsibility was passed to the local education authorities. Would

:38:29.:38:31.

you be willing to look at this and reviewed a new so we can consider

:38:32.:38:36.

this as part of new legislation? I will write to the member with regard

:38:37.:38:41.

to that. It is an important part is that there should be consistency in

:38:42.:38:45.

the education system and I will ensure I do write to the member to

:38:46.:38:48.

set out the stance of the government. We'll be First Minister

:38:49.:38:54.

make a statement on the progress NHS has made toward the Welsh Government

:38:55.:38:59.

struggle of a planned? The annual report published last month

:39:00.:39:04.

demonstrates the progress made. It includes increased awareness

:39:05.:39:07.

raising, improved interventions, improved hospital care and improved

:39:08.:39:14.

discharge and rehab services. This has improved survival rates and

:39:15.:39:18.

improve -- reduced longer term disabilities. The recent

:39:19.:39:23.

publications of the report shows that there are 1000 fewer people

:39:24.:39:28.

buying Judah stroke than ten years ago. What does this tell us about

:39:29.:39:32.

the continued dedication and then his best stuff and the role they

:39:33.:39:35.

play in delivering this service? It tells us a huge amount. We have an

:39:36.:39:45.

excellent track record. We have a system of intelligent targets so

:39:46.:39:49.

that data is readily accessible to clinicians who can make improvements

:39:50.:39:54.

to stroke services at a local level. Our paramedics, of course, are

:39:55.:39:58.

highly skilled in the rapid identification of stroke patients

:39:59.:40:01.

and our nursing staff have been working very hard to make sure that

:40:02.:40:08.

those who present at hospitals with strokes are offered treatment as

:40:09.:40:11.

rapidly as possible because we know that has a huge impact on their

:40:12.:40:16.

ability to survive and to avoid long-term disability. It is very

:40:17.:40:22.

welcome but there have been improvements in sport -- stroke

:40:23.:40:26.

outcomes, but we are still at the bottom of the UK league table even

:40:27.:40:30.

though we have made progress. What additional support you provide to

:40:31.:40:34.

Welsh health boards so they can get up to the UK average and possibly

:40:35.:40:40.

beyond that? Working with the voluntary sector particularly, that

:40:41.:40:46.

is important to help those who have been victims of stroke. Also,

:40:47.:40:53.

helping to improve early diagnosis. We have what's called the faster

:40:54.:40:59.

process. That enables call takers and ambulance control to identify

:41:00.:41:03.

people who may have had a stroke Lisa paramedics can get to them

:41:04.:41:09.

early and to ensure that they get to clinicians who have used the

:41:10.:41:12.

information they have received through the audit process. It is

:41:13.:41:18.

true to say that a multidisciplinary dream have led the way in planning

:41:19.:41:22.

improvements to services and that is why we see outcomes in prison. I

:41:23.:41:29.

welcome the fact that progress has been made in Wales generally

:41:30.:41:33.

speaking on this issue although there has been some retrograde steps

:41:34.:41:40.

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

:41:41.:41:44.

people surviving and overcoming stroke, but in doing that, of

:41:45.:41:47.

course, people have greater care needs in the months following a

:41:48.:41:53.

stroke and much of that burden falls on social services, as much as it

:41:54.:41:58.

does on the health service. What are you doing to ensure that we have

:41:59.:42:02.

better reports after six months than we currently have in terms of the

:42:03.:42:06.

way people did with the impacts of a stroke? The first thing is to ensure

:42:07.:42:12.

the diagnosis happens quickly, that paramedics can go to the person

:42:13.:42:15.

quickly and that they are taken to a specialist unit so they receive the

:42:16.:42:25.

treatment as quickly as possible. Of course, one thing that affect people

:42:26.:42:30.

following a stroke is bad they change the way they look at their

:42:31.:42:33.

own lives, their spirit can be affected and it is important that

:42:34.:42:39.

having that psychological and social help will help them on that path to

:42:40.:42:44.

recovery. Working with families, working with the third sector, we

:42:45.:42:51.

talked about that already, to ensure that there is a comprehensive,

:42:52.:42:55.

holistic, system around the person to allow them to get better.

:42:56.:43:00.

Treatment is important, but that is a first step in what is important

:43:01.:43:04.

that we were with the third sector and with families to ensure that

:43:05.:43:12.

that improvement continues. Will the First Minister provide an update on

:43:13.:43:15.

the support available to communities affected by the development of the

:43:16.:43:19.

solar farms? This is a matter for the local planning authority but we

:43:20.:43:23.

will encourage any developer to consider best practice around

:43:24.:43:26.

community involvement on supply chain opportunities and benefit

:43:27.:43:31.

arrangements so that communities can benefit most. Construction work on a

:43:32.:43:40.

38,000 panel solar farm has started just outside the village in my

:43:41.:43:44.

constituency. The developer have had minimal discussions with the

:43:45.:43:48.

community today to discuss committee benefits and have proven extremely

:43:49.:43:51.

difficult to contact and communicate with. What support is the Welsh

:43:52.:43:55.

Government able to offer to communities during the negotiation

:43:56.:43:59.

period for community benefits to ensure they are not short-changed

:44:00.:44:02.

and receive the full entitlement of benefit they are owed under the

:44:03.:44:05.

registrar of community and economic benefits? It would be easy for us as

:44:06.:44:12.

a government to facilitate this if the levy was devolved, it is not.

:44:13.:44:17.

The difficulty is that section 106 is the current procedure for interim

:44:18.:44:24.

committee benefits, but it bumps up against other issues and it puts

:44:25.:44:28.

limits on what we can do to develop community benefits. My view is that

:44:29.:44:33.

this is a planning levy and should be devolved. That is not the view of

:44:34.:44:36.

the UK Government. It means we cannot have a copper heads of

:44:37.:44:40.

approach to developing a process on community benefit to section 106 and

:44:41.:44:44.

a replacement we would like to put in place. Last summer saw the

:44:45.:44:51.

opening of the first Welsh local authority owned and run solar farm

:44:52.:44:55.

in Wrexham. Much of the groundwork was done under the leadership of my

:44:56.:45:00.

friend and colleague. The farm has nearly 9000 solar panels over 43

:45:01.:45:05.

acres and has the effect of reducing the carbon footprint by 1300 tonnes

:45:06.:45:11.

of CO2 per year. As with the not for profit Robin Hood energy company

:45:12.:45:15.

which has been rolled out in Nottinghamshire, I would argue that

:45:16.:45:19.

those facilities show the opportunity that renewable energy

:45:20.:45:23.

offers communities and local authorities working in partnership.

:45:24.:45:26.

Did you agree with me we should work towards a greater roll-out of such

:45:27.:45:31.

partnerships between local communities and principal local

:45:32.:45:35.

authorities and what can the Welsh Government do concretely to

:45:36.:45:36.

facilitate this? Yes, I do. The member makes it sound

:45:37.:45:44.

like his colleague is digging holes for the new facility!

:45:45.:45:49.

LAUGHTER The member is right. We know that

:45:50.:45:59.

they have great potential, not just to contribute to renewable energy,

:46:00.:46:02.

not just to contribute to a reduction in our carbon footprint,

:46:03.:46:09.

but also to put money into our local economy as well. We would have a

:46:10.:46:15.

full range of options to promote those schemes further.

:46:16.:46:19.

PRESIDING OFFICER: Thank you. STUDIO:

:46:20.:46:22.

There we are, that was First Minister's Questions.

:46:23.:46:23.

If you want more more coverage of the National Assembly,

:46:24.:46:24.

you can go online to BBC Wales's Senedd Live

:46:25.:46:26.

But that's it for First Minister's Questions.

:46:27.:46:36.

Don't forget for all the latest political news, watch Wales Today

:46:37.:46:38.

later today at 6.30pm on BBC One Wales and Newyddion

:46:39.:46:42.

As for am.pm, though, from all of us on the programme, goodbye.

:46:43.:46:53.

We will be back in a fortnight's time. Half-term next week.

:46:54.:46:58.

Hopefully, see you in a fortnight. Bye-bye.

:46:59.:47:00.

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